Ontology highlight
ABSTRACT: Background
Meningiomas are the most common primary intracranial tumor in adults. Identification of SMO and AKT1 mutations in meningiomas has raised the possibility of targeted therapies for some patients. The frequency of such mutations in clinical cohorts and the presence of other actionable mutations in meningiomas are important to define.Methods
We used high-resolution array-comparative genomic hybridization to prospectively characterize copy-number changes in 150 meningiomas and then characterized these samples for mutations in AKT1, KLF4, NF2, PIK3CA, SMO, and TRAF7.Results
Similar to prior reports, we identified AKT1 and SMO mutations in a subset of non-NF2-mutant meningiomas (ie, ∼9% and ∼6%, respectively). Notably, we detected oncogenic mutations in PIK3CA in ∼7% of non-NF2-mutant meningiomas. AKT1, SMO, and PIK3CA mutations were mutually exclusive. AKT1, KLF4, and PIK3CA mutations often co-occurred with mutations in TRAF7. PIK3CA-mutant meningiomas showed limited chromosomal instability and were enriched in the skull base.Conclusion
This work identifies PI3K signaling as an important target for precision medicine trials in meningioma patients.
SUBMITTER: Abedalthagafi M
PROVIDER: S-EPMC4827048 | biostudies-literature | 2016 May
REPOSITORIES: biostudies-literature
Abedalthagafi Malak M Bi Wenya Linda WL Aizer Ayal A AA Merrill Parker H PH Brewster Ryan R Agarwalla Pankaj K PK Listewnik Marc L ML Dias-Santagata Dora D Thorner Aaron R AR Van Hummelen Paul P Brastianos Priscilla K PK Reardon David A DA Wen Patrick Y PY Al-Mefty Ossama O Ramkissoon Shakti H SH Folkerth Rebecca D RD Ligon Keith L KL Ligon Azra H AH Alexander Brian M BM Dunn Ian F IF Beroukhim Rameen R Santagata Sandro S
Neuro-oncology 20160128 5
<h4>Background</h4>Meningiomas are the most common primary intracranial tumor in adults. Identification of SMO and AKT1 mutations in meningiomas has raised the possibility of targeted therapies for some patients. The frequency of such mutations in clinical cohorts and the presence of other actionable mutations in meningiomas are important to define.<h4>Methods</h4>We used high-resolution array-comparative genomic hybridization to prospectively characterize copy-number changes in 150 meningiomas ...[more]