Glioneuronal tumor with ATRX alteration, kinase fusion and anaplastic features (GTAKA): a molecularly distinct brain tumor type with recurrent NTRK gene fusions

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Henri Bogumil - , Universitätsklinikum Heidelberg (Autor:in)
  • Martin Sill - , Hopp Kindertumorzentrum Heidelberg (KiTZ) (Autor:in)
  • Daniel Schrimpf - , Universitätsklinikum Heidelberg (Autor:in)
  • Britta Ismer - , Hopp Kindertumorzentrum Heidelberg (KiTZ) (Autor:in)
  • Christina Blume - , Universitätsklinikum Heidelberg (Autor:in)
  • Ramin Rahmanzade - , Universitätsklinikum Heidelberg (Autor:in)
  • Felix Hinz - , Universitätsklinikum Heidelberg (Autor:in)
  • Asan Cherkezov - , Universitätsklinikum Heidelberg (Autor:in)
  • Rouzbeh Banan - , Universitätsklinikum Heidelberg (Autor:in)
  • Dennis Friedel - , Universitätsklinikum Heidelberg (Autor:in)
  • David E Reuss - , Universitätsklinikum Heidelberg (Autor:in)
  • Florian Selt - , Hopp Kindertumorzentrum Heidelberg (KiTZ) (Autor:in)
  • Jonas Ecker - , Hopp Kindertumorzentrum Heidelberg (KiTZ) (Autor:in)
  • Till Milde - , Hopp Kindertumorzentrum Heidelberg (KiTZ) (Autor:in)
  • Kristian W Pajtler - , Hopp Kindertumorzentrum Heidelberg (KiTZ) (Autor:in)
  • Jens Schittenhelm - , Universitätsklinikum Tübingen (Autor:in)
  • Jürgen Hench - , Universitätsspital Basel (Autor:in)
  • Stephan Frank - , Universitätsspital Basel (Autor:in)
  • Henning B Boldt - , Universitätsklinikum Odense (Autor:in)
  • Bjarne Winther Kristensen - , Universitätsklinikum Odense (Autor:in)
  • David Scheie - , Copenhagen University Hospital Rigshospitalet (Autor:in)
  • Linea C Melchior - , Copenhagen University Hospital Rigshospitalet (Autor:in)
  • Viola Olesen - , Copenhagen University Hospital Rigshospitalet (Autor:in)
  • Astrid Sehested - , Copenhagen University Hospital Rigshospitalet (Autor:in)
  • Daniel R Boué - , Nationwide Children’s Hospital, Ohio State University (Autor:in)
  • Zied Abdullaev - , National Cancer Institute (Autor:in)
  • Laveniya Satgunaseelan - , Royal Prince Alfred Hospital (Autor:in)
  • Ina Kurth - , Deutsches Krebsforschungszentrum (DKFZ) (Autor:in)
  • Annekatrin Seidlitz - , Nationales Centrum für Tumorerkrankungen (Partner: UKD, MFD, HZDR, DKFZ), Klinik und Poliklinik für Strahlentherapie und Radioonkologie, OncoRay ZIC - Nationales Zentrum für Strahlenforschung in der Onkologie (Partner/Träger: UKD, HZDR), Universitätsklinikum Carl Gustav Carus Dresden, Deutsches Krebsforschungszentrum (DKFZ), Helmholtz-Zentrum Dresden-Rossendorf (Autor:in)
  • Christine L White - , Hudson Institute of Medical Research (Autor:in)
  • Ho-Keung Ng - , The Chinese University of Hong Kong, Shenzhen (Autor:in)
  • Zhi-Feng Shi - , Hong Kong and Shanghai Brain Consortium (HSBC) (Autor:in)
  • Christine Haberler - , Medizinische Universität Wien (Autor:in)
  • Martina Deckert - , Universität zu Köln (Autor:in)
  • Marco Timmer - , Universität zu Köln (Autor:in)
  • Roland Goldbrunner - , Universität zu Köln (Autor:in)
  • Arnault Tauziède-Espariat - , GHU Paris Psychiatrie & Neuro sciences (Autor:in)
  • Pascale Varlet - , GHU Paris Psychiatrie & Neuro sciences (Autor:in)
  • Sebastian Brandner - , University College London Hospitals NHS Foundation Trust (Autor:in)
  • Sanda Alexandrescu - , Boston Children's Hospital (Autor:in)
  • Matija Snuderl - , The Child Study Center at NYU Langone Medical Center (Autor:in)
  • Kenneth Aldape - , National Cancer Institute (Autor:in)
  • Andrey Korshunov - , Universitätsklinikum Heidelberg (Autor:in)
  • Olaf Witt - , Hopp Kindertumorzentrum Heidelberg (KiTZ) (Autor:in)
  • Christel Herold-Mende - , Universitätsklinikum Heidelberg (Autor:in)
  • Andreas Unterberg - , Universitätsklinikum Heidelberg (Autor:in)
  • Wolfgang Wick - , Deutsches Krebsforschungszentrum (DKFZ) (Autor:in)
  • Stefan M Pfister - , Hopp Kindertumorzentrum Heidelberg (KiTZ) (Autor:in)
  • Andreas von Deimling - , Universitätsklinikum Heidelberg (Autor:in)
  • David T W Jones - , Hopp Kindertumorzentrum Heidelberg (KiTZ) (Autor:in)
  • Felix Sahm - , Universitätsklinikum Heidelberg (Autor:in)
  • Philipp Sievers - , Universitätsklinikum Heidelberg (Autor:in)

