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  1. 20 医学系研究科・医学部
  2. 20A 学術誌論文
  3. 20A1 雑誌掲載論文

Oligosarcomas, IDH‑mutant are distinct and aggressive

http://hdl.handle.net/10295/00005869
http://hdl.handle.net/10295/00005869
7a9e365c-b18f-4e65-80c6-d2a705469faf
名前 / ファイル ライセンス アクション
iA_2021_44.pdf iA_2021_44 (8.2 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2022-02-08
タイトル
タイトル Oligosarcomas, IDH‑mutant are distinct and aggressive
言語 en
言語
言語 eng
主題
主題Scheme Other
主題 Oligosarcoma
主題
主題Scheme Other
主題 Oligodendroglioma
主題
主題Scheme Other
主題 Gliosarcoma
主題
主題Scheme Other
主題 1p/19q
主題
主題Scheme Other
主題 Codeletion
主題
主題Scheme Other
主題 SMA
主題
主題Scheme Other
主題 YAP1
主題
主題Scheme Other
主題 NF1
主題
主題Scheme Other
主題 TP53
主題
主題Scheme Other
主題 TERT
主題
主題Scheme Other
主題 DNA methylation
主題
主題Scheme Other
主題 Type
主題
主題Scheme Other
主題 Subtype
主題
主題Scheme Other
主題 Variant
主題
主題Scheme Other
主題 Prognosis
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
作成者 Suwala, Abigail K.

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Felix, Marius

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Friedel, Dennis

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Stichel, Damian

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Schrimpf, Daniel

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Hinz, Felix

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Hewer, Ekkehard

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Schweizer, Leonille

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Dohmen, Hildegard

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Pohl, Ute

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Staszewski, Ori

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Korshunov, Andrey

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Stein, Marco

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Wongsurawat, Thidathip

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Cheunsuacchon, Pornsuk

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Sathornsumetee, Sith

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Koelsche, Christian

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Turner, Clinton

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Rhun, Emilie Le

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Mühlebner, Angelika

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Schucht, Philippe

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Özduman, Koray

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Ono, Takahiro

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Shimizu, Hiroaki

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Prinz, Marco

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Acker, Till

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Herold‑Mende, Christel

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Kessler, Tobias

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Wick, Wolfgang

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Capper, David

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Wesseling, Pieter

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Sahm, Felix

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von Deimling, Andreas

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Hartmann, Christian

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Reuss, David E.

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内容記述
内容記述タイプ Abstract
内容記述 Oligodendrogliomas are defined at the molecular level by the presence of an IDH mutation and codeletion of chromosomal arms 1p and 19q. In the past, case reports and small studies described gliomas with sarcomatous features arising from oligodendrogliomas, so called oligosarcomas. Here, we report a series of 24 IDH-mutant oligosarcomas from 23 patients forming a distinct methylation class. The tumors were recurrences from prior oligodendrogliomas or developed de novo. Precursor tumors of 12 oligosarcomas were histologically and molecularly indistinguishable from conventional oligodendrogliomas. Oligosarcoma tumor cells were embedded in a dense network of reticulin fibers, frequently showing p53 accumulation, positivity for SMA and CALD1, loss of OLIG2 and gain of H3K27 trimethylation (H3K27me3) as compared to primary lesions. In 5 oligosarcomas no 1p/19q codeletion was detectable, although it was present in the primary lesions. Copy number neutral LOH was determined as underlying mechanism. Oligosarcomas harbored an increased chromosomal copy number variation load with frequent CDKN2A/B deletions. Proteomic profiling demonstrated oligosarcomas to be highly distinct from conventional CNS WHO grade 3 oligodendrogliomas with consistent evidence for a smooth muscle differentiation. Expression of several tumor suppressors was reduced with NF1 being lost frequently. In contrast, oncogenic YAP1 was aberrantly overexpressed in oligosarcomas. Panel sequencing revealed mutations in NF1 and TP53 along with IDH1/2 and TERT promoter mutations. Survival of patients was significantly poorer for oligosarcomas as first recurrence than for grade 3 oligodendrogliomas as first recurrence. These results establish oligosarcomas as a distinct group of IDH-mutant gliomas differing from conventional oligodendrogliomas on the histologic, epigenetic, proteomic, molecular and clinical level. The diagnosis can be based on the combined presence of (a) sarcomatous histology, (b) IDH-mutation and (c) TERT promoter mutation and/or 1p/19q codeletion, or, in unresolved cases, on its characteristic DNA methylation profile.
言語 en
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
書誌情報 Acta Neuropathologica

巻 143, p. 263-281, 発行日 2022
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1432-0533
出版者
出版者 Springer
関連情報
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1007/s00401-021-02395-z
権利情報
権利情報 © The Author(s) 2021.Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
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