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Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
Genomics-Driven Precision Medicine in Pediatric Solid Tumors
Praewa Suthapot1,2,3, Wararat Chiangjong4, Parunya Chaiyawat3,5
1Division of Hematology and Oncology, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
Abstract:
Over the past decades, several study programs have conducted genetic testing in cancer patients to identify potential genetic targets for the development of precision therapeutic strategies. These biomarker-driven trials have demonstrated improved clinical outcomes and progression-free survival rates in various types of cancers, especially for adult malignancies. However, similar progress in pediatric cancers has been slow due to their distinguished mutation profiles compared to adults and the low frequency of recurrent genomic alterations. Recently, increased efforts to develop precision medicine for childhood malignancies have led to the identification of genomic alterations and transcriptomic profiles of pediatric patients which presents promising opportunities to study rare and difficult-to-access neoplasms. This review summarizes the current state of known and potential genetic markers for pediatric solid tumors and provides perspectives on precise therapeutic strategies that warrant further investigations.
Insights
Precision medicine in pediatric cancers shows promise, identifying genetic targets for targeted therapies. This review highlights genetic markers for childhood solid tumors and future treatment strategies.
Area of Science:
- Oncology
- Genetics
- Pediatrics
Background:
- Biomarker-driven trials have improved outcomes in adult cancers.
- Pediatric cancers have unique mutation profiles and fewer recurrent alterations, slowing progress.
- Recent advances identify genomic and transcriptomic profiles in childhood malignancies.
Purpose of the Study:
- To review known and potential genetic markers for pediatric solid tumors.
- To discuss precise therapeutic strategies for childhood cancers.
Main Methods:
- Literature review of genetic testing and precision medicine in pediatric oncology.
- Analysis of genomic alterations and transcriptomic profiles in pediatric neoplasms.
Main Results:
- Biomarker-driven trials show success in adult cancers but lag in pediatric cancers.
- Identification of specific genomic alterations and transcriptomic profiles in pediatric patients.
- Potential for novel therapeutic targets in rare and difficult-to-access pediatric neoplasms.
Conclusions:
- Precision medicine offers significant opportunities for treating pediatric solid tumors.
- Further investigation into genetic markers and targeted therapies is crucial for advancing pediatric cancer care.
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