2022
DOI: 10.1016/j.xcrm.2022.100632
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Intrinsic transcriptional heterogeneity in neuroblastoma guides mechanistic and therapeutic insights

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Cited by 18 publications
(32 citation statements)
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References 93 publications
(210 reference statements)
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“…Neuroblastoma tumors are highly heterogeneous, and comprise both adrenergic and neural crest like (mesenchymal) cell types. Both cell identities are charactized by super-enhancer marked transcription factors, which are controlling the gene expression program of the two neuroblastoma cell identities 45 . In contract, genes involved in replication and replication stress response pathways comprising FANCD2, CDC25A, CHEK1 and AURKA are downregulated ( Figure 5B ).…”
Section: Resultsmentioning
confidence: 99%
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“…Neuroblastoma tumors are highly heterogeneous, and comprise both adrenergic and neural crest like (mesenchymal) cell types. Both cell identities are charactized by super-enhancer marked transcription factors, which are controlling the gene expression program of the two neuroblastoma cell identities 45 . In contract, genes involved in replication and replication stress response pathways comprising FANCD2, CDC25A, CHEK1 and AURKA are downregulated ( Figure 5B ).…”
Section: Resultsmentioning
confidence: 99%
“…Enrichment analysis using ENRICHR 29 on the overlapping binding sites in CLB-GA showed again significant enrichment for binding sites of the ADR CRC transcription factors ( Figure 6E) . As these CRC members are known to be highly transcribed in neuroblastoma, these regions are inherently at higher risk to suffer from replicative stress 45 . Therefore, we propose that PHF6 is recruited to these regions and attracts RRM2 to relief transcription-associated DNA damage.…”
Section: Resultsmentioning
confidence: 99%
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“…This is similar to the idea of the epithelial to mesenchymal transition (EMT) states. However, while neuroblastoma cells can be classified as either in the MES or ADRN state, sufficient plasticity exists where transitioning between states could also cause transcriptional changes that are independent of the cell’s mutational status ( 46 ). Expanded complexity of transcriptional networks is exemplified with MES subtypes that can include both MYCN -amplified and nonamplified, high-risk or low-risk, and may also overlap with the ADRN group ( 47 ).…”
Section: Discussionmentioning
confidence: 99%
“…However, this represents an apparent paradox, because the mesenchymal cell state appears to be associated both with the initiation of localized tumors in young children and with rapidly growing and metastatic drug resistant neuroblastomas that are not responding to therapy. To explain this apparent discrepancy, we hypothesize that adrenergic neuroblastoma cells can both switch to the mesenchymal cell state and 20 select for RAS-MAPK pathway mutations under the pressure of intensive combination chemotherapy (6,11,(43)(44)(45)(46)(47). Thus, the switch to the mesenchymal cell state provides immediate resistance to anti-neuroblastoma drugs but relatively indolent cell growth, allowing for the long term outgrowth of rare subclones of cells with drug resistance due to RAS-MAPK pathway mutations, and impart aggressive proliferative and metastatic growth properties, which may allow the neuroblastoma cells to shift back to the adrenergic cell state.…”
Section: The Tata/tata Genotype At Rs2168101 Favors the Onset Of Neur...mentioning
confidence: 99%