Table. Summary of the Molecular Profiling of 62 Patients.
Patient No. | Cancer Type | Tissue Type and Source | Mean Coverage, X | RNA, Million Reads | Potentially Actionable Somatic Alteration | Potentially Actionable Germline Alteration | Category of Potentially Actionable Findings | |
---|---|---|---|---|---|---|---|---|
WES, Normal | WES, Tumoral | |||||||
2 | ETP-ALL | Bone marrow | 61 | 76 | 98 | MLLT10-PICALM fusion; KMT2E-ASNS fusion | NA | Targeted therapy, MRD/biomarker, diagnostic |
del(5q) | NA | Targeted therapy | ||||||
5 | Ewing sarcoma | Left femur biopsy | 257 | 233 | NA | ERCC2 F332V | NA | No effect |
SDHD G12S | Genetic counseling | |||||||
10 | Rhabdomyosarcoma | Thigh biopsy | 196 | 194 | NA | PAX7-FOXO1 fusion | NA | MRD/biomarker, diagnostic |
MDM2 amplification; CDKN2A A102V | NA | Targeted therapy | ||||||
11 | Pilocytic astrocytoma | CNS needle biopsy | 191 | 289 | NA | BRAF 507insVLR | NA | Targeted therapy |
12 | Malignant rhabdoid tumor | Intra-abdominal biopsy | 124 | 455 | 947 | No potentially actionable findings | NA | No effect |
13 | Medulloblastoma | Cerebellum biopsy | 128 | 383 | 75 | PTCH1 T1195S and PTCH1 copy loss (LOH), GLI2 amplification | NA | Targeted therapy |
TP53K132N and TP53 copy loss (LOH) | No effect | |||||||
14 | AML-M7 | Bone marrow | 88 | 507 | 115 | NUP98-KDM5A fusion | NA | MRD/biomarker |
RB1 copy loss | NA | No effect | ||||||
15 | B-ALL | Bone marrow | 120 | 424 | 362 | CDKN2A/B homozygous deletion | NA | Targeted therapy |
DDX5-KLF2 fusion | NA | MRD/biomarker | ||||||
TP53 R248Q and TP53 copy loss (LOH) | NA | No effect | ||||||
19 | B-ALL | Bone marrow (diagnosis) | 115 | 355 | 172 | PAX5-JAK2 fusion | NA | Targeted therapy, MRD/biomarker, risk stratification |
CDKN2A homozygous deletion | NA | Targeted therapy | ||||||
PAX5 A322T and PAX5 copy loss (LOH) | NA | No effect | ||||||
20 | Adrenal gland carcinoma | Adrenal gland biopsy | 98 | 248 | 178 | AKT1 amplification (4 copies) | NA | Targeted therapy |
JAK1 copy gain | ||||||||
DPYD I543V and DPYD copy loss (LOH) | ||||||||
TP53 R181H and TP53 copy loss (LOH) | NA | No effect | ||||||
21 | Osteosarcoma | Left femur biopsy | 105 | 282 | 168 | MDM2 (6 copies) and FRS2 (12 copies) amplifications, AURKA copy gain | NA | Targeted therapy |
PMP22-TP53 fusion | NA | MRD/biomarker | ||||||
22 | ETP-ALL | Bone marrow | 88 | 265 | 131 | JAK3 L857P, PHF6 R225X, MED12 S672fs | NA | Targeted therapy |
KMT2E-ASNS fusion | NA | Targeted therapy, MRD/biomarker | ||||||
PICALM-MLLT10 fusion | NA | Targeted therapy, MRD/biomarker, diagnostic | ||||||
24 | B-ALL | Bone marrow | 107 | 406 | 137 | BRAF A320V, KRAS G12V, JAK2 R683G | NA | Targeted therapy |
25 | Hepatoblastoma | Liver biopsy (FFPE sample) | 72 | 230 | 122 | PRKCA copy gain, ABL2 and DDR2 copy gain and high expression, NOTCH1 G1196D, NCSTN A572G, TLR8 N515H | NA | Targeted therapy |
