PMID- 21931021 OWN - NLM STAT- MEDLINE DCOM- 20111207 LR - 20211020 IS - 1527-7755 (Electronic) IS - 0732-183X (Print) IS - 0732-183X (Linking) VI - 29 IP - 30 DP - 2011 Oct 20 TI - Genome-wide analyses identify recurrent amplifications of receptor tyrosine kinases and cell-cycle regulatory genes in diffuse intrinsic pontine glioma. PG - 3999-4006 LID - 10.1200/JCO.2011.35.5677 [doi] AB - PURPOSE: Long-term survival for children with diffuse intrinsic pontine glioma (DIPG) is less than 10%, and new therapeutic targets are urgently required. We evaluated a large cohort of DIPGs to identify recurrent genomic abnormalities and gene expression signatures underlying DIPG. PATIENTS AND METHODS: Single-nucleotide polymorphism arrays were used to compare the frequencies of genomic copy number abnormalities in 43 DIPGs and eight low-grade brainstem gliomas with data from adult and pediatric (non-DIPG) glioblastomas, and expression profiles were evaluated using gene expression arrays for 27 DIPGs, six low-grade brainstem gliomas, and 66 nonbrainstem low-grade gliomas. RESULTS: Frequencies of specific large-scale and focal imbalances varied significantly between DIPGs and nonbrainstem pediatric glioblastomas. Focal amplifications of genes within the receptor tyrosine kinase-Ras-phosphoinositide 3-kinase signaling pathway were found in 47% of DIPGs, the most common of which involved PDGFRA and MET. Thirty percent of DIPGs contained focal amplifications of cell-cycle regulatory genes controlling retinoblastoma protein (RB) phosphorylation, and 21% had concurrent amplification of genes from both pathways. Some tumors showed heterogeneity in amplification patterns. DIPGs showed distinct gene expression signatures related to developmental processes compared with nonbrainstem pediatric high-grade gliomas, whereas expression signatures of low-grade brainstem and nonbrainstem gliomas were similar. CONCLUSION: DIPGs comprise a molecularly related but distinct subgroup of pediatric gliomas. Genomic studies suggest that targeted inhibition of receptor tyrosine kinases and RB regulatory proteins may be useful therapies for DIPG. FAU - Paugh, Barbara S AU - Paugh BS AD - St Jude Children's Research Hospital, Memphis, TN 38105, USA. FAU - Broniscer, Alberto AU - Broniscer A FAU - Qu, Chunxu AU - Qu C FAU - Miller, Claudia P AU - Miller CP FAU - Zhang, Junyuan AU - Zhang J FAU - Tatevossian, Ruth G AU - Tatevossian RG FAU - Olson, James M AU - Olson JM FAU - Geyer, J Russell AU - Geyer JR FAU - Chi, Susan N AU - Chi SN FAU - da Silva, Nasjla Saba AU - da Silva NS FAU - Onar-Thomas, Arzu AU - Onar-Thomas A FAU - Baker, Justin N AU - Baker JN FAU - Gajjar, Amar AU - Gajjar A FAU - Ellison, David W AU - Ellison DW FAU - Baker, Suzanne J AU - Baker SJ LA - eng GR - P01 CA096832/CA/NCI NIH HHS/United States GR - R01 CA135554/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20110919 PL - United States TA - J Clin Oncol JT - Journal of clinical oncology : official journal of the American Society of Clinical Oncology JID - 8309333 RN - 0 (Cell Cycle Proteins) RN - 0 (Retinoblastoma Protein) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM CIN - J Clin Oncol. 2011 Oct 20;29(30):3956-7. PMID: 21931033 MH - Adult MH - Brain Stem Neoplasms/enzymology/*genetics/pathology MH - Cell Cycle Proteins/*genetics MH - Child MH - Gene Amplification MH - Gene Dosage MH - Gene Expression Profiling MH - *Genes, cdc MH - Genome-Wide Association Study MH - Humans MH - In Situ Hybridization, Fluorescence MH - Polymorphism, Single Nucleotide MH - Receptor Protein-Tyrosine Kinases/*genetics MH - Retinoblastoma Protein/genetics PMC - PMC3209696 COIS- Authors' disclosures of potential conflicts of interest and author contributions are found at the end of this article. EDAT- 2011/09/21 06:00 MHDA- 2011/12/13 00:00 PMCR- 2012/10/20 CRDT- 2011/09/21 06:00 PHST- 2011/09/21 06:00 [entrez] PHST- 2011/09/21 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] PHST- 2012/10/20 00:00 [pmc-release] AID - JCO.2011.35.5677 [pii] AID - 55677 [pii] AID - 10.1200/JCO.2011.35.5677 [doi] PST - ppublish SO - J Clin Oncol. 2011 Oct 20;29(30):3999-4006. doi: 10.1200/JCO.2011.35.5677. Epub 2011 Sep 19.