Guan Jikui, Hallberg Bengt, Palmer Ruth H
Department of Pediatric Oncology Surgery, Zhengzhou Key Laboratory of Precise Diagnosis and Treatment of Children's Malignant Tumors, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou 450018, China.
Department of Medical Biochemistry and Cell Biology, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden.
Cancers (Basel). 2021 Nov 24;13(23):5897. doi: 10.3390/cancers13235897.
Neuroblastoma is the most common extracranial solid pediatric tumor, with around 15% childhood cancer-related mortality. High-risk neuroblastomas exhibit a range of genetic, morphological, and clinical heterogeneities, which add complexity to diagnosis and treatment with existing modalities. Identification of novel therapies is a high priority in high-risk neuroblastoma, and the combination of genetic analysis with increased mechanistic understanding-including identification of key signaling and developmental events-provides optimism for the future. This focused review highlights several recent findings concerning chromosomes 1p, 2p, and 11q, which link genetic aberrations with aberrant molecular signaling output. These novel molecular insights contribute important knowledge towards more effective treatment strategies for neuroblastoma.
神经母细胞瘤是最常见的小儿颅外实体肿瘤,约占儿童癌症相关死亡率的15%。高危神经母细胞瘤表现出一系列遗传、形态和临床异质性,这增加了现有治疗方式诊断和治疗的复杂性。识别新疗法是高危神经母细胞瘤的首要任务,将遗传分析与增强的机制理解(包括识别关键信号传导和发育事件)相结合为未来带来了希望。这篇重点综述强调了最近关于1号染色体短臂、2号染色体短臂和11号染色体长臂的几项发现,这些发现将基因畸变与异常分子信号输出联系起来。这些新的分子见解为更有效的神经母细胞瘤治疗策略贡献了重要知识。