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Related Experiment Video

Updated: May 22, 2025

Genome-Wide Analysis of DNA Methylation in Gastrointestinal Cancer
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Testing Meningiomas With Methylation Arrays: Insights and Recommendations From a Large Single-Centre Study.

Fernanda Ruiz1, Rossella Rispoli1,2, Zane Jaunmuktane1,3

  • 1Division of Neuropathology, the National Hospital for Neurology and Neurosurgery, University College NHS Foundation Trust, London, UK.

Neuropathology and Applied Neurobiology
|May 13, 2025
PubMed
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Molecular testing helps predict meningioma recurrence risk. Grade 2 and 3 meningiomas require priority for methylation profiling, while some Grade 1 cases may also benefit.

Area of Science:

  • Neuropathology
  • Oncology
  • Genomics

Background:

  • Meningiomas are common primary central nervous system (CNS) tumors.
  • Current histological grading (WHO) has limitations in predicting recurrence risk.
  • Integrated molecular testing (methylation class, copy number profile) improves risk stratification.

Purpose of the Study:

  • To guide prioritization for molecular testing in meningiomas.
  • To understand how WHO grades correlate with molecular risk strata.
  • To assess the financial viability of applying prediction algorithms broadly.

Main Methods:

  • Retrospective analysis of over 1000 meningiomas.
  • Utilized methylation array analysis.
  • Focused on a single-center dataset.
Keywords:
CNS WHO gradingmeningiomamethylation arraymodel scoreprognostication

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Last Updated: May 22, 2025

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Main Results:

  • ~90% of Grade 1 meningiomas were classified as 'benign' and low-risk.
  • Grade 2 meningiomas showed varied risk stratification: 39% low, 46% intermediate, 15% high.
  • Grade 3 meningiomas were predominantly high-risk (74%) or intermediate-risk (26%).

Conclusions:

  • Prioritize Grade 2 and 3 meningiomas for methylation profiling.
  • Consider molecular analysis for a subset of Grade 1 meningiomas with potential for increased recurrence risk.
  • Further research is needed for Grade 1 meningiomas with predicted higher recurrence risk.