Integrated Molecular and Clinical Analysis of 1,000 Pediatric Low-Grade Gliomas.
Adolescent
Biomarkers, Tumor
/ genetics
Brain Neoplasms
/ classification
Child
Child, Preschool
Cohort Studies
DNA Copy Number Variations
Female
Gene Expression Profiling
Gene Expression Regulation, Neoplastic
Gene Rearrangement
Glioma
/ classification
Humans
Infant
Infant, Newborn
Male
Mitogen-Activated Protein Kinases
/ genetics
Mutation
Neurofibromin 1
/ genetics
Oncogene Proteins, Fusion
/ genetics
Proto-Oncogene Proteins B-raf
/ genetics
ras Proteins
/ genetics
RAS/MAPK pathway
brain tumor
low-grade glioma
molecular diagnostics
neurooncology
pediatric
risk stratification
Journal
Cancer cell
ISSN: 1878-3686
Titre abrégé: Cancer Cell
Pays: United States
ID NLM: 101130617
Informations de publication
Date de publication:
13 04 2020
13 04 2020
Historique:
received:
03
01
2020
revised:
27
01
2020
accepted:
12
03
2020
entrez:
15
4
2020
pubmed:
15
4
2020
medline:
3
11
2020
Statut:
ppublish
Résumé
Pediatric low-grade gliomas (pLGG) are frequently driven by genetic alterations in the RAS-mitogen-activated protein kinase (RAS/MAPK) pathway yet show unexplained variability in their clinical outcome. To address this, we characterized a cohort of >1,000 clinically annotated pLGG. Eighty-four percent of cases harbored a driver alteration, while those without an identified alteration also often exhibited upregulation of the RAS/MAPK pathway. pLGG could be broadly classified based on their alteration type. Rearrangement-driven tumors were diagnosed at a younger age, enriched for WHO grade I histology, infrequently progressed, and rarely resulted in death as compared with SNV-driven tumors. Further sub-classification of clinical-molecular correlates stratified pLGG into risk categories. These data highlight the biological and clinical differences between pLGG subtypes and opens avenues for future treatment refinement.
Identifiants
pubmed: 32289278
pii: S1535-6108(20)30151-3
doi: 10.1016/j.ccell.2020.03.011
pmc: PMC7169997
mid: NIHMS1578695
pii:
doi:
Substances chimiques
BRAF-KIAA1549 fusion protein, human
0
Biomarkers, Tumor
0
NF1 protein, human
0
Neurofibromin 1
0
Oncogene Proteins, Fusion
0
BRAF protein, human
EC 2.7.11.1
Proto-Oncogene Proteins B-raf
EC 2.7.11.1
Mitogen-Activated Protein Kinases
EC 2.7.11.24
ras Proteins
EC 3.6.5.2
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
569-583.e5Subventions
Organisme : NCI NIH HHS
ID : P30 CA008748
Pays : United States
Organisme : CIHR
ID : 159805
Pays : Canada
Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Interests The authors declare no competing interests.