Okano Atsushi
Department of Neurosurgery, Tokyo Metropolitan Police Hospital.
No Shinkei Geka. 2024 Jul;52(4):718-724. doi: 10.11477/mf.1436204971.
Biological molecular studies of meningiomas have also developed with the development of molecular biological methods. In 2013, Clark et al. reported that driver genetic mutations other than , including , , , and , were associated with meningioma development. In 2017, Sahm et al. proposed a classification of meningiomas based on global methylation status, which was more accurate in predicting prognosis than conventional WHO grading. In 2022, based on this classification, various groups reported an integrated classification that comprehensively included some biological molecular abnormalities, such as DNA mutations, copy number alterations, and RNA sequences. This field is expected to elucidate the mechanism of meningioma development and further research is expected to lead to the development of effective molecularly targeted therapeutics and biomarkers of radiosensitivity in the future. In this article, we summarize the current status and prospects of these biological molecular studies.
随着分子生物学方法的发展,脑膜瘤的生物分子研究也不断进步。2013年,克拉克等人报告称,除了 之外的驱动基因突变,包括 、 、 和 ,都与脑膜瘤的发生有关。2017年,萨姆等人基于整体甲基化状态提出了一种脑膜瘤分类方法,该方法在预测预后方面比传统的世界卫生组织分级更为准确。2022年,基于这一分类方法,多个研究团队报告了一种综合分类,其中全面纳入了一些生物分子异常情况,如DNA突变、拷贝数改变和RNA序列。该领域有望阐明脑膜瘤的发生机制,未来进一步的研究有望催生有效的分子靶向治疗药物和放射敏感性生物标志物。在本文中,我们总结了这些生物分子研究的现状和前景。