5 33300026 It is estimated that ~70 000 lesions occur in genomic DNA in each human cell per day, most of which (75%) originate from oxidation reactions with endogenous byproducts of metabolism and base hydrolysis. ('human', 'Species', '9606', (66, 71)) ('lesions', 'Var', (29, 36)) ('originate from', 'Reg', (106, 120)) 6 33300026 To counteract the continuous threat these lesions pose to genome stability, cells have evolved a wide-ranging arsenal of repair programs, including DNA base excision repair (BER), mismatch repair (MMR), nucleotide excision repair (NER), translesion synthesis (TLS) and strand break repair (homologous recombination and various non-homologous end joining pathways), which together act upon particular types of lesion or at specific phases of the cell cycle to prevent mutations in DNA and cell death. ('mutations', 'Var', (467, 476)) ('death', 'Disease', 'MESH:D003643', (493, 498)) ('death', 'Disease', (493, 498)) ('DNA', 'Gene', (480, 483)) 10 33300026 Indeed, despite the fact that replication-associated mutations have been linked to high frequencies of single base-pair substitutions (SBSs) in human cancers, mutational landscapes in cancer genomes are highly heterogeneous. ('cancer', 'Disease', (184, 190)) ('human', 'Species', '9606', (144, 149)) ('single base-pair substitutions', 'Var', (103, 133)) ('cancers', 'Phenotype', 'HP:0002664', (150, 157)) ('cancers', 'Disease', (150, 157)) ('cancer', 'Disease', 'MESH:D009369', (150, 156)) ('cancers', 'Disease', 'MESH:D009369', (150, 157)) ('cancer', 'Phenotype', 'HP:0002664', (184, 190)) ('replication-associated', 'Disease', (30, 52)) ('mutations', 'Var', (53, 62)) ('cancer', 'Disease', (150, 156)) ('cancer', 'Disease', 'MESH:D009369', (184, 190)) ('cancer', 'Phenotype', 'HP:0002664', (150, 156)) 14 33300026 We showed that NEIL1 becomes stabilized on chromatin after site-specific (Lys296-298) acetylation, and accumulates almost exclusively at highly transcribed genomic regions as well as the transcription start sites (TSS) of weakly expressed genes, some of which are associated with poor prognosis when overexpressed in cancer. ('acetylation', 'Var', (86, 97)) ('accumulates', 'PosReg', (103, 114)) ('NEIL1', 'Gene', (15, 20)) ('cancer', 'Phenotype', 'HP:0002664', (317, 323)) ('Lys296-298) acetylation', 'Var', (74, 97)) ('Lys296', 'Chemical', '-', (74, 80)) ('acetyl', 'Chemical', '-', (86, 92)) ('cancer', 'Disease', (317, 323)) ('cancer', 'Disease', 'MESH:D009369', (317, 323)) 15 33300026 Bioinformatic analyses using cancer genome datasets and human germline population mutation datasets provide, with unprecedented resolution, information on the relationship between local variations in single base substitution (SBS) rates and ChIP-seq AcNEIL1 occupancy, both in cancer genomes and the germline. ('cancer', 'Disease', (29, 35)) ('cancer', 'Disease', (277, 283)) ('cancer', 'Disease', 'MESH:D009369', (277, 283)) ('cancer', 'Phenotype', 'HP:0002664', (277, 283)) ('cancer', 'Phenotype', 'HP:0002664', (29, 35)) ('human', 'Species', '9606', (56, 61)) ('variations', 'Var', (186, 196)) ('cancer', 'Disease', 'MESH:D009369', (29, 35)) 79 33300026 For XRCC1, we downloaded the original fastq file from the GEO (https://www.ncbi.nlm.nih.gov/geo/) repository (GSE95302, file SRR5282040) and processed it according to the pipeline we used here. ('GSE95302', 'Var', (110, 118)) ('XRCC1', 'Gene', (4, 9)) ('XRCC1', 'Gene', '7515', (4, 9)) 81 33300026 The file for OGG1 was GSM2357433_CP-Sample_Flag-OGG1-Con-2.tdf from the GEO record GSM2357433; the file was first converted to a bedGraph format using the 'igvtools tdftobedgraph'and then to bigWig. ('OGG1', 'Gene', '4968', (48, 52)) ('GSM2357433', 'Var', (83, 93)) ('OGG1', 'Gene', (13, 17)) ('OGG1', 'Gene', '4968', (13, 17)) ('OGG1', 'Gene', (48, 52)) 88 33300026 To this end we divided patients with each tumor type into two groups: group 1, with expression of gene x above the mean; and group 2, with expression of gene x below or at the mean value. ('tumor', 'Disease', (42, 47)) ('above', 'PosReg', (105, 110)) ('patients', 'Species', '9606', (23, 31)) ('gene x', 'Var', (98, 104)) ('tumor', 'Disease', 'MESH:D009369', (42, 47)) ('expression', 'MPA', (84, 94)) ('below', 'NegReg', (160, 165)) ('tumor', 'Phenotype', 'HP:0002664', (42, 47)) 101 33300026 We recently showed that p300 acetylates NEIL1 (herein referred to as AcNEIL1) at residues Lys296, Lys297 and Lys298, which serves to increase DG activity and stabilize the enzyme on chromatin-bound complexes. ('Lys298', 'Var', (109, 115)) ('Lys297', 'Chemical', '-', (98, 104)) ('Lys296', 'Var', (90, 96)) ('p300', 'Gene', (24, 28)) ('Lys296', 'Chemical', '-', (90, 96)) ('NEIL1', 'Gene', (40, 45)) ('DG activity', 'MPA', (142, 153)) ('Lys297', 'Var', (98, 104)) ('p300', 'Gene', '2033', (24, 28)) ('increase', 'PosReg', (133, 141)) ('Lys298', 'Chemical', '-', (109, 115)) ('acetyl', 'Chemical', '-', (29, 35)) ('stabilize', 'MPA', (158, 167)) 104 33300026 STED of human colorectal adenocarcinoma HCT116 cells labeled with anti-AcNEIL1 or anti-total-NEIL1 antibodies showed strong AcNEIL1 nuclear localization, as opposed to diffuse staining in nuclei and cytoplasm for non-acetylated NEIL1. ('anti-total-NEIL1', 'Var', (82, 98)) ('HCT116', 'CellLine', 'CVCL:0291', (40, 46)) ('AcNEIL1', 'Gene', (124, 131)) ('colorectal adenocarcinoma', 'Disease', (14, 39)) ('nuclear localization', 'MPA', (132, 152)) ('acetyl', 'Chemical', '-', (217, 223)) ('colorectal adenocarcinoma', 'Disease', 'MESH:D015179', (14, 39)) ('carcinoma', 'Phenotype', 'HP:0030731', (30, 39)) ('human', 'Species', '9606', (8, 13)) ('TE', 'Chemical', 'MESH:D013691', (1, 3)) 114 33300026 H3K27Ac (Figure 1Dii) colocalized with AcNEIL1 on condensed chromosomes to a greater extent than total histone H3 (Figure 1Diii) and, likewise, AcNEIL1 yielded stronger fluorescent signal than total NEIL1 in nuclei (Supplementary Figure S2A, green trace). ('H3K27Ac', 'Protein', (0, 7)) ('H3K27Ac', 'Chemical', '-', (0, 7)) ('AcNEIL1', 'Var', (144, 151)) ('fluorescent signal', 'MPA', (169, 187)) ('stronger', 'PosReg', (160, 168)) 163 33300026 We therefore analyzed ~25.4 million SBSs specific to tumor samples, including 5.6 million coding region mutations and 19.8 million non-coding variants. ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('mutations', 'Var', (104, 113)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('tumor', 'Disease', (53, 58)) 164 33300026 We conclude that transcription is an intrinsically mutagenic process, and that chromatin-bound AcNEIL1 is the active DG form of NElL1 in the context of BERosomes, which is responsible for the repair of oxidative DNA damage and the prevention of base-pair change accumulations, particularly transversion mutations at A:T base pairs. ('NElL1', 'Gene', (128, 133)) ('transversion mutations', 'Var', (290, 312)) ('NElL1', 'Gene', '4745', (128, 133)) 165 33300026 After establishing that the local variations in mutation rates observed in cancer genomes coincide with segmental AcNEIL1 occupancy, we next addressed whether similar patterns exist for genetic variations between populations. ('cancer', 'Phenotype', 'HP:0002664', (75, 81)) ('mutation', 'Var', (48, 56)) ('cancer', 'Disease', (75, 81)) ('cancer', 'Disease', 'MESH:D009369', (75, 81)) 166 33300026 We selected SweGen, a database of single nucleotide polymorphisms (SNPs) in the Swedish population, which is comparable in size (~23 million SNPs) to the cancer dataset. ('single nucleotide polymorphisms', 'Var', (34, 65)) ('cancer', 'Phenotype', 'HP:0002664', (154, 160)) ('cancer', 'Disease', (154, 160)) ('cancer', 'Disease', 'MESH:D009369', (154, 160)) 167 33300026 No qualitative differences were observed in the genome-wide distribution of SNPs as a function of AcNEIL1 ICS compared with those observed for cancer. ('cancer', 'Phenotype', 'HP:0002664', (143, 149)) ('SNPs', 'Disease', (76, 80)) ('AcNEIL1 ICS', 'Var', (98, 109)) ('cancer', 'Disease', (143, 149)) ('cancer', 'Disease', 'MESH:D009369', (143, 149)) 168 33300026 Quantitatively, the frequency of incurring base changes at low AcNEIL1 (<500 000 ICS) was greater in cancer than in the germline, particularly for A>T and A>C transversions (Supplementary Figure S9C). ('cancer', 'Disease', 'MESH:D009369', (101, 107)) ('A>C transversions', 'Var', (155, 172)) ('A>T', 'Var', (147, 150)) ('cancer', 'Disease', (101, 107)) ('base changes', 'MPA', (43, 55)) ('cancer', 'Phenotype', 'HP:0002664', (101, 107)) 169 33300026 We surveyed the Human Gene Mutation