TY - JOUR T1 - The modular network structure of the mutational landscape of Acute Myeloid Leukemia. JF - PLoS One Y1 - 2018 A1 - Ibáñez, Mariam A1 - Carbonell-Caballero, José A1 - Such, Esperanza A1 - García-Alonso, Luz A1 - Liquori, Alessandro A1 - López-Pavía, María A1 - LLop, Marta A1 - Alonso, Carmen A1 - Barragán, Eva A1 - Gómez-Seguí, Inés A1 - Neef, Alexander A1 - Hervás, David A1 - Montesinos, Pau A1 - Sanz, Guillermo A1 - Sanz, Miguel Angel A1 - Dopazo, Joaquin A1 - Cervera, José KW - Adult KW - Aged KW - Cytodiagnosis KW - Female KW - Gene Regulatory Networks KW - Genetic Association Studies KW - Genetic Heterogeneity KW - Humans KW - Karyotype KW - Leukemia, Myeloid, Acute KW - Male KW - Middle Aged KW - mutation KW - Neoplasm Proteins KW - Nucleophosmin KW - Prognosis KW - whole exome sequencing AB -

Acute myeloid leukemia (AML) is associated with the sequential accumulation of acquired genetic alterations. Although at diagnosis cytogenetic alterations are frequent in AML, roughly 50% of patients present an apparently normal karyotype (NK), leading to a highly heterogeneous prognosis. Due to this significant heterogeneity, it has been suggested that different molecular mechanisms may trigger the disease with diverse prognostic implications. We performed whole-exome sequencing (WES) of tumor-normal matched samples of de novo AML-NK patients lacking mutations in NPM1, CEBPA or FLT3-ITD to identify new gene mutations with potential prognostic and therapeutic relevance to patients with AML. Novel candidate-genes, together with others previously described, were targeted resequenced in an independent cohort of 100 de novo AML patients classified in the cytogenetic intermediate-risk (IR) category. A mean of 4.89 mutations per sample were detected in 73 genes, 35 of which were mutated in more than one patient. After a network enrichment analysis, we defined a single in silico model and established a set of seed-genes that may trigger leukemogenesis in patients with normal karyotype. The high heterogeneity of gene mutations observed in AML patients suggested that a specific alteration could not be as essential as the interaction of deregulated pathways.

VL - 13 IS - 10 U1 - https://www.ncbi.nlm.nih.gov/pubmed/30303964?dopt=Abstract ER - TY - JOUR T1 - The Mutational Landscape of Acute Promyelocytic Leukemia Reveals an Interacting Network of Co-Occurrences and Recurrent Mutations. JF - PLoS One Y1 - 2016 A1 - Ibáñez, Mariam A1 - Carbonell-Caballero, José A1 - García-Alonso, Luz A1 - Such, Esperanza A1 - Jiménez-Almazán, Jorge A1 - Vidal, Enrique A1 - Barragán, Eva A1 - López-Pavía, María A1 - LLop, Marta A1 - Martín, Iván A1 - Gómez-Seguí, Inés A1 - Montesinos, Pau A1 - Sanz, Miguel A A1 - Dopazo, Joaquin A1 - Cervera, José KW - Exome KW - Gene Regulatory Networks KW - Genome, Human KW - Humans KW - INDEL Mutation KW - Leukemia, Promyelocytic, Acute KW - mutation KW - Mutation Rate KW - Polymorphism, Single Nucleotide KW - Reproducibility of Results AB -

Preliminary Acute Promyelocytic Leukemia (APL) whole exome sequencing (WES) studies have identified a huge number of somatic mutations affecting more than a hundred different genes mainly in a non-recurrent manner, suggesting that APL is a heterogeneous disease with secondary relevant changes not yet defined. To extend our knowledge of subtle genetic alterations involved in APL that might cooperate with PML/RARA in the leukemogenic process, we performed a comprehensive analysis of somatic mutations in APL combining WES with sequencing of a custom panel of targeted genes by next-generation sequencing. To select a reduced subset of high confidence candidate driver genes, further in silico analysis were carried out. After prioritization and network analysis we found recurrent deleterious mutations in 8 individual genes (STAG2, U2AF1, SMC1A, USP9X, IKZF1, LYN, MYCBP2 and PTPN11) with a strong potential of being involved in APL pathogenesis. Our network analysis of multiple mutations provides a reliable approach to prioritize genes for additional analysis, improving our knowledge of the leukemogenesis interactome. Additionally, we have defined a functional module in the interactome of APL. The hypothesis is that the number, or the specific combinations, of mutations harbored in each patient might not be as important as the disturbance caused in biological key functions, triggered by several not necessarily recurrent mutations.

VL - 11 IS - 2 U1 - https://www.ncbi.nlm.nih.gov/pubmed/26886259?dopt=Abstract ER -