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         headline:The multiomic landscape of meningiomas: a review and update
         description:Meningiomas are the most common primary brain tumor in adults. Traditionally they have been understudied compared to other central nervous system (CNS) tumors. However over the last decade, there has been renewed interest in uncovering the molecular topography of these tumors, with landmark studies identifying key driver alterations contributing to meningioma development and progression. Recent work from several independent research groups have integrated different genomic and epigenomic platforms to develop a molecular-based classification scheme for meningiomas that could supersede histopathological grading in terms of diagnostic accuracy, biological relevance, and outcome prediction, keeping pace with contemporary grading schemes for other CNS tumors including gliomas and medulloblastomas. Here we summarize the studies that have uncovered key alterations in meningiomas which builds towards the discovery of consensus molecular groups in meningiomas by integrating these findings. These groups supersede WHO grade and other clinical factors in being able to accurately predict tumor biology and clinical outcomes following surgery. Despite differences in the nomenclature of recently uncovered molecular groups across different studies, the biological similarities between these groups enables us to likely reconciliate these groups into four consensus molecular groups: two benign groups largely dichotomized by NF2-status, and two clinically aggressive groups defined by their hypermetabolic transcriptome, and by their preponderance of proliferative, cell-cycling pathways respectively. Future work, including by our group and others are underway to validate these molecular groups and harmonize the nomenclature for routine clinical use.
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      headline:The multiomic landscape of meningiomas: a review and update
      description:Meningiomas are the most common primary brain tumor in adults. Traditionally they have been understudied compared to other central nervous system (CNS) tumors. However over the last decade, there has been renewed interest in uncovering the molecular topography of these tumors, with landmark studies identifying key driver alterations contributing to meningioma development and progression. Recent work from several independent research groups have integrated different genomic and epigenomic platforms to develop a molecular-based classification scheme for meningiomas that could supersede histopathological grading in terms of diagnostic accuracy, biological relevance, and outcome prediction, keeping pace with contemporary grading schemes for other CNS tumors including gliomas and medulloblastomas. Here we summarize the studies that have uncovered key alterations in meningiomas which builds towards the discovery of consensus molecular groups in meningiomas by integrating these findings. These groups supersede WHO grade and other clinical factors in being able to accurately predict tumor biology and clinical outcomes following surgery. Despite differences in the nomenclature of recently uncovered molecular groups across different studies, the biological similarities between these groups enables us to likely reconciliate these groups into four consensus molecular groups: two benign groups largely dichotomized by NF2-status, and two clinically aggressive groups defined by their hypermetabolic transcriptome, and by their preponderance of proliferative, cell-cycling pathways respectively. Future work, including by our group and others are underway to validate these molecular groups and harmonize the nomenclature for routine clinical use.
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            name:The International Consortium on Meningiomas
            address:
               name:The International Consortium on Meningiomas, Toronto, Canada
               type:PostalAddress
            type:Organization
            name:National Cancer Institute
            address:
               name:Laboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda, USA
               type:PostalAddress
            type:Organization
      name:Andrew Gao
      affiliation:
            name:University Health Network
            address:
               name:Laboratory Medicine Program, University Health Network, Toronto, Canada
               type:PostalAddress
            type:Organization
      name:Gelareh Zadeh
      affiliation:
            name:University Health Network and University of Toronto
            address:
               name:MacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Canada
               type:PostalAddress
            type:Organization
            name:University of Toronto
            address:
               name:Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Canada
               type:PostalAddress
            type:Organization
            name:University Health Network
            address:
               name:Princess Margaret Cancer Centre, University Health Network, Toronto, Canada
               type:PostalAddress
            type:Organization
            name:The International Consortium on Meningiomas
            address:
               name:The International Consortium on Meningiomas, Toronto, Canada
               type:PostalAddress
            type:Organization
      email:[email protected]
PostalAddress:
      name:MacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Canada
      name:Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Canada
      name:Princess Margaret Cancer Centre, University Health Network, Toronto, Canada
      name:The International Consortium on Meningiomas, Toronto, Canada
      name:MacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Canada
      name:Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Canada
      name:Princess Margaret Cancer Centre, University Health Network, Toronto, Canada
      name:The International Consortium on Meningiomas, Toronto, Canada
      name:MacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Canada
      name:Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Canada
      name:Princess Margaret Cancer Centre, University Health Network, Toronto, Canada
      name:The International Consortium on Meningiomas, Toronto, Canada
      name:MacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Canada
      name:The International Consortium on Meningiomas, Toronto, Canada
      name:MacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Canada
      name:The International Consortium on Meningiomas, Toronto, Canada
      name:The International Consortium on Meningiomas, Toronto, Canada
      name:Laboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda, USA
      name:Laboratory Medicine Program, University Health Network, Toronto, Canada
      name:MacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Canada
      name:Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Canada
      name:Princess Margaret Cancer Centre, University Health Network, Toronto, Canada
      name:The International Consortium on Meningiomas, Toronto, Canada

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