Database (HGMD) to assess the frequency of variants at G4 DNA motifs in 5'-UTRs known to cause or predispose toward inherited disease. ('Human', 'Species', '9606', (16, 21)) ('variants', 'Var', (79, 87)) ('inherited disease', 'Disease', (152, 169)) ('cause', 'Reg', (125, 130)) ('G4 DNA', 'Gene', (91, 97)) ('inherited disease', 'Disease', 'MESH:D030342', (152, 169)) 174 33300026 The AcNEIL1 acetyl acceptors, Lys296, Lys297 and Lys298, are embedded within an intrinsically unstructured carboxyl-terminal (C-ter) domain (Supplementary Figure S10B), whose disordered nature has been well-conserved (Supplementary Figure S10B-D) despite the high degree of ordered protein folds expected among thermophilic lifeforms. ('acetyl', 'Chemical', '-', (12, 18)) ('Lys297', 'Chemical', '-', (38, 44)) ('Lys298', 'Chemical', '-', (49, 55)) ('S10B', 'SUBSTITUTION', 'None', (162, 166)) ('S10B', 'Var', (239, 243)) ('Lys298', 'Var', (49, 55)) ('Lys297', 'Var', (38, 44)) ('Lys296', 'Var', (30, 36)) ('S10B', 'SUBSTITUTION', 'None', (239, 243)) ('Lys296', 'Chemical', '-', (30, 36)) ('S10B', 'Var', (162, 166)) 180 33300026 The observed loading and stabilization of AcNEIL1 on chromatin is critically dependent upon PTM at three consecutive lysine residues (Lys297-299), an acetylation center that appears to be the result of consolidation among variable amino acids in protostomes, probably occurring during the Cambrian explosion, ~540 million years ago, during a transition from sulfur to oxygen as an energy source. ('AcNEIL1', 'Gene', (42, 49)) ('sulfur', 'Chemical', 'MESH:D013455', (358, 364)) ('acetyl', 'Chemical', '-', (150, 156)) ('oxygen', 'Chemical', 'MESH:D010100', (368, 374)) ('Lys297-299', 'Var', (134, 144)) ('Lys297', 'Chemical', '-', (134, 140)) ('lysine', 'Chemical', 'MESH:D008239', (117, 123)) 182 33300026 C>T (G>A) substitutions occur frequently at methylated CpG dinucleotides, particularly in single-stranded DNA where deamination of 5-methylcytosine to thymine, which produces G:T mismatches resulting in mutations (i.e. ('C>T (G>A', 'Gene', (0, 8)) ('G:T mismatches', 'Var', (175, 189)) ('5-methylcytosine', 'Chemical', 'MESH:D044503', (131, 147)) ('CpG dinucleotides', 'Chemical', 'MESH:C015772', (55, 72)) ('mismatches', 'Var', (179, 189)) ('thymine', 'Chemical', 'MESH:D013941', (151, 158)) ('mutations', 'Var', (203, 212)) ('substitutions', 'Var', (10, 23)) 184 33300026 C>T transitions also arise from stable cytosine oxidation products, such as 5-hydroxycytosine. ('5-hydroxycytosine', 'Chemical', 'MESH:C017400', (76, 93)) ('cytosine oxidation', 'MPA', (39, 57)) ('5-hydroxycytosine', 'MPA', (76, 93)) ('C>T', 'Var', (0, 3)) ('cytosine', 'Chemical', 'MESH:D003596', (39, 47)) ('cytosine', 'Chemical', 'MESH:D003596', (85, 93)) ('arise', 'Reg', (21, 26)) 190 33300026 Regarding transcription-associated mutagenesis, the tumor suppressor TP53, the most commonly mutated gene associated with cancer, strikingly resides within the most highly transcribed 1-Mb domain in the human genome, raising the intriguing possibility that susceptibility to human cancer may stem, in part, from intrinsic genome architecture. ('tumor', 'Phenotype', 'HP:0002664', (52, 57)) ('mutagenesis', 'Var', (35, 46)) ('cancer', 'Disease', 'MESH:D009369', (281, 287)) ('human', 'Species', '9606', (203, 208)) ('tumor', 'Disease', (52, 57)) ('TP53', 'Gene', (69, 73)) ('cancer', 'Disease', (122, 128)) ('cancer', 'Disease', (281, 287)) ('human', 'Species', '9606', (275, 280)) ('cancer', 'Disease', 'MESH:D009369', (122, 128)) ('cancer', 'Phenotype', 'HP:0002664', (122, 128)) ('cancer', 'Phenotype', 'HP:0002664', (281, 287)) ('tumor', 'Disease', 'MESH:D009369', (52, 57)) 192 33300026 Studies on the mutagenic potential of formamidopyrimidines have suggested that direct base misincorporation can generate both transition and transversion mutations. ('transversion mutations', 'CPA', (141, 163)) ('misincorporation', 'Var', (91, 107)) ('formamidopyrimidines', 'Chemical', '-', (38, 58)) ('transition', 'MPA', (126, 136)) 193 33300026 TG blocks DNA replication and its bypass, aided by translesion synthesis polymerases, can yield mutations when Poltheta is utilized. ('yield', 'Reg', (90, 95)) ('TG', 'Chemical', 'MESH:C029389', (0, 2)) ('DNA replication', 'CPA', (10, 25)) ('mutations', 'Var', (96, 105)) 198 33300026 Our analysis that Hox overexpression, and especially AcNEIL1-containing Hox gene reactivation in low grade glioma, contributes to poor survival strengthens the growing support for their key role in tumorigenesis. ('Hox', 'Gene', '42536', (72, 75)) ('Hox', 'Gene', (72, 75)) ('overexpression', 'PosReg', (22, 36)) ('survival', 'MPA', (135, 143)) ('tumor', 'Disease', 'MESH:D009369', (198, 203)) ('glioma', 'Disease', 'MESH:D005910', (107, 113)) ('glioma', 'Phenotype', 'HP:0009733', (107, 113)) ('poor', 'NegReg', (130, 134)) ('reactivation', 'Var', (81, 93)) ('tumor', 'Phenotype', 'HP:0002664', (198, 203)) ('Hox', 'Gene', (18, 21)) ('tumor', 'Disease', (198, 203)) ('glioma', 'Disease', (107, 113)) ('Hox', 'Gene', '42536', (18, 21)) 199 33300026 Neil1-/- (or Neil2-/-) mouse embryoid bodies display neural defects, the downregulation of key developmental genes, including Hox genes, elevated levels of reactive oxygen species (ROS) and a pro-apoptotic TP53-associated DNA damage response. ('pro-apoptotic', 'PosReg', (192, 205)) ('neural defects', 'CPA', (53, 67)) ('Neil2', 'Gene', (13, 18)) ('Neil1-/-', 'Var', (0, 8)) ('reactive oxygen species', 'Chemical', 'MESH:D017382', (156, 179)) ('ROS', 'Chemical', 'MESH:D017382', (181, 184)) ('elevated', 'PosReg', (137, 145)) ('TP53-associated', 'CPA', (206, 221)) ('mouse', 'Species', '10090', (23, 28)) ('levels of reactive oxygen species', 'MPA', (146, 179)) ('elevated levels of reactive oxygen species', 'Phenotype', 'HP:0025464', (137, 179)) ('Hox', 'Gene', '42536', (126, 129)) ('downregulation', 'NegReg', (73, 87)) ('Neil2', 'Gene', '382913', (13, 18)) ('Hox', 'Gene', (126, 129)) 202 33300026 The altered expression and mutations associated with polycomb complexes have also been linked to cancer, and it will be of interest to determine the extent to which escape from NEIL1 damage repair beyond the early developmental stages may contribute to tumorigenesis. ('mutations', 'Var', (27, 36)) ('NEIL1', 'Gene', (177, 182)) ('cancer', 'Disease', (97, 103)) ('tumor', 'Disease', 'MESH:D009369', (253, 258)) ('contribute', 'Reg', (239, 249)) ('linked', 'Reg', (87, 93)) ('tumor', 'Phenotype', 'HP:0002664', (253, 258)) ('cancer', 'Phenotype', 'HP:0002664', (97, 103)) ('tumor', 'Disease', (253, 258)) ('expression', 'MPA', (12, 22)) ('cancer', 'Disease', 'MESH:D009369', (97, 103)) 226 33184301 According to a 2016 report of World Health Organization (WHO), classification of tumors in the CNS is based on both phenotype and genotype (i.e., IDH mutation and 1p/19q codeletion status). ('tumors', 'Disease', 'MESH:D009369', (81, 87)) ('tumors', 'Disease', (81, 87)) ('IDH', 'Gene', (146, 149)) ('IDH', 'Gene', '3417', (146, 149)) ('1p/19q codeletion status', 'Var', (163, 187)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('tumors', 'Phenotype', 'HP:0002664', (81, 87)) 228 33184301 Tumor subtypes include diffuse astrocytoma, IDH-wild/-mutant type, oligodendroglioma, IDH-mutant and 1p/19q-codeleted, glioblastoma, IDH-wildtype, etc.. ('astrocytoma', 'Disease', 'MESH:D001254', (31, 42)) ('glioblastoma', 'Disease', (119, 131)) ('IDH', 'Gene', (86, 89)) ('IDH', 'Gene', '3417', (133, 136)) ('Tumor', 'Phenotype', 'HP:0002664', (0, 5)) ('astrocytoma', 'Disease', (31, 42)) ('glioma', 'Phenotype', 'HP:0009733', (78, 84)) ('1p/19q-codeleted', 'Var', (101, 117)) ('IDH', 'Gene', '3417', (86, 89)) ('glioblastoma', 'Disease', 'MESH:D005909', (119, 131)) ('glioblastoma', 'Phenotype', 'HP:0012174', (119, 131)) ('astrocytoma', 'Phenotype', 'HP:0009592', (31, 42)) ('oligodendroglioma', 'Disease', (67, 84)) ('IDH', 'Gene', (44, 47)) ('IDH', 'Gene', (133, 136)) ('IDH', 'Gene', '3417', (44, 47)) ('oligodendroglioma', 'Disease', 'MESH:D009837', (67, 84)) 293 33184301 This study considers three tumor subtypes: lower grade astrocytoma, IDH-mutant (A), oligodendroglioma, IDH-mutant, 1p/19q codeleted (O), and glioblastoma and diffuse astrocytic glioma with molecular features of glioblastoma, IDH-wildtype (G). ('IDH', 'Gene', '3417', (68, 71)) ('glioma', 'Phenotype', 'HP:0009733', (95, 101)) ('astrocytoma', 'Disease', 'MESH:D001254', (55, 66)) ('astrocytoma', 'Disease', (55, 66)) ('IDH', 'Gene', '3417', (225, 228)) ('glioblastoma', 'Disease', (141, 