非 NF2 脑膜瘤的基因组分析显示 TRAF7、KLF4、AKT1 和 SMO 基因突变。

Genomic analysis of non-NF2 meningiomas reveals mutations in TRAF7, KLF4, AKT1, and SMO.

机构信息

Department of Neurosurgery, Yale Program in Brain Tumor Research, Yale School of Medicine, New Haven, CT 06510, USA.

出版信息

Science. 2013 Mar 1;339(6123):1077-80. doi: 10.1126/science.1233009. Epub 2013 Jan 24.

Abstract

We report genomic analysis of 300 meningiomas, the most common primary brain tumors, leading to the discovery of mutations in TRAF7, a proapoptotic E3 ubiquitin ligase, in nearly one-fourth of all meningiomas. Mutations in TRAF7 commonly occurred with a recurrent mutation (K409Q) in KLF4, a transcription factor known for its role in inducing pluripotency, or with AKT1(E17K), a mutation known to activate the PI3K pathway. SMO mutations, which activate Hedgehog signaling, were identified in ~5% of non-NF2 mutant meningiomas. These non-NF2 meningiomas were clinically distinctive-nearly always benign, with chromosomal stability, and originating from the medial skull base. In contrast, meningiomas with mutant NF2 and/or chromosome 22 loss were more likely to be atypical, showing genomic instability, and localizing to the cerebral and cerebellar hemispheres. Collectively, these findings identify distinct meningioma subtypes, suggesting avenues for targeted therapeutics.

摘要

我们对 300 例脑膜瘤(最常见的原发性脑肿瘤)进行了基因组分析,发现近四分之一的脑膜瘤中存在 TRAF7 基因突变,TRAF7 是一种促凋亡的 E3 泛素连接酶。TRAF7 突变通常与转录因子 KLF4 的重复突变(K409Q)同时发生,KLF4 以诱导多能性的作用而闻名,或者与 AKT1(E17K)同时发生,AKT1 突变已知能激活 PI3K 途径。SMO 突变(激活 Hedgehog 信号通路)在约 5%的非 NF2 突变脑膜瘤中被发现。这些非 NF2 脑膜瘤在临床上具有独特的特征——几乎总是良性的,具有染色体稳定性,起源于中颅底。相比之下,具有突变型 NF2 和/或 22 号染色体缺失的脑膜瘤更有可能是非典型的,表现出基因组不稳定性,并定位于大脑和小脑半球。总的来说,这些发现确定了不同的脑膜瘤亚型,为靶向治疗提供了途径。

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