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Integrated Molecular Meta-Analysis of 1,000 Pediatric High-Grade and Diffuse Intrinsic Pontine Glioma.
Cancer Cell ( IF 48.8 ) Pub Date : 2017-10-09 , DOI: 10.1016/j.ccell.2017.08.017
Alan Mackay 1 , Anna Burford 1 , Diana Carvalho 1 , Elisa Izquierdo 1 , Janat Fazal-Salom 1 , Kathryn R Taylor 2 , Lynn Bjerke 1 , Matthew Clarke 1 , Mara Vinci 1 , Meera Nandhabalan 1 , Sara Temelso 1 , Sergey Popov 3 , Valeria Molinari 1 , Pichai Raman 4 , Angela J Waanders 5 , Harry J Han 5 , Saumya Gupta 6 , Lynley Marshall 7 , Stergios Zacharoulis 7 , Sucheta Vaidya 7 , Henry C Mandeville 8 , Leslie R Bridges 9 , Andrew J Martin 10 , Safa Al-Sarraj 11 , Christopher Chandler 12 , Ho-Keung Ng 13 , Xingang Li 14 , Kun Mu 15 , Saoussen Trabelsi 16 , Dorra H'mida-Ben Brahim 16 , Alexei N Kisljakov 17 , Dmitry M Konovalov 18 , Andrew S Moore 19 , Angel Montero Carcaboso 20 , Mariona Sunol 20 , Carmen de Torres 20 , Ofelia Cruz 20 , Jaume Mora 20 , Ludmila I Shats 21 , João N Stavale 22 , Lucas T Bidinotto 23 , Rui M Reis 24 , Natacha Entz-Werle 25 , Michael Farrell 26 , Jane Cryan 26 , Darach Crimmins 27 , John Caird 27 , Jane Pears 28 , Michelle Monje 29 , Marie-Anne Debily 30 , David Castel 30 , Jacques Grill 30 , Cynthia Hawkins 31 , Hamid Nikbakht 32 , Nada Jabado 33 , Suzanne J Baker 34 , Stefan M Pfister 35 , David T W Jones 36 , Maryam Fouladi 37 , André O von Bueren 38 , Michael Baudis 6 , Adam Resnick 39 , Chris Jones 1
Affiliation  

We collated data from 157 unpublished cases of pediatric high-grade glioma and diffuse intrinsic pontine glioma and 20 publicly available datasets in an integrated analysis of >1,000 cases. We identified co-segregating mutations in histone-mutant subgroups including loss of FBXW7 in H3.3G34R/V, TOP3A rearrangements in H3.3K27M, and BCOR mutations in H3.1K27M. Histone wild-type subgroups are refined by the presence of key oncogenic events or methylation profiles more closely resembling lower-grade tumors. Genomic aberrations increase with age, highlighting the infant population as biologically and clinically distinct. Uncommon pathway dysregulation is seen in small subsets of tumors, further defining the molecular diversity of the disease, opening up avenues for biological study and providing a basis for functionally defined future treatment stratification.

中文翻译:


对 1,000 例儿童高级别和弥漫性内源性脑桥胶质瘤的综合分子荟萃分析。



我们整理了 157 例未发表的儿科高级别胶质瘤和弥漫性内源性脑桥胶质瘤病例的数据以及 20 个公开数据集,对超过 1,000 例病例进行了综合分析。我们在组蛋白突变亚组中发现了共分离突变,包括 H3.3G34R/V 中 FBXW7 的缺失、H3.3K27M 中的 TOP3A 重排以及 H3.1K27M 中的 BCOR 突变。组蛋白野生型亚组通过关键致癌事件或更接近低级别肿瘤的甲基化谱的存在而得到完善。基因组畸变随着年龄的增长而增加,凸显了婴儿群体在生物学和临床上的独特性。在一小部分肿瘤中发现了罕见的通路失调,进一步定义了疾病的分子多样性,为生物学研究开辟了途径,并为功能定义的未来治疗分层提供了基础。
更新日期:2017-09-29
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