- Case report
- Open Access
Genetic changes observed in a case of adult pilocytic astrocytoma revealed by array CGH analysis
© Pecina-Slaus et al.; licensee BioMed Central. 2014
Received: 3 November 2014
Accepted: 27 November 2014
Published: 23 December 2014
A palette of copy number changes in a case of adult pilocytic astrocytoma analyzed by Array Comparative Genomic Hybridization (aCGH) is presented. Pilocytic astrocytomas are specific gliomas that are benign and biologically distinct and the molecular mechanisms responsible for their development remain unexplained. The aCGH was performed using SurePrint G3 Human CGH microarrays 4 × 180 K (Agilent Technologies). To ascertain whether some of the aberrations were of constitutive nature, we also analyzed the blood sample from the same patient.
The result of aCGH analysis demonstrated differences in the tumor tissue when compared to normal control on the array and also to autologous DNA from patient’s blood. The total number of aberrations found in our case was 41 including 37 deletions and 4 amplifications. Whole chromosomal gains and losses were not observed. Collectively, our results showed three deletions and one amplification at 1p, two deletions at 2q, two deletions at 4q, two deletion at 5q, two deletions at 7p and two deletions at 7q; there were also three deletions at 8q, one deletion at 9p, one deletion at 10p, three deletions and one amplification at 10q. Chromosome 11 showed two deletions at 11p, while there was one deletion at 12p and one at 12q. Four deletions at 14q; two deletions at 15q, one amplification at 17q and one deletion at 17q; one deletion at 18p, two deletions at 22q and finally one deletion at Xp and one deletion and one amplification at Xq. Among the signaling pathways, olfactory transduction, Fc gamma R-mediated phagocytosis and p53 signaling pathway showed significant enrichment ascertained by gene ontology (GO) analysis using the DAVID software.
Our aCGH analysis is bringing subtle genomic alterations thus broadening genetic spectrum of adult pilocytic astrocytoma in order to offer new molecular biomarkers that will help in diagnostics and therapeutic decision-making.
Astrocytic brain tumors are the most common primary central nervous system neoplasms, but despite recent advances in glioma genetics -, the molecular mechanisms behind their development and progression remain largely unexplained. Different subtypes of gliomas differ significantly in their age distribution, growth potential, tendency for progression and clinical course. Astrocytomas are classified according to their lineage of origin, histology, behavior and prognosis into four WHO grades ,. Pilocytic astrocytomas (PA) most commonly develops during the first two decades of life, but may also develop in the third or fourth decade, with relatively few arising in patients older than 50 years ,. PA are clinically, biologically, and histologically distinct from WHO grade II-IV gliomas. PA typically shows benign clinical behavior and malignant progression is extraordinarily rare, describing PA as a benign tumor. Adult pilocytic astrocytomas (PAs) are rare and usually have an aggressive clinical course compared with pediatric patients ,. Due to the heterogeneity of histological features and lack of tumor specific immunohistochemical, cytogenetic and molecular markers, great effort has been put into molecular and translational research of these tumors in the last few years -. Another point for the necessity of molecular characterization is the fact that although the PAs can be cured with complete surgical resection, clinical evidence demonstrate that unfavorable anatomical location may impair complete resection and lead to progression or recurrence.
Array comparative genomic hybridization (aCGH) is a modern technique for detecting gene copy number variation across the entire genome. It is a reliable and sensitive method and has been widely used in genetic profiling of different types of cancer as one of the main characteristics of cancer diseases is genomic instability ,. We were interested to characterize unbalanced genomic changes in our pilocytic astrocytoma patient and offer potential candidate genes detected by aCGH analysis. Until recently little was known about genetic events that are involved in PA initiation and early development. Few constant genetic findings reported are: the association of neurofibromatosis type 1 (NF1) syndrome with an increased incidence of low-grade gliomas , mutations of KRAS activating MAPK pathway in sporadic PA , mutations of BRAF, especially a substitution called V600E, and constant chromosome gains at 7q34 -.
Here we present aCGH analysis of a case of adult pilocytic astrocytoma.
