H3K27 trimethylation loss in malignant peripheral nerve sheath tumor: a systematic review and meta-analysis with

Victor M Lu1, Tomas Marek2, Hannah E Gilder2

  • 1Department of Neurosurgery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA. lu.victor@mayo.edu.au.

Abstract

Insights

Loss of histone H3K27me3 trimethylation is common in malignant peripheral nerve sheath tumors (MPNSTs). This finding is infrequent in MPNST mimics, suggesting diagnostic potential for H3K27me3 loss in MPNSTs.

Area of Science:

  • Oncology
  • Epigenetics
  • Tumor Biology

Background:

  • Loss of histone 3 trimethylation at lysine 27 (H3K27me3) is frequently observed in high-grade malignant peripheral nerve sheath tumors (MPNSTs).
  • The diagnostic utility of H3K27me3 loss in MPNSTs requires further validation.
  • This study aimed to systematically review and pool existing data on the incidence of H3K27me3 loss in MPNSTs.

Purpose of the Study:

  • To determine the incidence of H3K27me3 loss in high-grade MPNSTs.
  • To assess the specificity of H3K27me3 loss in MPNST-mimicking conditions.
  • To evaluate the diagnostic potential of H3K27me3 loss as a biomarker for MPNSTs.

Main Methods:

  • A systematic literature search was conducted across 7 electronic databases adhering to PRISMA guidelines.
  • Articles were screened based on predefined inclusion and exclusion criteria.
  • A random-effects meta-analysis of proportions was employed to pool the incidence data.

Main Results:

  • Nine studies comprising 823 high-grade MPNST samples were analyzed.
  • The pooled incidence of complete H3K27me3 loss in MPNSTs was 53% (95% CI 42-64%).
  • Incidence of complete H3K27me3 loss varied by MPNST subtype: NF1 (52%), sporadic (53%), epithelioid (0%), and radiation-associated (98%).
  • The incidence of incomplete H3K27me3 loss in 1231 MPNST-mimic samples was 96% (95% CI 90-99%), indicating high specificity.

Conclusions:

  • Substantial incidence of complete H3K27me3 loss in high-grade MPNSTs supports its potential as a diagnostic marker.
  • Low incidence of H3K27me3 loss in MPNST mimics suggests high specificity.
  • Further cohort studies and biological investigations are needed to confirm these findings and elucidate their clinical significance.

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