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Updated: May 6, 2026

Detecting Somatic Genetic Alterations in Tumor Specimens by Exon Capture and Massively Parallel Sequencing
Published on: October 18, 2013
No evidence on infectious DNA-based agents in pediatric acute lymphoblastic leukemia using whole metagenome shotgun
Amadeus T Heinz1,2, Silke Grumaz3, Christoph Slavetinsky4
1Department of Pediatric Hematology and Oncology, University Children´s Hospital Tuebingen, Tuebingen, Germany.
Abstract:
The etiology of pediatric acute lymphatic leukemia (ALL) is still unclear. Whole-metagenome shotgun sequencing of bone marrow samples in patients with treatment-naïve ALL (n=6) was performed for untargeted investigation of bacterial and viral DNA. The control group consisted of healthy children (n=4) and children with non-oncologic diseases (n=2) undergoing bone marrow sampling. Peripheral blood of all participants was investigated at the same time. After bioinformatical elimination of potential contaminants by comparison with the employed controls, no significant amounts of microbial or viral DNA were identified.
Insights
The cause of pediatric acute lymphatic leukemia (ALL) remains unknown. This study found no significant bacterial or viral DNA in bone marrow of children with ALL, suggesting these microbes are not a direct cause.
Area of Science:
- Pediatric Oncology
- Microbiology
- Genomics
Background:
- The etiology of pediatric acute lymphatic leukemia (ALL) is not fully understood.
- Investigating potential microbial causes is crucial for understanding ALL development.
Purpose of the Study:
- To investigate the presence of bacterial and viral DNA in bone marrow of children with treatment-naïve ALL.
- To explore potential microbial etiological factors in pediatric ALL.
Main Methods:
- Whole-metagenome shotgun sequencing was performed on bone marrow samples from children with ALL (n=6) and controls (n=6).
- Peripheral blood samples were also analyzed.
- Bioinformatic analysis was used to identify and quantify microbial DNA, with rigorous contaminant control.
Main Results:
- No significant amounts of bacterial or viral DNA were detected in the bone marrow samples of children with ALL after bioinformatic analysis.
- Control samples also showed no significant microbial DNA presence.
Conclusions:
- This study did not identify a significant role for bacterial or viral DNA in the bone marrow of treatment-naïve pediatric ALL patients.
- The findings suggest that common microbial agents are unlikely to be a direct cause of pediatric ALL.