Patient and methods
Pilocytic astrocytoma brain tumor was collected from the Department of Neurosurgery, University Hospital “Sisters of Charity”, Zagreb, Croatia. Autologous blood sample of the same patient was also obtained. The patient had no family history of brain tumors. The tumor tissue was frozen in liquid nitrogen and transported to the laboratory, where it was immediately transferred to −75°C. The peripheral blood sample was collected in EDTA and processed immediately. Magnetic resonance imaging (MRI) revealed that the astrocytic brain tumor was localized in right frontoparietal region. During the operative procedure the tumor was removed using a microneurosurgical technique. On the basis of the pathohistological findings diagnosis of pilocytic astrocytoma was established.
Ethical approval was received from the Ethical Committees Medical School University of Zagreb and University Hospital “Sisters of Charity”, and the patient gave his informed consent.
Approximately 0.5 g of tumor tissue was homogenized with 1 ml extraction buffer (10 mM Tris HCl, pH 8.0; 0.1 M EDTA, pH 8.0; 0.5% sodium dodecyl sulfate) and incubated with proteinase K (100 μg/ml; Sigma, USA; overnight at 37°C). Phenol chloroform extraction and ethanol precipitation followed. Blood was used to extract leukocyte DNA. Five ml of blood was lysed with 7 ml distilled water and centrifuged (15 min/5000 g). The pellet was then processed as for DNA extraction from the tissue samples. Samples were purified using PCR purification kit (Qiagen). The concentrations were measured by Nanodrop and the purity of DNA was determined. Each DNA sample was analyzed on 1.5% agarose gel to assess genomic DNA intactness and the average molecular weight.
Array Comparative Genomic Hybridization (aCGH) was performed using SurePrint G3 Human CGH microarrays 4 × 180 K (Agilent Technologies) following the manufacturer’s instructions. Briefly, 1 μg of genomic DNAs corresponding to either a human reference control (Promega) or test samples were fragmented by heating at 95°C for 10 minutes. Fragmented DNAs were labeled with Cy3 (reference DNA) and Cy5 (test samples) fluorescent dUTP, respectively, using the SureTag Complete Labeling Kit (Agilent Technologies). Purification columns (Agilent) were used to remove the unincorporated nucleotides and dyes. The labeled samples along with human Cot-1 DNA were added together and hybridized on the array slides. Hybridizations of labeled DNAs to SurePrint G3 Human CGH Arrays (4 × 180 K) (Agilent Technologies) were performed in a hybridization oven at 65°C at 20 rpm for 24 hours. The slide was scanned at 3 μm resolution on Agilent Microarray Scanner System (Agilent Technologies). Agilent CytoGenomics software (Agilent Technologies) was used to visualize, detect, and analyze chromosomal patterns within the microarray profiles.
Collectively, our results showed three deletions and one amplification at 1p, two deletions at 2q, two deletions at 4q, two deletions at 5q, two deletions at 7p and two deletions at 7q; there were also three deletions at 8q, one deletion at 9p, one deletion at 10p, three deletions and one amplification at 10q. Chromosome 11 showed two deletions at 11p, while there was one deletion at 12p and one at 12q. Four deletions at 14q; two deletions at 15q, one amplification at 17q and one deletion at 17q; one deletion at 18p, two deletions at 22q and finally one deletion at Xp and one deletion and one amplification at Xq.
Annotated genes possibly involved in this tumor are also presented in Figure 2. Pseudogenes and loci with unknown gene function were excluded from the table.
To summarize the functions of candidate annotated genes we found changes in chromosomal regions harboring genes whose products are transcription factors, activators or repressors of transcription, translation factors, oncogenes, those involved in DNA repair, in cytoskeletal organization, development, chromatin remodeling, apoptosis. There were also several microRNAs, kinases, neurotransmitters, tumor suppressor genes and methyltransferases. Since the etiology of pilocytic astrocytoma (PA) is associated to several major cellular signaling pathways we investigated whether some of the annotated genes belong to pathways specific to PA. We found genes that are involved in Ras-Raf-MEK-ERK signaling, p53 signaling, RB signaling, Wnt signaling.
