Molecular Aberrations Stratify Grade 2 Astrocytomas Into Several Rare Entities: Prognostic and Therapeutic Implications

The identification of specific molecular aberrations guides the prognostic stratification and management of grade 2 astrocytomas. Mutations in isocitrate dehydrogenase (IDH) 1 and 2, found in the majority of adult diffuse low-grade glioma (DLGG), seem to relate to a favorable prognosis compared to I...

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Main Authors: Valeria Internò, Giacomo Triggiano, Pierluigi De Santis, Luigia Stefania Stucci, Marco Tucci, Camillo Porta
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.866623/full
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author Valeria Internò
Valeria Internò
Giacomo Triggiano
Pierluigi De Santis
Luigia Stefania Stucci
Marco Tucci
Marco Tucci
Camillo Porta
Camillo Porta
author_facet Valeria Internò
Valeria Internò
Giacomo Triggiano
Pierluigi De Santis
Luigia Stefania Stucci
Marco Tucci
Marco Tucci
Camillo Porta
Camillo Porta
author_sort Valeria Internò
collection DOAJ
description The identification of specific molecular aberrations guides the prognostic stratification and management of grade 2 astrocytomas. Mutations in isocitrate dehydrogenase (IDH) 1 and 2, found in the majority of adult diffuse low-grade glioma (DLGG), seem to relate to a favorable prognosis compared to IDH wild-type (IDH-wt) counterparts. Moreover, the IDH-wt group can develop additional molecular alterations worsening the prognosis, such as epidermal growth factor receptor amplification (EGFR-amp) and mutation of the promoter of telomerase reverse transcriptase (pTERT-mut). This review analyzes the prognostic impact and therapeutic implications of genetic alterations in adult LGG.
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spelling doaj.art-f25a001b23594a86b5e680c666d460b42022-12-22T00:27:23ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-06-011210.3389/fonc.2022.866623866623Molecular Aberrations Stratify Grade 2 Astrocytomas Into Several Rare Entities: Prognostic and Therapeutic ImplicationsValeria Internò0Valeria Internò1Giacomo Triggiano2Pierluigi De Santis3Luigia Stefania Stucci4Marco Tucci5Marco Tucci6Camillo Porta7Camillo Porta8Department of Interdisciplinary Medicine, University of Bari ‘Aldo Moro’, Bari, ItalyDivision of Medical Oncology, Policlinico Hospital of Bari, Bari, ItalyDivision of Medical Oncology, Policlinico Hospital of Bari, Bari, ItalyDivision of Medical Oncology, Policlinico Hospital of Bari, Bari, ItalyDivision of Medical Oncology, Policlinico Hospital of Bari, Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari ‘Aldo Moro’, Bari, ItalyDivision of Medical Oncology, Policlinico Hospital of Bari, Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari ‘Aldo Moro’, Bari, ItalyDivision of Medical Oncology, Policlinico Hospital of Bari, Bari, ItalyThe identification of specific molecular aberrations guides the prognostic stratification and management of grade 2 astrocytomas. Mutations in isocitrate dehydrogenase (IDH) 1 and 2, found in the majority of adult diffuse low-grade glioma (DLGG), seem to relate to a favorable prognosis compared to IDH wild-type (IDH-wt) counterparts. Moreover, the IDH-wt group can develop additional molecular alterations worsening the prognosis, such as epidermal growth factor receptor amplification (EGFR-amp) and mutation of the promoter of telomerase reverse transcriptase (pTERT-mut). This review analyzes the prognostic impact and therapeutic implications of genetic alterations in adult LGG.https://www.frontiersin.org/articles/10.3389/fonc.2022.866623/fulldiffuse low-grade gliomasprognostic molecular stratificationIDH-wt grade 2 astrocytomapTERT mutationEGFR amplification
spellingShingle Valeria Internò
Valeria Internò
Giacomo Triggiano
Pierluigi De Santis
Luigia Stefania Stucci
Marco Tucci
Marco Tucci
Camillo Porta
Camillo Porta
Molecular Aberrations Stratify Grade 2 Astrocytomas Into Several Rare Entities: Prognostic and Therapeutic Implications
Frontiers in Oncology
diffuse low-grade gliomas
prognostic molecular stratification
IDH-wt grade 2 astrocytoma
pTERT mutation
EGFR amplification
title Molecular Aberrations Stratify Grade 2 Astrocytomas Into Several Rare Entities: Prognostic and Therapeutic Implications
title_full Molecular Aberrations Stratify Grade 2 Astrocytomas Into Several Rare Entities: Prognostic and Therapeutic Implications
title_fullStr Molecular Aberrations Stratify Grade 2 Astrocytomas Into Several Rare Entities: Prognostic and Therapeutic Implications
title_full_unstemmed Molecular Aberrations Stratify Grade 2 Astrocytomas Into Several Rare Entities: Prognostic and Therapeutic Implications
title_short Molecular Aberrations Stratify Grade 2 Astrocytomas Into Several Rare Entities: Prognostic and Therapeutic Implications
title_sort molecular aberrations stratify grade 2 astrocytomas into several rare entities prognostic and therapeutic implications
topic diffuse low-grade gliomas
prognostic molecular stratification
IDH-wt grade 2 astrocytoma
pTERT mutation
EGFR amplification
url https://www.frontiersin.org/articles/10.3389/fonc.2022.866623/full
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