Thomas Christian, Hasselblatt Martin
Institute of Neuropathology, University Hospital Münster, Münster, Germany.
Neurooncol Adv. 2024 Jul 4;6(1):vdae101. doi: 10.1093/noajnl/vdae101. eCollection 2024 Jan-Dec.
Choroid plexus tumors are rare intraventricular brain tumors predominantly arising in children but also affecting adults. Chromosome-wide copy-number alterations and mutations do occur, but in most choroid plexus tumors, driver mutations have not been identified. Here we give a brief overview of the histopathological and clinical diversity of choroid plexus tumors and their genetic and epigenetic heterogeneity. Preliminary data indicate that choroid plexus carcinomas comprise at least 2 epigenetic subgroups, one of which is associated with mutation status. These findings strongly encourage us to further investigate the genetic and epigenetic heterogeneity in a larger cohort and to align molecular subgroup status with clinical annotations, in order to identify prognostic markers that may also aid stratification within future international trials.
脉络丛肿瘤是罕见的脑室内肿瘤,主要发生于儿童,但也会影响成人。全染色体范围的拷贝数改变和突变确实存在,但在大多数脉络丛肿瘤中,尚未鉴定出驱动突变。在此,我们简要概述脉络丛肿瘤的组织病理学和临床多样性及其遗传和表观遗传异质性。初步数据表明,脉络丛癌至少包含2个表观遗传亚组,其中一个与突变状态相关。这些发现有力地促使我们在更大的队列中进一步研究遗传和表观遗传异质性,并将分子亚组状态与临床注释相结合,以识别可能有助于未来国际试验分层的预后标志物。