Molecular classification of diffuse cerebral WHO grade II/III gliomas using genome- and transcriptome-wide profiling improves stratification of prognostically distinct patient groups

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Michael Weller - , University of Zurich, Eberhard Karls Universität Tübingen (Autor:in)
  • Ruthild G. Weber - , Medizinische Hochschule Hannover (MHH) (Autor:in)
  • Edith Willscher - , Universität Leipzig (Autor:in)
  • Vera Riehmer - , Medizinische Hochschule Hannover (MHH) (Autor:in)
  • Bettina Hentschel - , Universität Leipzig (Autor:in)
  • Markus Kreuz - , Universität Leipzig (Autor:in)
  • Jörg Felsberg - , Heinrich Heine Universität Düsseldorf (Autor:in)
  • Ulrike Beyer - , Medizinische Hochschule Hannover (MHH) (Autor:in)
  • Henry Löffler-Wirth - , Universität Leipzig (Autor:in)
  • Kerstin Kaulich - , Heinrich Heine Universität Düsseldorf, Deutsches Krebsforschungszentrum (DKFZ) (Autor:in)
  • Joachim P. Steinbach - , Eberhard Karls Universität Tübingen, Deutsches Krebsforschungszentrum (DKFZ), Universitätsklinikum Frankfurt (Autor:in)
  • Christian Hartmann - , Universität Heidelberg, Medizinische Hochschule Hannover (MHH) (Autor:in)
  • Dorothee Gramatzki - , University of Zurich (Autor:in)
  • Johannes Schramm - , Universität Bonn (Autor:in)
  • Manfred Westphal - , Universität Hamburg (Autor:in)
  • Gabriele Schackert - , Technische Universität Dresden (Autor:in)
  • Matthias Simon - , Universität Bonn (Autor:in)
  • Tobias Martens - , Universität Hamburg (Autor:in)
  • Jan Boström - , Universität Bonn (Autor:in)
  • Christian Hagel - , Universität Hamburg (Autor:in)
  • Michael Sabel - , Heinrich Heine Universität Düsseldorf (Autor:in)
  • Dietmar Krex - , Klinik und Poliklinik für Neurochirurgie, Technische Universität Dresden (Autor:in)
  • Jörg C. Tonn - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Wolfgang Wick - , Universität Heidelberg (Autor:in)
  • Susan Noell - , Eberhard Karls Universität Tübingen (Autor:in)
  • Uwe Schlegel - , Ruhr-Universität Bochum (Autor:in)
  • Bernhard Radlwimmer - , Deutsches Krebsforschungszentrum (DKFZ) (Autor:in)
  • Torsten Pietsch - , Universität Bonn (Autor:in)
  • Markus Loeffler - , Universität Leipzig (Autor:in)
  • Andreas von Deimling - , Universität Heidelberg (Autor:in)
  • Hans Binder - , Universität Leipzig (Autor:in)
  • Guido Reifenberger - , Heinrich Heine Universität Düsseldorf, Deutsches Krebsforschungszentrum (DKFZ) (Autor:in)

Abstract

Cerebral gliomas of World Health Organization (WHO) grade II and III represent a major challenge in terms of histological classification and clinical management. Here, we asked whether large-scale genomic and transcriptomic profiling improves the definition of prognostically distinct entities. We performed microarray-based genome- and transcriptome-wide analyses of primary tumor samples from a prospective German Glioma Network cohort of 137 patients with cerebral gliomas, including 61 WHO grade II and 76 WHO grade III tumors. Integrative bioinformatic analyses were employed to define molecular subgroups, which were then related to histology, molecular biomarkers, including isocitrate dehydrogenase 1 or 2 (IDH1/2) mutation, 1p/19q co-deletion and telomerase reverse transcriptase (TERT) promoter mutations, and patient outcome. Genomic profiling identified five distinct glioma groups, including three IDH1/2 mutant and two IDH1/2 wild-type groups. Expression profiling revealed evidence for eight transcriptionally different groups (five IDH1/2 mutant, three IDH1/2 wild type), which were only partially linked to the genomic groups. Correlation of DNA-based molecular stratification with clinical outcome allowed to define three major prognostic groups with characteristic genomic aberrations. The best prognosis was found in patients with IDH1/2 mutant and 1p/19q co-deleted tumors. Patients with IDH1/2 wild-type gliomas and glioblastoma-like genomic alterations, including gain on chromosome arm 7q (+7q), loss on chromosome arm 10q (−10q), TERT promoter mutation and oncogene amplification, displayed the worst outcome. Intermediate survival was seen in patients with IDH1/2 mutant, but 1p/19q intact, mostly astrocytic gliomas, and in patients with IDH1/2 wild-type gliomas lacking the +7q/−10q genotype and TERT promoter mutation. This molecular subgrouping stratified patients into prognostically distinct groups better than histological classification. Addition of gene expression data to this genomic classifier did not further improve prognostic stratification. In summary, DNA-based molecular profiling of WHO grade II and III gliomas distinguishes biologically distinct tumor groups and provides prognostically relevant information beyond histological classification as well as IDH1/2 mutation and 1p/19q co-deletion status.

Details

OriginalspracheEnglisch
Seiten (von - bis)679-693
Seitenumfang15
FachzeitschriftActa neuropathologica
Jahrgang129
Ausgabenummer5
PublikationsstatusVeröffentlicht - 1 Mai 2015
Peer-Review-StatusJa

Externe IDs

PubMed 25783747

Schlagworte

Schlagwörter

  • 1p/19q co-deletion, Array-based comparative genomic hybridization, Astrocytoma, Gene expression profiles, Integrative bioinformatics, Isocitrate dehydrogenase, Oligodendroglioma