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082 _ _ |a 610
100 1 _ |a Sievers, Philipp
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245 _ _ |a A subset of pediatric-type thalamic gliomas share a distinct DNA methylation profile, H3K27me3 loss and frequent alteration of EGFR.
260 _ _ |a Oxford
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|b Oxford Univ. Press
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500 _ _ |a 2021 Jan 30;23(1):34-43 #EA:B360#LA:B300#
520 _ _ |a Malignant astrocytic gliomas in children show a remarkable biological and clinical diversity. Small in-frame insertions or missense mutations in the EGFR gene have recently been identified in a distinct subset of pediatric-type bithalamic gliomas with a unique DNA methylation pattern.Here, we investigated an epigenetically homogeneous cohort of malignant gliomas (n=58) distinct from other subtypes and enriched for pediatric cases and thalamic location, in comparison with this recently identified subtype of pediatric bithalamic gliomas.EGFR gene amplification was detected in 16/58 (27%) tumors, and missense mutations or small in-frame insertions in EGFR were found in 20/30 tumors with available sequencing data (67%; five of them co-occurring with EGFR amplification). Additionally, eight of the 30 tumors (27%) harbored an H3.1 or H3.3 K27M mutation (six of them with a concomitant EGFR alteration). All tumors tested showed loss of H3K27me3 staining, with evidence of EZHIP overexpression in the H3 wildtype cases. Although some tumors indeed showed a bithalamic growth pattern, a significant proportion of tumors occurred in the unilateral thalamus or in other (predominantly midline) locations.Our findings present a distinct molecular class of pediatric-type malignant gliomas largely overlapping with the recently reported bithalamic gliomas characterized by EGFR alteration, but additionally showing a broader spectrum of EGFR alterations and tumor localization. Global H3K27me3 loss in this group appears to be mediated by either H3 K27 mutation or EZHIP overexpression. EGFR inhibition may represent a potential therapeutic strategy in these highly aggressive gliomas.
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700 1 _ |a Sill, Martin
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700 1 _ |a Schrimpf, Daniel
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700 1 _ |a Stichel, Damian
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700 1 _ |a Hench, Jürgen
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700 1 _ |a Frank, Stephan
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700 1 _ |a Krskova, Lenka
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700 1 _ |a Vicha, Ales
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700 1 _ |a Zapotocky, Michal
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700 1 _ |a Bison, Brigitte
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700 1 _ |a Castel, David
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700 1 _ |a Grill, Jacques
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700 1 _ |a Debily, Marie-Anne
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700 1 _ |a Harter, Patrick N
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700 1 _ |a Snuderl, Matija
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700 1 _ |a Kramm, Christof M
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700 1 _ |a Korshunov, Andrey
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700 1 _ |a Jabado, Nada
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