Although the PAs are well circumscribed, benign and show prolonged overall survival and high complete remission rates, some are surgically inaccessible, leading to chronic disease with recurrences. As technologies progress genetic profiles and molecular findings have become recognized as potential markers of clinical distinction of tumor subtypes. Molecular characteristics are also being helpful in explaining the responses to therapy .
In order to investigate genetic alterations in a patient with pilocytic astrocytoma we performed aCGH analysis using DNA samples obtained from patient blood and tumor. Array CGH compares genomic DNAs isolated from test and reference samples that are differentially labeled with red (Cy5) and green (Cy3) fluorescent dyes and competitively hybridized to known mapped segments of human genomic DNA (eg, bacterial artificial chromosomes/P1-derived artificial [BAC/PAC] or oligonucleotide probes) attached to a slide. There are several major advantages to CGH arrays, including ease of implementation, the ability to use archival samples, and the ability to detect copy number changes at a higher resolution.
In our patient whole chromosomal gains and losses were not observed which is in accordance with previous findings , although some reports on whole chromosomal gains (chromosomes 5,7,8 -) and losses (chromosomes 7, 8, 17 ,) in PAs have been published. The reported cytogenetic band abnormalities include gains of 1p, 2p, 4q-9q and 13q and losses on 1p, 9q, 12q and 19–22 ,,,-. There are also reports on subtelomeric gains at 7qter, 12qter, 13cen, 19pter, X/Yqter and duplication at 3pter, while subtelomeric deletions have been observed at 8pter, 20pter and 21qter. It is interesting to note that most PAs exhibit a normal karyotype ,,,. Nevertheless there are approximately 32% that show chromosomal abnormalities. Moreover, the higher number of chromosomal abnormalities in PAs are associated with older patients, while patients younger than 15 years usually show single chromosomal abnormalities ,. The situation found in our case of adult PA is confirming this since we observed many copy number changes.
Our results also showed that some changes were similar to the reports, but some were unique for our patient.
The high number of copy number changes found in our patient can also be indicative of the acquisition of genomic instability of the tumor, especially since deleted regions harbor genes involved in mismatch repair and therefore the acquisition of genomic instability. Characteristic behavior of PA indicates that they may be molecularly distinct glial neoplasms.
As far as annotated genes possibly involved in this tumor are in question our results bring many candidates. The roles of many of them are still unknown. Identifying narrow regions with altered DNA copy number is an important finding in tumor genetics, as genes mapped in these regions may represent potential candidate tumor suppressor genes and oncogenes. The cytoband 17q11.2 holding the NF1 gene was not changed in our case which is consistent to nowadays standpoint that NF1 abnormalities are unique to NF1 associated PAs and are not observed in sporadic tumors indicating that sporadic PAs and the ones associated to neurofibromatosis 1 are molecularly distinct. The abnormalities involving molecular components of Ras superpathway are believed to play a role in sporadic PAs ,. The most common genomic abnormalities found in sporadic PAs are BRAF fusion genes. Changes involving BRAF seem to be very frequent in sporadic PAs ,,. There are several reported fusions, of which BRAF ex9 –KIAA1549 ex16 is the most common, followed by BRAF ex9 –KIAA1549 ex15 and BRAF ex11 –KIAA1549 ex16 . Another BRAF fusion is the one with FAM131B gene . Our sample showed 4 changes on chromosome 7, but the closest cytobands were q33 and q36.1 leaving us to conclude that BRAF changes were not involved in our PA case. This is not an unusual finding since  report on only 20% of sporadic PA cases with BRAF–KIAA1549 fusion. There is still the unanswered question on BRAF mutational activation in our case.
Of interest is also that many of the annotated genes have been found to be expressed in the human glioma cell line GaMg .
Because pilocytic astrocytomas are clinically, biologically, and histologically distinct from WHO grade II-IV gliomas , it is interesting to provide information on genetic blueprint of those tumors. Common genetic changes and tumor associated mutations found in higher grade gliomas, p53, PDGF, p16 (CDKN2A), IDH1 and IDH2 are rarely reported in PAs  which is consistent to our results that also indicate lack of abnormalities in loci where those genes reside. It is interesting to note that genes SOCS3, HLA-DRalpha, HLA-DRB1, A2M, HIPK2, MATN2, TIMP1, TIMP4, tenascin-R, FGFR1, NTRK2, ErbB4, VEGF and VEGFR reported by other authors ,, to be involved in PA were not found in our patient.
