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Author (up) Anderson, K.; Lutz, C.; van Delft, F.W.; Bateman, C.M.; Guo, Y.; Colman, S.M.; Kempski, H.; Moorman, A.V.; Titley, I.; Swansbury, J.; Kearney, L.; Enver, T.; Greaves, M. url  doi
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  Title Genetic variegation of clonal architecture and propagating cells in leukaemia Type Journal Article
  Year 2011 Publication Nature Abbreviated Journal Nature  
  Volume 469 Issue 7330 Pages 356-361  
  Keywords Animals; Clone Cells/metabolism/*pathology; DNA Copy Number Variations/genetics; DNA Mutational Analysis; Disease Progression; Genetic Variation/*genetics; Genotype; Humans; Immunophenotyping; In Situ Hybridization, Fluorescence; Interleukin Receptor Common gamma Subunit/deficiency/genetics; Mice; Mice, Inbred NOD; Mice, SCID; Neoplasm Transplantation; Oncogene Proteins, Fusion/genetics; Precursor Cell Lymphoblastic Leukemia-Lymphoma/*genetics/*pathology  
  Abstract Little is known of the genetic architecture of cancer at the subclonal and single-cell level or in the cells responsible for cancer clone maintenance and propagation. Here we have examined this issue in childhood acute lymphoblastic leukaemia in which the ETV6-RUNX1 gene fusion is an early or initiating genetic lesion followed by a modest number of recurrent or 'driver' copy number alterations. By multiplexing fluorescence in situ hybridization probes for these mutations, up to eight genetic abnormalities can be detected in single cells, a genetic signature of subclones identified and a composite picture of subclonal architecture and putative ancestral trees assembled. Subclones in acute lymphoblastic leukaemia have variegated genetics and complex, nonlinear or branching evolutionary histories. Copy number alterations are independently and reiteratively acquired in subclones of individual patients, and in no preferential order. Clonal architecture is dynamic and is subject to change in the lead-up to a diagnosis and in relapse. Leukaemia propagating cells, assayed by serial transplantation in NOD/SCID IL2Rgamma(null) mice, are also genetically variegated, mirroring subclonal patterns, and vary in competitive regenerative capacity in vivo. These data have implications for cancer genomics and for the targeted therapy of cancer.  
  Address Section of Haemato-Oncology, The Institute of Cancer Research, Sutton SM2 5NG, UK  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0028-0836 ISBN Medium  
  Area WP6 In vivo Expedition Conference  
  Notes PMID:21160474 Approved no  
  Call Number CBM.UAM @ ccobaleda @ Serial 28  
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