A rare case of paediatric astroblastoma with concomitant MN1-GTSE1 and EWSR1-PATZ1 gene fusions altering management.


Journal

Neuropathology and applied neurobiology
ISSN: 1365-2990
Titre abrégé: Neuropathol Appl Neurobiol
Pays: England
ID NLM: 7609829

Informations de publication

Date de publication:
10 2021
Historique:
revised: 05 12 2020
received: 29 07 2020
accepted: 27 01 2021
pubmed: 4 2 2021
medline: 29 1 2022
entrez: 3 2 2021
Statut: ppublish

Résumé

In a case of astroblastoma, methylation analysis was uninformative, with no clustering with known CNS-HGNET-MN1 cases. Whole genome sequencing however identified a novel MN1-GTSE1 gene fusion (image), confirming the diagnosis of astroblastoma, as well as an EWSR1-PATZ1 gene fusion. Whole genome sequencing, alongside methylation profiling and conventional neuropathology, will continue to lead to improved diagnostics and prognostication for children with brain tumours.

Identifiants

pubmed: 33534137
doi: 10.1111/nan.12701
doi:

Substances chimiques

GTSE1 protein, human 0
Kruppel-Like Transcription Factors 0
MN1 protein, human 0
Microtubule-Associated Proteins 0
PATZ1 protein, human 0
Repressor Proteins 0
Trans-Activators 0
Tumor Suppressor Proteins 0

Types de publication

Case Reports Letter Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

882-888

Subventions

Organisme : Medical Research Council
ID : G0701018
Pays : United Kingdom
Organisme : Cancer Research UK
Pays : United Kingdom
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/N004272/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : G1100578
Pays : United Kingdom

Informations de copyright

© 2021 The Authors. Neuropathology and Applied Neurobiology published by John Wiley & Sons Ltd on behalf of British Neuropathological Society.

