Pediatric High Grade Glioma Classification Criteria and Molecular Features of a Case Series

Pediatric high-grade gliomas (pHGGs) encompass a heterogeneous group of tumors. Three main molecular types (<i>H3.3</i> mutant, <i>IDH</i> mutant, and <i>H3.3/IDH</i> wild-type) and a number of subtypes have been identified. We provide an overview of pHGGs and pre...

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Main Authors: Anna Maria Buccoliero, Laura Giunti, Selene Moscardi, Francesca Castiglione, Aldesia Provenzano, Iacopo Sardi, Mirko Scagnet, Lorenzo Genitori, Chiara Caporalini
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/13/4/624
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author Anna Maria Buccoliero
Laura Giunti
Selene Moscardi
Francesca Castiglione
Aldesia Provenzano
Iacopo Sardi
Mirko Scagnet
Lorenzo Genitori
Chiara Caporalini
author_facet Anna Maria Buccoliero
Laura Giunti
Selene Moscardi
Francesca Castiglione
Aldesia Provenzano
Iacopo Sardi
Mirko Scagnet
Lorenzo Genitori
Chiara Caporalini
author_sort Anna Maria Buccoliero
collection DOAJ
description Pediatric high-grade gliomas (pHGGs) encompass a heterogeneous group of tumors. Three main molecular types (<i>H3.3</i> mutant, <i>IDH</i> mutant, and <i>H3.3/IDH</i> wild-type) and a number of subtypes have been identified. We provide an overview of pHGGs and present a mono-institutional series. We studied eleven non-related pHGG samples through a combined approach of routine diagnostic tools and a gene panel. <i>TP53</i> and <i>H3F3A</i> were the most mutated genes (six patients each, 54%). The third most mutated gene was <i>EGFR</i> (three patients, 27%), followed by <i>PDGFRA</i> and <i>PTEN</i> (two patients each, 18%). Variants in the <i>EZHIP</i>, <i>MSH2</i>, <i>IDH1</i>, <i>IDH2</i>, <i>TERT</i>, <i>HRAS</i>, <i>NF1</i>, <i>BRAF</i>, <i>ATRX</i>, and <i>PIK3CA</i> genes were relatively infrequent (one patient each, 9%). In one case, gene panel analysis documented the presence of a pathogenic <i>IDH2</i> variant (c.419G>A, p.Arg140Gln) never described in gliomas. More than one-third of patients carry a variant in a gene associated with tumor-predisposing syndromes. The absence of constitutional DNA did not allow us to identify their constitutional origin.
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spelling doaj.art-eb021aed75c842c0be8a5ec09ff619772023-12-01T20:56:57ZengMDPI AGGenes2073-44252022-03-0113462410.3390/genes13040624Pediatric High Grade Glioma Classification Criteria and Molecular Features of a Case SeriesAnna Maria Buccoliero0Laura Giunti1Selene Moscardi2Francesca Castiglione3Aldesia Provenzano4Iacopo Sardi5Mirko Scagnet6Lorenzo Genitori7Chiara Caporalini8Pathology Unit, Meyer Children’s Hospital, 50139 Florence, ItalyNeuro-Oncology Unit, Department of Pediatric Oncology, Meyer Children’s Hospital, 50139 Florence, ItalyPathology Unit, Meyer Children’s Hospital, 50139 Florence, ItalyPathological Anatomy, Careggi Hospital, 50139 Florence, ItalyMedical Genetics, Department of Experimental and Clinical Biomedical Sciences Mario Serio, University of Florence, 50139 Florence, ItalyNeuro-Oncology Unit, Department of Pediatric Oncology, Meyer Children’s Hospital, 50139 Florence, ItalyNeurosurgery Unit, Meyer Children’s Hospital, 50139 Florence, ItalyNeurosurgery Unit, Meyer Children’s Hospital, 50139 Florence, ItalyPathology Unit, Meyer Children’s Hospital, 50139 Florence, ItalyPediatric high-grade gliomas (pHGGs) encompass a heterogeneous group of tumors. Three main molecular types (<i>H3.3</i> mutant, <i>IDH</i> mutant, and <i>H3.3/IDH</i> wild-type) and a number of subtypes have been identified. We provide an overview of pHGGs and present a mono-institutional series. We studied eleven non-related pHGG samples through a combined approach of routine diagnostic tools and a gene panel. <i>TP53</i> and <i>H3F3A</i> were the most mutated genes (six patients each, 54%). The third most mutated gene was <i>EGFR</i> (three patients, 27%), followed by <i>PDGFRA</i> and <i>PTEN</i> (two patients each, 18%). Variants in the <i>EZHIP</i>, <i>MSH2</i>, <i>IDH1</i>, <i>IDH2</i>, <i>TERT</i>, <i>HRAS</i>, <i>NF1</i>, <i>BRAF</i>, <i>ATRX</i>, and <i>PIK3CA</i> genes were relatively infrequent (one patient each, 9%). In one case, gene panel analysis documented the presence of a pathogenic <i>IDH2</i> variant (c.419G>A, p.Arg140Gln) never described in gliomas. More than one-third of patients carry a variant in a gene associated with tumor-predisposing syndromes. The absence of constitutional DNA did not allow us to identify their constitutional origin.https://www.mdpi.com/2073-4425/13/4/624pediatrichigh-grade gliomaastrocytomathalamic gliomagene panel<i>IDH2</i> mutation
spellingShingle Anna Maria Buccoliero
Laura Giunti
Selene Moscardi
Francesca Castiglione
Aldesia Provenzano
Iacopo Sardi
Mirko Scagnet
Lorenzo Genitori
Chiara Caporalini
Pediatric High Grade Glioma Classification Criteria and Molecular Features of a Case Series
Genes
pediatric
high-grade glioma
astrocytoma
thalamic glioma
gene panel
<i>IDH2</i> mutation
title Pediatric High Grade Glioma Classification Criteria and Molecular Features of a Case Series
title_full Pediatric High Grade Glioma Classification Criteria and Molecular Features of a Case Series
title_fullStr Pediatric High Grade Glioma Classification Criteria and Molecular Features of a Case Series
title_full_unstemmed Pediatric High Grade Glioma Classification Criteria and Molecular Features of a Case Series
title_short Pediatric High Grade Glioma Classification Criteria and Molecular Features of a Case Series
title_sort pediatric high grade glioma classification criteria and molecular features of a case series
topic pediatric
high-grade glioma
astrocytoma
thalamic glioma
gene panel
<i>IDH2</i> mutation
url https://www.mdpi.com/2073-4425/13/4/624
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