001     299789
005     20250914022634.0
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100 1 _ |a Mateos, Marion K
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245 _ _ |a Germline analysis of an international cohort of pediatric diffuse midline glioma patients.
260 _ _ |a Oxford
|c 2025
|b Oxford Univ. Press
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500 _ _ |a 2025 Sep 8;27(7):1849-1863
520 _ _ |a Factors that drive the development of diffuse midline gliomas (DMG) are unknown. Our study aimed to determine the prevalence of pathogenic/likely pathogenic (P/LP) germline variants in pediatric patients with DMG.We assembled an international cohort of 252 pediatric patients with DMG, including diffuse intrinsic pontine glioma (n=153), with germline whole genome or whole exome sequencing.We identified P/LP germline variants in cancer predisposition genes in 7.5% (19/252) of patients. Tumor profiles differed, with absence of somatic drivers in the PI3K/mTOR pathway in patients with germline P/LP variants versus those without (P = 0.023). P/LP germline variants were recurrent in homologous recombination (n=9; BRCA1, BRCA2, PALB2) and Fanconi anemia genes (n=4). Somatic findings established that the germline variants definitively contributed to tumorigenesis in at least 1% of cases. One patient with recurrent DMG and pathogenic germline variants (BRCA2, FANCE) showed near-complete radiological response to PARP and immune checkpoint inhibition.Our study determined the prevalence of pathogenic germline variants in pediatric DMG, and suggests a role in tumorigenesis for a subset of patients.
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650 _ 7 |a PARP inhibitor
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650 _ 7 |a diffuse midline glioma
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650 _ 7 |a germline variants
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650 _ 7 |a homologous recombination
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650 _ 7 |a pediatric
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700 1 _ |a Ajuyah, Pamela
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700 1 _ |a Fuentes-Bolanos, Noemi
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700 1 _ |a El-Kamand, Sam
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700 1 _ |a Barahona, Paulette
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700 1 _ |a Altekoester, Ann-Kristin
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700 1 _ |a Mayoh, Chelsea
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700 1 _ |a Holliday, Holly
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700 1 _ |a Liu, Jie
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700 1 _ |a Cui, Louise
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700 1 _ |a Pfaff, Elke
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700 1 _ |a Mackay, Alan
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700 1 _ |a Resnick, Adam C
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700 1 _ |a Pinese, Mark
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700 1 _ |a Lau, Loretta M S
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700 1 _ |a Khuong-Quang, Dong-Anh
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700 1 _ |a Dias, Kimberly
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700 1 _ |a Goudie, Catherine
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700 1 _ |a Salkeld, Alison
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700 1 _ |a Rokita, Jo Lynne
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700 1 _ |a Jones, David T W
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700 1 _ |a Juretic, Nikoleta
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700 1 _ |a Hayden, Elisha
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700 1 _ |a Kramm, Christof M
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700 1 _ |a Jabado, Nada
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700 1 _ |a Tsoli, Maria
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700 1 _ |a Vittorio, Orazio
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700 1 _ |a Mueller, Sabine
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700 1 _ |a Guo, Yiran
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700 1 _ |a Tucker, Katherine
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700 1 _ |a Waszak, Sebastian M
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700 1 _ |a Perreault, Sebastien
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700 1 _ |a Jones, Chris
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700 1 _ |a Wong-Erasmus, Marie
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700 1 _ |a Cowley, Mark J
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700 1 _ |a Ziegler, David S
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