Prognostic significance of copy number alterations detected by multi-link probe amplification of multiple genes in adult acute lymphoblastic leukemia
The multiplex ligation-dependent probe amplification (MLPA) method was used to detect the copy number alterations (CNAs) of IKAROS family zinc finger 1 (IKZF1), paired box 5 (PAX5), ETS variant 6 (ETV6), RB transcriptional corepressor 1 (RB1), BTG anti-proliferation factor 1 (BTG1), early B-cell fac...
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          | Published in | Oncology letters Vol. 15; no. 4; pp. 5359 - 5367 | 
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , | 
| Format | Journal Article | 
| Language | English | 
| Published | 
        Greece
          D.A. Spandidos
    
        01.04.2018
     Spandidos Publications Spandidos Publications UK Ltd  | 
| Subjects | |
| Online Access | Get full text | 
| ISSN | 1792-1074 1792-1082 1792-1082  | 
| DOI | 10.3892/ol.2018.7985 | 
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| Abstract | The multiplex ligation-dependent probe amplification (MLPA) method was used to detect the copy number alterations (CNAs) of IKAROS family zinc finger 1 (IKZF1), paired box 5 (PAX5), ETS variant 6 (ETV6), RB transcriptional corepressor 1 (RB1), BTG anti-proliferation factor 1 (BTG1), early B-cell factor 1 (EBF1), cyclin dependent kinase inhibitor 2A/2B (CDKN2A/2B) and cytokine receptor like factor 2 (CRLF2) genes in 87 adults with acute lymphoblastic leukemia (ALL) in China. The effects of CNAs on prognosis were analyzed. Gene deletions were detected in 58/87 (66.7%) ALL patients. The most common deletions were observed in the following genes: IKZF1 (40.6%), CDKN2A (31.9%), CDKN2B (29%), PAX5 (21.7%), RB1 (14.5%) and BTG1 (10.1%). B cell-ALL (B-ALL) patients with CDKN2A/2B deletions exhibited poor 2-year overall survival (OS; P=0.055) and relapse-free survival (RFS; P=0.054) rates. CDKN2A/2B deletions were associated with poor 2-year OS (P=0.045) and RFS (P=0.071) rates in Philadelphia chromosome positive (Ph+) B-ALL patients, as well as in the high risk (HR) B-ALL group (P=0.037 and P=0.047, respectively). Patients with PAX5 deletions displayed poor 2-year OS (P=0.004) and RFS (P=0.016) rates in Philadelphia chromosome negative (Ph−) B-ALL patients. Patients with ≥3 gene deletions exhibited a poorer prognosis than other patients (OS, P=0.001; RFS, 0.002). | 
    
