000294583 001__ 294583 000294583 005__ 20241124014022.0 000294583 0247_ $$2doi$$a10.1186/s40478-024-01881-1 000294583 0247_ $$2pmid$$apmid:39558399 000294583 0247_ $$2pmc$$apmc:PMC11575044 000294583 0247_ $$2altmetric$$aaltmetric:170890016 000294583 037__ $$aDKFZ-2024-02358 000294583 041__ $$aEnglish 000294583 082__ $$a610 000294583 1001_ $$aTauziède-Espariat, Arnault$$b0 000294583 245__ $$aDiffuse pediatric high-grade glioma of methylation-based RTK2A and RTK2B subclasses present distinct radiological and histomolecular features including Gliomatosis cerebri phenotype. 000294583 260__ $$aLondon$$bBiomed Central$$c2024 000294583 3367_ $$2DRIVER$$aarticle 000294583 3367_ $$2DataCite$$aOutput Types/Journal article 000294583 3367_ $$0PUB:(DE-HGF)16$$2PUB:(DE-HGF)$$aJournal Article$$bjournal$$mjournal$$s1732113853_5932 000294583 3367_ $$2BibTeX$$aARTICLE 000294583 3367_ $$2ORCID$$aJOURNAL_ARTICLE 000294583 3367_ $$00$$2EndNote$$aJournal Article 000294583 520__ $$aDiffuse pediatric-type high-grade gliomas (pedHGG), H3- and IDH-wildtype, encompass three main DNA-methylation-based subtypes: pedHGG-MYCN, pedHGG-RTK1A/B/C, and pedHGG-RTK2A/B. Since their first description in 2017 tumors of pedHGG-RTK2A/B have not been comprehensively characterized and clinical correlates remain elusive. In a recent series of pedHGG with a Gliomatosis cerebri (GC) growth pattern, an increased incidence of pedHGG-RTK2A/B (n = 18) was observed. We added 14 epigenetically defined pedHGG-RTK2A/B tumors to this GC series and provided centrally reviewed radiological, histological, and molecular characterization. The final cohort of 32 pedHGG-RTK2A/B tumors consisted of 25 pedHGG-RTK2A (78%) and seven pedHGG-RTK2B (22%) cases. The median age was 11.6 years (range, 4-17) with a median overall survival of 16.0 months (range 10.9-28.2). Seven of 11 of the newly added cases with imaging available showed a GC phenotype at diagnosis or follow-up. PedHGG-RTK2B tumors exhibited frequent bithalamic involvement (6/7, 86%). Central neuropathology review confirmed a diffuse glial neoplasm in all tumors with prominent angiocentric features in both subclasses. Most tumors (24/27 with available data, 89%) diffusely expressed EGFR with focal angiocentric enhancement. PedHGG-RTK2A tumors lacked OLIG2 expression, whereas 43% (3/7) of pedHGG-RTK2B expressed this glial transcription factor. ATRX loss occurred in 3/6 pedHGG-RTK2B samples with available data (50%). DNA sequencing (pedHGG-RTK2A: n = 18, pedHGG-RTK2B: n = 5) found EGFR alterations (15/23, 65%; predominantly point mutations) in both subclasses. Mutations in BCOR (14/18, 78%), SETD2 (7/18, 39%), and the hTERT promoter (7/19, 37%) occurred exclusively in pedHGG-RTK2A tumors, while pedHGG-RTK2B tumors were enriched for TP53 alterations (4/5, 80%). In conclusion, pedHGG-RTK2A/B tumors are characterized by highly diffuse-infiltrating growth patterns and specific radiological and histo-molecular features. By comprehensively characterizing methylation-based tumors, the chance to develop specific and effective therapy concepts for these detrimental tumors increases. 