153)) ('glioblastoma', 'Disease', (211, 223)) ('astrocytic glioma', 'Disease', 'MESH:D001254', (166, 183)) ('glioblastoma', 'Phenotype', 'HP:0012174', (211, 223)) ('glioblastoma', 'Phenotype', 'HP:0012174', (141, 153)) ('astrocytic glioma', 'Disease', (166, 183)) ('tumor', 'Disease', (27, 32)) ('IDH', 'Gene', (103, 106)) ('1p/19q', 'Var', (115, 121)) ('tumor', 'Disease', 'MESH:D009369', (27, 32)) ('IDH', 'Gene', '3417', (103, 106)) ('astrocytoma', 'Phenotype', 'HP:0009592', (55, 66)) ('oligodendroglioma', 'Disease', 'MESH:D009837', (84, 101)) ('glioma', 'Phenotype', 'HP:0009733', (177, 183)) ('IDH', 'Gene', (68, 71)) ('tumor', 'Phenotype', 'HP:0002664', (27, 32)) ('IDH', 'Gene', (225, 228)) ('oligodendroglioma', 'Disease', (84, 101)) ('glioblastoma', 'Disease', 'MESH:D005909', (141, 153)) ('glioblastoma', 'Disease', 'MESH:D005909', (211, 223)) 308 33184301 For tumor classification, there are three subtypes: lower grade astrocytoma with IDH-mutant (Grade II or III), oligodendroglioma with IDH-mutant, 1p/19q codeleted (Grade II or III), and glioblastoma and diffuse astrocytic glioma with molecular features of globlastoma, IDH-wildtype (Grade IV). ('tumor', 'Disease', (4, 9)) ('tumor', 'Disease', 'MESH:D009369', (4, 9)) ('IDH', 'Gene', '3417', (81, 84)) ('glioblastoma', 'Disease', 'MESH:D005909', (186, 198)) ('IDH', 'Gene', (269, 272)) ('globlastoma', 'Disease', (256, 267)) ('globlastoma', 'Disease', 'None', (256, 267)) ('oligodendroglioma', 'Disease', 'MESH:D009837', (111, 128)) ('tumor', 'Phenotype', 'HP:0002664', (4, 9)) ('glioblastoma', 'Disease', (186, 198)) ('IDH', 'Gene', (134, 137)) ('glioma', 'Phenotype', 'HP:0009733', (122, 128)) ('astrocytoma', 'Phenotype', 'HP:0009592', (64, 75)) ('glioblastoma', 'Phenotype', 'HP:0012174', (186, 198)) ('astrocytic glioma', 'Disease', (211, 228)) ('oligodendroglioma', 'Disease', (111, 128)) ('astrocytic glioma', 'Disease', 'MESH:D001254', (211, 228)) ('IDH', 'Gene', '3417', (269, 272)) ('1p/19q', 'Var', (146, 152)) ('IDH', 'Gene', '3417', (134, 137)) ('IDH', 'Gene', (81, 84)) ('astrocytoma', 'Disease', 'MESH:D001254', (64, 75)) ('astrocytoma', 'Disease', (64, 75)) ('glioma', 'Phenotype', 'HP:0009733', (222, 228)) 326 32599896 NG2/CSPG4 expression was significantly associated with EGFR gene amplification (p = 0.0005) and poor prognosis (p = 0.016) in astrocytic tumors. ('EGFR', 'Gene', '1956', (55, 59)) ('tumors', 'Phenotype', 'HP:0002664', (137, 143)) ('NG2', 'Gene', '1464', (0, 3)) ('EGFR', 'Gene', (55, 59)) ('CSPG4', 'Gene', '1464', (4, 9)) ('associated', 'Reg', (39, 49)) ('amplification', 'Var', (65, 78)) ('astrocytic tumors', 'Disease', (126, 143)) ('CSPG4', 'Gene', (4, 9)) ('NG2', 'Gene', (0, 3)) ('tumor', 'Phenotype', 'HP:0002664', (137, 142)) ('astrocytic tumors', 'Disease', 'MESH:D001254', (126, 143)) 345 32599896 It is co-expressed with PDGFRalpha, the high levels and gene mutations of which are regarded as features of the proneural subtype of GB. ('GB', 'Phenotype', 'HP:0012174', (133, 135)) ('gene mutations', 'Var', (56, 70)) ('PDGFRalpha', 'Gene', '5156', (24, 34)) ('PDGFRalpha', 'Gene', (24, 34)) 374 32599896 Cell line authentication from the matched primary tumor was verified by short tandem repeat profiling. ('tumor', 'Phenotype', 'HP:0002664', (50, 55)) ('short tandem repeat', 'Var', (72, 91)) ('tumor', 'Disease', (50, 55)) ('tumor', 'Disease', 'MESH:D009369', (50, 55)) 391 32599896 The search for mutations in IDH1 (exon 4) (GenBank sequence NM_005896), IDH2 (exon 4) (GenBank sequence NM_002168), the TERT gene promoter region (GenBank accession no. ('IDH2', 'Gene', (72, 76)) ('IDH1', 'Gene', '3417', (28, 32)) ('TERT', 'Gene', (120, 124)) ('IDH2', 'Gene', '3418', (72, 76)) ('mutations', 'Var', (15, 24)) ('TERT', 'Gene', '7015', (120, 124)) ('IDH1', 'Gene', (28, 32)) 425 32599896 The mean percentage of NG2/CSPG4-positive cells at x400 HPF varied from 75.8% (25/33) for the former to 84.9% (45/53) for the latter. ('CSPG4', 'Gene', '1464', (27, 32)) ('NG2', 'Gene', (23, 26)) ('CSPG4', 'Gene', (27, 32)) ('NG2', 'Gene', '1464', (23, 26)) ('x400 HPF', 'Var', (51, 59)) 432 32599896 TERT promoter mutations were detected in 20 out of 41 (48.8%) gliomas. ('glioma', 'Phenotype', 'HP:0009733', (62, 68)) ('detected', 'Reg', (29, 37)) ('TERT', 'Gene', (0, 4)) ('TERT', 'Gene', '7015', (0, 4)) ('gliomas', 'Disease', (62, 69)) ('mutations', 'Var', (14, 23)) ('gliomas', 'Disease', 'MESH:D005910', (62, 69)) ('gliomas', 'Phenotype', 'HP:0009733', (62, 69)) 435 32599896 Point mutations at codons Arg132 of the IDH1 gene and Arg172 of the IDH2 genes were identified in 25 out of 60 (41.7%) gliomas. ('Arg132', 'Chemical', '-', (26, 32)) ('glioma', 'Phenotype', 'HP:0009733', (119, 125)) ('IDH1', 'Gene', (40, 44)) ('IDH2', 'Gene', (68, 72)) ('identified', 'Reg', (84, 94)) ('IDH1', 'Gene', '3417', (40, 44)) ('gliomas', 'Disease', (119, 126)) ('Point mutations at codons', 'Var', (0, 25)) ('IDH2', 'Gene', '3418', (68, 72)) ('gliomas', 'Disease', 'MESH:D005910', (119, 126)) ('gliomas', 'Phenotype', 'HP:0009733', (119, 126)) ('Arg172', 'Chemical', '-', (54, 60)) ('Arg172', 'Var', (54, 60)) 436 32599896 The missense mutation c.395G > A (p.Arg132His) accounted for 23/25 (92%) and c.516G > T (p.Arg172Ser) and c.515G > A (p.Arg172Lys) accounted for 1/25 (4%) each. ('p.Arg132His', 'Mutation', 'rs121913500', (34, 45)) ('c.395G > A', 'Mutation', 'rs121913500', (22, 32)) ('c.515G > A', 'Var', (106, 116)) ('c.395G > A', 'Var', (22, 32)) ('c.516G > T', 'Var', (77, 87)) ('c.515G > A', 'Mutation', 'rs1064795056', (106, 116)) ('c.516G > T', 'Mutation', 'rs11575996', (77, 87)) ('p.Arg172Lys', 'Mutation', 'rs121913503', (118, 129)) ('p.Arg172Ser', 'Mutation', 'rs1057519736', (89, 100)) 438 32599896 All mutations detected in the TERT, IDH1/2, and TP53 genes were somatic changes. ('TP53', 'Gene', '7157', (48, 52)) ('IDH1/2', 'Gene', (36, 42)) ('TERT', 'Gene', (30, 34)) ('TP53', 'Gene', (48, 52)) ('TERT', 'Gene', '7015', (30, 34)) ('mutations', 'Var', (4, 13)) ('IDH1/2', 'Gene', '3417;3418', (36, 42)) 439 32599896 EGFR gene amplification occurred in 19/45 (42.2%) malignant gliomas. ('EGFR', 'Gene', (0, 4)) ('gliomas', 'Phenotype', 'HP:0009733', (60, 67)) ('malignant gliomas', 'Disease', (50, 67)) ('amplification', 'Var', (10, 23)) ('malignant gliomas', 'Disease', 'MESH:D005910', (50, 67)) ('EGFR', 'Gene', '1956', (0, 4)) ('glioma', 'Phenotype', 'HP:0009733', (60, 66)) ('occurred', 'Reg', (24, 32)) 440 32599896 The MGMT promoter hypermethylation was detected in 19 out of 46 (41.3%) tumors. ('MGMT', 'Gene', '4255', (4, 8)) ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('hypermethylation', 'Var', (18, 34)) ('tumors', 'Disease', 'MESH:D009369', (72, 78)) ('tumors', 'Disease', (72, 78)) ('tumors', 'Phenotype', 'HP:0002664', (72, 78)) ('MGMT', 'Gene', (4, 8)) 441 32599896 Malignant gliomas showed LOH on 10q in 42 out of 46 (91.3%) cases and LOH on 9p in 35 out of 46 (76.1%) cases. ('gliomas', 'Phenotype', 'HP:0009733', (10, 17)) ('Malignant gliomas', 'Disease', 'MESH:D005910', (0, 17)) ('glioma', 'Phenotype', 'HP:0009733', (10, 16)) ('LOH', 'Var', (70, 73)) ('Malignant gliomas', 'Disease', (0, 17)) ('LOH on 10q', 'Var', (25, 35)) 450 32599896 NG2/CSPG4 immunoreactivity was significantly associated with EGFR gene amplification (p = 0.0005, Fisher's exact test) in malignant gliomas and with 1p/19q-codeletion in oligodendroglial tumors (p = 0.0297, Fisher's exact test) (Table 3). ('malignant gliomas', 'Disease', 'MESH:D005910', (122, 139)) ('oligodendroglial tumors', 'Disease', 'MESH:D009369', (170, 193)) ('oligodendroglial tumors', 'Disease', (170, 193)) ('NG2', 'Gene', '1464', (0, 3)) ('tumor', 'Phenotype', 'HP:0002664', (187, 192)) ('1p/19q-codeletion', 'Var', (149, 166)) ('CSPG4', 'Gene', '1464', (4, 9)) ('gliomas', 'Phenotype', 'HP:0009733', (132, 139)) ('associated', 'Reg', (45, 55)) ('EGFR', 'Gene', '1956', (61, 65)) ('glioma', 'Phenotype', 'HP:0009733', (132, 138)) ('tumors', 'Phenotype', 'HP:0002664', (187, 193)) ('CSPG4', 'Gene', (4, 9)) ('NG2', 'Gene', (0, 3)) ('malignant gliomas', 'Disease', (122, 139)) ('EGFR', 'Gene', (61, 65)) 456 32599896 However, NG2/CSPG4 immunoreactivity was significantly associated with a poor prognosis (p = 0.016, log-rank test) after stratification for the malignancy grade (Figure 4). ('malignancy', 'Disease', 'MESH:D009369', (143, 153)) ('immunoreactivity', 'Var', (19, 35)) ('malignancy', 'Disease', (143, 153)) ('NG2', 'Gene', (9, 12)) ('rat', 'Species', '10116', (122, 125)) ('NG2', 'Gene', '1464', (9, 