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Neuropathol Appl Neurobiol. 2021 Nov 19; doi: 10.1111/nan.12773. Epub 2021 Nov 19.

Implementation of TERT promoter mutations improve prognostication of the WHO classification in meningioma.

Neuropathology and applied neurobiology

Christian Mirian, Kathrine Grell, Tareq A Juratli, Felix Sahm, Sabine Spiegl-Kreinecker, Matthieu Peyre, Annamaria Biczok, Jörg-Christian Tonn, Stéphane Goutagny, Luca Bertero, Andrea Daniela Maier, Lasse Rehné Jensen, Gabriele Schackert, Helle Broholm, David Scheie, Daniel P Cahill, Priscilla K Brastianos, Jane Skjøth-Rasmussen, Kåre Fugleholm, Morten Ziebell, Tina Nørgaard Munch, Bjarne Winther Kristensen, Tiit Mathiesen

Affiliations

  1. Department of Neurosurgery, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
  2. Department of Pediatrics and Adolescent Medicine, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
  3. Section of Biostatistics, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
  4. Department of Neurosurgery, Translational Neuro-Oncology Laboratory, Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
  5. Department of Neurosurgery, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
  6. German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
  7. Department of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
  8. Department of Neurosurgery, Kepler University Hospital GmbH, Johannes Kepler University, Linz, Austria.
  9. Sorbonne Universités, Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, APHP, F-75013, Paris, France.
  10. Department of Neurosurgery, Ludwig-Maximilians-University Munich, Munich, Germany.
  11. Department of Neurosurgery, Assistance Publique-Hôpitaux de Paris, Hôpital Beaujon, Université de Paris, Paris, France.
  12. Pathology Unit, Department of Medical Sciences, University of Turin, Torino, Italy.
  13. Department of Pathology, Center of Diagnostic Investigation, Copenhagen University Hospital, Copenhagen, Denmark.
  14. Department of Medicine, Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
  15. Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
  16. Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
  17. Department of Clinical Neuroscience, Karolinska Institute, Solna, Sweden.

PMID: 34799864 DOI: 10.1111/nan.12773

Abstract

TERT promoter mutations have been associated with increased risk of recurrence in meningioma cohorts, thus a potential biomarker for aggressive phenotypes. A main purpose of refining tumour classification is better predictions on the patient level. We compiled data from previous published cohorts to investigate patient-level predictions of recurrence based on TERTp-mut status. Implementation of TERTp-mut into the WHO grading led to better patient prognostication by improved prediction of recurrence. Our results support implementation of TERTp-mut into diagnostics and classification of meningiomas.

© 2021 British Neuropathological Society.

References

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