AANS, California, Amerika Birleşik Devletleri, 13 - 17 Nisan 2019, ss.1
Chromatin
Modifier Alterations Are Very Common But Mostly Random in Diffuse Gliomas
Özduman
K*, Ülgen E, Can Ö, Erşen Danyeli A, Akyerli-Boylu C, Bilguvar K, Pamir MN
Introduction:
All of the current
molecular-markers used for group gliomas are Chromatin Modifiers (CM). Based on
this observation we hypothesized that other chromatin modifiers with clinical
correlation may be present in diffuse gliomas and analyzed a cohort for genetic
alterations in CM genes.
Methods:
27 hemispheric diffuse
gliomas (Median age 48, range 20-76) and paired blood samples were Whole Exome
Sequenced and 1-somatic non-synonymous single nucleotide variations, 2-
homozygous deletions and high-level amplifications, 3-germline risk single
nucleotide polymorphisms were identified. Different molecular subsets were
identified (6 IDH-only, 12 TERT-only, 3 H3.3-mutant and 6 triple-negative). A
manually curated list of 195 CM genes was analyzed for the above genetic
alterations. Findings were analyzed against age, glioma molecular subset, WHO-grade
and histopathology.
Results:
61(31.3%) out of the
195 curated genes were altered. At least one chromatin modifier was somatically
altered in 27/27(100%) of the patients. Chromatin modifier alterations were
significantly enriched in gliomas (p=6.22e-22; hypergeometric gene set
enrichment testing). Alterations were heterogeneously distributed among
samples. Only 18/61 of the alterations were observed in more than 1 patient
sample. No novel and recurrent alterations were observed (other than IDH, ATRX,
PTEN, SMARCA4, H3F3A). Age had no effect on the distribution of the chromatin
modifiers in the sample set. Highest number of CM were observed in the
IDH-mutant subset (Median IDH: 5, TERT-only:1.5, H3.3-mutant:3, triple-negative
3. Difference non-significant). No significant differences were observed for
WHO grade or histopathology.
Conclusion:
CM alterations are
very common but mostly random in diffuse gliomas. No previously unknown,
recurrent CM of clinical significance was identified.