An integrated genomic analysis of anaplastic meningioma identifies prognostic molecular signatures
Grace CollordiD, Patrick S. TarpeyiD, Natalja KurbatovaiD, Iñigo MartincorenaiD, Sebastián MorániD, Manuel Castro de MouraiD, Tibor NagyiD, Graham R. Bignell, Francesco MauraiD, Matthew D. YoungiD, Jorge Berna, José M. C. TubíoiD, Christopher E McMurraniD, Adam M. H. Young, Mathijs Arnoud SandersiD, Imran NooraniiD, Stephen John PriceiD, Colin WattsiD, Elke Leipnitz, Matthias KirschiD, Gabriele SchackertiD, Danita M. Pearson, Abel DevadassiD, Zvi RamiD, Vincent Peter CollinsiD, , Ultan McDermottiD
Abstract
Anaplastic meningioma is a rare and aggressive brain tumor characterised by intractable recurrences and dismal outcomes. Here, we present an integrated analysis of the whole genome, transcriptome and methylation profiles of primary and recurrent anaplastic meningioma. A key finding was the delineation of two distinct molecular subgroups that were associated with diametrically opposed survival outcomes. Relative to lower grade meningiomas, anaplastic tumors harbored frequent driver mutations in SWI/SNF complex genes, which were confined to the poor prognosis subgroup. Our analyses discern two biologically distinct variants of anaplastic meningioma with potential prognostic and therapeutic significance.
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