Nevertheless, it is important to validate (verify) the involvement of candidate genes in further studies that employ other methods of molecular biology.
To include intrinsic control is very important due to the possibility of large scale copy number polymorphism in the human genome . Our findings demonstrated that up to 68% of changes observed both in the constitutive DNA were also present in the tumor tissue as compared to unrelated normal reference. This could be explained by copy number polymorphism specific for the person, but it could also be an indication on germline genetic predisposition.
Recently it was shown that age and location also matter in sporadic PA ,,. Recent data suggest that pediatric and young adult gliomas arise from neurodevelopmental defects that occur during specific developmental windows. BRAF signaling has been shown to be mandatory in the development of the cerebellum, whereas NF1, or more upstream FGFR signaling, seems important for diencephalic and midline development . Interestingly, we found copy number changes in regions that harbor developmental genes i.e. HOX genes, oncomodulin, DAGLB, ZNF12, TRIM 37, MBTPS2, YY2.
Despite many recent advances on the molecular biology of pilocytic astrocytoma, its molecular blueprint of development and progression is still largely unexplained. Our findings contribute to better understanding of human PA brain tumor genetic profile and suggest that copy number alterations play important roles in PA etiology. The findings may provide molecular biomarkers that will help in diagnostics and therapeutic decision-making.
Written informed consent was obtained from the patient for publication of this report. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
This work was supported by grants from Croatian Science Foundation 6625 and 9386.
- Tada K, Kochi M, Saya H, Kuratsu J, Shiraishi S, Kamiryo T, Shinojima N, Ushio Y: Preliminary observations on genetic alterations in pilocytic astrocytomas associated with neurofibromatosis 1. Neuro-Oncology 2003, 5: 228–234. 10.1215/S115285170300005XPubMed CentralView ArticlePubMedGoogle Scholar
- Jones DT, Hutter B, Jäger N, Korshunov A, Kool M, Warnatz H-J, Zichner T, Lambert SR, Ryzhova M, Quang DAK, Fontebasso AM, Stütz AM, Hutter S, Zuckermann M, Sturm D, Gronych J, Lasitschka B, Schmidt S, Seker-Cin H, Witt H, Sultan M, Ralser M, Northcott PA, Hovestadt V, Bender S, Pfaff E, Stark S, Faury D, Schwartzentruber J, et al.: International Cancer Genome Consortium PedBrain Tumor Project: Recurrent somatic alterations of FGFR1 and NTRK2 in pilocytic astrocytoma. Nat Genet 2013, 45: 927–932. 10.1038/ng.2682PubMed CentralView ArticlePubMedGoogle Scholar
- Appin CL, Brat DJ: Molecular genetics of gliomas. Cancer J 2014, 20: 66–72. 10.1097/PPO.0000000000000020View ArticlePubMedGoogle Scholar
- Fontebasso AM, Bechet D, Jabado N: Molecular biomarkers in pediatric glial tumors: a needed wind of change. Curr Opin Oncol 2013, 25: 665–673. 10.1097/CCO.0000000000000007View ArticlePubMedGoogle Scholar
- Marko NF, Weil RJ: The molecular biology of WHO grade I astrocytomas. Neuro Oncol 2012, 14: 1424–1431. 10.1093/neuonc/nos257PubMed CentralView ArticlePubMedGoogle Scholar
