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Keywords {🔍}

dipg, patients, kmh, mutations, article, gbm, wildtype, mutation, atrx, pubmed, google, scholar, histone, pediatric, clinical, samples, survival, dipgs, cas, years, age, tumors, number, children, identified, cancer, analysis, copy, group, supratentorial, fig, status, diffuse, brain, chromatin, research, intrinsic, pontine, diagnosis, based, canada, table, significant, gains, gliomas, findings, data, including, alterations, atypical,

Topics {✒️}

alpha-thalassemia/mental-retardation syndrome-x-linked high-risk childhood cancer myc/pvt1 locus gains/amplifications childhood low-grade astrocytomas spanning intron–exon junctions clinical decision-making algorithm genome canada/cihr grant article download pdf rabbit anti-human atrx atrx-add domain binds cell-cycle regulatory genes post-translational histone modifications histone post-translational modifications kaplan–meier survival analysis high-grade astrocytomas open access significant focal gains/amplifications article khuong-quang generation sequencing technologies jacek majewski & nada jabado replication-independent chromatin assembly considered diffuse astrocytoma low-grade glioma andreas von deimling wild-type versus mutated full access low-grade astrocytoma specific neuro-imaging findings copy number alterations sanger fluorescent sequencing receptor tyrosine kinases entire coding sequence wild-type dipg samples brain stem gliomas specific copy number post-treatment autopsy specimens kaplan–meier analysis atrx mutation-positive patients h3 tail peptides cancer-related mortality privacy choices/manage cookies copy number profiles related subjects pre-treatment biopsy samples high grade histology high-grade histology clinical trial design cynthia hawkins paediatric neuro-oncology cox regression

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WebPage:
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         headline:K27M mutation in histone H3.3 defines clinically and biologically distinct subgroups of pediatric diffuse intrinsic pontine gliomas
         description:Pediatric glioblastomas (GBM) including diffuse intrinsic pontine gliomas (DIPG) are devastating brain tumors with no effective therapy. Here, we investigated clinical and biological impacts of histone H3.3 mutations. Forty-two DIPGs were tested for H3.3 mutations. Wild-type versus mutated (K27M-H3.3) subgroups were compared for HIST1H3B, IDH, ATRX and TP53 mutations, copy number alterations and clinical outcome. K27M-H3.3 occurred in 71 %, TP53 mutations in 77 % and ATRX mutations in 9 % of DIPGs. ATRX mutations were more frequent in older children (p < 0.0001). No G34V/R-H3.3, IDH1/2 or H3.1 mutations were identified. K27M-H3.3 DIPGs showed specific copy number changes, including all gains/amplifications of PDGFRA and MYC/PVT1 loci. Notably, all long-term survivors were H3.3 wild type and this group of patients had better overall survival. K27M-H3.3 mutation defines clinically and biologically distinct subgroups and is prevalent in DIPG, which will impact future therapeutic trial design. K27M- and G34V-H3.3 have location-based incidence (brainstem/cortex) and potentially play distinct roles in pediatric GBM pathogenesis. K27M-H3.3 is universally associated with short survival in DIPG, while patients wild-type for H3.3 show improved survival. Based on prognostic and therapeutic implications, our findings argue for H3.3-mutation testing at diagnosis, which should be rapidly integrated into the clinical decision-making algorithm, particularly in atypical DIPG.
         datePublished:2012-06-03T00:00:00Z
         dateModified:2012-06-03T00:00:00Z
         pageStart:439
         pageEnd:447
         license:https://creativecommons.org/licenses/by/2.0
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            DIPG
            H3.3
            ATRX
            TP53
            Survival
            Targeted therapy
            Pathology
            Neurosciences
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      headline:K27M mutation in histone H3.3 defines clinically and biologically distinct subgroups of pediatric diffuse intrinsic pontine gliomas
      description:Pediatric glioblastomas (GBM) including diffuse intrinsic pontine gliomas (DIPG) are devastating brain tumors with no effective therapy. Here, we investigated clinical and biological impacts of histone H3.3 mutations. Forty-two DIPGs were tested for H3.3 mutations. Wild-type versus mutated (K27M-H3.3) subgroups were compared for HIST1H3B, IDH, ATRX and TP53 mutations, copy number alterations and clinical outcome. K27M-H3.3 occurred in 71 %, TP53 mutations in 77 % and ATRX mutations in 9 % of DIPGs. ATRX mutations were more frequent in older children (p < 0.0001). No G34V/R-H3.3, IDH1/2 or H3.1 mutations were identified. K27M-H3.3 DIPGs showed specific copy number changes, including all gains/amplifications of PDGFRA and MYC/PVT1 loci. Notably, all long-term survivors were H3.3 wild type and this group of patients had better overall survival. K27M-H3.3 mutation defines clinically and biologically distinct subgroups and is prevalent in DIPG, which will impact future therapeutic trial design. K27M- and G34V-H3.3 have location-based incidence (brainstem/cortex) and potentially play distinct roles in pediatric GBM pathogenesis. K27M-H3.3 is universally associated with short survival in DIPG, while patients wild-type for H3.3 show improved survival. Based on prognostic and therapeutic implications, our findings argue for H3.3-mutation testing at diagnosis, which should be rapidly integrated into the clinical decision-making algorithm, particularly in atypical DIPG.
      datePublished:2012-06-03T00:00:00Z
      dateModified:2012-06-03T00:00:00Z
      pageStart:439
      pageEnd:447
      license:https://creativecommons.org/licenses/by/2.0
      sameAs:https://doi.org/10.1007/s00401-012-0998-0
      keywords:
         DIPG
         H3.3
         ATRX
         TP53
         Survival
         Targeted therapy
         Pathology
         Neurosciences
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