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@ARTICLE{Rivera:130418,
author = {B. Rivera and T. Gayden and J. Carrot-Zhang and J. Nadaf
and T. Boshari and D. Faury and M. Zeinieh and R. Blanc and
D. L. Burk and S. Fahiminiya and E. Bareke and U. Schüller
and C. M. Monoranu and R. Sträter and K. Kerl and T.
Niederstadt and G. Kurlemann and B. Ellezam and Z. Michalak
and M. Thom and P. J. Lockhart and R. J. Leventer and M. Ohm
and D. MacGregor and D. Jones$^*$ and J. Karamchandani and
C. M. T. Greenwood and A. M. Berghuis and S. Bens and R.
Siebert and M. Zakrzewska and P. P. Liberski and K.
Zakrzewski and S. M. Sisodiya and W. Paulus and S. Albrecht
and M. Hasselblatt and N. Jabado and W. D. Foulkes and J.
Majewski},
title = {{G}ermline and somatic {FGFR}1 abnormalities in
dysembryoplastic neuroepithelial tumors.},
journal = {Acta neuropathologica},
volume = {131},
number = {6},
issn = {1432-0533},
address = {Berlin},
publisher = {Springer},
reportid = {DKFZ-2017-05497},
pages = {847 - 863},
year = {2016},
abstract = {Dysembryoplastic neuroepithelial tumor (DNET) is a benign
brain tumor associated with intractable drug-resistant
epilepsy. In order to identify underlying genetic
alterations and molecular mechanisms, we examined three
family members affected by multinodular DNETs as well as 100
sporadic tumors from 96 patients, which had been referred to
us as DNETs. We performed whole-exome sequencing on 46
tumors and targeted sequencing for hotspot FGFR1 mutations
and BRAF p.V600E was used on the remaining samples. FISH,
copy number variation assays and Sanger sequencing were used
to validate the findings. By whole-exome sequencing of the
familial cases, we identified a novel germline FGFR1
mutation, p.R661P. Somatic activating FGFR1 mutations
(p.N546K or p.K656E) were observed in the tumor samples and
further evidence for functional relevance was obtained by in
silico modeling. The FGFR1 p.K656E mutation was confirmed to
be in cis with the germline p.R661P variant. In 43 sporadic
cases, in which the diagnosis of DNET could be confirmed on
central blinded neuropathology review, FGFR1 alterations
were also frequent and mainly comprised intragenic tyrosine
kinase FGFR1 duplication and multiple mutants in cis (25/43;
$58.1 \%)$ while BRAF p.V600E alterations were absent
(0/43). In contrast, in 53 cases, in which the diagnosis of
DNET was not confirmed, FGFR1 alterations were less common
(10/53; $19 \%;$ p < 0.0001) and hotspot BRAF p.V600E
(12/53; $22.6 \%)$ (p < 0.001) prevailed. We observed
overexpression of phospho-ERK in FGFR1 p.R661P and p.N546K
mutant expressing HEK293 cells as well as FGFR1 mutated
tumor samples, supporting enhanced MAP kinase pathway
activation under these conditions. In conclusion,
constitutional and somatic FGFR1 alterations and MAP kinase
pathway activation are key events in the pathogenesis of
DNET. These findings point the way towards existing targeted
therapies.},
keywords = {FGFR1 protein, human (NLM Chemicals) / Receptor, Fibroblast
Growth Factor, Type 1 (NLM Chemicals) / Proto-Oncogene
Proteins B-raf (NLM Chemicals)},
cin = {B062 / L101},
ddc = {610},
cid = {I:(DE-He78)B062-20160331 / I:(DE-He78)L101-20160331},
pnm = {312 - Functional and structural genomics (POF3-312)},
pid = {G:(DE-HGF)POF3-312},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:26920151},
pmc = {pmc:PMC5039033},
doi = {10.1007/s00401-016-1549-x},
url = {https://inrepo02.dkfz.de/record/130418},
}