- Behin A, Hoang-Xuan K, Carpentier AF, Delattre JY: Primary brain tumours in adults. Lancet 2003, 361: 323–331. 10.1016/S0140-6736(03)12328-8View ArticlePubMedGoogle Scholar
- Chen YH, Gutmann DH: The molecular and cell biology of pediatric low-grade gliomas. Oncogene 2013, 33: 2019–2026. 10.1038/onc.2013.148View ArticlePubMedGoogle Scholar
- Favre J, Deruaz JP, de Tribolet N: Pilocytic cerebellar astrocytoma in adults: case report. Surg Neurol 1993, 39: 360–364. 10.1016/0090-3019(93)90200-KView ArticlePubMedGoogle Scholar
- Theeler BJ, Ellezam B, Sadighi ZS, Mehta V, Tran MD, Adesina AM, Bruner JM, Puduvalli VK: Adult pilocytic astrocytomas: clinical features and molecular analysis. Neuro Oncol 2014, 16: 841–847. 10.1093/neuonc/not246PubMed CentralView ArticlePubMedGoogle Scholar
- Weiler M, Wick W: Molecular predictors of outcome in low-grade glioma. Curr Opin Neurol 2012, 25: 767–773. 10.1097/WCO.0b013e32835a0217View ArticlePubMedGoogle Scholar
- Mascelli S, Barla A, Raso A, Mosci S, Nozza P, Biassoni R, Morana G, Huber M, Mircean C, Fasulo D, Noy K, Wittemberg G, Pignatelli S, Piatelli G, Cama A, Garré ML, Capra V, Verri A: Molecular fingerprinting reflects different histotypes and brain region in low grade gliomas. BMC Cancer 2013, 30: 1553–1560.Google Scholar
- Sadighi Z, Slopis J: Pilocytic astrocytoma: a disease with evolving molecular heterogeneity. J Child Neurol 2013, 28: 625–632. 10.1177/0883073813476141View ArticlePubMedGoogle Scholar
- Pećina-Šlaus N, Kafka A, Tomas M, Marković L, Okštajner PK, Sukser V, Krušlin B: Wnt signaling transcription factors TCF-1 and LEF-1 are upregulated in malignant astrocytic brain tumors. Histol Histopathol 2014, 29: 1557–1564.PubMedGoogle Scholar
- Li S, Mattar P, Dixit R, Lawn SO, Wilkinson G, Kinch C, Eisenstat D, Kurrasch DM, Chan JA, Schuurmans C: RAS/ERK signaling controls proneural genetic programs in cortical development and gliomagenesis. J Neurosci 2014, 34: 2169–2190. 10.1523/JNEUROSCI.4077-13.2014View ArticlePubMedGoogle Scholar
- Pinkel D, Albertson DG: Array comparative genomic hybridization and its applications in cancer. Nat Genet 2005,37(Suppl):S11-S17. 10.1038/ng1569View ArticlePubMedGoogle Scholar
- Przybytkowski E, Aguilar-Mahecha A, Nabavi S, Tonellato PJ, Basik M: Ultradense array CGH and discovery of micro-copy number alterations and gene fusions in the cancer genome. Methods Mol Biol 2013, 973: 15–38. 10.1007/978-1-62703-281-0_2PubMed CentralView ArticlePubMedGoogle Scholar
- Aktas ON, Tihan T: The morphologic and molecular characteristics of pilocytic astrocytomas and the role of MAPK pathway: what does not kill you makes you stronger. Adv Anat Pathol 2014, 21: 144–150. 10.1097/PAP.0000000000000007View ArticlePubMedGoogle Scholar
- Bar EE, Lin A, Tihan T, Burger PC, Eberhart CG: Frequent gains at chromosome 7q34 involving BRAF in pilocytic astrocytoma. J Neuropathol Exp Neurol 2008, 67: 878–887. 10.1097/NEN.0b013e3181845622View ArticlePubMedGoogle Scholar
- Sievert AJ, Jackson EM, Gai X, Hakonarson H, Judkins AR, Resnick AC, Sutton LN, Storm PB, Shaikh TH, Biegel JA: Duplication of 7q34 in pediatric low-grade astrocytomas detected by high-density single-nucleotide polymorphism-based genotype arrays results in a novel BRAF fusion gene. Brain Pathol 2009, 19: 449–458. 10.1111/j.1750-3639.2008.00225.xPubMed CentralView ArticlePubMedGoogle Scholar
