Topographic correlates of driver mutations and endogenous gene expression in pediatric diffuse midline gliomas and hemispheric high-grade gliomas

Abstract We evaluate the topographic distribution of diffuse midline gliomas and hemispheric high-grade gliomas in children with respect to their normal gene expression patterns and pathologic driver mutation patterns. We identified 19 pediatric patients with diffuse midline or high-grade glioma wit...

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Main Authors: Eve Kazarian, Asher Marks, Jin Cui, Armine Darbinyan, Elizabeth Tong, Sabine Mueller, Soonmee Cha, Mariam S. Aboian
Format: Article
Language:English
Published: Nature Portfolio 2021-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-92943-0
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author Eve Kazarian
Asher Marks
Jin Cui
Armine Darbinyan
Elizabeth Tong
Sabine Mueller
Soonmee Cha
Mariam S. Aboian
author_facet Eve Kazarian
Asher Marks
Jin Cui
Armine Darbinyan
Elizabeth Tong
Sabine Mueller
Soonmee Cha
Mariam S. Aboian
author_sort Eve Kazarian
collection DOAJ
description Abstract We evaluate the topographic distribution of diffuse midline gliomas and hemispheric high-grade gliomas in children with respect to their normal gene expression patterns and pathologic driver mutation patterns. We identified 19 pediatric patients with diffuse midline or high-grade glioma with preoperative MRI from tumor board review. 7 of these had 500 gene panel mutation testing, 11 patients had 50 gene panel mutation testing and one 343 gene panel testing from a separate institution were included as validation set. Tumor imaging features and gene expression patterns were analyzed using Allen Brain Atlas. Twelve patients had diffuse midline gliomas and seven had hemispheric high-grade gliomas. Three diffuse midline gliomas had the K27M mutation in the tail of histone H3 protein. All patients undergoing 500 gene panel testing had additional mutations, the most common being in ACVR1, PPM1D, and p53. Hemispheric high-grade gliomas had either TP53 or IDH1 mutation and diffuse midline gliomas had H3 K27M-mutation. Gene expression analysis in normal brains demonstrated that genes mutated in diffuse midline gliomas had higher expression along midline structures as compared to the cerebral hemispheres. Our study suggests that topographic location of pediatric diffuse midline gliomas and hemispheric high-grade gliomas correlates with driver mutations of tumor to the endogenous gene expression in that location. This correlation suggests that cellular state that is required for increased gene expression predisposes that location to mutations and defines the driver mutations within tumors that arise from that region.
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spelling doaj.art-a038c37a85914ea29437336fc07bc4a32022-12-21T21:20:44ZengNature PortfolioScientific Reports2045-23222021-07-0111111010.1038/s41598-021-92943-0Topographic correlates of driver mutations and endogenous gene expression in pediatric diffuse midline gliomas and hemispheric high-grade gliomasEve Kazarian0Asher Marks1Jin Cui2Armine Darbinyan3Elizabeth Tong4Sabine Mueller5Soonmee Cha6Mariam S. Aboian7Department of Radiology & Biomedical Imaging, Yale School of MedicineDepartment of Pediatric Hematology & Oncology, Yale School of MedicineDepartment of Radiology & Biomedical Imaging, Yale School of MedicineDepartment of Neuropathology, Yale School of MedicineDepartment of Radiology, , University of California, San FranciscoDivision of Pediatric Hematology & Oncology, Department of Pediatrics, University of California, San FranciscoDepartment of Radiology, , University of California, San FranciscoDepartment of Radiology & Biomedical Imaging, Yale School of MedicineAbstract We evaluate the topographic distribution of diffuse midline gliomas and hemispheric high-grade gliomas in children with respect to their normal gene expression patterns and pathologic driver mutation patterns. We identified 19 pediatric patients with diffuse midline or high-grade glioma with preoperative MRI from tumor board review. 7 of these had 500 gene panel mutation testing, 11 patients had 50 gene panel mutation testing and one 343 gene panel testing from a separate institution were included as validation set. Tumor imaging features and gene expression patterns were analyzed using Allen Brain Atlas. Twelve patients had diffuse midline gliomas and seven had hemispheric high-grade gliomas. Three diffuse midline gliomas had the K27M mutation in the tail of histone H3 protein. All patients undergoing 500 gene panel testing had additional mutations, the most common being in ACVR1, PPM1D, and p53. Hemispheric high-grade gliomas had either TP53 or IDH1 mutation and diffuse midline gliomas had H3 K27M-mutation. Gene expression analysis in normal brains demonstrated that genes mutated in diffuse midline gliomas had higher expression along midline structures as compared to the cerebral hemispheres. Our study suggests that topographic location of pediatric diffuse midline gliomas and hemispheric high-grade gliomas correlates with driver mutations of tumor to the endogenous gene expression in that location. This correlation suggests that cellular state that is required for increased gene expression predisposes that location to mutations and defines the driver mutations within tumors that arise from that region.https://doi.org/10.1038/s41598-021-92943-0
spellingShingle Eve Kazarian
Asher Marks
Jin Cui
Armine Darbinyan
Elizabeth Tong
Sabine Mueller
Soonmee Cha
Mariam S. Aboian
Topographic correlates of driver mutations and endogenous gene expression in pediatric diffuse midline gliomas and hemispheric high-grade gliomas
Scientific Reports
title Topographic correlates of driver mutations and endogenous gene expression in pediatric diffuse midline gliomas and hemispheric high-grade gliomas
title_full Topographic correlates of driver mutations and endogenous gene expression in pediatric diffuse midline gliomas and hemispheric high-grade gliomas
title_fullStr Topographic correlates of driver mutations and endogenous gene expression in pediatric diffuse midline gliomas and hemispheric high-grade gliomas
title_full_unstemmed Topographic correlates of driver mutations and endogenous gene expression in pediatric diffuse midline gliomas and hemispheric high-grade gliomas
title_short Topographic correlates of driver mutations and endogenous gene expression in pediatric diffuse midline gliomas and hemispheric high-grade gliomas
title_sort topographic correlates of driver mutations and endogenous gene expression in pediatric diffuse midline gliomas and hemispheric high grade gliomas
url https://doi.org/10.1038/s41598-021-92943-0
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