Integrated Molecular and Clinical Analysis of 1,000 Pediatric Low-Grade Gliomas

被引:295
|
作者
Ryall, Scott [1 ,2 ]
Zapotocky, Michal [1 ,3 ,4 ,5 ]
Fukuoka, Kohei [1 ,3 ]
Nobre, Liana [1 ,3 ]
Stucklin, Ana Guerreiro [1 ,3 ,6 ]
Bennett, Julie [1 ,3 ]
Siddaway, Robert [1 ]
Li, Christopher [1 ,2 ]
Pajovic, Sanja [1 ]
Arnoldo, Anthony [7 ]
Kowalski, Paul E. [7 ]
Johnson, Monique [7 ]
Sheth, Javal [1 ,7 ]
Lassaletta, Alvaro [1 ,3 ,8 ]
Tatevossian, Ruth G. [9 ]
Orisme, Wilda [9 ]
Qaddoumi, Ibrahim [10 ]
Surrey, Lea F. [11 ,12 ]
Li, Marilyn M. [11 ]
Waanders, Angela J. [12 ,13 ,14 ,15 ]
Gilheeney, Stephen [16 ]
Rosenblum, Marc [17 ]
Bale, Tejus [17 ]
Tsang, Derek S. [18 ,19 ]
Laperriere, Normand [18 ,19 ]
Kulkarni, Abhaya [20 ,21 ]
Ibrahim, George M. [20 ,21 ]
Drake, James [20 ,21 ]
Dirks, Peter [1 ,2 ,21 ]
Taylor, Michael D. [1 ,2 ,21 ]
Rutka, James T. [1 ,2 ,21 ]
Laughlin, Suzanne [22 ,23 ]
Shroff, Manohar [22 ,23 ]
Shago, Mary [2 ,7 ]
Hazrati, Lili-Naz [2 ,24 ]
D'Arcy, Colleen [2 ,24 ,25 ]
Ramaswamy, Vijay [1 ,3 ,26 ]
Bartels, Ute [3 ,26 ]
Huang, Annie [1 ,2 ,3 ]
Bouffet, Eric [3 ,26 ]
Karajannis, Matthias A. [16 ]
Santi, Mariarita [11 ,12 ]
Ellison, David W. [9 ]
Tabori, Uri [1 ,3 ,27 ]
Hawkins, Cynthia [1 ,2 ,24 ]
机构
[1] Hosp Sick Children, Arthur & Sonia Labatt Brain Tumour Res Ctr, 555 Univ Ave, Toronto, ON M5G 1X8, Canada
[2] Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON, Canada
[3] Hosp Sick Children, Dept Haematol Oncol, Toronto, ON, Canada
[4] Charles Univ Prague, Fac Med 2, Prague, Czech Republic
[5] Univ Hosp Moto, Prague, Czech Republic
[6] Univ Childrens Hosp Zurich, Childrens Res Ctr, Zurich, Switzerland
[7] Hosp Sick Children, Dept Paediat Lab Med, Toronto, ON, Canada
[8] Hosp Univ Nino Jesus, Dept Pediat Hematol & Oncol, Madrid, Spain
[9] St Jude Childrens Res Hosp, Dept Pathol, 332 N Lauderdale St, Memphis, TN 38105 USA
[10] St Jude Childrens Res Hosp, Dept Oncol, 332 N Lauderdale St, Memphis, TN 38105 USA
[11] Childrens Hosp Philadelphia, Dept Pathol & Lab Med, Philadelphia, PA 19104 USA
[12] Childrens Hosp Philadelphia, Dept Genom Diagnost, Philadelphia, PA 19104 USA
[13] Childrens Hosp Philadelphia, Ctr Data Driven Discovery Biomed, Philadelphia, PA 19104 USA
[14] Ann & Robert H Lurie Childrens Hosp Chicago, Dept Hematol Oncol & Stem Cell Transplant, Chicago, IL 60611 USA
[15] Northwestern Univ, Dept Pediat, Feinberg Sch Med, Chicago, IL 60611 USA
[16] Mem Sloan Kettering Canc Ctr, Dept Pediat, 1275 York Ave, New York, NY 10021 USA
[17] Mem Sloan Kettering Canc Ctr, Dept Pathol, 1275 York Ave, New York, NY 10021 USA
[18] Univ Hlth Network, Princess Margaret Canc Ctr, Radiat Med Program, Toronto, ON, Canada
[19] Univ Toronto, Fac Med, Dept Radiat Oncol, Toronto, ON, Canada
[20] Univ Toronto, Dept Surg, Toronto, ON, Canada
[21] Hosp Sick Children, Dept Neurosurg, Toronto, ON, Canada
[22] Hosp Sick Children, Dept Radiol, Toronto, ON, Canada
[23] Univ Toronto, Dept Med Imaging, Toronto, ON, Canada
[24] Hosp Sick Children, Dept Pathol, Toronto, ON, Canada
[25] Alfred Hosp, Dept Anat Pathol, Prahran, Vic, Australia
[26] Univ Toronto, Dept Paediat, Toronto, ON, Canada
[27] Univ Toronto, Dept Med Biophys, Toronto, ON, Canada
基金
加拿大健康研究院;
关键词
INTRINSIC PONTINE GLIOMA; MAPK PATHWAY ACTIVATION; GENETIC ALTERATIONS; GENOMIC ANALYSIS; NERVOUS-SYSTEM; IDH2; MUTATIONS; BRAF; TUMORS; ABERRATIONS; FUSION;
D O I
10.1016/j.ccell.2020.03.011
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
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.
引用
收藏
页码:569 / +
页数:20
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