12)) ('CSPG4', 'Gene', '1464', (13, 18)) ('CSPG4', 'Gene', (13, 18)) ('associated', 'Reg', (54, 64)) 480 32599896 In the present study, we confirm an inter-grade NG2/CSPG4 variability in gliomas and its correlation with the malignancy grade, in agreement with previous findings. ('CSPG4', 'Gene', (52, 57)) ('NG2', 'Gene', (48, 51)) ('gliomas', 'Disease', 'MESH:D005910', (73, 80)) ('CSPG4', 'Gene', '1464', (52, 57)) ('gliomas', 'Phenotype', 'HP:0009733', (73, 80)) ('variability', 'Var', (58, 69)) ('malignancy', 'Disease', 'MESH:D009369', (110, 120)) ('NG2', 'Gene', '1464', (48, 51)) ('malignancy', 'Disease', (110, 120)) ('glioma', 'Phenotype', 'HP:0009733', (73, 79)) ('gliomas', 'Disease', (73, 80)) 496 32599896 By IF, we could confirm that NG2/CSPG4 positivity marks immature progenitor cells that represent the majority of cells under in vitro culture conditions. ('CSPG4', 'Gene', '1464', (33, 38)) ('CSPG4', 'Gene', (33, 38)) ('NG2', 'Gene', (29, 32)) ('positivity', 'Var', (39, 49)) ('NG2', 'Gene', '1464', (29, 32)) 501 32599896 There is an apparent inconsistency between the predominant NG2/CSPG4 positivity of NS and the negativity of most tumor cells in GB. ('tumor', 'Disease', (113, 118)) ('NG2', 'Gene', (59, 62)) ('NG2', 'Gene', '1464', (59, 62)) ('positivity', 'Var', (69, 79)) ('GB', 'Phenotype', 'HP:0012174', (128, 130)) ('tumor', 'Disease', 'MESH:D009369', (113, 118)) ('tumor', 'Phenotype', 'HP:0002664', (113, 118)) ('CSPG4', 'Gene', '1464', (63, 68)) ('CSPG4', 'Gene', (63, 68)) 512 32599896 Finally, the significant association between NG2/CSPG4 immunoreactivity and EGFR gene amplification (a well-known negative prognostic marker) in both astrocytic and oligodendroglial tumors is in line with previous findings. ('CSPG4', 'Gene', (49, 54)) ('amplification', 'Var', (86, 99)) ('NG2', 'Gene', (45, 48)) ('astrocytic and oligodendroglial tumors', 'Disease', 'MESH:D001254', (150, 188)) ('CSPG4', 'Gene', '1464', (49, 54)) ('tumors', 'Phenotype', 'HP:0002664', (182, 188)) ('NG2', 'Gene', '1464', (45, 48)) ('EGFR', 'Gene', '1956', (76, 80)) ('EGFR', 'Gene', (76, 80)) ('tumor', 'Phenotype', 'HP:0002664', (182, 187)) 521 31777202 Therapeutic implications of altered cholesterol homeostasis mediated by loss of CYP46A1 in human glioblastoma Dysregulated cholesterol metabolism is a hallmark of many cancers, including glioblastoma (GBM), but its role in disease progression is not well understood. ('CYP46A1', 'Gene', (80, 87)) ('loss', 'Var', (72, 76)) ('hallmark of many cancers', 'Disease', (151, 175)) ('cancers', 'Phenotype', 'HP:0002664', (168, 175)) ('glioblastoma', 'Disease', (187, 199)) ('Dysregulated cholesterol metabolism', 'Phenotype', 'HP:0003107', (110, 145)) ('glioblastoma', 'Phenotype', 'HP:0012174', (187, 199)) ('cancer', 'Phenotype', 'HP:0002664', (168, 174)) ('GBM', 'Phenotype', 'HP:0012174', (201, 204)) ('glioblastoma', 'Disease', 'MESH:D005909', (97, 109)) ('CYP46A1', 'Gene', '10858', (80, 87)) ('hallmark of many cancers', 'Disease', 'MESH:D009369', (151, 175)) ('glioblastoma', 'Disease', (97, 109)) ('cholesterol', 'Chemical', 'MESH:D002784', (36, 47)) ('glioblastoma', 'Phenotype', 'HP:0012174', (97, 109)) ('cholesterol', 'Chemical', 'MESH:D002784', (123, 134)) ('Dysregulated cholesterol metabolism', 'MPA', (110, 145)) ('glioblastoma', 'Disease', 'MESH:D005909', (187, 199)) ('human', 'Species', '9606', (91, 96)) 525 31777202 RNA-seq revealed that treatment of GBM cells with 24OHC suppressed tumour growth through regulation of LXR and SREBP signalling. ('24OHC', 'Chemical', 'MESH:C496310', (50, 55)) ('tumour', 'Disease', (67, 73)) ('suppressed', 'NegReg', (56, 66)) ('GBM', 'Phenotype', 'HP:0012174', (35, 38)) ('regulation', 'MPA', (89, 99)) ('24OHC', 'Var', (50, 55)) ('tumour', 'Phenotype', 'HP:0002664', (67, 73)) ('tumour', 'Disease', 'MESH:D009369', (67, 73)) 526 31777202 Efavirenz, an activator of CYP46A1 that is known to penetrate the blood-brain barrier, inhibited GBM growth in vivo. ('rat', 'Species', '10116', (57, 60)) ('inhibited', 'NegReg', (87, 96)) ('GBM', 'Phenotype', 'HP:0012174', (97, 100)) ('Efavirenz', 'Chemical', 'MESH:C098320', (0, 9)) ('CYP46A1', 'Var', (27, 34)) ('GBM growth', 'CPA', (97, 107)) 528 31777202 Loss of CYP46A1 partially caused excessive cholesterol accumulation in glioblastoma cells contributing to the maintenance of tumour cell viability and a malignant state. ('CYP46A1', 'Gene', (8, 15)) ('glioblastoma', 'Disease', (71, 83)) ('glioblastoma', 'Disease', 'MESH:D005909', (71, 83)) ('cholesterol accumulation', 'MPA', (43, 67)) ('tumour', 'Phenotype', 'HP:0002664', (125, 131)) ('cholesterol', 'Chemical', 'MESH:D002784', (43, 54)) ('glioblastoma', 'Phenotype', 'HP:0012174', (71, 83)) ('excessive cholesterol', 'Phenotype', 'HP:0003124', (33, 54)) ('tumour cell viability', 'Disease', (125, 146)) ('Loss', 'Var', (0, 4)) ('tumour cell viability', 'Disease', 'MESH:D018295', (125, 146)) 539 31777202 Recently, it has been shown that 27OHC can inhibit prostate cancer growth through depletion of intracellular cholesterol levels (Alfaqih et al, 2017). ('prostate cancer', 'Disease', 'MESH:D011471', (51, 66)) ('depletion of intracellular cholesterol levels', 'MPA', (82, 127)) ('cholesterol', 'Chemical', 'MESH:D002784', (109, 120)) ('prostate cancer', 'Phenotype', 'HP:0012125', (51, 66)) ('inhibit', 'NegReg', (43, 50)) ('27OHC', 'Chemical', 'MESH:C496310', (33, 38)) ('prostate cancer', 'Disease', (51, 66)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) ('27OHC', 'Var', (33, 38)) 540 31777202 Yet, others have shown, in breast cancer cells, that 27OHC induces an epithelial-to-mesenchymal transition (EMT) leading to increased tumour growth (Torres et al, 2011; Wu et al, 2013). ('cancer', 'Phenotype', 'HP:0002664', (34, 40)) ('epithelial-to-mesenchymal transition', 'CPA', (70, 106)) ('increased', 'PosReg', (124, 133)) ('tumour', 'Disease', 'MESH:D009369', (134, 140)) ('breast cancer', 'Disease', 'MESH:D001943', (27, 40)) ('induces', 'Reg', (59, 66)) ('breast cancer', 'Disease', (27, 40)) ('tumour', 'Disease', (134, 140)) ('breast cancer', 'Phenotype', 'HP:0003002', (27, 40)) ('27OHC', 'Chemical', 'MESH:C496310', (53, 58)) ('tumour', 'Phenotype', 'HP:0002664', (134, 140)) ('27OHC', 'Var', (53, 58)) 543 31777202 First, de novo cholesterol synthesis is suppressed in GBM cells compared with normal human astrocytes leading to exogenous cholesterol uptake through up-regulation of the low-density lipoprotein receptor (LDLR) (Villa et al, 2016). ('GBM', 'Phenotype', 'HP:0012174', (54, 57)) ('GBM', 'Var', (54, 57)) ('cholesterol', 'Chemical', 'MESH:D002784', (15, 26)) ('suppressed', 'NegReg', (40, 50)) ('cholesterol', 'Chemical', 'MESH:D002784', (123, 134)) ('exogenous cholesterol uptake', 'MPA', (113, 141)) ('low-density lipoprotein receptor', 'Gene', (171, 203)) ('up-regulation', 'PosReg', (150, 163)) ('LDLR', 'Gene', (205, 209)) ('low-density lipoprotein receptor', 'Gene', '3949', (171, 203)) ('human', 'Species', '9606', (85, 90)) ('LDLR', 'Gene', '3949', (205, 209)) ('de novo cholesterol synthesis', 'MPA', (7, 36)) 556 31777202 Our results show that changes in CYP46A1 are critical for the dysregulation of cholesterol homeostasis in GBM and that targeting CYP46A1/24OHC may provide a new opportunity for GBM therapy. ('dysregulation of cholesterol homeostasis', 'Phenotype', 'HP:0003107', (62, 102)) ('24OHC', 'Chemical', 'MESH:C496310', (137, 142)) ('changes', 'Var', (22, 29)) ('CYP46A1', 'Gene', (33, 40)) ('GBM', 'Phenotype', 'HP:0012174', (106, 109)) ('cholesterol', 'Chemical', 'MESH:D002784', (79, 90)) ('GBM', 'Phenotype', 'HP:0012174', (177, 180)) ('dysregulation of cholesterol homeostasis', 'MPA', (62, 102)) ('CYP46A1/24OHC', 'Var', (129, 142)) 567 31777202 Differential analysis based on the Chinese Glioma Genome Atlas (CGGA) dataset also revealed CYP46A1 as one of the most dysregulated transcripts (log2 fold change = 1.966, adjusted P = 4.63E-09) between GBM (n = 128) and normal brain (n = 5; Fig EV1A-C). ('Glioma', 'Disease', (43, 49)) ('GBM', 'Var', (202, 205)) ('GBM', 'Phenotype', 'HP:0012174', (202, 205)) ('CYP46A1', 'Gene', (92, 99)) ('Glioma', 'Disease', 'MESH:D005910', (43, 49)) ('Glioma', 'Phenotype', 'HP:0009733', (43, 49)) 569 31777202 After ranking by P-value, CYP46A1 emerged among the top 3 genes (APOBR, CELA3A and CYP46A1) associated with GBM prognosis (Fig EV1D). ('APOBR', 'Gene', (65, 70)) ('APOBR', 'Gene', '55911', (65, 70)) ('GBM', 'Disease', (108, 111)) ('CYP46A1', 'Var', (26, 33)) ('CELA3A', 'Gene', (72, 78)) ('CELA3A', 