Références

Abubakar DS, Traunecker HC. Current perspectives on childhood brain tumours: a review. Paediatrics and Child Health. 2014;24(4):155-160.
Dang M, Phillips PC. Pediatric Brain Tumors. Continuum. 2017;23(6, Neuro-oncology):1727-1757.
Pollack IF, Agnihotri S, Broniscer A. Childhood brain tumors: current management, biological insights, and future directions. J Neurosurg Pediatr. 2019;23(3):261-273.
Louis DN, Perry A, Reifenberger G, et al. The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol. 2016;131(6):803-820.
Bhalerao S, Nagarkar R, Adhav A. A case report of high-grade astroblastoma in a young adult. CNS. Oncol. 2019;8(1):CNS29.
Samples DC, Henry J, Yu FF, Bazan C, Tarasiewicz I. A case of astroblastoma: Radiological and histopathological characteristics and a review of current treatment options. Surg Neurol Int. 2016;7(Suppl 40):S1008-S1012.
Port JD, Brat DJ, Burger PC, Pomper MG. Astroblastoma: radiologic-pathologic correlation and distinction from ependymoma. AJNR Am J Neuroradiol. 2002;23(2):243-247.
Hammas N, Senhaji N, Alaoui Lamrani MY, et al. Astroblastoma - a rare and challenging tumor: a case report and review of the literature. J Med Case Rep. 2018;12(1):102.
Eom KS, Kim JM, Kim TY. A Cerebral Astroblastoma Mimicking an Extra-axial Neoplasm. J Korean Neurosurg Soc. 2008;43(4):205-208.
Perez E, Capper D. Invited Review: DNA methylation-based classification of paediatric brain tumours. Neuropathol Appl Neurobiol. 2020;46(1):28-47.
Sturm D, Orr BA, Toprak UH, et al. New Brain Tumor Entities Emerge from Molecular Classification of CNS-PNETs. Cell. 2016;164(5):1060-1072.
Hirose T, Nobusawa S, Sugiyama K, et al. Astroblastoma: a distinct tumor entity characterized by alterations of the X chromosome and MN1 rearrangement. Brain Pathol. 2018;28(5):684-694.
Caulfield M, Fowler T, Billins T, et al. The National Genomics Research and Healthcare Knowledgebase. Amendment to the 100,000 Genomes Project Protocol v4. May 2019. https://www.genomicsengland.co.uk/. Accessed 5th December 2020.
Siegfried A, Rousseau A, Maurage CA, et al. EWSR1-PATZ1 gene fusion may define a new glioneuronal tumor entity. Brain Pathol. 2019;29(1):53-62.
Burel-Vandenbos F, Pierron G, Thomas C, et al. A polyphenotypic malignant paediatric brain tumour presenting a MN1-PATZ1 fusion, no epigenetic similarities with CNS High-Grade Neuroepithelial Tumour with MN1 Alteration (CNS HGNET-MN1) and related to PATZ1-fused sarcomas. Neuropathol Appl Neurobiol. 2020;46(5):506-509.
Anderson ND, de Borja R, Young MD, et al. Rearrangement bursts generate canonical gene fusions in bone and soft tissue tumors. Science. 2018;361(6405):eaam8419. https://doi.org/10.1126/science.aam8419.
Janz C, Buhl R. Astroblastoma: report of two cases with unexpected clinical behavior and review of the literature. Clin Neurol Neurosurg. 2014;125:114-124.
Denaro L, Gardiman M, Calderone M, et al. Intraventricular astroblastoma. Case report. J Neurosurg Pediatr. 2008;1(2):152-155.
Ahmed KA, Allen PK, Mahajan A, Brown PD, Ghia AJ. Astroblastomas: a Surveillance, Epidemiology, and End Results (SEER)-based patterns of care analysis. World Neurosurg. 2014;82(1-2):e291-e297.
Singh DK, Singh N, Singh R, Husain N. Cerebral astroblastoma: A radiopathological diagnosis. J Pediatr Neurosci. 2014;9(1):45-47.
Navarro R, Reitman AJ, de Leon GA, Goldman S, Marymont M, Tomita T. Astroblastoma in childhood: pathological and clinical analysis. Childs Nerv Syst. 2005;21(3):211-220.
Bell JW, Osborn AG, Salzman KL, Blaser SI, Jones BV, Chin SS. Neuroradiologic characteristics of astroblastoma. Neuroradiology. 2007;49(3):203-209.
Mellai M, Piazzi A, Casalone C, et al. Astroblastoma: beside being a tumor entity, an occasional phenotype of astrocytic gliomas? Onco Targets Ther. 2015;8:451-460.
Pickles JC, Fairchild AR, Stone TJ, et al. DNA methylation-based profiling for paediatric CNS tumour diagnosis and treatment: a population-based study. Lancet Child Adolesc Health. 2020;4(2):121-130.
Wood MD, Tihan T, Perry A, et al. Multimodal molecular analysis of astroblastoma enables reclassification of most cases into more specific molecular entities. Brain Pathol. 2018;28(2):192-202.
Watson S, Perrin V, Guillemot D, et al. Transcriptomic definition of molecular subgroups of small round cell sarcomas. J Pathol. 2018;245(1):29-40.
Wegert J, Vokuhl C, Collord G, et al. Recurrent intragenic rearrangements of EGFR and BRAF in soft tissue tumors of infants. Nat Commun. 2018;9(1):2378.

Auteurs

Karan R Chadda (KR)

Department of Paediatric Haematology and Oncology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Katherine Holland (K)

Department of Neurosurgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Daniel Scoffings (D)

Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Andrew Dean (A)

Department of Neuropathology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Jessica C Pickles (JC)

Developmental Biology and Cancer Department, University College London Great Ormond Street Institute of Child Health, London, UK.

Sam Behjati (S)

Department of Paediatric Haematology and Oncology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Wellcome Trust Sanger Institute, Hinxton, Cambridge, UK.

Thomas S Jacques (TS)

Developmental Biology and Cancer Department, University College London Great Ormond Street Institute of Child Health, London, UK.
Department of Histopathology, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK.

Jamie Trotman (J)

100,000 Genomes Project, East of England Genomic Medicine Centre, Cambridge, UK.

Patrick Tarpey (P)

100,000 Genomes Project, East of England Genomic Medicine Centre, Cambridge, UK.

Kieren Allinson (K)

Department of Neuropathology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Matthew J Murray (MJ)

Department of Paediatric Haematology and Oncology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Department of Pathology, University of Cambridge, Cambridge, UK.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH