2021
DOI: 10.1212/nxg.0000000000000561
|View full text |Cite
|
Sign up to set email alerts
|

Clonal Evolution of a High-Grade Pediatric Glioma With Distant Metastatic Spread

Abstract: ObjectiveHigh-grade glioma (HGG) rarely spreads outside the CNS. To test the hypothesis that the lesions were metastases originating from an HGG, we sequenced the relapsing HGG and distant extraneural lesions.MethodsWe performed whole-exome sequencing of an HGG lesion, its local relapse, and distant lesions in bone and lymph nodes.ResultsPhylogenetic reconstruction and histopathologic analysis confirmed the common glioma origin of the secondary lesions. The mutational profile revealed an IDH1/2 wild-type HGG w… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2

Citation Types

0
1
0

Year Published

2022
2022
2024
2024

Publication Types

Select...
2

Relationship

0
2

Authors

Journals

citations
Cited by 2 publications
(2 citation statements)
references
References 21 publications
(24 reference statements)
0
1
0
Order By: Relevance
“…CAPG participating in immune escape was identified as a poor prognostic gene for LGG patients, of which its higher expression was found in tumor tissues versus that in normal tissues [ 31 , 32 , 33 ]. FLNA was a novel driver gene of tumor metastasis in GBM, and EIF3D was a protective gene for gliomas, of which high expression of EIF3D was related to an improved OS [ 34 , 35 ]. A nomogram analysis displayed that our signature accounted for higher predictive value than other clinical features.…”
Section: Discussionmentioning
confidence: 99%
“…CAPG participating in immune escape was identified as a poor prognostic gene for LGG patients, of which its higher expression was found in tumor tissues versus that in normal tissues [ 31 , 32 , 33 ]. FLNA was a novel driver gene of tumor metastasis in GBM, and EIF3D was a protective gene for gliomas, of which high expression of EIF3D was related to an improved OS [ 34 , 35 ]. A nomogram analysis displayed that our signature accounted for higher predictive value than other clinical features.…”
Section: Discussionmentioning
confidence: 99%
“…Limited investigations evaluating genetic alterations in metastatic glioblastoma show that TP53 , TERT , PTEN and RB1 mutations are frequent alterations in metastatic glioblastoma [ 22 , 48 ]. Gain of chromosome 7 with loss of chromosome 10 has also been reported in metastatic glioblastoma [ 68 , 69 ]. Our patient's metastatic tumor carried alterations in TP53 , TERT , PTEN and +7/-10, which were retained among her initial intracranial, recurrent intracranial and metastatic lung tumors ( Figure 3 ).…”
Section: Discussionmentioning
confidence: 99%