'Gene', '10136', (72, 78)) ('GBM', 'Phenotype', 'HP:0012174', (108, 111)) ('associated', 'Reg', (92, 102)) ('CYP46A1', 'Gene', (83, 90)) 570 31777202 By analysing the Cancer Genome Atlas (TCGA) pan-cancer data including 31 different cancer types, the expression of CYP46A1 was found to be significantly increased in normal brain compared with GBM and LGG (Appendix Fig S2A). ('cancer', 'Phenotype', 'HP:0002664', (48, 54)) ('CYP46A1', 'Var', (115, 122)) ('cancer', 'Phenotype', 'HP:0002664', (83, 89)) ('increased', 'PosReg', (153, 162)) ('Cancer', 'Phenotype', 'HP:0002664', (17, 23)) ('cancer', 'Disease', (48, 54)) ('cancer', 'Disease', 'MESH:D009369', (48, 54)) ('cancer', 'Disease', 'MESH:D009369', (83, 89)) ('expression', 'MPA', (101, 111)) ('GBM', 'Phenotype', 'HP:0012174', (193, 196)) ('cancer', 'Disease', (83, 89)) 572 31777202 The intra-tumoral expression pattern of CYP46A1 in GBMs was further determined using the IVY GBM RNA-seq data (http://glioblastoma.alleninstitute.org/). ('tumor', 'Phenotype', 'HP:0002664', (10, 15)) ('glioblastoma', 'Phenotype', 'HP:0012174', (118, 130)) ('tumor', 'Disease', (10, 15)) ('CYP46A1', 'Var', (40, 47)) ('GBM', 'Phenotype', 'HP:0012174', (51, 54)) ('GBM', 'Phenotype', 'HP:0012174', (93, 96)) ('glioblastoma', 'Disease', (118, 130)) ('tumor', 'Disease', 'MESH:D009369', (10, 15)) ('glioblastoma', 'Disease', 'MESH:D005909', (118, 130)) 573 31777202 CYP46A1 was highly expressed at the leading edge (which is mainly comprised of normal brain cells) compared with other tumour regions (Appendix Fig S2C). ('CYP46A1', 'Var', (0, 7)) ('tumour regions', 'Disease', 'MESH:D009369', (119, 133)) ('tumour regions', 'Disease', (119, 133)) ('tumour', 'Phenotype', 'HP:0002664', (119, 125)) 574 31777202 Single-cell RNA-seq data (Darmanis et al, 2017) further demonstrated that CYP46A1 is mainly expressed in neurons, astrocytes and oligodendrocyte precursor cells (OPCs) and to a lesser extent in tumour cells (Appendix Fig S2D). ('rat', 'Species', '10116', (63, 66)) ('tumour', 'Disease', (194, 200)) ('CYP46A1', 'Var', (74, 81)) ('tumour', 'Phenotype', 'HP:0002664', (194, 200)) ('tumour', 'Disease', 'MESH:D009369', (194, 200)) 581 31777202 Here, H3K27ac peaks (marker of active promoters) within the promoter region of CYP46A1 were lower in GBMs compared with normal brain tissue (Appendix Fig S3A). ('CYP46A1', 'Gene', (79, 86)) ('GBMs', 'Var', (101, 105)) ('S3A', 'Gene', (154, 157)) ('S3A', 'Gene', '6189', (154, 157)) ('H3K27ac', 'Protein', (6, 13)) ('GBM', 'Phenotype', 'HP:0012174', (101, 104)) ('lower', 'NegReg', (92, 97)) 582 31777202 We also examined the active enhancer landscape of CYP46A1 across three matched pairs of GSCs and differentiated glioma cells (DGCs). ('glioma', 'Disease', (112, 118)) ('glioma', 'Disease', 'MESH:D005910', (112, 118)) ('glioma', 'Phenotype', 'HP:0009733', (112, 118)) ('CYP46A1', 'Var', (50, 57)) 584 31777202 GBM patients with high CYP46A1 mRNA levels (based on the median value) exhibited significantly better overall survival (OS) as well as progression-free survival (PFS) (Fig 1H and I). ('GBM', 'Phenotype', 'HP:0012174', (0, 3)) ('high CYP46A1', 'Var', (18, 30)) ('CYP46A1', 'Var', (23, 30)) ('progression-free survival', 'CPA', (135, 160)) ('patients', 'Species', '9606', (4, 12)) ('overall survival', 'CPA', (102, 118)) ('better', 'PosReg', (95, 101)) 585 31777202 CYP46A1 was also a prognostic indicator in LGG patients (Fig 1H and I). ('CYP46A1', 'Var', (0, 7)) ('LGG', 'Disease', (43, 46)) ('patients', 'Species', '9606', (47, 55)) 586 31777202 CYP46A1 was also validated as an independent prognostic indicator using univariate and multivariate Cox regression analysis of OS (HR = 0.390, 95% CI = 0.262 to 0.581, P < 0.001; Appendix Table S1) in CGGA patients and showed a prognostic trend in multivariate analysis of TCGA patients. ('patients', 'Species', '9606', (278, 286)) ('CYP46A1', 'Var', (0, 7)) ('CGGA', 'Disease', (201, 205)) ('patients', 'Species', '9606', (206, 214)) 587 31777202 Lentivirus was used to over-express CYP46A1 in LN229, LN18 and GBM#P3, as validated by qRT-PCR (P < 0.001; Fig 2A) or Western blot (Fig 2B and Appendix Fig S5A). ('CYP46A1', 'Var', (36, 43)) ('S5A', 'Gene', (156, 159)) ('GBM', 'Phenotype', 'HP:0012174', (63, 66)) ('S5A', 'Gene', '5710', (156, 159)) ('LN229', 'CellLine', 'CVCL:0393', (47, 52)) ('over-express', 'PosReg', (23, 35)) 588 31777202 Furthermore, increased expression of CYP46A1 in GSCs (GBM#P3) inhibited tumorsphere formation, a critical glioma stem-like property (P < 0.05; Appendix Fig S5B and C). ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('GBM', 'Phenotype', 'HP:0012174', (54, 57)) ('glioma', 'Disease', 'MESH:D005910', (106, 112)) ('glioma', 'Phenotype', 'HP:0009733', (106, 112)) ('tumor', 'Disease', (72, 77)) ('inhibited', 'NegReg', (62, 71)) ('S5B', 'Gene', '5711', (156, 159)) ('CYP46A1', 'Var', (37, 44)) ('glioma', 'Disease', (106, 112)) ('tumor', 'Disease', 'MESH:D009369', (72, 77)) ('S5B', 'Gene', (156, 159)) ('increased', 'PosReg', (13, 22)) ('expression', 'MPA', (23, 33)) 590 31777202 For both cell types, CYP46A1 overexpression inhibited tumour growth, as observed in haematoxylin and eosin (HE) staining (Fig 2E), and prolonged overall survival in mice (P < 0.05; Fig 2F). ('overexpression', 'PosReg', (29, 43)) ('mice', 'Species', '10090', (165, 169)) ('tumour', 'Disease', 'MESH:D009369', (54, 60)) ('tumour', 'Disease', (54, 60)) ('overall survival', 'CPA', (145, 161)) ('inhibited', 'NegReg', (44, 53)) ('eosin', 'Chemical', 'MESH:D004801', (101, 106)) ('prolonged', 'PosReg', (135, 144)) ('CYP46A1', 'Var', (21, 28)) ('tumour', 'Phenotype', 'HP:0002664', (54, 60)) ('haematoxylin', 'Chemical', 'MESH:C018328', (84, 96)) 591 31777202 Overexpression of CYP46A1 also led to reduced levels of the proliferation marker PCNA but increased expression of the apoptotic marker cleaved caspase-3 (Fig 2G, Appendix Fig S5D and E). ('CYP46A1', 'Var', (18, 25)) ('caspase-3', 'Gene', '836', (143, 152)) ('rat', 'Species', '10116', (67, 70)) ('levels of the proliferation marker PCNA', 'MPA', (46, 85)) ('increased', 'PosReg', (90, 99)) ('reduced', 'NegReg', (38, 45)) ('expression', 'MPA', (100, 110)) ('caspase-3', 'Gene', (143, 152)) 592 31777202 These data confirm a tumour-suppressive role for CYP46A1 in human GBM. ('GBM', 'Disease', (66, 69)) ('tumour', 'Phenotype', 'HP:0002664', (21, 27)) ('tumour', 'Disease', 'MESH:D009369', (21, 27)) ('GBM', 'Phenotype', 'HP:0012174', (66, 69)) ('tumour', 'Disease', (21, 27)) ('CYP46A1', 'Var', (49, 56)) ('human', 'Species', '9606', (60, 65)) 596 31777202 Ectopic expression of CYP46A1 in GBM cells in vitro, however, led to a dramatic increase in 24OHC concentration in culture media (Fig 3B) as well as in GBM cell pellets (P < 0.01; Appendix Fig S6B). ('GBM', 'Phenotype', 'HP:0012174', (33, 36)) ('rat', 'Species', '10116', (105, 108)) ('increase', 'PosReg', (80, 88)) ('CYP46A1', 'Var', (22, 29)) ('GBM', 'Phenotype', 'HP:0012174', (152, 155)) ('24OHC concentration', 'MPA', (92, 111)) ('24OHC', 'Chemical', 'MESH:C496310', (92, 97)) 601 31777202 24OHC also elevated caspase-3/7 activity in LN229 (Appendix Fig S6E and F) and dramatically inhibited colony formation in LN229 and LN18 compared with controls (P < 0.001, Fig 3F). ('caspase-3', 'Gene', '836', (20, 29)) ('24OHC', 'Chemical', 'MESH:C496310', (0, 5)) ('inhibited', 'NegReg', (92, 101)) ('colony formation', 'CPA', (102, 118)) ('activity', 'MPA', (32, 40)) ('LN229', 'CellLine', 'CVCL:0393', (44, 49)) ('LN229', 'CellLine', 'CVCL:0393', (122, 127)) ('caspase-3', 'Gene', (20, 29)) ('elevated', 'PosReg', (11, 19)) ('24OHC', 'Var', (0, 5)) 604 31777202 Finally, treatment of GSCs, GBM#P3, GBM#BG7 and GBM#BG5, with 24OHC, led to a reduced tumorsphere formation (Fig 3H and I). ('tumor', 'Phenotype', 'HP:0002664', (86, 91)) ('tumor', 'Disease', (86, 91)) ('24OHC', 'Chemical', 'MESH:C496310', (62, 67)) ('BG7', 'CellLine', 'CVCL:6570', (40, 43)) ('GBM', 'Phenotype', 'HP:0012174', (48, 51)) ('GBM', 'Var', (48, 51)) ('reduced', 'NegReg', (78, 85)) ('GBM', 'Phenotype', 'HP:0012174', (28, 31)) ('tumor', 'Disease', 'MESH:D009369', (86, 91)) ('GBM', 'Phenotype', 'HP:0012174', (36, 39)) 606 31777202 In summary, these data show that 24OHC specifically inhibits GBM growth. ('GBM growth', 'CPA', (61, 71)) ('GBM', 'Phenotype', 'HP:0012174', (61, 64)) ('24OHC', 'Var', (33, 38)) ('inhibits', 'NegReg', (52, 60)) ('24OHC', 'Chemical', 'MESH:C496310', (33, 38)) 610 31777202 These results therefore show that 24OHC inhibits