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| AbstractList | The multiplex ligation-dependent probe amplification (MLPA) method was used to detect the copy number alterations (CNAs) of IKAROS family zinc finger 1 (IKZF1), paired box 5 (PAX5), ETS variant 6 (ETV6), RB transcriptional corepressor 1 (RB1), BTG anti-proliferation factor 1 (BTG1), early B-cell factor 1 (EBF1), cyclin dependent kinase inhibitor 2A/2B (CDKN2A/2B) and cytokine receptor like factor 2 (CRLF2) genes in 87 adults with acute lymphoblastic leukemia (ALL) in China. The effects of CNAs on prognosis were analyzed. Gene deletions were detected in 58/87 (66.7%) ALL patients. The most common deletions were observed in the following genes: IKZF1 (40.6%), CDKN2A (31.9%), CDKN2B (29%), PAX5 (21.7%), RB1 (14.5%) and BTG1 (10.1%). B cell-ALL (B-ALL) patients with CDKN2A/2B deletions exhibited poor 2-year overall survival (OS; P=0.055) and relapse-free survival (RFS; P=0.054) rates. CDKN2A/2B deletions were associated with poor 2-year OS (P=0.045) and RFS (P=0.071) rates in Philadelphia chromosome positive (Ph+) B-ALL patients, as well as in the high risk (HR) B-ALL group (P=0.037 and P=0.047, respectively). Patients with PAX5 deletions displayed poor 2-year OS (P=0.004) and RFS (P=0.016) rates in Philadelphia chromosome negative (Ph−) B-ALL patients. Patients with ≥3 gene deletions exhibited a poorer prognosis than other patients (OS, P=0.001; RFS, 0.002). The multiplex ligation-dependent probe amplification (MLPA) method was used to detect the copy number alterations (CNAs) of IKAROS family zinc finger 1 (IKZF1), paired box 5 (PAX5), ETS variant 6 (ETV6), RB transcriptional corepressor 1 (RBI), BTG anti-proliferation factor 1 (BTG1), early B-cell factor 1 (EBF1), cyclin dependent kinase inhibitor 2A/2B (CDKN2A/2B) and cytokine receptor like factor 2 (CRLF2) genes in 87 adults with acute lymphoblastic leukemia (ALL) in China. The effects of CNAs on prognosis were analyzed. Gene deletions were detected in 58/87 (66.7%) ALL patients. The most common deletions were observed in the following genes: IKZF1 (40.6%), CDKN2A (31.9%), CDKN2B (29%), PAX5 (21.7%), RBI (14.5%) and BTG1 (10.1%). B cell-ALL (B-ALL) patients with CDKN2A/2B deletions exhibited poor 2-year overall survival (OS; P=0.055) and relapse-free survival (RFS; P=0.054) rates. CDKN2A/2B deletions were associated with poor 2-year OS (P=0.045) and RFS (P=0.071) rates in Philadelphia chromosome positive ([Ph.sup.+]) B-ALL patients, as well as in the high risk (HR) B-ALL group (P=0.037 and P=0.047, respectively). Patients with PAX5 deletions displayed poor 2-year OS (P=0.004) and RFS (P=0.016) rates in Philadelphia chromosome negative (Ph) B-ALL patients. Patients with [greater than or equal to]3 gene deletions exhibited a poorer prognosis than other patients (OS, P=0.001; RFS, 0.002). Key words: adult, acute lymphoblastic leukemia, multiplex ligation-dependent probe amplification, copy number alterations, prognosis The multiplex ligation-dependent probe amplification (MLPA) method was used to detect the copy number alterations (CNAs) of IKAROS family zinc finger 1 ( ), paired box 5 ( ), ETS variant 6 ( ), RB transcriptional corepressor 1 ( ), BTG anti-proliferation factor 1 ( ), early B-cell factor 1 ( ), cyclin dependent kinase inhibitor 2A/2B ( ) and cytokine receptor like factor 2 ( ) genes in 87 adults with acute lymphoblastic leukemia (ALL) in China. The effects of CNAs on prognosis were analyzed. Gene deletions were detected in 58/87 (66.7%) ALL patients. The most common deletions were observed in the following genes: (40.6%), (31.9%), (29%), (21.7%), (14.5%) and (10.1%). B cell-ALL (B-ALL) patients with deletions exhibited poor 2-year overall survival (OS; P=0.055) and relapse-free survival (RFS; P=0.054) rates. deletions were associated with poor 2-year OS (P=0.045) and RFS (P=0.071) rates in Philadelphia chromosome positive (Ph ) B-ALL patients, as well as in the high risk (HR) B-ALL group (P=0.037 and P=0.047, respectively). Patients with deletions displayed poor 2-year OS (P=0.004) and RFS (P=0.016) rates in Philadelphia chromosome negative (Ph ) B-ALL patients. Patients with ≥3 gene deletions exhibited a poorer