Abstract

Glioneuronal tumors are a heterogenous group of CNS neoplasms that can be challenging to accurately diagnose. Molecular methods are highly useful in classifying these tumors-distinguishing precise classes from their histological mimics and identifying previously unrecognized types of tumors. Using an unsupervised visualization approach of DNA methylation data, we identified a novel group of tumors (n = 20) that formed a cluster separate from all established CNS tumor types. Molecular analyses revealed ATRX alterations (in 16/16 cases by DNA sequencing and/or immunohistochemistry) as well as potentially targetable gene fusions involving receptor tyrosine-kinases (RTK; mostly NTRK1-3) in all of these tumors (16/16; 100%). In addition, copy number profiling showed homozygous deletions of CDKN2A/B in 55% of cases. Histological and immunohistochemical investigations revealed glioneuronal tumors with isomorphic, round and often condensed nuclei, perinuclear clearing, high mitotic activity and microvascular proliferation. Tumors were mainly located supratentorially (84%) and occurred in patients with a median age of 19 years. Survival data were limited (n = 18) but point towards a more aggressive biology as compared to other glioneuronal tumors (median progression-free survival 12.5 months). Given their molecular characteristics in addition to anaplastic features, we suggest the term glioneuronal tumor with ATRX alteration, kinase fusion and anaplastic features (GTAKA) to describe these tumors. In summary, our findings highlight a novel type of glioneuronal tumor driven by different RTK fusions accompanied by recurrent alterations in ATRX and homozygous deletions of CDKN2A/B. Targeted approaches such as NTRK inhibition might represent a therapeutic option for patients suffering from these tumors.

Details

OriginalspracheEnglisch
Seiten (von - bis)667-680
Seitenumfang14
FachzeitschriftActa neuropathologica
Jahrgang145
Ausgabenummer5
PublikationsstatusVeröffentlicht - Mai 2023
Peer-Review-StatusJa

Externe IDs

PubMedCentral PMC10119244
Scopus 85150217489

Schlagworte

Schlagwörter

  • Humans, Young Adult, Biomarkers, Tumor/genetics, Brain/pathology, Brain Neoplasms/genetics, Central Nervous System Neoplasms, Gene Fusion, Neoplasms, Neuroepithelial/genetics, Receptor Protein-Tyrosine Kinases/genetics, X-linked Nuclear Protein/genetics