Childhood Cancer Data Initiative Annual Symposium (Abstract Registration): Submission #43
Submission information
              Submission Number: 43
  Submission ID: 148488
  Submission UUID: a07e4075-9365-4cfa-b90f-ef250f286557
      Submission URI: /nci/ccdisymposium/abstract
          
      Created: Fri, 08/08/2025 - 15:52
  Completed: Fri, 08/08/2025 - 16:03
  Changed: Fri, 08/08/2025 - 16:03
  Remote IP address: 10.208.24.35
  Submitted by: Anonymous
  Language: English
  Is draft: No
    
      
    
          Abstract Submission for Poster Presentation
              
      
  
  
  Extrachromosomal DNA associates with poor survival across a broad spectrum of childhood solid tumors
  
  
  
  
      
  
  
  Circular extrachromosomal DNA (ecDNA) is a common form of oncogene amplification in aggressive cancers. The frequency and diversity of ecDNA has been catalogued in adult and some childhood cancers; however, its role in most pediatric cancers is not well-understood. To address this gap, we accessed large pediatric cancer genomics data repositories and identified ecDNA from whole genome sequencing data using cloud computing. This retrospective cohort comprises 3,631 solid tumor biopsies from 2,968 patients covering all major childhood solid tumor types. Aggressive tumor types had particularly high incidences of ecDNA. Pediatric patients whose tumors harbored extrachromosomal DNA had significantly poorer five-year overall survival than children whose tumors contained only chromosomal amplifications. We catalogue known and potentially novel oncogenes recurrently amplified on ecDNA and show that ecDNA often evolves during disease progression. These results highlight patient populations that could potentially benefit from future ecDNA-directed therapies. To facilitate discovery, we developed an interactive catalogue of ecDNA in childhood cancer at https://ccdi-ecdna.org/.
  
  
  
  
      
  
  
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  SBP Medical Discovery Institite