prognosis than other patients (OS, P=0.001; RFS, 0.002). The multiplex ligation-dependent probe amplification (MLPA) method was used to detect the copy number alterations (CNAs) of IKAROS family zinc finger 1 (IKZF1), paired box 5 (PAX5), ETS variant 6 (ETV6), RB transcriptional corepressor 1 (RB1), BTG anti-proliferation factor 1 (BTG1), early B-cell factor 1 (EBF1), cyclin dependent kinase inhibitor 2A/2B (CDKN2A/2B) and cytokine receptor like factor 2 (CRLF2) genes in 87 adults with acute lymphoblastic leukemia (ALL) in China. The effects of CNAs on prognosis were analyzed. Gene deletions were detected in 58/87 (66.7%) ALL patients. The most common deletions were observed in the following genes: IKZF1 (40.6%), CDKN2A (31.9%), CDKN2B (29%), PAX5 (21.7%), RB1 (14.5%) and BTG1 (10.1%). B cell-ALL (B-ALL) patients with CDKN2A/2B deletions exhibited poor 2-year overall survival (OS; P=0.055) and relapse-free survival (RFS; P=0.054) rates. CDKN2A/2B deletions were associated with poor 2-year OS (P=0.045) and RFS (P=0.071) rates in Philadelphia chromosome positive (Ph+) B-ALL patients, as well as in the high risk (HR) B-ALL group (P=0.037 and P=0.047, respectively). Patients with PAX5 deletions displayed poor 2-year OS (P=0.004) and RFS (P=0.016) rates in Philadelphia chromosome negative (Ph-) B-ALL patients. Patients with ≥3 gene deletions exhibited a poorer prognosis than other patients (OS, P=0.001; RFS, 0.002).The multiplex ligation-dependent probe amplification (MLPA) method was used to detect the copy number alterations (CNAs) of IKAROS family zinc finger 1 (IKZF1), paired box 5 (PAX5), ETS variant 6 (ETV6), RB transcriptional corepressor 1 (RB1), BTG anti-proliferation factor 1 (BTG1), early B-cell factor 1 (EBF1), cyclin dependent kinase inhibitor 2A/2B (CDKN2A/2B) and cytokine receptor like factor 2 (CRLF2) genes in 87 adults with acute lymphoblastic leukemia (ALL) in China. The effects of CNAs on prognosis were analyzed. Gene deletions were detected in 58/87 (66.7%) ALL patients. The most common deletions were observed in the following genes: IKZF1 (40.6%), CDKN2A (31.9%), CDKN2B (29%), PAX5 (21.7%), RB1 (14.5%) and BTG1 (10.1%). B cell-ALL (B-ALL) patients with CDKN2A/2B deletions exhibited poor 2-year overall survival (OS; P=0.055) and relapse-free survival (RFS; P=0.054) rates. CDKN2A/2B deletions were associated with poor 2-year OS (P=0.045) and RFS (P=0.071) rates in Philadelphia chromosome positive (Ph+) B-ALL patients, as well as in the high risk (HR) B-ALL group (P=0.037 and P=0.047, respectively). Patients with PAX5 deletions displayed poor 2-year OS (P=0.004) and RFS (P=0.016) rates in Philadelphia chromosome negative (Ph-) B-ALL patients. Patients with ≥3 gene deletions exhibited a poorer prognosis than other patients (OS, P=0.001; RFS, 0.002). The multiplex ligation-dependent probe amplification (MLPA) method was used to detect the copy number alterations (CNAs) of IKAROS family zinc finger 1 (IKZF1), paired box 5 (PAX5), ETS variant 6 (ETV6), RB transcriptional corepressor 1 (RBI), BTG anti-proliferation factor 1 (BTG1), early B-cell factor 1 (EBF1), cyclin dependent kinase inhibitor 2A/2B (CDKN2A/2B) and cytokine receptor like factor 2 (CRLF2) genes in 87 adults with acute lymphoblastic leukemia (ALL) in China. The effects of CNAs on prognosis were analyzed. Gene deletions were detected in 58/87 (66.7%) ALL patients. The most common deletions were observed in the following genes: IKZF1 (40.6%), CDKN2A (31.9%), CDKN2B (29%), PAX5 (21.7%), RBI (14.5%) and BTG1 (10.1%). B cell-ALL (B-ALL) patients with CDKN2A/2B deletions exhibited poor 2-year overall survival (OS; P=0.055) and relapse-free survival (RFS; P=0.054) rates. CDKN2A/2B deletions were associated with poor 2-year OS (P=0.045) and RFS (P=0.071) rates in Philadelphia chromosome positive ([Ph.sup.+]) B-ALL patients, as well as in the high risk (HR) B-ALL group (P=0.037 and P=0.047, respectively). Patients with PAX5 deletions displayed poor 2-year OS (P=0.004) and RFS (P=0.016) rates in Philadelphia chromosome negative (Ph) B-ALL patients. Patients with [greater than or equal to]3 gene deletions exhibited a poorer prognosis than other patients (OS, P=0.001; RFS, 0.002).  | 
    
