The evaluation of minimal disseminated disease in the bone marrow of children with Burkitt lymphoma using next generation sequencing

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Abstract

The effectiveness of treatment for children with B-cell non-Hodgkin lymphomas (B-NHL) has reached 85–90% after the introduction of modern risk-adapted treatment regimens that involve risk group stratification based on tumor stage. Bone marrow involvement is traditionally evaluated using quantitative morphological analysis of tumor cells which has, however, a lower sensitivity compared to molecular genetic methods. In our study, we used next generation sequencing (NGS) to identify tumor-specific V-(D)/J-rearrangements of immunoglobulin genes which can be used as a marker for the evaluation of minimal disseminated disease (MDD) in children with B-NHL. The study was approved by the Independent Ethics Committee and the Scientific Council of the Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology. Here we demonstrated that NGS allows detection of bone marrow involvement at a sensitivity of 10–6 in patients with Burkitt lymphoma, in whom standard morphological analysis failed to reveal the presence of tumor cells. The detection of molecular MDD can improve tumor staging and risk stratification in children with B-cell non-Hodgkin lymphomas.

About the authors

E. V. Volchkov

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation;
The Research Institute of Molecular and Cellular Medicine, Рeoples’ Friendship University of Russia

Author for correspondence.
Email: volchcov.egor@yandex.ru
ORCID iD: 0000-0002-2574-1636

Egor V. Volchcov, a hematologist at the Lymphoma Research Department 

1 Samory Mashela St., Moscow 117997, Russia 

Russian Federation

Yu. G. Abugova

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

 Moscow 

Russian Federation

I. Z. Mamedov

The Shemyakin–Ovchinnikov Institute of Bioorganic Chemistry of the Russian Academy of Sciences

 Moscow 

Russian Federation

D. S. Abramov

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

 Moscow 

Russian Federation

M. A. Senchenko

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

 Moscow 

Russian Federation

L. Kh. Anderzhanova

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

 Moscow 

Russian Federation

A. Yu. Komkov

The Shemyakin–Ovchinnikov Institute of Bioorganic Chemistry of the Russian Academy of Sciences

 Moscow 

Russian Federation

V. V. Fominykh

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

 Moscow 

Russian Federation

Yu. V. Olshanskaya

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

ORCID iD: 0000-0002-2352-7716

 Moscow 

Russian Federation

N. V. Myakova

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

ORCID iD: 0000-0002-4779-1896

 Moscow 

Russian Federation

G. A. Novichkova

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

ORCID iD: 0000-0002-2322-5734

 Moscow 

Russian Federation

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Copyright (c) 2023 Volchkov E.V., Abugova Y.G., Mamedov I.Z., Abramov D.S., Senchenko M.A., Anderzhanova L.K., Komkov A.Y., Fominykh V.V., Olshanskaya Y.V., Myakova N.V., Novichkova G.A.

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