GBM cell growth by depleting intracellular cholesterol. ('24OHC', 'Chemical', 'MESH:C496310', (34, 39)) ('cholesterol', 'Chemical', 'MESH:D002784', (92, 103)) ('GBM', 'Phenotype', 'HP:0012174', (49, 52)) ('inhibits', 'NegReg', (40, 48)) ('depleting', 'NegReg', (68, 77)) ('GBM cell growth', 'CPA', (49, 64)) ('24OHC', 'Var', (34, 39)) 613 31777202 Cholesterol also attenuated apoptosis caused by 24OHC in both LN229 and GBM#P3 (Fig 4D) and decreased cleaved PARP (Fig 4E). ('attenuated', 'NegReg', (17, 27)) ('PARP', 'Gene', '1302', (110, 114)) ('LN229', 'CellLine', 'CVCL:0393', (62, 67)) ('24OHC', 'Chemical', 'MESH:C496310', (48, 53)) ('LN229', 'Gene', (62, 67)) ('Cholesterol', 'Chemical', 'MESH:D002784', (0, 11)) ('apoptosis', 'CPA', (28, 37)) ('PARP', 'Gene', (110, 114)) ('GBM', 'Gene', (72, 75)) ('GBM', 'Phenotype', 'HP:0012174', (72, 75)) ('decreased', 'NegReg', (92, 101)) ('24OHC', 'Var', (48, 53)) 614 31777202 Cholesterol also compensated for the reduction in GSC sphere formation caused by 24OHC in both GBM#P3 and GBM#BG7 cells (P < 0.05; Fig 4F). ('GBM', 'Phenotype', 'HP:0012174', (95, 98)) ('BG7', 'CellLine', 'CVCL:6570', (110, 113)) ('reduction', 'NegReg', (37, 46)) ('GBM', 'Phenotype', 'HP:0012174', (106, 109)) ('Cholesterol', 'Chemical', 'MESH:D002784', (0, 11)) ('GSC sphere formation', 'CPA', (50, 70)) ('24OHC', 'Var', (81, 86)) ('24OHC', 'Chemical', 'MESH:C496310', (81, 86)) 616 31777202 In conclusion, these results demonstrated that 24OHC suppresses GBM growth by depleting cellular cholesterol. ('suppresses', 'NegReg', (53, 63)) ('GBM', 'Phenotype', 'HP:0012174', (64, 67)) ('rat', 'Species', '10116', (36, 39)) ('depleting', 'NegReg', (78, 87)) ('GBM growth', 'CPA', (64, 74)) ('cellular cholesterol', 'MPA', (88, 108)) ('24OHC', 'Var', (47, 52)) ('cholesterol', 'Chemical', 'MESH:D002784', (97, 108)) ('24OHC', 'Chemical', 'MESH:C496310', (47, 52)) 619 31777202 In addition, inflammatory signalling pathways including IL-10 and NF-kappaB pathways were regulated by 24OHC (Fig 5B). ('inflammatory signalling pathways', 'Pathway', (13, 45)) ('regulated', 'Reg', (90, 99)) ('24OHC', 'Var', (103, 108)) ('24OHC', 'Chemical', 'MESH:C496310', (103, 108)) ('IL-10', 'Gene', '3586', (56, 61)) ('NF-kappaB pathways', 'Pathway', (66, 84)) ('IL-10', 'Gene', (56, 61)) 621 31777202 Moreover, GSEA showed that 24OHC was associated with positive regulation of cholesterol efflux, but negatively associated with gene signatures linked to cholesterol homeostasis, SREBP targets and stem cell proliferation (Fig 5D). ('24OHC', 'Var', (27, 32)) ('negatively', 'NegReg', (100, 110)) ('positive', 'PosReg', (53, 61)) ('stem cell proliferation', 'CPA', (196, 219)) ('24OHC', 'Chemical', 'MESH:C496310', (27, 32)) ('rat', 'Species', '10116', (213, 216)) ('cholesterol', 'Chemical', 'MESH:D002784', (76, 87)) ('cholesterol efflux', 'MPA', (76, 94)) ('cholesterol', 'Chemical', 'MESH:D002784', (153, 164)) 627 31777202 These results indicate that 24OHC might kill GBM cells not only through activation of LXR, but also through other mechanisms. ('activation', 'PosReg', (72, 82)) ('LXR', 'Enzyme', (86, 89)) ('24OHC', 'Chemical', 'MESH:C496310', (28, 33)) ('GBM cells', 'CPA', (45, 54)) ('GBM', 'Phenotype', 'HP:0012174', (45, 48)) ('24OHC', 'Var', (28, 33)) 628 31777202 Based on the RNA-seq data, 24OHC was also found to suppress SREBP signalling (Fig 5D and E). ('suppress', 'NegReg', (51, 59)) ('24OHC', 'Chemical', 'MESH:C496310', (27, 32)) ('24OHC', 'Var', (27, 32)) ('SREBP signalling', 'MPA', (60, 76)) 632 31777202 On Western blots, proteins levels were correspondingly altered; 24OHC caused a decrease in protein levels of nuclear SREBP1 (N-SREBP1), precursor SREBP1 (P-SREBP1) and LDLR as well as an induction of ABCA1 (Fig 5H and Appendix Fig S7C). ('SREBP1', 'Gene', '6720', (146, 152)) ('SREBP1', 'Gene', (127, 133)) ('24OHC', 'Chemical', 'MESH:C496310', (64, 69)) ('SREBP1', 'Gene', '6720', (156, 162)) ('SREBP1', 'Gene', '6720', (117, 123)) ('SREBP1', 'Gene', (117, 123)) ('decrease', 'NegReg', (79, 87)) ('LDLR', 'Gene', (168, 172)) ('protein levels', 'MPA', (91, 105)) ('LDLR', 'Gene', '3949', (168, 172)) ('ABCA1', 'Gene', '19', (200, 205)) ('SREBP1', 'Gene', (146, 152)) ('SREBP1', 'Gene', '6720', (127, 133)) ('SREBP1', 'Gene', (156, 162)) ('ABCA1', 'Gene', (200, 205)) ('24OHC', 'Var', (64, 69)) 637 31777202 Based on the findings that CYP46A1 inhibits GBM growth by converting cholesterol to 24OHC, we investigated the effect of efavirenz (EFV) (Fig 6A), which is an anti-HIV medication known to activate CYP46A1 activity through binding to the enzyme's allosteric site (Mast et al, 2014, 2017a; Anderson et al, 2016). ('24OHC', 'Chemical', 'MESH:C496310', (84, 89)) ('activate', 'PosReg', (188, 196)) ('binding', 'Interaction', (222, 229)) ('GBM growth', 'CPA', (44, 54)) ('GBM', 'Phenotype', 'HP:0012174', (44, 47)) ('inhibits', 'NegReg', (35, 43)) ('activity', 'MPA', (205, 213)) ('HIV', 'Disease', (164, 167)) ('efavirenz', 'Chemical', 'MESH:C098320', (121, 130)) ('converting cholesterol to 24OHC', 'MPA', (58, 89)) ('HIV', 'Disease', 'MESH:D015658', (164, 167)) ('cholesterol', 'Chemical', 'MESH:D002784', (69, 80)) ('CYP46A1', 'Var', (27, 34)) 643 31777202 Flow cytometry analysis demonstrated that EFV induced apoptosis in GBM cells (P < 0.001, Fig 6G), while sparing normal brain organoids and NHAs (Appendix Fig S9A-C). ('apoptosis', 'CPA', (54, 63)) ('EFV', 'Var', (42, 45)) ('organoid', 'Chemical', 'None', (125, 133)) ('sparing', 'NegReg', (104, 111)) ('GBM', 'Phenotype', 'HP:0012174', (67, 70)) ('rat', 'Species', '10116', (31, 34)) 645 31777202 At the molecular level, EFV led to increased levels of the LXR target ABCA1 and the apoptosis marker cleaved PARP, but to decreased levels of SREBP1 and LDLR, as well as PCNA and SOX2 (Fig 6I). ('levels', 'MPA', (45, 51)) ('increased', 'PosReg', (35, 44)) ('EFV', 'Var', (24, 27)) ('levels', 'MPA', (132, 138)) ('SREBP1', 'Gene', '6720', (142, 148)) ('PARP', 'Gene', '1302', (109, 113)) ('ABCA1', 'Gene', '19', (70, 75)) ('SREBP1', 'Gene', (142, 148)) ('LDLR', 'Gene', (153, 157)) ('ABCA1', 'Gene', (70, 75)) ('SOX2', 'Gene', '6657', (179, 183)) ('PARP', 'Gene', (109, 113)) ('LDLR', 'Gene', '3949', (153, 157)) ('decreased', 'NegReg', (122, 131)) ('SOX2', 'Gene', (179, 183)) 646 31777202 Finally, exogenous cholesterol treatment (Appendix Fig S9D) or CYP46A1 knockdown (Appendix Fig S9E and F) partially restored EFV-induced growth inhibition of GBM cells. ('restored', 'PosReg', (116, 124)) ('cholesterol', 'Chemical', 'MESH:D002784', (19, 30)) ('GBM', 'Phenotype', 'HP:0012174', (158, 161)) ('growth inhibition', 'CPA', (137, 154)) ('knockdown', 'Var', (71, 80)) ('CYP46A1', 'Gene', (63, 70)) 653 31777202 Overall survival of mice was prolonged (median survival: 29 versus 35 days for GBM#P3; 27 versus 44 days for LN229; Fig 6K). ('mice', 'Species', '10090', (20, 24)) ('GBM', 'Phenotype', 'HP:0012174', (79, 82)) ('Overall survival', 'CPA', (0, 16)) ('LN229', 'CellLine', 'CVCL:0393', (109, 114)) ('prolonged', 'PosReg', (29, 38)) ('GBM#P3', 'Var', (79, 85)) 654 31777202 For GBM#P3, bioluminescence imaging revealed a significant inhibition of tumour growth at day 21 (P < 0.01, Fig 6L and M). ('inhibition', 'NegReg', (59, 69)) ('tumour', 'Disease', (73, 79)) ('GBM', 'Phenotype', 'HP:0012174', (4, 7)) ('tumour', 'Phenotype', 'HP:0002664', (73, 79)) ('tumour', 'Disease', 'MESH:D009369', (73, 79)) ('GBM#P3', 'Var', (4, 10)) 655 31777202 IHC staining of brain sections from tumour-bearing mice also demonstrated that EFV suppressed the expression of PCNA and induced protein levels of cleaved caspase-3 (Appendix Fig S10A-D). ('caspase-3', 'Gene', (155, 164)) ('S10A', 'Var', (179, 183)) ('tumour', 'Disease', 'MESH:D009369', (36, 42)) ('PCNA', 'Gene', (112, 116)) ('mice', 'Species', '10090', (51, 55)) ('tumour', 'Disease', (36, 42)) ('caspase-3', 'Gene', '836', (155, 164)) ('induced', 'PosReg', (121, 128)) ('rat', 'Species', '10116', (68, 71)) ('protein levels', 'MPA', (129, 143)) ('tumour', 'Phenotype', 'HP:0002664', (36, 42)) ('S10A', 'SUBSTITUTION', 'None', (179, 183)) ('suppressed', 'NegReg', (83, 93)) ('expression', 'MPA', (98, 108)) 661 31777202 The expression of CYP46A1 was negatively correlated with WHO grade and malignant clinicopathological features of gliomas. ('CYP46A1', 'Var', (18, 25)) ('glioma', 'Phenotype', 'HP:0009733', (113, 119)) ('expression', 'MPA', (4, 14)) ('gliomas', 'Disease', (113, 120)) ('gliomas', 'Disease', 'MESH:D005910', (113, 120)) ('gliomas', 'Phenotype', 