Anaplastic astrocytoma with piloid features, a novel molecular class of IDH wildtype glioma with recurrent MAPK pathway, CDKN2A/B and ATRX alterations.

Détails

ID Serval
serval:BIB_A446E01E7E4F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Anaplastic astrocytoma with piloid features, a novel molecular class of IDH wildtype glioma with recurrent MAPK pathway, CDKN2A/B and ATRX alterations.
Périodique
Acta neuropathologica
Auteur⸱e⸱s
Reinhardt A., Stichel D., Schrimpf D., Sahm F., Korshunov A., Reuss D.E., Koelsche C., Huang K., Wefers A.K., Hovestadt V., Sill M., Gramatzki D., Felsberg J., Reifenberger G., Koch A., Thomale U.W., Becker A., Hans V.H., Prinz M., Staszewski O., Acker T., Dohmen H., Hartmann C., Mueller W., Tuffaha MSA, Paulus W., Heß K., Brokinkel B., Schittenhelm J., Monoranu C.M., Kessler A.F., Loehr M., Buslei R., Deckert M., Mawrin C., Kohlhof P., Hewer E., Olar A., Rodriguez F.J., Giannini C., NageswaraRao A.A., Tabori U., Nunes N.M., Weller M., Pohl U., Jaunmuktane Z., Brandner S., Unterberg A., Hänggi D., Platten M., Pfister S.M., Wick W., Herold-Mende C., Jones DTW, von Deimling A., Capper D.
ISSN
1432-0533 (Electronic)
ISSN-L
0001-6322
Statut éditorial
Publié
Date de publication
08/2018
Peer-reviewed
Oui
Volume
136
Numéro
2
Pages
273-291
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
Tumors with histological features of pilocytic astrocytoma (PA), but with increased mitotic activity and additional high-grade features (particularly microvascular proliferation and palisading necrosis) have often been designated anaplastic pilocytic astrocytomas. The status of these tumors as a separate entity has not yet been conclusively demonstrated and molecular features have only been partially characterized. We performed DNA methylation profiling of 102 histologically defined anaplastic pilocytic astrocytomas. T-distributed stochastic neighbor-embedding (t-SNE) and hierarchical clustering analysis of these 102 cases against 158 reference cases from 12 glioma reference classes revealed that a subset of 83 of these tumors share a common DNA methylation profile that is distinct from the reference classes. These 83 tumors were thus denominated DNA methylation class anaplastic astrocytoma with piloid features (MC AAP). The 19 remaining tumors were distributed amongst the reference classes, with additional testing confirming the molecular diagnosis in most cases. Median age of patients with MC AAP was 41.5 years. The most frequent localization was the posterior fossa (74%). Deletions of CDKN2A/B (66/83, 80%), MAPK pathway gene alterations (49/65, 75%, most frequently affecting NF1, followed by BRAF and FGFR1) and mutations of ATRX or loss of ATRX expression (33/74, 45%) were the most common molecular alterations. All tumors were IDH1/2 wildtype. The MGMT promoter was methylated in 38/83 tumors (45%). Outcome analysis confirmed an unfavorable clinical course in comparison to PA, but better than IDH wildtype glioblastoma. In conclusion, we show that a subset of histologically defined anaplastic pilocytic astrocytomas forms a separate DNA methylation cluster, harbors recurrent alterations in MAPK pathway genes in combination with alterations of CDKN2A/B and ATRX, affects patients who are on average older than those diagnosed with PA and has an intermediate clinical outcome.
Mots-clé
Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Astrocytoma/genetics, Brain Neoplasms/genetics, Child, Child, Preschool, Cyclin-Dependent Kinase Inhibitor p16/genetics, DNA Methylation/genetics, DNA Modification Methylases/metabolism, DNA Repair Enzymes/metabolism, Female, Histones/genetics, Histones/metabolism, Humans, Infant, Isocitrate Dehydrogenase/genetics, Kaplan-Meier Estimate, Male, Middle Aged, Mitogen-Activated Protein Kinase Kinases/genetics, Mutation/genetics, Retrospective Studies, Signal Transduction/genetics, Tumor Suppressor Proteins/metabolism, X-linked Nuclear Protein/genetics, Young Adult, ATRX, Anaplastic pilocytic astrocytoma, BRAF, CDKN2A/B, DNA copy number alterations, FGFR1, MGMT, Methylation profile based classification, Molecular characterization, NF1, Panel sequencing, Pilocytic astrocytoma with anaplasia
Pubmed
Web of science
Création de la notice
31/08/2020 13:02
Dernière modification de la notice
10/11/2020 7:26
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