Pediatric-type high-grade neuroepithelial tumors with CIC gene fusion share a common DNA methylation signature

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Dokumenter

  • Fulltext

    Forlagets udgivne version, 3,25 MB, PDF-dokument

  • Philipp Sievers
  • Martin Sill
  • Daniel Schrimpf
  • Zied Abdullaev
  • Andrew M. Donson
  • Jessica A. Lake
  • Dennis Friedel
  • Olli Tynninen
  • Tuomas Rauramaa
  • Kaisa L. Vepsäläinen
  • David Samuel
  • Rebecca Chapman
  • Richard G. Grundy
  • Kristian W Pajtler
  • Arnault Tauziède-Espariat
  • Alice Métais
  • Pascale Varlet
  • Matija Snuderl
  • Thomas S Jacques
  • Kenneth Aldape
  • David E. Reuss
  • Andrey Korshunov
  • Wolfgang Wick
  • Stefan M Pfister
  • Andreas von Deimling
  • Felix Sahm
  • David T.W. Jones

Pediatric neoplasms in the central nervous system (CNS) show extensive clinical and molecular heterogeneity and are fundamentally different from those occurring in adults. Molecular genetic testing contributes to accurate diagnosis and enables an optimal clinical management of affected children. Here, we investigated a rare, molecularly distinct type of pediatric high-grade neuroepithelial tumor (n = 18), that was identified through unsupervised visualization of genome-wide DNA methylation array data, together with copy number profiling, targeted next-generation DNA sequencing, and RNA transcriptome sequencing. DNA and/or RNA sequencing revealed recurrent fusions involving the capicua transcriptional repressor (CIC) gene in 10/10 tumor samples analyzed, with the most common fusion being CIC::LEUTX (n = 9). In addition, a CIC::NUTM1 fusion was detected in one of the tumors. Apart from the detected fusion events, no additional oncogenic alteration was identified in these tumors. The histopathological review demonstrated a morphologically heterogeneous group of high-grade neuroepithelial tumors with positive immunostaining for markers of glial differentiation in combination with weak and focal expression of synaptophysin, CD56 and CD99. All tumors were located in the supratentorial compartment, occurred during childhood (median age 8.5 years) and typically showed early relapses. In summary, we expand the spectrum of pediatric-type tumors of the CNS by reporting a previously uncharacterized group of rare high-grade neuroepithelial tumors that share a common DNA methylation signature and recurrent gene fusions involving the transcriptional repressor CIC. Downstream functional consequences of the fusion protein CIC::LEUTX and potential therapeutic implications need to be further investigated.

OriginalsprogEngelsk
Artikelnummer30
Tidsskriftnpj Precision Oncology
Vol/bind7
Antal sider8
ISSN2397-768X
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
The authors thank L. Dörner and L. Hofmann for excellent technical assistance, and the DKFZ Genomics and Proteomics Core Facility for support in DNA methylation analysis. This study was supported by the Hertie Network of Excellence in Clinical Neuroscience. P. Sievers is supported by the Else Kröner Fresenius Stiftung and a fellow of the Hertie Academy of Excellence in Clinical Neuroscience.

Publisher Copyright:
© 2023, The Author(s).

ID: 367797097