Longitudinal molecular trajectories of diffuse glioma in adults.
Document Type
Article
Publication Date
12-5-2019
Keywords
JGM
JAX Source
Nature 2019 Dec 5; 576:112-120
ISSN
1476-4687
PMID
31748746
DOI
https://doi.org/10.1038/s41586-019-1775-1
Grant
CA034196,CA16672
Abstract
The evolutionary processes that drive universal therapeutic resistance in adult patients with diffuse glioma remain unclear1,2. Here we analysed temporally separated DNA-sequencing data and matched clinical annotation from 222 adult patients with glioma. By analysing mutations and copy numbers across the three major subtypes of diffuse glioma, we found that driver genes detected at the initial stage of disease were retained at recurrence, whereas there was little evidence of recurrence-specific gene alterations. Treatment with alkylating agents resulted in a hypermutator phenotype at different rates across the glioma subtypes, and hypermutation was not associated with differences in overall survival. Acquired aneuploidy was frequently detected in recurrent gliomas and was characterized by IDH mutation but without co-deletion of chromosome arms 1p/19q, and further converged with acquired alterations in the cell cycle and poor outcomes. The clonal architecture of each tumour remained similar over time, but the presence of subclonal selection was associated with decreased survival. Finally, there were no differences in the levels of immunoediting between initial and recurrent gliomas. Collectively, our results suggest that the strongest selective pressures occur during early glioma development and that current therapies shape this evolution in a largely stochastic manner.
Recommended Citation
Barthel F,
Johnson K,
Varn F,
Moskalik A,
Tanner G,
Kocakavuk E,
Anderson K,
Abiola O,
Aldape K,
Alfaro K,
Alpar D,
Amin S,
Ashley D,
Bandopadhayay P,
Barnholtz-Sloan J,
Beroukhim R,
Bock C,
Brastianos P,
Brat D,
Brodbelt A,
Bruns A,
Bulsara K,
Chakrabarty A,
Chakravarti A,
Chuang J,
Claus E,
Cochran E,
Connelly J,
Costello J,
Finocchiaro G,
Fletcher M,
French P,
Gan H,
Gilbert M,
Gould P,
Grimmer M,
Iavarone A,
Ismail A,
Jenkinson M,
Khasraw M,
Kim H,
Kouwenhoven M,
LaViolette P,
Li M,
Lichter P,
Ligon K,
Lowman A,
Malta T,
Mazor T,
McDonald K,
Molinaro A,
Nam D,
Nayyar N,
Ng H,
Ngan C,
Niclou S,
Niers J,
Noushmehr H,
Noorbakhsh J,
Ormond D,
Park C,
Poisson L,
Rabadan R,
Radlwimmer B,
Rao G,
Reifenberger G,
Sa J,
Schuster M,
Shaw B,
Short S,
Smitt P,
Sloan A,
Smits M,
Suzuki H,
Tabatabai G,
Van Meir E,
Watts C,
Weller M,
Wesseling P,
Westerman B,
Widhalm G,
Woehrer A,
Yung W,
Zadeh G,
Huse J,
De Groot J,
Stead L,
Verhaak R,
Consortium T.
Longitudinal molecular trajectories of diffuse glioma in adults. Nature 2019 Dec 5; 576:112-120