The Prognostic Value of Methylation Signatures and <i>NF2</i> Mutations in Atypical Meningiomas

<i>Background</i>: Due to the solely subjective histopathological assessment, the WHO 2016 classification of human meningiomas is subject to interobserver variation. Consequently, the need for more reliable and objective markers are highly needed. The aim of this pilot study was to apply...

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Main Authors: Rahmina Meta, Henning B. Boldt, Bjarne W. Kristensen, Felix Sahm, Wenche Sjursen, Sverre H. Torp
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/6/1262
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author Rahmina Meta
Henning B. Boldt
Bjarne W. Kristensen
Felix Sahm
Wenche Sjursen
Sverre H. Torp
author_facet Rahmina Meta
Henning B. Boldt
Bjarne W. Kristensen
Felix Sahm
Wenche Sjursen
Sverre H. Torp
author_sort Rahmina Meta
collection DOAJ
description <i>Background</i>: Due to the solely subjective histopathological assessment, the WHO 2016 classification of human meningiomas is subject to interobserver variation. Consequently, the need for more reliable and objective markers are highly needed. The aim of this pilot study was to apply genome-wide DNA methylation analysis on a series of atypical meningiomas to evaluate the practical utility of this approach, examine whether prognostic subclasses are achieved and investigate whether there is an association between the methylation subclasses with poor prognosis and time to recurrence. <i>NF1/2</i> mutation analyses were also performed to explore the prognostic value of such mutations in these atypical meningiomas. <i>Methods</i>: Twenty intracranial WHO grade II atypical meningiomas from adult patients were included. They consisted of 10 cases with recurrence (group I), and 10 cases without recurrence (<i>group II</i>). The formalin-fixed and paraffin-embedded tissues underwent standardized genome-wide DNA methylation analysis, and the profiles were matched with the reference library and tumor classifier from Heidelberg. <i>NF1/2</i> somatic mutation analyses were performed using the CNSv1panel from Düsseldorf. <i>Results</i>: Eighteen out of 20 cases matched to the meningioma class using the common brain tumor classifier (v11b4). Four of these cases matched to a methylation subclass related to a prognostic subgroup based on a cut-off of 0.9. <i>NF2</i> mutations were detected in 55% of cases across both groups, and the most prominent copy number alterations were chromosomal losses of 22q, 1p and 14q. No significant <i>NF1</i> mutations were identified. <i>Conclusions</i>: Genome-wide DNA methylation profiling represents a useful tool in the diagnostics of meningiomas, however, methodological adjustments need to be addressed.
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spelling doaj.art-84d6f192bdad404ead5ec258c55efff42023-11-21T10:17:04ZengMDPI AGCancers2072-66942021-03-01136126210.3390/cancers13061262The Prognostic Value of Methylation Signatures and <i>NF2</i> Mutations in Atypical MeningiomasRahmina Meta0Henning B. Boldt1Bjarne W. Kristensen2Felix Sahm3Wenche Sjursen4Sverre H. Torp5Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, NorwayDepartment of Pathology, Odense University Hospital, 5000 Odense, DenmarkDepartment of Pathology, Odense University Hospital, 5000 Odense, DenmarkDepartment of Neuropathology, Institute of Pathology, University Hospital Heidelberg, 69120 Heidelberg, GermanyDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, NorwayDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, Norway<i>Background</i>: Due to the solely subjective histopathological assessment, the WHO 2016 classification of human meningiomas is subject to interobserver variation. Consequently, the need for more reliable and objective markers are highly needed. The aim of this pilot study was to apply genome-wide DNA methylation analysis on a series of atypical meningiomas to evaluate the practical utility of this approach, examine whether prognostic subclasses are achieved and investigate whether there is an association between the methylation subclasses with poor prognosis and time to recurrence. <i>NF1/2</i> mutation analyses were also performed to explore the prognostic value of such mutations in these atypical meningiomas. <i>Methods</i>: Twenty intracranial WHO grade II atypical meningiomas from adult patients were included. They consisted of 10 cases with recurrence (group I), and 10 cases without recurrence (<i>group II</i>). The formalin-fixed and paraffin-embedded tissues underwent standardized genome-wide DNA methylation analysis, and the profiles were matched with the reference library and tumor classifier from Heidelberg. <i>NF1/2</i> somatic mutation analyses were performed using the CNSv1panel from Düsseldorf. <i>Results</i>: Eighteen out of 20 cases matched to the meningioma class using the common brain tumor classifier (v11b4). Four of these cases matched to a methylation subclass related to a prognostic subgroup based on a cut-off of 0.9. <i>NF2</i> mutations were detected in 55% of cases across both groups, and the most prominent copy number alterations were chromosomal losses of 22q, 1p and 14q. No significant <i>NF1</i> mutations were identified. <i>Conclusions</i>: Genome-wide DNA methylation profiling represents a useful tool in the diagnostics of meningiomas, however, methodological adjustments need to be addressed.https://www.mdpi.com/2072-6694/13/6/1262brain tumorsmeningiomasprognosisdiagnosismethylation profilingmolecular genetics
spellingShingle Rahmina Meta
Henning B. Boldt
Bjarne W. Kristensen
Felix Sahm
Wenche Sjursen
Sverre H. Torp
The Prognostic Value of Methylation Signatures and <i>NF2</i> Mutations in Atypical Meningiomas
Cancers
brain tumors
meningiomas
prognosis
diagnosis
methylation profiling
molecular genetics
title The Prognostic Value of Methylation Signatures and <i>NF2</i> Mutations in Atypical Meningiomas
title_full The Prognostic Value of Methylation Signatures and <i>NF2</i> Mutations in Atypical Meningiomas
title_fullStr The Prognostic Value of Methylation Signatures and <i>NF2</i> Mutations in Atypical Meningiomas
title_full_unstemmed The Prognostic Value of Methylation Signatures and <i>NF2</i> Mutations in Atypical Meningiomas
title_short The Prognostic Value of Methylation Signatures and <i>NF2</i> Mutations in Atypical Meningiomas
title_sort prognostic value of methylation signatures and i nf2 i mutations in atypical meningiomas
topic brain tumors
meningiomas
prognosis
diagnosis
methylation profiling
molecular genetics
url https://www.mdpi.com/2072-6694/13/6/1262
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