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      TERT rearrangements are frequent in neuroblastoma and identify aggressive tumors.

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          Abstract

          Whole-genome sequencing detected structural rearrangements of TERT in 17 of 75 high-stage neuroblastomas, with five cases resulting from chromothripsis. Rearrangements were associated with increased TERT expression and targeted regions immediately up- and downstream of TERT, positioning a super-enhancer close to the breakpoints in seven cases. TERT rearrangements (23%), ATRX deletions (11%) and MYCN amplifications (37%) identify three almost non-overlapping groups of high-stage neuroblastoma, each associated with very poor prognosis.

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          Author and article information

          Journal
          Nat. Genet.
          Nature genetics
          Springer Nature
          1546-1718
          1061-4036
          Dec 2015
          : 47
          : 12
          Affiliations
          [1 ] Department of Oncogenomics, Academic Medical Center, Amsterdam, the Netherlands.
          [2 ] Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
          [3 ] Department of Pediatric Hematology/Oncology, Dana-Farber Cancer Institute and Boston Children's Hospital, Boston, Massachusetts, USA.
          [4 ] Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA.
          [5 ] Department of Pediatric Oncology, Academic Medical Center, Amsterdam, the Netherlands.
          Article
          ng.3438
          10.1038/ng.3438
          26523776
          75d2ac56-09af-4f5a-97f4-551269adabfe
          History

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