26 | Osteosarcoma | Right femur biopsy | 145 | 390 | 66 | MYC amplification (5 copies) | NA | Targeted therapy |
TP53 copy loss, RB1 copy loss | NA | No effect | ||||||
29 | Adrenal gland carcinoma | Adrenal gland biopsy | 87 | 261 | 164 | PTK2 copy gain, JAK3 copy gain, AKT2 copy gain, ABL1 A34V, TOP2A A1515S, G1386D (LOH) | NA | Targeted therapy |
NA | TP53p. R337H | Diagnostic, genetic counseling | ||||||
31 | Neuroblastoma | Mediastinum biopsy | 100 | 226 | 102 | Trisomy 7 (BRAF), CHEK1 copy loss, PRKCA copy gain, PHOX2B 270-272del frameshift, XPC S346P (LOH), APC D917Y | NA | Targeted therapy |
32 | AML-M5 | Bone marrow | 90 | 252 | 149 | CBFB-MYH11 and ICAM2-STX7 fusion | NA | MRD/biomarker |
TP53 (indel) mutation and copy loss (LOH) | NA | No effect | ||||||
Trisomy 8 (MYC), NF1 S2309fs and NF1 copy loss (LOH) | NA | Targeted therapy | ||||||
33 | Paraganglioma | Adrenal gland biopsy | 111 | 308 | 134 | SDHB copy loss, DDB2 copy loss, MUTYH Q338H | NA | Targeted therapy |
34 | Aggressive fibromatosis | Mandible/gums biopsy | 60 | 178 | 193 | CTNNB1 T41A | NA | Targeted therapy |
37 | B-ALL | Bone marrow | 70 | 206 | 131 | KMT2A-MLLT1 fusion | NA | MRD/biomarker |
39 | Ewing sarcoma | Rib needle biopsy | 138 | 372 | 254 | CDKN2A copy loss, trisomy 8 (MYC and FGFR1), BRCA1 mutations (LOH), STAG2 R1012X | NA | Targeted therapy |
TP53 R273H | NA | No effect | ||||||
EWSR1/FLI1 fusion | NA | MRD/biomarker, diagnostic | ||||||
NA | SDHD G12S | Genetic counseling | ||||||
40 | Wilms tumor | Kidney needle biopsy | 122 | 381 | 238 | DDR2 and ABL2 copy gain, DNMT3A P904L | NA | Targeted therapy |
47 | T-ALL | Bone marrow | 90 | 256 | 133 | CDKN2A homozygous deletion, NOTCH1 I1718T and S2467fs, STAT5B N642H, NT5C2 R367Q | NA | Targeted therapy |
48 | Myeloproliferative neoplasm | Bone marrow | 75 | 179 | 132 | No findings | NA | No effect |
49 | Rhabdomyosarcoma | Left fornix biopsy | 100 | 252 | 127 | FGFR4 G388R (LOH) | NA | Targeted therapy |
TP53 copy loss (LOH) | TP53 p.R273C | Diagnostic, genetic counseling | ||||||
50 | Pilocytic astrocytoma | Brain, third ventricle biopsy | 73 | 380 | 217 | FGFR1 656EL, NF1 N1465S, PTPN11 G503A | NA | Targeted therapy |
51 | Osteosarcoma | Left femur biopsy | 134 | 411 | 202 | TP53 copy loss (LOH) | TP53 p.G245S (mosaicism) | Genetic counseling |
CDKN2A homozygous deletion, VEGF-A amplification (>4 copies), MYC amplification (>10 copies), JAK2 G996R, CSF1R H362R (LOH), PTK2 exon17:c.1332 + 2T>C (splicing) | NA | Targeted therapy | ||||||
54 | Pilocytic astrocytoma | Optic chiasm–hypothalamus biopsy | 142 | 383 | 183 | KIAA1549-BRAF fusion | NA | Targeted therapy, MRD/biomarker |