- Yu J, Deshmukh H, Gutmann RJ, Emnett RJ, Rodriguez FJ, Watson MA, Nagarajan R, Gutmann DH: Alterations of BRAF and HIPK2 loci predominate in sporadic pilocytic astrocytoma. Neurology 2009, 73: 1526–1531. 10.1212/WNL.0b013e3181c0664aPubMed CentralView ArticlePubMedGoogle Scholar
- Cin H, Meyer C, Herr R, Janzarik WG, Lambert S, Jones DT, Jacob K, Benner A, Witt H, Remke M, Bender S, Falkenstein F, Van Anh TN, Olbrich H, von Deimling A, Pekrun A, Kulozik AE, Gnekow A, Scheurlen W, Witt O, Omran H, Jabado N, Collins VP, Brummer T, Marschalek R, Lichter P, Korshunov A, Pfister SM: Oncogenic FAM131B-BRAF fusion resulting from 7q34 deletion comprises an alternative mechanism of MAPK pathway activation in pilocytic astrocytoma. Acta Neuropathol 2011, 121: 763–774. 10.1007/s00401-011-0817-zView ArticlePubMedGoogle Scholar
- Deshmukh H, Yu J, Shaik J, MacDonald TJ, Perry A, Payton JE, Gutmann DH, Watson MA, Nagarajan R: Identification of transcriptional regulatory networks specific to pilocytic astrocytoma. BMC Med Genet 2011, 4: 57.Google Scholar
- Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Burger PC, Jouvet A, Scheithauer BW, Kleihues P: The WHO classification of tumours of the central nervous system. Acta Neuropathol 2007,2007(114):97–109. 10.1007/s00401-007-0243-4View ArticleGoogle Scholar
- Deshmukh H, Yeh TH, Yu J, Sharma MK, Perry A, Leonard JR, Watson MA, Gutmann DH, Nagarajan R: High-resolution, dual-platform aCGH analysis reveals frequent HIPK2 amplification and increased expression in pilocytic astrocytomas. Oncogene 2008, 27: 4745–4751. 10.1038/onc.2008.110View ArticlePubMedGoogle Scholar
- Jones DT, Ichimura K, Liu L, Pearson DM, Plant K, Collins VP: Genomic analysis of pilocytic astrocytomas at 0.97 Mb resolution shows an increasing tendency toward chromosomal copy number change with age. J Neuropathol Exp Neurol 2006, 65: 1049–1058. 10.1097/01.jnen.0000240465.33628.87PubMed CentralView ArticlePubMedGoogle Scholar
- White FV, Anthony DC, Yunis EJ, Tarbell NJ, Scott RM, Schofield DE: Nonrandom chromosomal gains in pilocytic astrocytomas of childhood. Hum Pathol 1995, 26: 979–986. 10.1016/0046-8177(95)90087-XView ArticlePubMedGoogle Scholar
- Marko NF, Prayson RA, Barnett GH, Weil RJ: Integrated molecular analysis suggests a three-class model for low-grade gliomas: a proof-of-concept study. Genomics 2010, 95: 16–24. 10.1016/j.ygeno.2009.09.007View ArticlePubMedGoogle Scholar
- Wemmert S, Romeike BF, Ketter R, Steudel WI, Zang KD, Urbschat S: Intratumoral genetic heterogeneity in pilocytic astrocytomas revealed by CGH-analysis of microdissected tumor cells and FISH on tumor tissue sections. Int J Oncol 2006, 28: 353–360.PubMedGoogle Scholar
- Bhattacharjee MB, Armstrong DD, Vogel H, Cooley LD: Cytogenetic analysis of 120 primary pediatric brain tumors and literature review. Cancer Genet Cytogenet 1997, 97: 39–53. 10.1016/S0165-4608(96)00330-5View ArticlePubMedGoogle Scholar
- Sanoudou D, Tingby O, Ferguson-Smith MA, Collins VP, Coleman N: Analysis of pilocytic astrocytoma by comparative genomic hybridization. Br J Cancer 2000, 82: 1218–1222. 10.1054/bjoc.1999.1066PubMed CentralView ArticlePubMedGoogle Scholar
