Volume 58, Issue 4 pp. 489-491
Priority Reports

Critical oncogenic mutations in newly diagnosed pediatric diffuse intrinsic pontine glioma

Jacques Grill MD, PhD

Corresponding Author

Jacques Grill MD, PhD

Brain Tumor Program, Department of Pediatric and Adolescent Oncology, Gustave Roussy Cancer Institute, Universite Paris Sud, Villejuif, France

Director.

Brain Tumor Program, Department of Pediatric and Adolescent Oncology, Gustave Roussy Cancer Institute, Universite Paris Sud, Villejuif, France.===Search for more papers by this author
Stephanie Puget MD, PhD

Stephanie Puget MD, PhD

Department of Neurosurgery, Hopital Necker-Enfants Malades, Universite Paris Descartes, Paris, France

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Felipe Andreiuolo MD

Felipe Andreiuolo MD

Histo-Cytopathology Module, Translational Medicine Program, Gustave Roussy Cancer Institute, Universite Paris Sud, Villejuif, France

CNRS 8203 “Vectorology and Anticancer Treatments”, Research Pavillon 2, Gustave Roussy Cancer Institute, Villejuif, France

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Cathy Philippe

Cathy Philippe

CNRS 8203 “Vectorology and Anticancer Treatments”, Research Pavillon 2, Gustave Roussy Cancer Institute, Villejuif, France

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Laura MacConaill PhD

Laura MacConaill PhD

Center for Cancer Genome Discovery, Personalized Cancer Medicine Partnership, Dana-Farber Cancer Institute and Brigham and Women's Hospital, Boston, Massachusetts

Scientific Director.

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Mark W. Kieran MD, PhD

Mark W. Kieran MD, PhD

Pediatric Medical Neuro-Oncology, Dana-Farber Cancer Institute and Children's Hospital Boston, Pediatric Hematology/Oncology, Boston, Massachusetts

Director.

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First published: 20 December 2011
Citations: 106

Abstract

Diffuse intrinsic pontine gliomas (DIPG) can not be cured with current treatment modalities. Targeted therapy in this disease would benefit from advanced technologies detecting relevant drugable mutations. Twenty patients with classic newly diagnosed DIPG underwent stereotactic biopsies and were analyzed for the presence of 983 different mutations in 115 oncogenes and tumor-suppressor genes using OncoMap, a mass spectrometric method of allele detection. Our results identified oncogenic mutations in TP53 (40%), PI3KCA (15%), and ATM/MPL (5%) while none were identified in a large number of other genes commonly mutated in malignant gliomas. The identification of oncogenic mutations in the PI3K pathway offers the potential of a therapeutic target at initial diagnosis in this devastating disease. Pediatr Blood Cancer 2012; 58: 489–491. © 2011 Wiley Periodicals, Inc.

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