Metastatic Malignant Meningioma Extending Into the Right Ventricle.
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ABSTRACT:
SUBMITTER: Alahmed Y
PROVIDER: S-EPMC9794494 | biostudies-literature | 2022 Dec
REPOSITORIES: biostudies-literature
Publications
Metastatic Malignant Meningioma Extending Into the Right Ventricle.
Alahmed Yazeed Y Mohammed Mohammed H A MHA Ismail Muna M Omer Seham S Alghamdi Abdullah A AA Abu-Sulaiman Riyadh R
CASE (Philadelphia, Pa.) 20220929 10
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Project description:ObjectiveMeningioma is the most common primary intracranial neoplasm. Only 1%-3% of meningiomas are malignant according to the 2016 WHO criteria (WHO grade III). High-grade meningiomas present specific gene expression signatures indicating aggressive growth or recurrence. However, changes in gene expression and in neuroinflammatory gene expression signatures in WHO grade III meningiomas and during progression from WHO grade I or II to grade III are unknown.MethodsThe authors used a NanoString targeted gene expression panel with focus on 787 genes relevant in meningioma pathology and neuroinflammatory pathways to investigate patients with grade III meningiomas treated at Rigshospitalet from 2000 to 2020 (n = 51). A temporal dimension was added to the investigation by including samples from patients' earlier grade I and II meningiomas and grade III recurrences (n = 139 meningiomas). The authors investigated changes in neuroinflammatory gene expression signatures in 1) grade I meningiomas that later transformed into grade III meningiomas, and 2) grade III meningiomas compared with nonrecurrent grade I meningiomas.ResultsThe authors' data indicate that FOXM1, TOP2A, BIRC5, and MYBL2 were enriched and the HOTAIR regulatory pathway was enriched in grade III meningiomas compared with nonrecurrent grade I meningiomas. They discovered a separation of malignant and benign meningiomas based only on genes involved in microglia regulation with enrichment of P2RY12 in grade I compared with grade III meningiomas. Interestingly, FOXM1 was upregulated in premalignant grade I meningioma years before the grade III transformation.ConclusionsThe authors found gene expression changes in low-grade meningiomas that predated histological transformation to grade III meningiomas. Neuroinflammation genes distinguished grade III from grade I meningiomas.
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