- Roberts P, Chumas PD, Picton S, Bridges L, Livingstone JH, Sheridan E: A review of the cytogenetics of 58 pediatric brain tumors. Cancer Genet Cytogenet 2001, 131: 1–12. 10.1016/S0165-4608(01)00483-6View ArticlePubMedGoogle Scholar
- Louis DN, Ohgaki H, Wiestler OD, Cavenee WK: WHO Classification of Tumors of the Central Nervous System. IARC Press, Lyon; 2007.Google Scholar
- Grau E, Balaguer J, Canete A, Martinez F, Orellana C, Oltra S, Hernandez M, Castel V: Subtelomeric analysis of pediatric astrocytoma: subchromosomal instability is a distinctive feature of pleomorphic xanthoastrocytoma. J Neuro-Oncol 2009, 93: 175–182. 10.1007/s11060-008-9763-6View ArticleGoogle Scholar
- Ward SJ, Karakoula K, Phipps KP, Harkness W, Hayward R, Thompson D, Jacques TS, Harding B, Darling JL, Thomas DG, Warr TJ: Cytogenetic analysis of paediatric astrocytoma using comparative genomic hybridisation and fluorescence in-situ hybridisation. J Neurooncol 2010, 98: 305–318. 10.1007/s11060-009-0081-4View ArticlePubMedGoogle Scholar
- Sharma MK, Mansur DB, Reifenberger G, Perry A, Leonard JR, Aldape KD, Albin MG, Emnett RJ, Loeser S, Watson MA, Nagarajan R, Gutmann DH: Distinct genetic signatures among pilocytic astrocytomas relate to their brain region origin. Cancer Res 2007, 67: 890–900. 10.1158/0008-5472.CAN-06-0973View ArticlePubMedGoogle Scholar
- Pfister S, Janzarik WG, Remke M, Ernst A, Werft W, Becker N, Toedt G, Wittmann A, Kratz C, Olbrich H, Ahmadi R, Thieme B, Joos S, Radlwimmer B, Kulozik A, Pietsch T, Herold-Mende C, Gnekow A, Reifenberger G, Korshunov A, Scheurlen W, Omran H, Lichter P: BRAF gene duplication constitutes a mechanism of MAPK pathwas activation in low-grade astrocytomas. J Clin Invest 2008, 118: 1739–1749. 10.1172/JCI33656PubMed CentralView ArticlePubMedGoogle Scholar
- Lawson AR, Tatevossian RG, Phipps KP, Picker SR, Michalski A, Sheer D, Jacques TS, Forshew T: RAF gene fusions are specific to pilocytic astrocytoma in a broad paediatric brain tumor cohort. Acta Neuropathol 2010, 120: 271–273. 10.1007/s00401-010-0693-yView ArticlePubMedGoogle Scholar
- Jones DT, Kocialkowski S, Liu L, Pearson DM, Ichimura K, Collins VP: Oncogenic RAF1 rearrangement and a novel BRAF mutation as alternatives to KIAA1549:BRAF fusion in activating the MAPK pathway in pilocytic astrocytoma. Oncogene 2009, 28: 2119–2123. 10.1038/onc.2009.73PubMed CentralView ArticlePubMedGoogle Scholar
- Akslen LA, Andersen KJ, Bjerkvig R: Characteristics of human and rat glioma cells grown in a defined medium. Anticancer Res 1988, 8: 797–803.PubMedGoogle Scholar
- Sebat J, Lakshmi B, Troge J, Alexander J, Young J, Lundin P, Maner S, Massa H, Walker M, Chi M, Navin N, Lucito R, Healy J, Hicks J, Ye K, Reiner A, Gilliam TC, Trask B, Patterson N, Zetterberg A, Wigler M: Large scale copy number polymorphism in the human genome. Science 2004, 305: 525–528. 10.1126/science.1098918View ArticlePubMedGoogle Scholar
- Jacob K, Albrecht S, Sollier C, Faury D, Sader E, Montpetit A, Serre D, Hauser P, Garami M, Bognar L, Hanzely Z, Montes JL, Atkinson JL, Farmer JP, Bouffet E, Hawkins C, Tabori U, Jabado N: Duplication of 7q34 is specific to juvenile pilocytic astrocytomas and a hallmark of cerebellar and optic pathway tumours. Br J Cancer 2009, 101: 722–733. 10.1038/sj.bjc.6605179PubMed CentralView ArticlePubMedGoogle Scholar
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