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. 2022 May;32(3):e13039.
doi: 10.1111/bpa.13039. Epub 2021 Dec 1.

Deciphering the genetic and epigenetic landscape of pediatric bithalamic tumors

Affiliations

Deciphering the genetic and epigenetic landscape of pediatric bithalamic tumors

Arnault Tauziède-Espariat et al. Brain Pathol. 2022 May.

Abstract

Pediatric bithalamic gliomas encompass several histomolecular tumoral types from benign to malignant and underlines the central role of a comprehensive neuropathological review, including immunohistochemistry, genetic, and epigenetic analyses, to achieve an accurate diagnosis.

Keywords: bithalamic; landscape; pediatric..

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Conflict of interest statement

The authors declare that they have no conflict of interest directly related to the topic of this article.

Figures

FIGURE 1
FIGURE 1
Distribution of histomolecular characteristics of the tumors within the cohort. (A) t‐distributed stochastic neighbor embedding (t‐SNE) analysis of DNA methylation profiles of nine of the investigated tumors alongside selected reference samples. Reference DNA methylation classes: low‐grade glioma, MYB (LGG_MYB); low‐grade glioma, dysembryoplastic neuroepithelial tumor (DNET); low‐grade glioma, subclass midline pilocytic astrocytoma (PA_MID); low‐grade glioma, subclass posterior fossa pilocytic astrocytoma (PA_PF); low‐grade glioma, ganglioglioma (GG); low‐grade glioma, subclass hemispheric pilocytic astrocytoma and ganglioglioma (PA/GG); diffuse midline glioma H3 K27 M mutant (DMG_K27); diffuse midline glioma EGFR_altered (DMG_EGFR); glioblastoma, IDH wild type, H3.3 G34 mutant (GBM_G34); pediatric glioblastoma, IDH wild type, subclass MYCN (GBM_pedMYCN); glioblastoma, IDH wild type, subclass RTK1 (GBM_RTK1); glioblastoma, IDH wild type, subclass RTK2 (GBM_RTK2); pediatric glioblastoma, IDH wild type, subclass RTK1 (GBM_pedRTK1); pediatric glioblastoma, IDH wild type, subclass RTK2 (GBM_pedRTK2); glioblastoma, IDH wild type, subclass mesenchymal (GBM_MES). (B) The integrative histopathological, genetic, and epigenetic analyses identified six diffuse midline gliomas (DMG), EGFR‐altered (26.3%); two DMG, H3K27‐altered (with H3K27 M mutation) (10.5%); two DMG, H3K27‐WT, with EZHIP overexpression (10.5%); two pediatric glioblastomas (GBM), RTK2 subtype (10.5%); two high‐grade gliomas, not elsewhere classified (NEC) IDH‐ and histones‐WT (10.5%); two pilocytic astrocytomas (PA) (10.5%); one pediatric glioblastoma, MYCN‐amplified (5.3%); one ganglioglioma (GG), grade 1, BRAF‐mutant (5.3%); one angiocentric glioma (AG), with MYB:QKI fusion (5.3%); and one circumscribed glioma, BRAF and H3K27‐mutant (5.3%).

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