The molecular landscape of glioma in patients with Neurofibromatosis 1
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The molecular landscape of glioma in patients with Neurofibromatosis 1. / D'Angelo, Fulvio; Ceccarelli, Michele; Tala; Garofano, Luciano; Zhang, Jing; Frattini, Véronique; Caruso, Francesca P; Lewis, Genevieve; Alfaro, Kristin D; Bauchet, Luc; Berzero, Giulia; Cachia, David; Cangiano, Mario; Capelle, Laurent; de Groot, John; DiMeco, Francesco; Ducray, François; Farah, Walid; Finocchiaro, Gaetano; Goutagny, Stéphane; Kamiya-Matsuoka, Carlos; Lavarino, Cinzia; Loiseau, Hugues; Lorgis, Véronique; Marras, Carlo E; McCutcheon, Ian; Nam, Do-Hyun; Ronchi, Susanna; Saletti, Veronica; Seizeur, Romuald; Slopis, John; Suñol, Mariona; Vandenbos, Fanny; Varlet, Pascale; Vidaud, Dominique; Watts, Colin; Tabar, Viviane; Reuss, David E; Kim, Seung-Ki; Meyronet, David; Mokhtari, Karima; Salvador, Hector; Bhat, Krishna P; Eoli, Marica; Sanson, Marc; Lasorella, Anna; Iavarone, Antonio.
In: Nature Medicine, Vol. 25, No. 1, 10.12.2018, p. 176-187.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - The molecular landscape of glioma in patients with Neurofibromatosis 1
AU - D'Angelo, Fulvio
AU - Ceccarelli, Michele
AU - Tala, null
AU - Garofano, Luciano
AU - Zhang, Jing
AU - Frattini, Véronique
AU - Caruso, Francesca P
AU - Lewis, Genevieve
AU - Alfaro, Kristin D
AU - Bauchet, Luc
AU - Berzero, Giulia
AU - Cachia, David
AU - Cangiano, Mario
AU - Capelle, Laurent
AU - de Groot, John
AU - DiMeco, Francesco
AU - Ducray, François
AU - Farah, Walid
AU - Finocchiaro, Gaetano
AU - Goutagny, Stéphane
AU - Kamiya-Matsuoka, Carlos
AU - Lavarino, Cinzia
AU - Loiseau, Hugues
AU - Lorgis, Véronique
AU - Marras, Carlo E
AU - McCutcheon, Ian
AU - Nam, Do-Hyun
AU - Ronchi, Susanna
AU - Saletti, Veronica
AU - Seizeur, Romuald
AU - Slopis, John
AU - Suñol, Mariona
AU - Vandenbos, Fanny
AU - Varlet, Pascale
AU - Vidaud, Dominique
AU - Watts, Colin
AU - Tabar, Viviane
AU - Reuss, David E
AU - Kim, Seung-Ki
AU - Meyronet, David
AU - Mokhtari, Karima
AU - Salvador, Hector
AU - Bhat, Krishna P
AU - Eoli, Marica
AU - Sanson, Marc
AU - Lasorella, Anna
AU - Iavarone, Antonio
PY - 2018/12/10
Y1 - 2018/12/10
N2 - Neurofibromatosis type 1 (NF1) is a common tumor predisposition syndrome in which glioma is one of the prevalent tumors. Gliomagenesis in NF1 results in a heterogeneous spectrum of low- to high-grade neoplasms occurring during the entire lifespan of patients. The pattern of genetic and epigenetic alterations of glioma that develops in NF1 patients and the similarities with sporadic glioma remain unknown. Here, we present the molecular landscape of low- and high-grade gliomas in patients affected by NF1 (NF1-glioma). We found that the predisposing germline mutation of the NF1 gene was frequently converted to homozygosity and the somatic mutational load of NF1-glioma was influenced by age and grade. High-grade tumors harbored genetic alterations of TP53 and CDKN2A, frequent mutations of ATRX associated with Alternative Lengthening of Telomere, and were enriched in genetic alterations of transcription/chromatin regulation and PI3 kinase pathways. Low-grade tumors exhibited fewer mutations that were over-represented in genes of the MAP kinase pathway. Approximately 50% of low-grade NF1-gliomas displayed an immune signature, T lymphocyte infiltrates, and increased neo-antigen load. DNA methylation assigned NF1-glioma to LGm6, a poorly defined Isocitrate Dehydrogenase 1 wild-type subgroup enriched with ATRX mutations. Thus, the profiling of NF1-glioma defined a distinct landscape that recapitulates a subset of sporadic tumors.
AB - Neurofibromatosis type 1 (NF1) is a common tumor predisposition syndrome in which glioma is one of the prevalent tumors. Gliomagenesis in NF1 results in a heterogeneous spectrum of low- to high-grade neoplasms occurring during the entire lifespan of patients. The pattern of genetic and epigenetic alterations of glioma that develops in NF1 patients and the similarities with sporadic glioma remain unknown. Here, we present the molecular landscape of low- and high-grade gliomas in patients affected by NF1 (NF1-glioma). We found that the predisposing germline mutation of the NF1 gene was frequently converted to homozygosity and the somatic mutational load of NF1-glioma was influenced by age and grade. High-grade tumors harbored genetic alterations of TP53 and CDKN2A, frequent mutations of ATRX associated with Alternative Lengthening of Telomere, and were enriched in genetic alterations of transcription/chromatin regulation and PI3 kinase pathways. Low-grade tumors exhibited fewer mutations that were over-represented in genes of the MAP kinase pathway. Approximately 50% of low-grade NF1-gliomas displayed an immune signature, T lymphocyte infiltrates, and increased neo-antigen load. DNA methylation assigned NF1-glioma to LGm6, a poorly defined Isocitrate Dehydrogenase 1 wild-type subgroup enriched with ATRX mutations. Thus, the profiling of NF1-glioma defined a distinct landscape that recapitulates a subset of sporadic tumors.
KW - Adolescent
KW - Adult
KW - Antigens, Neoplasm/metabolism
KW - Brain Neoplasms/complications
KW - Child
KW - Child, Preschool
KW - Cohort Studies
KW - DNA Methylation/genetics
KW - Female
KW - Germ-Line Mutation/genetics
KW - Glioma/complications
KW - Humans
KW - Male
KW - Middle Aged
KW - Neurofibromatosis 1/complications
KW - Neurofibromin 1/genetics
KW - Reproducibility of Results
KW - T-Lymphocytes/immunology
KW - Transcriptome/genetics
KW - X-linked Nuclear Protein/genetics
KW - Young Adult
U2 - 10.1038/s41591-018-0263-8
DO - 10.1038/s41591-018-0263-8
M3 - Article
C2 - 30531922
VL - 25
SP - 176
EP - 187
JO - Nature Medicine
JF - Nature Medicine
SN - 1078-8956
IS - 1
ER -