'HP:0009733', (113, 120)) ('negatively', 'NegReg', (30, 40)) 664 31777202 CYP46A1 is specifically expressed in the brain and is responsible for the conversion of cholesterol into 24 (S)-hydroxycholesterol (24OHC), which crosses the BBB into the systemic circulation for metabolism (Lutjohann et al, 1996; Bjorkhem et al, 1997, 1998). ('cholesterol', 'Chemical', 'MESH:D002784', (88, 99)) ('cholesterol', 'Chemical', 'MESH:D002784', (119, 130)) ('responsible', 'Reg', (54, 65)) ('(S)-hydroxycholesterol', 'Chemical', 'MESH:D006888', (108, 130)) ('CYP46A1', 'Var', (0, 7)) ('24OHC', 'Chemical', 'MESH:C496310', (132, 137)) 666 31777202 Dysregulation of CYP46A1 expression has been shown to occur in several neurodegenerative diseases, including Parkinson's, Alzheimer's and Huntington diseases (Bjorkhem et al, 2013; Leoni et al, 2013; Soncini et al, 2016; Swan et al, 2016). ("Alzheimer's", 'Disease', 'MESH:D000544', (122, 133)) ('Alzheimer', 'Disease', (122, 131)) ("Parkinson's", 'Disease', 'MESH:D010300', (109, 120)) ('neurodegenerative diseases', 'Disease', 'MESH:D019636', (71, 97)) ('Parkinson', 'Disease', (109, 118)) ('Dysregulation', 'Var', (0, 13)) ('neurodegenerative diseases', 'Disease', (71, 97)) ('Huntington diseases', 'Disease', (138, 157)) ('neurodegenerative disease', 'Phenotype', 'HP:0002180', (71, 96)) ('CYP46A1', 'Gene', (17, 24)) ('neurodegenerative diseases', 'Phenotype', 'HP:0002180', (71, 97)) ('Huntington diseases', 'Disease', 'MESH:D006816', (138, 157)) ('occur', 'Reg', (54, 59)) 669 31777202 In the present study, we found lower levels of histone modification of H3K4me3 and H3K27ac sites at the promoter region of CYP46A1, which may partially account for the decreased expression of CYP46A1 in GBM relative to normal brain. ('histone modification', 'MPA', (47, 67)) ('decreased', 'NegReg', (168, 177)) ('expression', 'MPA', (178, 188)) ('H3K4me3', 'Chemical', 'MESH:C024755', (71, 78)) ('H3K27ac', 'Var', (83, 90)) ('lower', 'NegReg', (31, 36)) ('GBM', 'Phenotype', 'HP:0012174', (203, 206)) ('CYP46A1', 'Gene', (123, 130)) ('H3K4me3', 'Protein', (71, 78)) 671 31777202 In functional assays, we observed that overexpression of CYP46A1 repressed GBM proliferation both in vitro and in vivo. ('overexpression', 'PosReg', (39, 53)) ('CYP46A1', 'Var', (57, 64)) ('GBM proliferation', 'CPA', (75, 92)) ('rat', 'Species', '10116', (86, 89)) ('GBM', 'Phenotype', 'HP:0012174', (75, 78)) 672 31777202 CYP46A1 accelerates the conversion of cholesterol into 24OHC through its enzyme activity. ('enzyme activity', 'MPA', (73, 88)) ('cholesterol', 'Chemical', 'MESH:D002784', (38, 49)) ('24OHC', 'Chemical', 'MESH:C496310', (55, 60)) ('conversion of cholesterol into 24OHC', 'MPA', (24, 60)) ('CYP46A1', 'Var', (0, 7)) ('accelerates', 'PosReg', (8, 19)) ('rat', 'Species', '10116', (14, 17)) 675 31777202 Previous studies have identified 24OHC as an activator of LXR and inducer of several genes involved in cellular cholesterol efflux (Lehmann et al, 1997; Janowski et al, 1999), such as the ATP-binding cassette transporter A1 (ABCA1) in both neurons and glia (Fukumoto et al, 2002) and apoE in astrocytes (Liang et al, 2004). ('apoE', 'Gene', (284, 288)) ('apoE', 'Gene', '348', (284, 288)) ('ATP-binding cassette transporter A1', 'Gene', (188, 223)) ('ATP-binding cassette transporter A1', 'Gene', '19', (188, 223)) ('cholesterol', 'Chemical', 'MESH:D002784', (112, 123)) ('24OHC', 'Var', (33, 38)) ('cellular', 'MPA', (103, 111)) ('ABCA1', 'Gene', '19', (225, 230)) ('24OHC', 'Chemical', 'MESH:C496310', (33, 38)) ('ABCA1', 'Gene', (225, 230)) 676 31777202 RNA-seq revealed that 24OHC caused an up-regulation of LXR targets, such as ABCA1, ABCG1 and IDOL (the E3 ligase of LDLR), and down-regulation of several SREBP target genes. ('ABCA1', 'Gene', (76, 81)) ('up-regulation', 'PosReg', (38, 51)) ('LDLR', 'Gene', (116, 120)) ('ABCG1', 'Gene', (83, 88)) ('LDLR', 'Gene', '3949', (116, 120)) ('IDOL', 'Gene', '29116', (93, 97)) ('24OHC', 'Var', (22, 27)) ('ABCA1', 'Gene', '19', (76, 81)) ('ABCG1', 'Gene', '9619', (83, 88)) ('down-regulation', 'NegReg', (127, 142)) ('IDOL', 'Gene', (93, 97)) ('24OHC', 'Chemical', 'MESH:C496310', (22, 27)) 677 31777202 In summary, these data show that 24OHC acts, at least partially, by regulating the activity of two essential transcription factors, LXR and SREBP, involved in cholesterol homeostasis. ('activity', 'MPA', (83, 91)) ('regulating', 'Reg', (68, 78)) ('24OHC', 'Var', (33, 38)) ('24OHC', 'Chemical', 'MESH:C496310', (33, 38)) ('cholesterol', 'Chemical', 'MESH:D002784', (159, 170)) 678 31777202 Although 24OHC likely modulates cell death also through other pathways (Noguchi et al, 2015), our results show that inhibition of CYP46A1/24OHC is a critical underlying regulator of cholesterol homeostasis in GBM. ('inhibition', 'Var', (116, 126)) ('24OHC', 'Chemical', 'MESH:C496310', (138, 143)) ('CYP46A1/24OHC', 'Gene', (130, 143)) ('GBM', 'Phenotype', 'HP:0012174', (209, 212)) ('24OHC', 'Chemical', 'MESH:C496310', (9, 14)) ('cholesterol', 'Chemical', 'MESH:D002784', (182, 193)) ('modulates', 'Reg', (22, 31)) 683 31777202 More recently, EFV has been shown to reduce phosphorylated Tau (pTau) accumulation in a human iPSC-derived AD model (van der Kant et al, 2019). ('reduce', 'NegReg', (37, 43)) ('phosphorylated Tau', 'MPA', (44, 62)) ('pTau', 'Disease', (64, 68)) ('EFV', 'Var', (15, 18)) ('human', 'Species', '9606', (88, 93)) ('pTau', 'Disease', 'None', (64, 68)) 685 31777202 In the current study, we observed that EFV (20 uM) significantly suppressed GBM growth and induced tumour cell death. ('induced', 'Reg', (91, 98)) ('tumour cell death', 'Disease', (99, 116)) ('suppressed', 'NegReg', (65, 75)) ('GBM growth', 'CPA', (76, 86)) ('EFV', 'Var', (39, 42)) ('tumour cell death', 'Disease', 'MESH:D003643', (99, 116)) ('GBM', 'Phenotype', 'HP:0012174', (76, 79)) ('tumour', 'Phenotype', 'HP:0002664', (99, 105)) 687 31777202 Notably, exogenous cholesterol treatment or CYP46A1 knockdown partially restored growth inhibition of GBM cells induced by EFV, suggesting that the anti-cancer effect of EFV is mediated at least partially, by regulating cholesterol levels. ('cancer', 'Disease', 'MESH:D009369', (153, 159)) ('cholesterol levels', 'MPA', (220, 238)) ('cancer', 'Disease', (153, 159)) ('cholesterol', 'Chemical', 'MESH:D002784', (19, 30)) ('GBM', 'Phenotype', 'HP:0012174', (102, 105)) ('CYP46A1', 'Var', (44, 51)) ('growth inhibition', 'CPA', (81, 98)) ('cancer', 'Phenotype', 'HP:0002664', (153, 159)) ('cholesterol', 'Chemical', 'MESH:D002784', (220, 231)) 692 31777202 We show that accumulation of cholesterol and dysregulated cholesterol homeostasis in GBM is mediated by loss of CYP46A1 and that CYP46A1 represents a viable therapeutic target in GBMs. ('accumulation', 'PosReg', (13, 25)) ('cholesterol', 'Chemical', 'MESH:D002784', (29, 40)) ('loss', 'Var', (104, 108)) ('GBM', 'Phenotype', 'HP:0012174', (85, 88)) ('dysregulated cholesterol homeostasis', 'Disease', (45, 81)) ('dysregulated cholesterol homeostasis', 'Phenotype', 'HP:0003107', (45, 81)) ('cholesterol', 'Chemical', 'MESH:D002784', (58, 69)) ('GBM', 'Phenotype', 'HP:0012174', (179, 182)) ('CYP46A1', 'Gene', (112, 119)) ('dysregulated cholesterol homeostasis', 'Disease', 'MESH:D021081', (45, 81)) ('cholesterol', 'MPA', (29, 40)) 716 31777202 Corresponding reagents such as 24OHC (HY-N2370, MedChemExpress) and efavirenz (EFV; HY-10572, MedChemExpress) were added to cells in DMEM containing 1% FBS and 1% penicillin/streptomycin for established cell lines or neurobasal medium for patient-derived GSCs. ('patient', 'Species', '9606', (239, 246)) ('efavirenz', 'Chemical', 'MESH:C098320', (68, 77)) ('HY-N2370', 'Var', (38, 46)) ('FBS', 'Disease', (152, 155)) ('24OHC', 'Chemical', 'MESH:C496310', (31, 36)) ('streptomycin', 'Chemical', 'MESH:D013307', (174, 186)) ('penicillin', 'Chemical', 'MESH:D010406', (163, 173)) ('FBS', 'Disease', 'MESH:D005198', (152, 155)) 717 31777202 Cell viability assays were performed using the trypan blue assay (15250061, Gibco/Thermo Fisher Scientific) or the Cell Counting Kit-8 (CK04, Dojindo; Rockville, MD) according to the manufacturer's protocol. ('trypan blue assay', 'MPA', (47, 64)) ('15250061', 'Var', (66, 74)) ('trypan blue', 'Chemical', 'MESH:D014343', (47, 58)) 745 31777202 The following antibodies were used: anti-H3K27ac (ab4729, 1:100, Abcam), anti-H3K4me3 (ab8580, 1:100, Abcam) and normal rabbit IgG (#2729, 1:100, Cell Signaling Technology). ('anti-H3K4me3', 'Var', (73, 85)) ('anti-H3K27ac', 