Epithelioid glioblastoma exhibits a heterogeneous molecular feature: A targeted next-generation sequencing study

IntroductionEpithelioid glioblastoma (eGBM) is one of the rare glioblastoma (GBM) variants in the current World Health Organization (WHO) categorization of central nervous system (CNS) tumours. However, the diagnostic basis and molecular features of eGBM have not been clearly defined to date. In thi...

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Main Authors: Rui Pan, Xiaotong Wang, Ru Fang, Qiuyuan Xia, Nan Wu, Qiu Rao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.980059/full
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author Rui Pan
Xiaotong Wang
Ru Fang
Qiuyuan Xia
Nan Wu
Qiu Rao
author_facet Rui Pan
Xiaotong Wang
Ru Fang
Qiuyuan Xia
Nan Wu
Qiu Rao
author_sort Rui Pan
collection DOAJ
description IntroductionEpithelioid glioblastoma (eGBM) is one of the rare glioblastoma (GBM) variants in the current World Health Organization (WHO) categorization of central nervous system (CNS) tumours. However, the diagnostic basis and molecular features of eGBM have not been clearly defined to date. In this study, we aimed to molecularly characterize these tumours.MethodsThe clinicopathological, molecular, and immunohistochemical characteristics of 12 cases of eGBM were investigated.ResultsThe tumours were found to be made up of epithelioid and rhabdoid cells when examined under a microscope. Six cases (50%) harboured the BRAF V600E mutation, and NF1 mutation was detected in 2 eGBM cases (16.7%). CDKN2A/B homozygous deletion was seen in 5 cases (41.7%). TP53 mutation was recognized in 2 instances (16.7%), and TERT promoter mutation was recognized in 5 cases (41.7%).DiscussioneGBM is characterized by high molecular heterogeneity and has molecular overlaps between low-grade gliomas. Moreover, rather than being a variant or entity, the biological significance of the "epithelioid" appearance may be reduced to a simply morphological pattern. In order to target the proper treatment to suitable patients, molecular stratification via genome-wide molecular profiling will be crucial.
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spelling doaj.art-22d8b14fb80f4234a30bb7dd8082f55d2022-12-22T02:53:16ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-11-011210.3389/fonc.2022.980059980059Epithelioid glioblastoma exhibits a heterogeneous molecular feature: A targeted next-generation sequencing studyRui PanXiaotong WangRu FangQiuyuan XiaNan WuQiu RaoIntroductionEpithelioid glioblastoma (eGBM) is one of the rare glioblastoma (GBM) variants in the current World Health Organization (WHO) categorization of central nervous system (CNS) tumours. However, the diagnostic basis and molecular features of eGBM have not been clearly defined to date. In this study, we aimed to molecularly characterize these tumours.MethodsThe clinicopathological, molecular, and immunohistochemical characteristics of 12 cases of eGBM were investigated.ResultsThe tumours were found to be made up of epithelioid and rhabdoid cells when examined under a microscope. Six cases (50%) harboured the BRAF V600E mutation, and NF1 mutation was detected in 2 eGBM cases (16.7%). CDKN2A/B homozygous deletion was seen in 5 cases (41.7%). TP53 mutation was recognized in 2 instances (16.7%), and TERT promoter mutation was recognized in 5 cases (41.7%).DiscussioneGBM is characterized by high molecular heterogeneity and has molecular overlaps between low-grade gliomas. Moreover, rather than being a variant or entity, the biological significance of the "epithelioid" appearance may be reduced to a simply morphological pattern. In order to target the proper treatment to suitable patients, molecular stratification via genome-wide molecular profiling will be crucial.https://www.frontiersin.org/articles/10.3389/fonc.2022.980059/fullglioblastomaepithelioid glioblastomaBRAF V600Emolecular geneticscentral nervous system tumour
spellingShingle Rui Pan
Xiaotong Wang
Ru Fang
Qiuyuan Xia
Nan Wu
Qiu Rao
Epithelioid glioblastoma exhibits a heterogeneous molecular feature: A targeted next-generation sequencing study
Frontiers in Oncology
glioblastoma
epithelioid glioblastoma
BRAF V600E
molecular genetics
central nervous system tumour
title Epithelioid glioblastoma exhibits a heterogeneous molecular feature: A targeted next-generation sequencing study
title_full Epithelioid glioblastoma exhibits a heterogeneous molecular feature: A targeted next-generation sequencing study
title_fullStr Epithelioid glioblastoma exhibits a heterogeneous molecular feature: A targeted next-generation sequencing study
title_full_unstemmed Epithelioid glioblastoma exhibits a heterogeneous molecular feature: A targeted next-generation sequencing study
title_short Epithelioid glioblastoma exhibits a heterogeneous molecular feature: A targeted next-generation sequencing study
title_sort epithelioid glioblastoma exhibits a heterogeneous molecular feature a targeted next generation sequencing study
topic glioblastoma
epithelioid glioblastoma
BRAF V600E
molecular genetics
central nervous system tumour
url https://www.frontiersin.org/articles/10.3389/fonc.2022.980059/full
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