001     167455
005     20240229133541.0
024 7 _ |a 10.1093/neuonc/noab034
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024 7 _ |a 1522-8517
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024 7 _ |a 1523-5866
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024 7 _ |a altmetric:100148753
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037 _ _ |a DKFZ-2021-00359
041 _ _ |a eng
082 _ _ |a 610
100 1 _ |a Baroni, Lorena
|b 0
245 _ _ |a Ultra high-risk PFA ependymoma is characterized by loss of chromosome 6q.
260 _ _ |a Oxford
|c 2021
|b Oxford Univ. Press
336 7 _ |a article
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336 7 _ |a Journal Article
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500 _ _ |a 2021 Aug 2;23(8):1360-1370
520 _ _ |a Within PF-EPN-A, 1q gain is a marker of poor prognosis, however, it is unclear if within PF-EPN-A additional cytogenetic events exist which can refine risk stratification.Five independent non-overlapping cohorts of PF-EPN-A were analyzed applying genome wide methylation arrays for chromosomal and clinical variables predictive of survival.Across all cohorts, 663 PF-EPN-A were identified. The most common broad copy number event was 1q gain (18.9%), followed by 6q loss (8.6%), 9p gain (6.5%), and 22q loss (6.8%). Within 1q gain tumors, there was significant enrichment for 6q loss (17.7%), 10q loss (16.9%) and 16q loss (15.3%). The 5-year progression free survival (PFS) was strikingly worse in those patients with 6q loss, with a 5-year PFS of 50% (95%CI 45-55%) for balanced tumors, compared with 32% (95%CI 24-44%) for 1q gain only, 7.3% (95%CI 2.0-27%) for 6q loss only and 0 for both 1q gain and 6q loss (p=1.65x10 -13 ). After accounting for treatment, 6q loss remained the most significant independent predictor of survival in PF-EPN-A but is not in PF-EPN-B. Distant relapses were more common in 1q gain irrespective of 6q loss. RNA-sequencing comparing 6q loss to 6q balanced PF-EPN-A suggests that 6q loss forms a biologically distinct group.We have identified an ultra high-risk PF-EPN-A ependymoma subgroup, which can be reliably ascertained using cytogenetic markers in routine clinical use. A change in treatment paradigm is urgently needed for this particular subset of PF-EPN-A where novel therapies should be prioritized for upfront therapy.
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650 _ 7 |a 1q gain
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650 _ 7 |a 6qloss
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650 _ 7 |a PFA
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650 _ 7 |a PFB
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650 _ 7 |a ependymoma
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650 _ 7 |a posterior fossa
|2 Other
650 _ 7 |a subgrouping
|2 Other
700 1 _ |a Sundaresan, Lakshmikirupa
|b 1
700 1 _ |a Heled, Ayala
|b 2
700 1 _ |a Coltin, Hallie
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700 1 _ |a Pajtler, Kristian W
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700 1 _ |a Lin, Tong
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700 1 _ |a Merchant, Thomas E
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700 1 _ |a McLendon, Roger
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700 1 _ |a Faria, Claudia
|b 8
700 1 _ |a Buntine, Molly
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700 1 _ |a White, Christine L
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700 1 _ |a Pfister, Stefan M
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700 1 _ |a Gilbert, Mark R
|b 12
700 1 _ |a Armstrong, Terri S
|b 13
700 1 _ |a Bouffet, Eric
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700 1 _ |a Kumar, Sachin
|b 15
700 1 _ |a Taylor, Michael D
|b 16
700 1 _ |a Aldape, Kenneth D
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700 1 _ |a Ellison, David W
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700 1 _ |a Gottardo, Nicholas G
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700 1 _ |a Kool, Marcel
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700 1 _ |a Korshunov, Andrey
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700 1 _ |a Hansford, Jordan R
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700 1 _ |a Ramaswamy, Vijay
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773 _ _ |a 10.1093/neuonc/noab034
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Marc 21