Oncogenic BRAF mutation with CDKN2A inactivation is characteristic of a subset of pediatric malignant astrocytomas
Joshua D Schiffman1, J Graeme Hodgson, Scott R VandenBerg
1Divison of Pediatric Hematology/Oncology and Department of Oncological Sciences, University of Utah, Salt Lake City, Utah, USA.
Abstract:
Malignant astrocytomas are a deadly solid tumor in children. Limited understanding of their underlying genetic basis has contributed to modest progress in developing more effective therapies. In an effort to identify such alterations, we performed a genome-wide search for DNA copy number aberrations (CNA) in a panel of 33 tumors encompassing grade 1 through grade 4 tumors. Genomic amplifications of 10-fold or greater were restricted to grade 3 and 4 astrocytomas and included the MDM4 (1q32), PDGFRA (4q12), MET (7q21), CMYC (8q24), PVT1 (8q24), WNT5B (12p13), and IGF1R (15q26) genes. Homozygous deletions of CDKN2A (9p21), PTEN (10q26), and TP53 (17p3.1) were evident among grade 2 to 4 tumors. BRAF gene rearrangements that were indicated in three tumors prompted the discovery of KIAA1549-BRAF fusion transcripts expressed in 10 of 10 grade 1 astrocytomas and in none of the grade 2 to 4 tumors. In contrast, an oncogenic missense BRAF mutation (BRAF(V600E)) was detected in 7 of 31 grade 2 to 4 tumors but in none of the grade 1 tumors. BRAF(V600E) mutation seems to define a subset of malignant astrocytomas in children, in which there is frequent concomitant homozygous deletion of CDKN2A (five of seven cases). Taken together, these findings highlight BRAF as a frequent mutation target in pediatric astrocytomas, with distinct types of BRAF alteration occurring in grade 1 versus grade 2 to 4 tumors.
Insights
This study identifies distinct BRAF gene alterations in pediatric astrocytomas. KIAA1549-BRAF fusions characterize low-grade tumors, while BRAF(V600E) mutations are found in high-grade malignant astrocytomas.
Area of Science:
- Oncology
- Genetics
- Pediatric Cancer Research
Background:
- Malignant astrocytomas in children are deadly tumors with limited therapeutic options due to poor understanding of their genetic basis.
- Identifying genetic alterations is crucial for developing targeted therapies for pediatric astrocytomas.
Purpose of the Study:
- To perform a genome-wide search for DNA copy number aberrations (CNA) in pediatric astrocytomas.
- To identify specific genetic alterations, particularly in the BRAF gene, associated with different grades of astrocytoma.
Main Methods:
- Genome-wide analysis of DNA copy number aberrations (CNA) in 33 pediatric astrocytoma tumors (grades 1-4).
- Detection of gene amplifications, homozygous deletions, gene rearrangements, and specific mutations (BRAF(V600E)).
- Analysis of KIAA1549-BRAF fusion transcripts and BRAF mutations in relation to tumor grade.
Main Results:
- Genomic amplifications (MDM4, PDGFRA, MET, CMYC, PVT1, WNT5B, IGF1R) were found in high-grade (3-4) astrocytomas.
- Homozygous deletions (CDKN2A, PTEN, TP53) were observed in grade 2-4 tumors.
- KIAA1549-BRAF fusions were specific to grade 1 astrocytomas, while BRAF(V600E) mutations occurred in 7/31 of grade 2-4 tumors, often with CDKN2A deletion.
Conclusions:
- BRAF alterations are frequent in pediatric astrocytomas, with distinct patterns observed between low-grade (grade 1) and high-grade (grades 2-4) tumors.
- KIAA1549-BRAF fusions define a subset of pilocytic astrocytomas (grade 1).
- BRAF(V600E) mutations, frequently co-occurring with CDKN2A deletions, characterize a subset of malignant pediatric astrocytomas, suggesting therapeutic targets.
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