55 | Osteosarcoma | Right tibia biopsy | 89 | 285 | 112 | TEK N452D, KIT S590I, MYC amplification (10 copies) | NA | Targeted therapy |
TP53 homozygous del | NA | No effect | ||||||
57 | Neuroblastoma | Abdomen biopsy | 125 | 419 | 54 | PRKCA amplification (5 copies), BRAF amplification (4 copies), AKT2 copy gain, HSP90B1 I66T, CSF1R N648S | NA | Targeted therapy |
59 | Osteosarcoma | Left femur biopsy | 135 | 408 | 202 | VEGF-A amplification (4 copies) and highly expressed | NA | Targeted therapy |
TP53-RAB44 fusion | NA | MRD/biomarker | ||||||
60 | T-Cell lymphoblastic lymphoma | Lymph node | 135 | 404 | 157 | MAP2K2 P128L, NOTCH1 S1674F and Q2503insX, MTOR F1888L, CDKN2A R80X, STAT5B N713insKGKGGG | NA | Targeted therapy |
KLHL33-TEP1 fusion | NA | MRD/biomarker | ||||||
61 | Osteosarcoma | Left humerus biopsy | 128 | 453 | 178 | CDKN2A copy loss, MYC copy gain, DDR2 copy gain and highly expressed, MTOR G1954R | NA | Targeted therapy |
62 | Sinus carcinoma | Sinus biopsy | 111 | 289 | 163 | PTK2 copy gain, MYC copy gain, ABL2 and DDR2 copy gain, ALK G159fs, NOTCH1 S1674P | NA | Targeted therapy |
TP53 copy loss | NA | No effect | ||||||
67 | Epithelial tumor (NOS) | Abdomen biopsy | 138 | 430 | 51 | CREM-FUS fusion | NA | MRD/biomarker |
68 | T-ALL | Bone marrow | 59 | 203 | 65 | ABL1 copy gain, DDR2 R742W | NA | Targeted therapy |
KMT2A-MLLT4 fusion | NA | Targeted therapy, MRD/biomarker | ||||||
69 | Grey zone lymphoma | Lymph node | 64 | 246 | 70 | NA | TP53 p.R213Q | Diagnostic, genetic counseling |
70 | Leiomyoma | Clavicle biopsy | 67 | 236 | 55 | No potentially actionable findings | NA | No effect |
71 | Hepatoblastoma | Liver biopsy | 62 | 237 | 64 | No findings | NA | No effect |
72 | Hepatocarcinoma | Liver biopsy | 119 | 346 | 120 | DNAJB1-PRKACA fusion | NA | MRD/biomarker, diagnostic |
73 | Pleuropulmonary blastoma | Right lung biopsy | 113 | 311 | 92 | MYC and FGFR1 copy gain and highly expressed, CHEK1 copy loss, CTNNB1 copy gain and very highly expressed, MET Q1276L, DICER1 E1813D | NA | Targeted therapy |
NA | DICER p.Y1225X | Diagnostic, genetic counseling | ||||||
74 | NUT-midline carcinoma | Left fibula needle biopsy | 115 | 354 | 149 | BRD4-NUTM1 fusion | NA | MRD/biomarker, diagnostic |
76 | Neuroblastoma | Abdominal needle biopsy | 103 | 318 | 109 | CDKN2A homozygous deletion, MET amplification (4 copies) and highly expressed, PHOX2B copy loss, CHEK1 copy loss, ALK F1245I | NA | Targeted therapy |
77 | Round cell sarcoma | Soft-tissue left ankle biopsy | 109 | 272 | 67 | BCORexon16 ITD, DDR2 copy gain | NA | Diagnostic, targeted therapy |
78 | Rhabdomyosarcoma | Right calf biopsy | 113 | 393 | 147 | MYCN amplification (5 copies) and highly expressed, KDM1A G703R (LOH) | NA | Targeted therapy |
PAX7-FOXO1 fusion | NA | MRD/biomarker, diagnostic | ||||||
