001     177206
005     20240229133733.0
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024 7 _ |a pmid:34678152
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024 7 _ |a 1535-6108
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037 _ _ |a DKFZ-2021-02340
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Liu, Anthony P Y
|b 0
245 _ _ |a Serial assessment of measurable residual disease in medulloblastoma liquid biopsies.
260 _ _ |a New York, NY
|c 2021
|b Elsevier
336 7 _ |a article
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336 7 _ |a ARTICLE
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336 7 _ |a Journal Article
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500 _ _ |a 2021 Nov 8;39(11):1519-1530.e4
520 _ _ |a Nearly one-third of children with medulloblastoma, a malignant embryonal tumor of the cerebellum, succumb to their disease. Conventional response monitoring by imaging and cerebrospinal fluid (CSF) cytology remains challenging, and a marker for measurable residual disease (MRD) is lacking. Here, we show the clinical utility of CSF-derived cell-free DNA (cfDNA) as a biomarker of MRD in serial samples collected from children with medulloblastoma (123 patients, 476 samples) enrolled on a prospective trial. Using low-coverage whole-genome sequencing, tumor-associated copy-number variations in CSF-derived cfDNA are investigated as an MRD surrogate. MRD is detected at baseline in 85% and 54% of patients with metastatic and localized disease, respectively. The number of MRD-positive patients declines with therapy, yet those with persistent MRD have significantly higher risk of progression. Importantly, MRD detection precedes radiographic progression in half who relapse. Our findings advocate for the prospective assessment of CSF-derived liquid biopsies in future trials for medulloblastoma.
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650 _ 7 |a biomarkers
|2 Other
650 _ 7 |a cell-free DNA
|2 Other
650 _ 7 |a cerebrospinal fluid
|2 Other
650 _ 7 |a childhood cancer
|2 Other
650 _ 7 |a liquid biopsy
|2 Other
650 _ 7 |a measurable residual disease
|2 Other
650 _ 7 |a medulloblastoma
|2 Other
650 _ 7 |a microscopic residual disease
|2 Other
650 _ 7 |a minimal residual disease
|2 Other
650 _ 7 |a relapse disease
|2 Other
700 1 _ |a Smith, Kyle S
|b 1
700 1 _ |a Kumar, Rahul
|b 2
700 1 _ |a Paul, Leena
|b 3
700 1 _ |a Bihannic, Laure
|b 4
700 1 _ |a Lin, Tong
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700 1 _ |a Maass, Kendra K
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700 1 _ |a Pajtler, Kristian W
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700 1 _ |a Chintagumpala, Murali
|b 8
700 1 _ |a Su, Jack M
|b 9
700 1 _ |a Bouffet, Eric
|b 10
700 1 _ |a Fisher, Michael J
|b 11
700 1 _ |a Gururangan, Sridharan
|b 12
700 1 _ |a Cohn, Richard
|b 13
700 1 _ |a Hassall, Tim
|b 14
700 1 _ |a Hansford, Jordan R
|b 15
700 1 _ |a Klimo, Paul
|b 16
700 1 _ |a Boop, Frederick A
|b 17
700 1 _ |a Stewart, Clinton F
|b 18
700 1 _ |a Harreld, Julie H
|b 19
700 1 _ |a Merchant, Thomas E
|b 20
700 1 _ |a Tatevossian, Ruth G
|b 21
700 1 _ |a Neale, Geoffrey
|b 22
700 1 _ |a Lear, Matthew
|b 23
700 1 _ |a Klco, Jeffery M
|b 24
700 1 _ |a Orr, Brent A
|b 25
700 1 _ |a Ellison, David W
|b 26
700 1 _ |a Gilbertson, Richard J
|b 27
700 1 _ |a Onar-Thomas, Arzu
|b 28
700 1 _ |a Gajjar, Amar
|b 29
700 1 _ |a Robinson, Giles W
|b 30
700 1 _ |a Northcott, Paul A
|b 31
773 _ _ |a 10.1016/j.ccell.2021.09.012
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910 1 _ |a Deutsches Krebsforschungszentrum
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914 1 _ |y 2021
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LibraryCollectionCLSMajorCLSMinorLanguageAuthor
Marc 21