Clinico-pathological and epigenetic heterogeneity of diffuse gliomas with FGFR3::TACC3 fusion

Autor: Alice Métais, Arnault Tauziède-Espariat, Jeremy Garcia, Romain Appay, Emmanuelle Uro-Coste, David Meyronet, Claude-Alain Maurage, Fanny Vandenbos, Valérie Rigau, Dan Christian Chiforeanu, Johan Pallud, Suhan Senova, Raphaël Saffroy, Carole Colin, Myriam Edjlali, Pascale Varlet, Dominique Figarella-Branger, The Biopathology RENOCLIP-LOC network
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Acta Neuropathologica Communications, Vol 11, Iss 1, Pp 1-16 (2023)
Druh dokumentu: article
ISSN: 2051-5960
DOI: 10.1186/s40478-023-01506-z
Popis: Abstract Background Gliomas with FGFR3::TACC3 fusion mainly occur in adults, display pathological features of glioblastomas (GB) and are usually classified as glioblastoma, IDH-wildtype. However, cases demonstrating pathological features of low-grade glioma (LGG) lead to difficulties in classification and clinical management. We report a series of 8 GB and 14 LGG with FGFR3:TACC3 fusion in order to better characterize them. Methods Centralized pathological examination, search for TERT promoter mutation and DNA-methylation profiling were performed in all cases. Search for prognostic factors was done by the Kaplan–Meir method. Results TERT promoter mutation was recorded in all GB and 6/14 LGG. Among the 7 cases with a methylation score > 0.9 in the classifier (v12.5), 2 were classified as glioblastoma, 4 as ganglioglioma (GG) and 1 as dysembryoplastic neuroepithelial tumor (DNET). t-SNE analysis showed that the 22 cases clustered into three groups: one included 12 cases close to glioblastoma, IDH-wildtype methylation class (MC), 5 cases each clustered with GG or DNET MC but none with PLNTY MC. Unsupervised clustering analysis revealed four groups, two of them being clearly distinct: 5 cases shared age ( 40), pathological features of glioblastoma, and were TERT-mutated. Relevant factors associated with a better prognosis were age
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