Diagnostic implications of TERT promoter mutation status in diffuse gliomas in a routine clinical setting.
Details
Serval ID
serval:BIB_C62DE86B4200
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Diagnostic implications of TERT promoter mutation status in diffuse gliomas in a routine clinical setting.
Journal
Virchows Archiv
ISSN
1432-2307 (Electronic)
ISSN-L
0945-6317
Publication state
Published
Issued date
11/2017
Peer-reviewed
Oui
Volume
471
Number
5
Pages
641-649
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
IDH (isocitrate dehydrogenase) gene mutations are present in most diffuse low-grade gliomas and define the clinico-pathological core of the respective morphologically defined entities. Conversely, according to the 2016 WHO classification, the majority of glioblastomas belong to the IDH-wildtype category, which is defined by exclusion. TERT (telomerase reverse transcriptase gene) promoter mutations have been suggested as a molecular marker for primary glioblastomas. We analyzed molecular, histopathological, and clinical profiles of a series of 110 consecutive diffuse gliomas (WHO grades II-IV) diagnosed at our institution, in which TERT promoter mutation analysis had been performed as part of diagnostic work-up. A diagnostic algorithm based on IDH, TERT, ATRX, H3F3A, and 1p19q co-deletion status resulted in a consistent molecular classification with only 14 (13%) marker-negative tumors. TERT promoter mutations were present in 77% of IDH-wildtype tumors. The TERT/IDH-wildtype category was highly enriched for tumors with unconventional clinical or histological features. Molecular classes were associated with distinct rates of MGMT promoter methylation. We conclude that, in a routine diagnostic setting, TERT promoter mutations define a relatively homogeneous core group among IDH-wildtype diffuse gliomas that includes the majority of primary glioblastomas as well as their putative precursor lesions.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Biomarkers, Tumor/genetics, Brain Neoplasms/diagnosis, Brain Neoplasms/genetics, Brain Neoplasms/mortality, Child, DNA Mutational Analysis, Female, Glioma/diagnosis, Glioma/genetics, Glioma/mortality, Humans, Infant, Kaplan-Meier Estimate, Male, Middle Aged, Mutation, Promoter Regions, Genetic, Telomerase/genetics, Young Adult, ATRX, Diffuse glioma, IDH, Integrated diagnosis, TERT
Pubmed
Web of science
Create date
29/06/2020 10:28
Last modification date
06/11/2020 13:40