79 | Osteosarcoma | Left tibia biopsy (FFPE) | 121 | 367 | 190 | SMO A374E, FBXW7 R465H | NA | Targeted therapy |
81 | B-ALL | Bone marrow | 123 | 298 | 143 | NRAS G12D, SETD2 E1265fs | NA | Targeted therapy |
82 | B-ALL | Bone marrow | 113 | 311 | 215 | IKZF1 deletion, FLT3 Y589D | NA | Targeted therapy |
ZEB2-CXCR4 fusion and CXCR4 very highly expressed, SEMA6A-FEM1C fusion | NA | MRD/biomarker | ||||||
86 | Metastatic Wilms tumor | Right kidney biopsy | 106 | 287 | 143 | CDC73 M1V, CSF3R G751A, FLT4 A992fs, NTRK1 G607V and H598Y and copy loss (LOH) | NA | Targeted therapy |
87 | Gastric NET | Celiac lymph node biopsy | 99 | 256 | 38 | CHEK1 copy loss | NA | No effect |
88 | Burkitt lymphoma | Abdomen biopsy | 115 | 364 | 38 | B2M M1R, HDAC1 Y303H, PIK3C2A splicing mutation, CCND3 R256fs, PTEN copy loss | NA | Targeted therapy |
IGH-MYC fusion | NA | MRD/biomarker | ||||||
TP53 G302fs | NA | No effect | ||||||
89 | B-ALL | Bone marrow | 56 | 134 | 111 | CDKN2A homozygous deletion, AURKA copy loss, NRAS G12D | NA | Targeted therapy |
91 | Teratoma malignant (NOS) | Brain, left ventricle biopsy | 103 | 261 | 107 | No findings | NA | No effect |
92 | AML | Bone marrow | 61 | 179 | 134 | NRAS G12D | NA | Targeted therapy |
KMT2A-MLLT3 fusion | NA | MRD/biomarker | ||||||
93 | Ganglioneuroblastoma nodular | Retroperitoneal biopsy | 142 | 340 | 80 | MET K324M, High ALK expression | NA | Targeted therapy |
94 | Lymphoma | Mediastinum biopsy (FFPE) | 66 | 246 | NA | CDKN2A homozygous deletion, | NA | Targeted therapy |
PTEN L182fs and copy-neutral LOH | ||||||||
99 | AML | Bone marrow | 76 | 248 | 109 | HDAC2 E455fs | NA | Targeted therapy |
KHDRBS3-ANGPT1 fusion | Targeted therapy, MRD/biomarker | |||||||
100 | Ovarian tumor | Ovary biopsy | 82 | 268 | 72 | CD74 P98S | NA | Targeted therapy |
102 | Melanotic neuroectodermal tumor of infancy | Periostium skull lesion biopsy (FFPE) | 83 | 170 | NA | No potentially actionable findings | NA | No effect |
104 | Alveolar rhabdomyosarcoma | Right foot biopsy | 359 | 160 | 77 | PAX3-FOXO1 fusion | NA | MRD/biomarker, diagnostic |
RB1 F650S and copy loss (LOH) | NA | No effect | ||||||
106 | Neuroblastoma | Right adrenal biopsy | 131 | 352 | 64 | MYCN amplification (10 copies) | NA | Targeted therapy |
SDHB S163P | Genetic counseling |
Abbreviations: AML, acute myeloid leukemia; B-ALL, B-cell acute lymphoblastic leukemia; CNS, central nervous system; ETP-ALL, early T-cell precursor acute lymphoblastic leukemia; FFPE, formalin-fixed, paraffin embedded; LOH, loss of heterozygosity; MRD, minimal residual disease; NA, not applicable; NET, neuroendocrine tumors; NOS, not otherwise specified; NUT, nuclear protein of the testis; T-ALL, T-cell acute lymphoblastic leukemia; VEGF-A, vascular endothelial growth factor A; WES, whole-exome sequencing.