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Table 3 Clinical utility beyond targetable somatic mutations

From: Implementation of next generation sequencing into pediatric hematology-oncology practice: moving beyond actionable alterations

PIP ID

Diagnosis

Alteration

Mutation (change)

Clinical utility

Implication

Sequence mutations

 

 15-63375

AML changed to JMML

PTPN11; SETB1

c.181G > T (p.D61Y); c.2602G > A (p.D868N)

Diagnostic [31, 46]

JMML

 13-72282a

T-ALL

STAT5B

c.2110A > C (p.I704L)

Diagnostic [30, 47]

Gamma-delta T-cell lymphoma

 15-26188

ALL

NT5C2

c.1219G > T (p.D407Y)

Pharmacogenomic [32, 33]

Affects therapy

 13-45348

AML

IDH1

c.394C > T (p.R132C)

Diagnostic [48, 49]

Maffucci syndrome

 14-53198

AML

CEBPA

c.939_940insAAG (p.K313_V314insK); c.326_327insC (p.P109fs)

Prognostic [50]

Improved prognosis

 15-10838

Glioma

H3F3A

c.83A > T (p.K28M)

Prognostic [51]

Poor prognosis

 14-37237

Glioblastoma multiforme

H3F3A

c.83A > T (p.K28M)

Prognostic [52, 53]

GBM subgroup, K27

 14-35585

Renal cell carcinoma

VHL

c.497 T > G (p.V166G)

Diagnostic [54]

Von Hippel Lindau

 14-47205

Nephroblastomatosis

PIK3CA

c.1035 T > A (p.N345K)

Diagnostic [55]

Nephroblastomatosis

 14-78154a

Medulloblastoma

KDM6A

c.2989_2990dupAT (p.M997fs)

Prognostic [56]

Risk stratification, group 4

 14-75899

Neuroblastoma

ATRX

c.5239delA (p.T1747fs)

Prognostic [57]

Poor prognosis

 14-10141

Pleuropulmonaryblastoma

DICER1

c.5438A > G (p.E1813G)

Health Maintenance [58]

DICER syndrome

Transcriptome analysis and CNV

 14-24794

AML

CBFB-MYH11

Fusion

Prognostic [59]

Low-risk stratification

 15-64793

B-ALL

FOXP1-ABL1

Fusion

Prognostic [60]

High-risk stratification

 15-84578

AMKL

CBFA2T3-GLIS2

Fusion

Diagnostic [61]; Prognostic [35]

AMKL; Poor prognosis

 14-85546

CML

BCR-ABL1

Fusion

Diagnostic [59]

CML

 13-72282a

T-ALL

Isochromosome 7q

Copy number change

Diagnostic [39]

Gamma-delta T-cell lymphoma

 15-46387

Rhabdomyosarcoma

PAX7-FOXO1

Fusion

Diagnostic [62, 63]; Prognostic [64]

Rhabdomyosarcoma; High-risk group

 13-81192

Alveolar soft part sarcoma

ASPSCR1-TFE3

Fusion

Diagnostic [65]

Alveolar soft part sarcoma

 13-65217

Ewing sarcoma

EWSR1-FLI1

Fusion

Diagnostic [66]

Ewing sarcoma

 15-47087

Ewing sarcoma

EWSR1-FLI1; Low expression of PAX8, FHIT, CASP10, CHD2, with high expression of CHD11, FUS, and MTA1

Fusion; Expression pattern

Diagnostic [66]; Prognostic [36]

Ewing sarcoma; Poor prognosis

 13-21968

Undifferentiated sarcoma

EML4-NTRK3

Fusion

Diagnostic [34]

Infantile fibrosarcoma

 16-88073

Ependymoma

C11orf95-RELA; Alternating gains and losses on chr 11 and 22, consistent with a “chromothripsis-like” pattern

Fusion; Copy number change

Prognostic [67]; Diagnostic [68]

Poor prognosis; RELA-type supratentorial ependymoma

 14-27243

Neuroblastoma

MYCN amplified, deletion at 1p and 11q, gain 17q; MYCN over expressed

Copy number change; Overexpression

Prognostic [69, 70]

Risk-based therapy

 14-42817

Neuroblastoma

MYCN non-amplified, no LOH at 1p11q; MYCN not over expressed

Copy number change; No overexpression

Prognostic [69, 70]

Risk-based therapy

 15-39486

Neuroblastoma

MYCN non-amplified, no LOH at 1p11q; MYCN not over expressed

Copy number change; No overexpression

Prognostic [69, 70]

Risk-based therapy

 14-44070

Neuroblastoma

MYCN amplified, loss of 1p, gain of 1q and 17q; MYCN over expressed

Copy number change; Overexpression

Prognostic [69, 70]

Risk-based therapy

 15-88980

Hepatoblastoma

Amplification of 11q13.2 including CCND1; Over expression of CCND1

Copy number change; Overexpression

Prognostic [71]

Good prognosis

 15-49177

Medulloblastoma

IMPG2, GABRA5, LAPTM4B, MAB21L2, NPR3, MFAP4, NRL, ZFPM2, TSHZ3, IGF2BP3, GALNT14, GPR98; Loss of 10q22.2-10qter involving PTEN and SUFU, loss of 17p, gain of 17q

Overexpression; Copy number change

Prognostic [72]

Risk stratification, subgroup 3/4

 15-70532

Ependymoma

Gain of 1q, loss of 6q

Copy number change

Prognostic [7375]

Poor prognosis

 14-78154a

Medulloblastoma

KCNA1, RBM24, KLHL13, EN2, SNCAIP, PDE1C, GRM8, KCNIP4, EXPH5, UNC5D, NID2, ST18, GPR12, SH3GL3; i17q

Overexpression; Copy number change

Prognostic [72]

Risk stratification, subgroup 4

 15-40141

Pleomorphic xanthoastrocytoma

Gain of chromosome 7, LOH at 9p

Copy number change

Diagnostic [76]

Pleomorphic xanthoastrocytoma

 15-97336

Small round blue cell tumor

EWSR1-WT1

Fusion

Diagnostic [77]

DSRCT

 15-34296

Ependymoma

TNC, CALB1, PLAG1, ALDH1L1, RELN

Overexpression

Prognostic [37]

Risk stratification, group A, poor prognosis

 15-80972

ATRT

LOH at 22q11.21qter, including SMARCB1; ASCL1

Copy number change; Overexpression

Diagnostic [78]; Prognostic [79]

ATRT; Improved prognosis

  1. aSame patient
  2. ALL acute lymphoblastic leukemia, AMKL acute megakaryoblastic leukemia, AML acute myeloid leukemia, ATRT atypical teratoid rhaboid tumor, CML chronic myeloid leukemia, CNV copy number variation, JMML juvenile myelomonocytic leukemia