Molecular genetic changes in a series of neuroepithelial tumors of childhood

Alessia Di Sapio1, Isabella Morra, Luca Pradotto

  • 1Divisione Universitaria di Neurologia, Ospedale San Luigi, Torino, Italy. alessia.disapio@tin.it

Journal of Neuro-Oncology
|September 21, 2002
PubMed

Insights

Gene amplification in pediatric gliomas was investigated. Epidermal growth factor receptor (EGFR) gene amplification occurred in malignant pediatric gliomas, suggesting distinct tumor subsets in childhood brain tumors.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pediatric Neuro-oncology

Background:

  • Gene amplification of EGFR, mdm2, CDK4, and PDGFR A is common in adult malignant gliomas.
  • The role of these genetic alterations in pediatric astrocytic gliomas remains less understood.

Purpose of the Study:

  • To investigate the presence and significance of EGFR, mdm2, CDK4, and PDGFR A gene amplification in pediatric astrocytic gliomas.
  • To compare genetic alterations in pediatric gliomas with those found in adult gliomas.

Main Methods:

  • Analysis of 38 pediatric brain tumor biopsies (24 low-grade, 14 malignant) using differential PCR.
  • DNA was extracted from paraffin-embedded or frozen tissues.

Main Results:

  • EGFR gene amplification was found in 4 of 14 malignant pediatric gliomas, but not in low-grade astrocytomas.
  • Tumors with EGFR amplification lacked p53 mutations.
  • PDGFR A amplification was observed in one glioblastoma; mdm2 and CDK4 amplifications were absent.

Conclusions:

  • Pediatric malignant gliomas may represent distinct subsets, similar to adult gliomas, characterized by either EGFR gene amplification or p53 mutations.
  • EGFR amplification is a specific event in malignant pediatric astrocytic gliomas.