NTRK2 gene fusions are uncommon in pilocytic astrocytoma
Daniel Antunes Moreno1, Aline Paixão Becker2, Cristovam Scapulatempo-Neto3
1Molecular Oncology Research Center, Barretos Cancer Hospital, 1331 Antenor Duarte Vilela St, 14784-400, Barretos, SP, Brazil.
Background:
Pilocytic astrocytoma is the most frequent pediatric glioma. Despite its overall good prognosis, complete surgical resection is sometimes unfeasible, especially for patients with deep-seated tumors. For these patients, the identification of targetable genetic alterations such as NTRK fusions, raised as a new hope for therapy. The presence of gene fusions involving NTRK2 has been rarely reported in pilocytic astrocytoma. The aim of the present study was to investigate the frequency of NTRK2 alterations in a series of Brazilian pilocytic astrocytomas.
Methods:
Sixty-nine pilocytic astrocytomas, previously characterized for BRAF and FGFR1 alterations were evaluated. The analysis of NTRK2 alterations was performed using a dual color break apart fluorescence in situ hybridization (FISH) assay.
Results:
NTRK2 fusions were successfully evaluated by FISH in 62 of the 69 cases. Neither evidence of NTRK2 gene rearrangements nor NTRK2 copy number alterations were found.
Conclusions:
NTRK2 alterations are uncommon genetic events in pilocytic astrocytomas, regardless of patients' clinicopathological and molecular features.
Insights
NTRK2 alterations are rare in pilocytic astrocytoma, a common pediatric brain tumor. This study found no NTRK2 gene rearrangements or copy number alterations in 69 cases, suggesting they are not common therapeutic targets.
Area of Science:
- Pediatric neuro-oncology
- Molecular diagnostics in brain tumors
Background:
- Pilocytic astrocytoma is the most common pediatric glioma.
- Surgical resection is challenging for deep-seated tumors.
- Targetable genetic alterations like NTRK fusions offer new therapeutic avenues.
Purpose of the Study:
- To determine the frequency of NTRK2 alterations in Brazilian pilocytic astrocytomas.
- To assess the potential of NTRK2 as a therapeutic target in this patient cohort.
Main Methods:
- Analyzed 69 pilocytic astrocytoma samples previously characterized for BRAF and FGFR1.
- Utilized dual-color break-apart fluorescence in situ hybridization (FISH) to detect NTRK2 alterations.
Main Results:
- NTRK2 alterations were evaluated in 62 out of 69 cases using FISH.
- No NTRK2 gene rearrangements or copy number alterations were detected in the studied samples.
Conclusions:
- NTRK2 alterations are infrequent genetic events in pilocytic astrocytomas.
- These findings indicate NTRK2 alterations are unlikely to be common targets for therapy in pilocytic astrocytoma.
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