12 research outputs found

    Profiling Critical Cancer Gene Mutations in Clinical Tumor Samples

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    Background: Detection of critical cancer gene mutations in clinical tumor specimens may predict patient outcomes and inform treatment options; however, high-throughput mutation profiling remains underdeveloped as a diagnostic approach. We report the implementation of a genotyping and validation algorithm that enables robust tumor mutation profiling in the clinical setting. Methodology: We developed and implemented an optimized mutation profiling platform (“OncoMap”) to interrogate ∌400 mutations in 33 known oncogenes and tumor suppressors, many of which are known to predict response or resistance to targeted therapies. The performance of OncoMap was analyzed using DNA derived from both frozen and FFPE clinical material in a diverse set of cancer types. A subsequent in-depth analysis was conducted on histologically and clinically annotated pediatric gliomas. The sensitivity and specificity of OncoMap were 93.8% and 100% in fresh frozen tissue; and 89.3% and 99.4% in FFPE-derived DNA. We detected known mutations at the expected frequencies in common cancers, as well as novel mutations in adult and pediatric cancers that are likely to predict heightened response or resistance to existing or developmental cancer therapies. OncoMap profiles also support a new molecular stratification of pediatric low-grade gliomas based on BRAF mutations that may have immediate clinical impact. Conclusions: Our results demonstrate the clinical feasibility of high-throughput mutation profiling to query a large panel of “actionable” cancer gene mutations. In the future, this type of approach may be incorporated into both cancer epidemiologic studies and clinical decision making to specify the use of many targeted anticancer agents

    Molecular associations of Ia antigens following T-B cell interactions.

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    Antigen-specific activation of T lymphocytes requires recognition of antigen-presenting cell (APC)-associated foreign antigen in the context of Major Histocompatibility Complex (MHC) molecules. By controlling T-cell immune responses to foreign antigens, MHC Class II (Ia) antigens play a central role in T cell-APC interactions. Aside from their presumed interaction with T-cell antigen receptors, Ia molecules have not been described to associate with other structures during functional interactions between T and B lymphocytes or other APCs. The object of this study was to identify molecules that may associate or interact with Ia antigens on the surface of antigen-presenting B lymphocytes. Radiolabeled A20.2J murine B lymphoma cells were co-cultured with unlabeled T cells prior to treatment with the chemical cross-linker dimethyl-3,3spprime\\sp\\prime-dithiobispropionimidate (DTBP) and cell solubilization. Anti-Ia immunoprecipitates were then analyzed by SDS-PAGE and found to include cross-linked complexes of Mr 90-95,000. The detection of the Ia-containing molecular complexes was significantly enhanced following brief T-B cell co-culture, even in the absence of specific foreign antigens. Monoclonal T-cell lines differed in their ability to enhance detection of the cross-linked complex, and T cells could be replaced with plasma membrane fractions or soluble extracts. Resolution of the cross-linked complex revealed an association between B-cell surface Ia and another structure of Mr 65-67,000 of B-cell origin. Monoclonal antibodies against this protein were found to inhibit specific T-cell activation, suggesting that it may be involved in functional T cell-APC interactions. These antibodies reacted strongly with T and B lymphoid tumors, normal T cells, thymocytes and bone marrow lymphocytes, weakly with normal B lymphocytes, and not with non-lymphoid cells. These results indicate that T-B cell interactions alter the molecular associations of B-cell Ia antigens such that detection of a chemically cross-linked complex between Ia and other structures of Mr 65-67,000 is significantly enhanced. This Ia-associated molecule appears to be a marker of lymphoid cells which may participate in antigen presentation or in other immune functions that involve Ia in cell-cell interactions.Ph.D.ImmunologyUniversity of Michiganhttp://deepblue.lib.umich.edu/bitstream/2027.42/162126/1/8907143.pd
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