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037 _ _ |a DKFZ-2018-00464
041 _ _ |a eng
082 _ _ |a 610
100 1 _ |a Johann, Pascal
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245 _ _ |a Sellar Region Atypical Teratoid/Rhabdoid Tumors (ATRT) in Adults Display DNA Methylation Profiles of the ATRT-MYC Subgroup.
260 _ _ |a Philadelphia, Pa.
|c 2018
|b Lippincott Williams & Wilkins
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520 _ _ |a Atypical teratoid/rhabdoid tumor (ATRT) is a highly malignant brain tumor predominantly encountered in infants. Mutations of the SMARCB1 gene are the characteristic genetic lesion. A small group of ATRT stands out clinically, because these tumors are located in the sellar region of adults. To investigate if sellar region ATRT in adults represents a molecular distinct entity, we characterized molecular alterations in 7 sellar region ATRTs in adults as compared with 150 pediatric ATRTs and 47 pituitary adenomas using SMARCB1 sequencing, multiplex ligation-dependent probe amplification and fluorescence in situ hybridization as well as DNA methylation profiling. The median age of the 6 female and 1 male patients was 56 years. On histopathologic examination, all tumors were malignant rhabdoid tumors showing loss of SMARCB1/INI1 protein expression. Two cases displayed compound heterozygous SMARCB1 point mutations, 3 cases showed heterozygous SMARCB1 deletions with point mutations of the other allele and 1 case a homozygous SMARCB1 deletion; in 1 case, underlying SMARCB1 alterations could not be identified. On unsupervised hierarchical cluster analysis of DNA methylation profiles, sellar region ATRTs did not form a distinct group, but clustered with ATRT-MYC, 1 of 3 recently described molecular subgroups of ATRT. On analysis of DNA methylation array intensity data, only 1 sellar region ATRT showed characteristic features of pediatric ATRT-MYC, that is, major copy number losses affecting the SMARCB1 region. In conclusion, these results suggest that sellar region ATRTs in adults form a clinically distinct entity with a different mutational spectrum, but epigenetic similarities with pediatric ATRTs of the ATRT-MYC subgroup.
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700 1 _ |a Bens, Susanne
|b 1
700 1 _ |a Oyen, Florian
|b 2
700 1 _ |a Wagener, Rabea
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700 1 _ |a Giannini, Caterina
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700 1 _ |a Perry, Arie
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700 1 _ |a Raisanen, Jack M
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700 1 _ |a Reis, Gerald F
|b 7
700 1 _ |a Nobusawa, Sumihito
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700 1 _ |a Arita, Kazunori
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700 1 _ |a Felsberg, Jörg
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700 1 _ |a Reifenberger, Guido
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700 1 _ |a Agaimy, Abbas
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700 1 _ |a Buslei, Rolf
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700 1 _ |a Capper, David
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700 1 _ |a Pfister, Stefan
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700 1 _ |a Schneppenheim, Reinhard
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700 1 _ |a Siebert, Reiner
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700 1 _ |a Frühwald, Michael C
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700 1 _ |a Paulus, Werner
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700 1 _ |a Kool, Marcel
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700 1 _ |a Hasselblatt, Martin
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773 _ _ |a 10.1097/PAS.0000000000001023
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