| Audience | Academic | 
    
| Author | Mi, Yingchang Zhang, Qi Li, Qinghua Wang, Ying Zhao, Xingli Tang, Kejing Ru, Kun Yuan, Tian Tian, Zheng Gong, Xiaoyuan Li, Yan Feng, Juan Wang, Jianxiang Fang, Qiuyun Liu, Bingcheng Liu, Kaiqi Wang, Min  | 
    
| AuthorAffiliation | 3 Hematology Department, Tianjin Cancer Hospital, Tianjin 300060, P.R. China 1 Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China 2 Hematological Cancer Laboratory, State Key Laboratory of Experimental Hematology, Tianjin 300020, P.R. China  | 
    
| AuthorAffiliation_xml | – name: 1 Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – name: 3 Hematology Department, Tianjin Cancer Hospital, Tianjin 300060, P.R. China – name: 2 Hematological Cancer Laboratory, State Key Laboratory of Experimental Hematology, Tianjin 300020, P.R. China  | 
    
| Author_xml | – sequence: 1 givenname: Qiuyun surname: Fang fullname: Fang, Qiuyun organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 2 givenname: Tian surname: Yuan fullname: Yuan, Tian organization: 3Hematology Department, Tianjin Cancer Hospital, Tianjin 300060, P.R. China – sequence: 3 givenname: Yan surname: Li fullname: Li, Yan organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 4 givenname: Juan surname: Feng fullname: Feng, Juan organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 5 givenname: Xiaoyuan surname: Gong fullname: Gong, Xiaoyuan organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 6 givenname: Qinghua surname: Li fullname: Li, Qinghua organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 7 givenname: Xingli surname: Zhao fullname: Zhao, Xingli organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 8 givenname: Kaiqi surname: Liu fullname: Liu, Kaiqi organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 9 givenname: Kejing surname: Tang fullname: Tang, Kejing organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 10 givenname: Zheng surname: Tian fullname: Tian, Zheng organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 11 givenname: Qi surname: Zhang fullname: Zhang, Qi organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 12 givenname: Ying surname: Wang fullname: Wang, Ying organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 13 givenname: Bingcheng surname: Liu fullname: Liu, Bingcheng organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 14 givenname: Min surname: Wang fullname: Wang, Min organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 15 givenname: Kun surname: Ru fullname: Ru, Kun organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 16 givenname: Jianxiang surname: Wang fullname: Wang, Jianxiang organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China – sequence: 17 givenname: Yingchang surname: Mi fullname: Mi, Yingchang organization: 1Leukemia Department, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, P.R. China  | 
    
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29552179$$D View this record in MEDLINE/PubMed | 
    
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| PublicationTitle | Oncology letters | 
    
