Genetic landscape of extreme responders with anaplastic oligodendroglioma

The NRG Oncology RTOG 9402 trial showed significant survival benefit in patients with 1p/19q co-deleted anaplastic oligodendrogliomas (AO) who received both radiation (RT) and chemotherapy (PCV regimen) versus RT alone. Substantial separation of the survival curves was only seen after 7.3 years. We...

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Veröffentlicht in:Oncotarget 2017-05, Vol.8 (22), p.35523-35531
Hauptverfasser: Holdhoff, Matthias, Cairncross, Gregory J, Kollmeyer, Thomas M, Zhang, Ming, Zhang, Peixin, Mehta, Minesh P, Werner-Wasik, Maria, Souhami, Luis, Bahary, Jean-Paul, Kwok, Young, Hartford, Alan C, Chakravarti, Arnab, Yegnasubramanian, Srinivasan, Vogelstein, Bert, Papadopoulos, Nickolas, Kinzler, Kenneth, Jenkins, Robert B, Bettegowda, Chetan
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container_end_page 35531
container_issue 22
container_start_page 35523
container_title Oncotarget
container_volume 8
creator Holdhoff, Matthias
Cairncross, Gregory J
Kollmeyer, Thomas M
Zhang, Ming
Zhang, Peixin
Mehta, Minesh P
Werner-Wasik, Maria
Souhami, Luis
Bahary, Jean-Paul
Kwok, Young
Hartford, Alan C
Chakravarti, Arnab
Yegnasubramanian, Srinivasan
Vogelstein, Bert
Papadopoulos, Nickolas
Kinzler, Kenneth
Jenkins, Robert B
Bettegowda, Chetan
description The NRG Oncology RTOG 9402 trial showed significant survival benefit in patients with 1p/19q co-deleted anaplastic oligodendrogliomas (AO) who received both radiation (RT) and chemotherapy (PCV regimen) versus RT alone. Substantial separation of the survival curves was only seen after 7.3 years. We aimed to determine whether there are specific genetic alterations that distinguish co-deleted AO patients who benefit from the addition of PCV from those who do not. We performed whole exome sequencing on matched tumor and normal DNA from all available short-term (STS) and long-term survivors (LTS) who received RT+PCV. hTERT status and rs55705857 genotypes (G-allele) were analyzed in both cohorts. Six STS (survival of
doi_str_mv 10.18632/oncotarget.16773
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Substantial separation of the survival curves was only seen after 7.3 years. We aimed to determine whether there are specific genetic alterations that distinguish co-deleted AO patients who benefit from the addition of PCV from those who do not. We performed whole exome sequencing on matched tumor and normal DNA from all available short-term (STS) and long-term survivors (LTS) who received RT+PCV. hTERT status and rs55705857 genotypes (G-allele) were analyzed in both cohorts. Six STS (survival of &lt;7.3y) and 7 LTS (survival of ≥7.3y and no progression) had sufficient material for analysis. There was no significant difference between the groups regarding age, performance status and extent of resection. On average, STS had 7 and LTS 4 mutations. Most common mutations in STS vs. LTS were: IDH1 (67 vs. 86%), CIC (50 vs. 71%) and FUBP1 (17 vs. 71%). The hTERT promoter was mutated in 83% STS and 86% LTS. Genotyping of rs55705857 showed a higher prevalence of G allele carriers in LTS than STS (43 vs. 17%). These findings confirm that IDH, CIC, FUBP1 mutations and rs55705857 genotype are common in AO. 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Genotyping of rs55705857 showed a higher prevalence of G allele carriers in LTS than STS (43 vs. 17%). These findings confirm that IDH, CIC, FUBP1 mutations and rs55705857 genotype are common in AO. 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Substantial separation of the survival curves was only seen after 7.3 years. We aimed to determine whether there are specific genetic alterations that distinguish co-deleted AO patients who benefit from the addition of PCV from those who do not. We performed whole exome sequencing on matched tumor and normal DNA from all available short-term (STS) and long-term survivors (LTS) who received RT+PCV. hTERT status and rs55705857 genotypes (G-allele) were analyzed in both cohorts. Six STS (survival of &lt;7.3y) and 7 LTS (survival of ≥7.3y and no progression) had sufficient material for analysis. There was no significant difference between the groups regarding age, performance status and extent of resection. On average, STS had 7 and LTS 4 mutations. Most common mutations in STS vs. LTS were: IDH1 (67 vs. 86%), CIC (50 vs. 71%) and FUBP1 (17 vs. 71%). The hTERT promoter was mutated in 83% STS and 86% LTS. Genotyping of rs55705857 showed a higher prevalence of G allele carriers in LTS than STS (43 vs. 17%). These findings confirm that IDH, CIC, FUBP1 mutations and rs55705857 genotype are common in AO. No distinct genetic signature was identified to differentiate STS and LTS.</abstract><cop>United States</cop><pub>Impact Journals LLC</pub><pmid>28388591</pmid><doi>10.18632/oncotarget.16773</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Alleles
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biomarkers, Tumor
Brain Neoplasms - drug therapy
Brain Neoplasms - genetics
Brain Neoplasms - mortality
Brain Neoplasms - pathology
Chromosome Aberrations
Chromosomes, Human, Pair 1
Chromosomes, Human, Pair 19
Female
Genetic Variation
Humans
Male
Middle Aged
Mutation
Neoplasm Grading
Oligodendroglioma - drug therapy
Oligodendroglioma - genetics
Oligodendroglioma - mortality
Oligodendroglioma - pathology
Priority Research Paper
Prognosis
Treatment Outcome
title Genetic landscape of extreme responders with anaplastic oligodendroglioma
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