000294583 536__ $$0G:(DE-HGF)POF4-312$$a312 - Funktionelle und strukturelle Genomforschung (POF4-312)$$cPOF4-312$$fPOF IV$$x0 000294583 588__ $$aDataset connected to CrossRef, PubMed, , Journals: inrepo02.dkfz.de 000294583 650_7 $$2Other$$aGliomatosis cerebri 000294583 650_7 $$2Other$$aMethylation 000294583 650_7 $$2Other$$aPediatric high-grade glioma 000294583 650_7 $$2Other$$aRTK2A 000294583 650_7 $$2Other$$aRTK2B 000294583 650_7 $$2Other$$aReceptor tyrosine kinase 000294583 650_7 $$2Other$$apedHGG 000294583 650_2 $$2MeSH$$aHumans 000294583 650_2 $$2MeSH$$aChild 000294583 650_2 $$2MeSH$$aMale 000294583 650_2 $$2MeSH$$aFemale 000294583 650_2 $$2MeSH$$aBrain Neoplasms: genetics 000294583 650_2 $$2MeSH$$aBrain Neoplasms: pathology 000294583 650_2 $$2MeSH$$aBrain Neoplasms: diagnostic imaging 000294583 650_2 $$2MeSH$$aAdolescent 000294583 650_2 $$2MeSH$$aChild, Preschool 000294583 650_2 $$2MeSH$$aNeoplasms, Neuroepithelial: genetics 000294583 650_2 $$2MeSH$$aNeoplasms, Neuroepithelial: pathology 000294583 650_2 $$2MeSH$$aNeoplasms, Neuroepithelial: diagnostic imaging 000294583 650_2 $$2MeSH$$aDNA Methylation 000294583 650_2 $$2MeSH$$aGlioma: genetics 000294583 650_2 $$2MeSH$$aGlioma: pathology 000294583 650_2 $$2MeSH$$aGlioma: diagnostic imaging 000294583 650_2 $$2MeSH$$aPhenotype 000294583 7001_ $$aFriker, Lea L$$b1 000294583 7001_ $$aNussbaumer, Gunther$$b2 000294583 7001_ $$aBison, Brigitte$$b3 000294583 7001_ $$aDangouloff-Ros, Volodia$$b4 000294583 7001_ $$aMétais, Alice$$b5 000294583 7001_ $$aSumerauer, David$$b6 000294583 7001_ $$aZamecnik, Josef$$b7 000294583 7001_ $$aBenesch, Martin$$b8 000294583 7001_ $$aPerwein, Thomas$$b9 000294583 7001_ $$avan Vuurden, Dannis$$b10 000294583 7001_ $$aWesseling, Pieter$$b11 000294583 7001_ $$aLa Madrid, Andrés Morales$$b12 000294583 7001_ $$aGarrè, Maria Luisa$$b13 000294583 7001_ $$aAntonelli, Manila$$b14 000294583 7001_ $$aGiangaspero, Felice$$b15 000294583 7001_ $$aPietsch, Torsten$$b16 000294583 7001_ $$0P:(DE-He78)a46a5b2a871859c8e2d63d2f8c666807$$aSturm, Dominik$$b17$$udkfz 000294583 7001_ $$0P:(DE-He78)551bb92841f634070997aa168d818492$$aJones, David T W$$b18$$udkfz 000294583 7001_ $$0P:(DE-He78)f746aa965c4e1af518b016de3aaff5d9$$aPfister, Stefan M$$b19$$udkfz 000294583 7001_ $$aGrabovska, Yura$$b20 000294583 7001_ $$aMackay, Alan$$b21 000294583 7001_ $$aJones, Chris$$b22 000294583 7001_ $$aGrill, Jacques$$b23 000294583 7001_ $$aAjlil, Yassine$$b24 000294583 7001_ $$avon Bueren, André O$$b25 000294583 7001_ $$aKarremann, Michael$$b26 000294583 7001_ $$aHoffmann, Marion$$b27 000294583 7001_ $$aKramm, Christof M$$b28 000294583 7001_ $$aKwiecien, Robert$$b29 000294583 7001_ $$aCastel, David$$b30 000294583 7001_ $$aGielen, Gerrit H$$b31 000294583 7001_ $$aVarlet, Pascale$$b32 000294583 773__ 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