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article-title: High-resolution genomic profiling of childhood ALL reveals novel recurrent genetic lesions affecting pathways involved in lymphocyte differentiation and cell cycle progression publication-title: Leukemia doi: 10.1038/sj.leu.2404691 – volume: 46 start-page: 64 year: 2009 end-page: 75 ident: b9-ol-0-0-7985 article-title: Treatment of adult acute lymphoblastic leukemia publication-title: Semin Hematol doi: 10.1053/j.seminhematol.2008.09.003 – volume: 446 start-page: 758 year: 2007 ident: key20200714003122_b1-ol-0-0-7985 article-title: Genome-wide analysis of genetic alterations in acute lymphoblastic leukaemia publication-title: Nature doi: 10.1038/nature05690 – volume: 124 start-page: 1434 year: 2014 ident: key20200714003122_b11-ol-0-0-7985 article-title: A novel integrated cytogenetic and genomic classification refines risk stratification in pediatric acute lymphoblastic leukemia publication-title: Blood doi: 10.1182/blood-2014-03-562918 – volume: 49 start-page: 1104 year: 2010 ident: key20200714003122_b5-ol-0-0-7985 article-title: Evaluation of multiplex ligation-dependent probe amplification as a method for the detection of copy number abnormalities in B-cell precursor acute lymphoblastic leukemia publication-title: Genes Chromosomes Cancer doi: 10.1002/gcc.20818 – volume: 30 start-page: e57 year: 2002 ident: key20200714003122_b6-ol-0-0-7985 article-title: Relative quantification of 40 nucleic acid sequences by multiplex ligation-dependent probe amplification publication-title: Nucleic Acids Res doi: 10.1093/nar/gnf056 – volume: 27 start-page: 1936 year: 2013 ident: key20200714003122_b10-ol-0-0-7985 article-title: Impact of IKZF1 deletions and PAX5 amplifications in pediatric B-cell precursor ALL treated according to NOPHO protocols publication-title: Leukemia doi: 10.1038/leu.2013.92 – volume: 17 start-page: 7413 year: 2011 ident: key20200714003122_b16-ol-0-0-7985 article-title: CDKN2A/B alterations impair prognosis in adult BCR-ABL1-positive acute lymphoblastic leukemia patients publication-title: Clin Cancer Res doi: 10.1158/1078-0432.CCR-11-1227 – volume: 12 start-page: 344 year: 2015 ident: key20200714003122_b4-ol-0-0-7985 article-title: Genomics in acute lymphoblastic leukaemia: Insights and treatment implications publication-title: Nat Rev Clin Oncol doi: 10.1038/nrclinonc.2015.38 – volume: 60 start-page: 1587 year: 2013 ident: key20200714003122_b14-ol-0-0-7985 article-title: IKZF1 and CRLF2 gene alterations correlate with poor prognosis in Japanese BCR-ABL1-negative high-risk B-cell precursor acute lymphoblastic leukemia publication-title: Pediatr Blood Cancer doi: 10.1002/pbc.24571 – volume: 116 start-page: 4874 year: 2010 ident: key20200714003122_b3-ol-0-0-7985 article-title: Identification of novel cluster groups in pediatric high-risk B-precursor acute lymphoblastic leukemia with gene expression profiling: Correlation with genome-wide DNA copy number alterations, clinical characteristics, and outcome publication-title: Blood doi: 10.1182/blood-2009-08-239681 – volume: 35 start-page: 873 year: 2014 ident: key20200714003122_b7-ol-0-0-7985 article-title: Optimal treatment of adult Ph negative acute lymphoblastic leukemia publication-title: Zhonghua Xue Ye Xue Za Zhi – volume: 121 start-page: 3809 year: 2015 ident: key20200714003122_b15-ol-0-0-7985 article-title: Prognostic significance of copy number alterations in adolescent and adult patients with precursor B acute lymphoblastic leukemia enrolled in PETHEMA protocols publication-title: Cancer doi: 10.1002/cncr.29579 – volume: 46 start-page: 64 year: 2009 ident: key20200714003122_b9-ol-0-0-7985 article-title: Treatment of adult acute lymphoblastic leukemia publication-title: Semin Hematol doi: 10.1053/j.seminhematol.2008.09.003 – volume: 58 start-page: 127 year: 2017 ident: key20200714003122_b8-ol-0-0-7985 article-title: IKZF1 alterations and expressions of CRLF2 predict prognosis in Chinese adult patients with B-cell precursor acute lymphoblastic leukemia publication-title: Leuk Lymphoma doi: 10.1080/10428194.2016.1180682 – volume: 27 start-page: 295 year: 2013 ident: key20200714003122_b12-ol-0-0-7985 article-title: Prognostic value of genetic alterations in children with first bone marrow relapse of childhood B-cell precursor acute lymphoblastic leukemia publication-title: Leukemia doi: 10.1038/leu.2012.155 – volume: 21 start-page: 539 year: 2013 ident: key20200714003122_b13-ol-0-0-7985 article-title: Expression and clinical significance of IKZF1 gene IK6 isoforms in adult acute lymphoblastic leukemia publication-title: Zhongguo Shi Yan Xue Ye Xue Za Zhi – volume: 21 start-page: 1258 year: 2007 ident: key20200714003122_b2-ol-0-0-7985 article-title: High-resolution genomic profiling of childhood ALL reveals novel recurrent genetic lesions affecting pathways involved in lymphocyte differentiation and cell cycle progression publication-title: Leukemia doi: 10.1038/sj.leu.2404691  | 
    
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| Snippet | The multiplex ligation-dependent probe amplification (MLPA) method was used to detect the copy number alterations (CNAs) of IKAROS family zinc finger 1... The multiplex ligation-dependent probe amplification (MLPA) method was used to detect the copy number alterations (CNAs) of IKAROS family zinc finger 1 ( ),...  | 
    
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| SubjectTerms | acute lymphoblastic leukemia Acute lymphocytic leukemia adult Adults Age Analysis Blood Blood diseases Care and treatment Chemotherapy Chromosomes copy number alterations Copy number variations Cytokines Deoxyribonucleic acid Development and progression DNA Genes Genetic aspects Health aspects Hematology Investigations Leukemia Medical prognosis multiplex ligation-dependent probe amplification Oncology Pediatrics Prognosis Transcription factors  | 
    
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