PMID- 31140557 OWN - NLM STAT- MEDLINE DCOM- 20201110 LR - 20220812 IS - 1523-5866 (Electronic) IS - 1522-8517 (Print) IS - 1522-8517 (Linking) VI - 21 IP - 9 DP - 2019 Sep 6 TI - Polysomy is associated with poor outcome in 1p/19q codeleted oligodendroglial tumors. PG - 1164-1174 LID - 10.1093/neuonc/noz098 [doi] AB - BACKGROUND: Chromosomal instability is associated with earlier progression in isocitrate dehydrogenase (IDH)-mutated astrocytomas. Here we evaluated the prognostic significance of polysomy in gliomas tested for 1p/19q status. METHODS: We analyzed 412 histologic oligodendroglial tumors with use of 1p/19q testing at 8 institutions from 1996 to 2013; fluorescence in situ hybridization (FISH) for 1p/19q was performed. Polysomy was defined as more than two 1q and 19p signals in cells. Tumors were divided into groups on the basis of their 1p/19q status and polysomy and were compared for progression-free survival (PFS) and overall survival (OS). RESULTS: In our cohort, 333 tumors (81%) had 1p/19q loss; of these, 195 (59%) had concurrent polysomy and 138 (41%) lacked polysomy, 79 (19%) had 1p/19q maintenance; of these, 30 (38%) had concurrent polysomy and 49 (62%) lacked polysomy. In agreement with prior studies, the group with 1p/19q loss had significantly better PFS and OS than did the group with 1p/19q maintenance (P < 0.0001 each). Patients with 1p/19q loss and polysomy showed significantly shorter PFS survival than patients with 1p/19q codeletion only (P < 0.0001), but longer PFS and OS than patients with 1p/19q maintenance (P < 0.01 and P < 0.0001). There was no difference in survival between tumors with >30% polysomic cells and those with <30% polysomic cells. Polysomy had no prognostic significance on PFS or OS in patients with 1p/19q maintenance. CONCLUSIONS: The presence of polysomy in oligodendroglial tumors with codeletion of 1p/19q predicts early recurrence and short survival in patients with 1p/19q codeleted tumors. CI - (c) The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Chen, Hui AU - Chen H AD - Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, New York. FAU - Thomas, Cheddhi AU - Thomas C AD - Department of Pathology, NYU Langone Health, New York, New York. FAU - Munoz, Felipe Andres AU - Munoz FA AD - Department of Biostatistics and Epidemiology, Rutgers University, School of Public Health, Piscataway Township, New Jersey. FAU - Alexandrescu, Sanda AU - Alexandrescu S AD - Department of Pathology, University of California San Francisco, San Francisco, California. FAU - Horbinski, Craig M AU - Horbinski CM AD - Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. FAU - Olar, Adriana AU - Olar A AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - McGuone, Declan AU - McGuone D AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Camelo-Piragua, Sandra AU - Camelo-Piragua S AD - Department of Pathology, University of Michigan School of Medicine, Ann Arbor, Michigan. FAU - Wang, Lu AU - Wang L AD - Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, New York. FAU - Pentsova, Elena AU - Pentsova E AD - Department of Neurology, Memorial Sloan-Kettering Cancer Center, New York, New York. FAU - Phillips, Joanna AU - Phillips J AD - Department of Neurological Surgery, University of California San Francisco, San Francisco, California. FAU - Aldape, Kenneth AU - Aldape K AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Chen, Wen AU - Chen W AD - Department of Neurology, Memorial Sloan-Kettering Cancer Center, New York, New York. FAU - Iafrate, A John AU - Iafrate AJ AD - Pathology Service, Massachusetts General Hospital, Boston, Massachusetts. FAU - Chi, Andrew S AU - Chi AS AD - Neuro-Oncology Program, Perlmutter Cancer Center, NYU Langone Health, New York, New York. FAU - Zagzag, David AU - Zagzag D AD - Department of Neurosurgery, Perlmutter Cancer Center, NYU Langone Health, New York, New York. FAU - Golfinos, John G AU - Golfinos JG AD - Department of Neurosurgery, Perlmutter Cancer Center, NYU Langone Health, New York, New York. FAU - Placantonakis, Dimitris G AU - Placantonakis DG AD - Department of Neurosurgery, Perlmutter Cancer Center, NYU Langone Health, New York, New York. AD - Kimmel Center for Stem Cell Biology, Neuroscience Institute, NYU Langone Health, New York, New York. FAU - Rosenblum, Marc AU - Rosenblum M AD - Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, New York. FAU - Ohman-Strickland, Pamela AU - Ohman-Strickland P AD - Department of Biostatistics and Epidemiology, Rutgers University, School of Public Health, Piscataway Township, New Jersey. FAU - Hameed, Meera AU - Hameed M AD - Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, New York. FAU - Snuderl, Matija AU - Snuderl M AD - Department of Pathology, NYU Langone Health, New York, New York. LA - eng GR - R01 NS102669/NS/NINDS NIH HHS/United States GR - P30 CA008748/CA/NCI NIH HHS/United States GR - R01 NS102665/NS/NINDS NIH HHS/United States GR - R03 NS087349/NS/NINDS NIH HHS/United States GR - P50 CA221747/CA/NCI NIH HHS/United States PT - Journal Article PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - EC 1.1.1.41 (IDH2 protein, human) RN - EC 1.1.1.41 (Isocitrate Dehydrogenase) RN - EC 1.1.1.42. (IDH1 protein, human) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - *Aneuploidy MH - Brain Neoplasms/*genetics/therapy MH - Chemotherapy, Adjuvant MH - Child MH - Chromosomal Instability MH - Chromosome Deletion MH - Chromosomes, Human, Pair 1/*genetics MH - Chromosomes, Human, Pair 19/*genetics MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Isocitrate Dehydrogenase/genetics MH - Male MH - Middle Aged MH - Neoadjuvant Therapy MH - Neurosurgical Procedures MH - Oligodendroglioma/*genetics/therapy MH - Prognosis MH - Progression-Free Survival MH - Radiotherapy, Adjuvant MH - Survival Rate MH - Young Adult PMC - PMC7571489 OTO - NOTNLM OT - 1p/19q codeletion OT - glioma OT - oligodendroglioma OT - polysomy EDAT- 2019/05/30 06:00 MHDA- 2020/11/11 06:00 PMCR- 2020/05/29 CRDT- 2019/05/30 06:00 PHST- 2019/05/30 06:00 [pubmed] PHST- 2020/11/11 06:00 [medline] PHST- 2019/05/30 06:00 [entrez] PHST- 2020/05/29 00:00 [pmc-release] AID - 5505367 [pii] AID - noz098 [pii] AID - 10.1093/neuonc/noz098 [doi] PST - ppublish SO - Neuro Oncol. 2019 Sep 6;21(9):1164-1174. doi: 10.1093/neuonc/noz098.