'Var', (36, 48)) ('H3K4me3', 'Chemical', 'MESH:C024755', (78, 85)) ('rabbit', 'Species', '9986', (120, 126)) 778 31777202 Using this approach, we identified the gene CYP46A1 as one of the most dramatically down-regulated genes involved in GBM cholesterol homeostasis. ('cholesterol', 'Chemical', 'MESH:D002784', (121, 132)) ('GBM', 'Phenotype', 'HP:0012174', (117, 120)) ('CYP46A1', 'Var', (44, 51)) ('down-regulated', 'NegReg', (84, 98)) 780 31777202 Mechanistically, ectopic expression of CYP46A1 suppressed glioma stem cell proliferation and in vivo tumour growth by increasing 24OHC, which led to a decrease in GBM cholesterol levels. ('suppressed', 'NegReg', (47, 57)) ('increasing', 'PosReg', (118, 128)) ('tumour', 'Disease', (101, 107)) ('glioma', 'Disease', 'MESH:D005910', (58, 64)) ('CYP46A1', 'Var', (39, 46)) ('glioma', 'Phenotype', 'HP:0009733', (58, 64)) ('decrease', 'NegReg', (151, 159)) ('cholesterol', 'Chemical', 'MESH:D002784', (167, 178)) ('24OHC', 'MPA', (129, 134)) ('rat', 'Species', '10116', (82, 85)) ('24OHC', 'Chemical', 'MESH:C496310', (129, 134)) ('GBM', 'Phenotype', 'HP:0012174', (163, 166)) ('GBM cholesterol levels', 'MPA', (163, 185)) ('glioma', 'Disease', (58, 64)) ('tumour', 'Disease', 'MESH:D009369', (101, 107)) ('tumour', 'Phenotype', 'HP:0002664', (101, 107)) 782 31777202 EFV increased 24OHC levels in GBM cells and suppressed GBM cell growth. ('suppressed', 'NegReg', (44, 54)) ('EFV', 'Var', (0, 3)) ('increased', 'PosReg', (4, 13)) ('GBM', 'Phenotype', 'HP:0012174', (30, 33)) ('24OHC', 'Chemical', 'MESH:C496310', (14, 19)) ('GBM', 'Phenotype', 'HP:0012174', (55, 58)) ('GBM cell growth', 'CPA', (55, 70)) ('24OHC levels', 'MPA', (14, 26)) 788 29991527 LINC00152 knockdown alters the transcription of genes important to epithelial-to-mesenchymal transition (EMT). ('LINC00152', 'Gene', (0, 9)) ('alters', 'Reg', (20, 26)) ('transcription of genes', 'MPA', (31, 53)) ('LINC00152', 'Gene', '112597', (0, 9)) ('knockdown', 'Var', (10, 19)) 790 29991527 Point mutations in the stem-loop suggest that stem formation in the hairpin is essential for LINC00152 function. ('Point mutations', 'Var', (0, 15)) ('LINC00152', 'Gene', '112597', (93, 102)) ('LINC00152', 'Gene', (93, 102)) 791 29991527 LINC00152 has a nearly identical homolog, MIR4435-2HG, which encodes a near identical hairpin, is equally expressed in low-grade glioma (LGG) and GBM, predicts poor patient survival in these tumors and is also reduced by LINC00152 knockdown. ('reduced', 'NegReg', (210, 217)) ('GBM', 'Disease', (146, 149)) ('tumor', 'Phenotype', 'HP:0002664', (191, 196)) ('MIR4435-2HG', 'Gene', '541471', (42, 53)) ('GBM', 'Disease', 'MESH:D005909', (146, 149)) ('tumors', 'Disease', (191, 197)) ('LINC00152', 'Gene', (0, 9)) ('LINC00152', 'Gene', (221, 230)) ('glioma', 'Disease', (129, 135)) ('MIR4435-2HG', 'Gene', (42, 53)) ('tumors', 'Disease', 'MESH:D009369', (191, 197)) ('glioma', 'Disease', 'MESH:D005910', (129, 135)) ('poor', 'NegReg', (160, 164)) ('knockdown', 'Var', (231, 240)) ('patient', 'Species', '9606', (165, 172)) ('LINC00152', 'Gene', '112597', (0, 9)) ('glioma', 'Phenotype', 'HP:0009733', (129, 135)) ('LINC00152', 'Gene', '112597', (221, 230)) ('predicts', 'Reg', (151, 159)) ('tumors', 'Phenotype', 'HP:0002664', (191, 197)) 797 29991527 These efforts have identified commonly altered signaling pathways in GBMs, including mutations in EGFR, p53 and mTOR signaling. ('EGFR', 'Gene', (98, 102)) ('signaling pathways', 'Pathway', (47, 65)) ('p53', 'Gene', (104, 107)) ('GBM', 'Disease', (69, 72)) ('p53', 'Gene', '7157', (104, 107)) ('GBM', 'Disease', 'MESH:D005909', (69, 72)) ('mutations', 'Var', (85, 94)) ('mTOR', 'Gene', '2475', (112, 116)) ('EGFR', 'Gene', '1956', (98, 102)) ('mTOR', 'Gene', (112, 116)) ('altered', 'Reg', (39, 46)) 815 29991527 Furthermore, we find that LINC00152 is overexpressed in 10 other tumor types compared to matched normal tissue and high LINC00152 expression is associated with a poor prognosis in 7 of these tumors. ('LINC00152', 'Gene', (26, 35)) ('high', 'Var', (115, 119)) ('expression', 'MPA', (130, 140)) ('tumors', 'Phenotype', 'HP:0002664', (191, 197)) ('tumor', 'Phenotype', 'HP:0002664', (65, 70)) ('tumor', 'Disease', (65, 70)) ('tumor', 'Disease', 'MESH:D009369', (191, 196)) ('tumors', 'Disease', 'MESH:D009369', (191, 197)) ('LINC00152', 'Gene', '112597', (120, 129)) ('tumor', 'Disease', (191, 196)) ('LINC00152', 'Gene', '112597', (26, 35)) ('tumor', 'Phenotype', 'HP:0002664', (191, 196)) ('tumor', 'Disease', 'MESH:D009369', (65, 70)) ('tumors', 'Disease', (191, 197)) ('LINC00152', 'Gene', (120, 129)) 816 29991527 U87 cells were maintained in MEM supplemented with 1% non-essential amino acids solution (cat # 11140-050, Gibco), 1mM sodium pyruvate (cat # 11360070, Gibco), 0.15% sodium bicarbonate (cat # 25080094, Gibco), 10% FBS and 1% P/S. ('cat # 11360070', 'Var', (136, 150)) ('U87', 'CellLine', 'CVCL:0022', (0, 3)) ('FBS', 'Disease', 'MESH:D005198', (214, 217)) ('sodium bicarbonate', 'Chemical', 'MESH:D017693', (166, 184)) ('FBS', 'Disease', (214, 217)) ('sodium pyruvate', 'Chemical', 'MESH:D011773', (119, 134)) ('cat # 25080094', 'Var', (186, 200)) ('cat # 11140-050', 'Var', (90, 105)) 819 29991527 500etag of LINC00152 or LINC00152 mutants pCDNA3-flag vectors were transfected into U87 cells using 2muL of Lipofectamine 2000 (Thermo Fisher). ('mutants', 'Var', (34, 41)) ('LINC00152', 'Gene', (24, 33)) ('LINC00152', 'Gene', (11, 20)) ('pCDNA3-flag', 'Gene', (42, 53)) ('U87', 'CellLine', 'CVCL:0022', (84, 87)) ('LINC00152', 'Gene', '112597', (24, 33)) ('LINC00152', 'Gene', '112597', (11, 20)) 839 29991527 Aligned reads were then processed to identify gapped mapping to LINC00152 and visualized with IGV. ('LINC00152', 'Gene', '112597', (64, 73)) ('gapped mapping', 'Var', (46, 60)) ('LINC00152', 'Gene', (64, 73)) 850 29991527 In GBMs, patients who had high expression of LINC00152 had a poor prognosis (p = 0.02) compared to the patients expressing low level of LINC00152, with a median survival of 11.9 and 15.4 months, respectively (Fig 2A). ('LINC00152', 'Gene', '112597', (45, 54)) ('GBM', 'Disease', (3, 6)) ('patients', 'Species', '9606', (9, 17)) ('LINC00152', 'Gene', (136, 145)) ('high expression', 'Var', (26, 41)) ('GBM', 'Disease', 'MESH:D005909', (3, 6)) ('LINC00152', 'Gene', '112597', (136, 145)) ('LINC00152', 'Gene', (45, 54)) ('patients', 'Species', '9606', (103, 111)) 852 29991527 LGG patients with high expression of LINC00152 had a median survival of 62.1 months, while the low expressing group had a median survival of 98.2 months (p < 0.0001) (Fig 2B). ('LINC00152', 'Gene', (37, 46)) ('high expression', 'Var', (18, 33)) ('LINC00152', 'Gene', '112597', (37, 46)) ('patients', 'Species', '9606', (4, 12)) 864 29991527 Interestingly, even among these tumors, LINC00152 expression was associated with poor patient outcome in pancreatic adenocarcinoma when we compare the tumors in the top third and bottom third (Sup Fig 1D), and acute myeloid leukemia, with the top quartile and bottom quartile for LINC00152 expression (Sup Fig 1E). ('carcinoma', 'Phenotype', 'HP:0030731', (121, 130)) ('acute myeloid leukemia', 'Disease', 'MESH:D015470', (210, 232)) ('tumors', 'Phenotype', 'HP:0002664', (151, 157)) ('acute myeloid leukemia', 'Phenotype', 'HP:0004808', (210, 232)) ('tumor', 'Phenotype', 'HP:0002664', (32, 37)) ('tumors', 'Disease', (32, 38)) ('pancreatic adenocarcinoma', 'Disease', 'MESH:D010195', (105, 130)) ('tumor', 'Phenotype', 'HP:0002664', (151, 156)) ('LINC00152', 'Gene', '112597', (280, 289)) ('tumors', 'Disease', (151, 157)) ('patient', 'Species', '9606', (86, 93)) ('tumors', 'Disease', 'MESH:D009369', (32, 38)) ('LINC00152', 'Gene', (40, 49)) ('pancreatic adenocarcinoma', 'Phenotype', 'HP:0006725', (105, 130)) ('tumors', 'Disease', 'MESH:D009369', (151, 157)) ('expression', 'Var', (50, 60)) ('acute myeloid leukemia', 'Disease', (210, 232)) ('leukemia', 'Phenotype', 'HP:0001909', (224, 232)) ('myeloid leukemia', 'Phenotype', 'HP:0012324', (216, 232)) ('LINC00152', 'Gene', '112597', (40, 49)) ('LINC00152', 'Gene', (280, 289)) ('tumors', 'Phenotype', 'HP:0002664', (32, 38)) ('pancreatic adenocarcinoma', 'Disease', (105, 130)) 873 29991527 These findings suggest that LINC00152 knockdown decreases invasion of GBM cells, while upregulation in GBMs promotes the invasive phenotype that is commonly seen in patient tumors. ('invasive', 'CPA', (121, 129)) ('decreases', 'NegReg', (48, 57)) ('LINC00152', 'Gene', (28, 37)) ('GBM', 'Disease', (103, 106)) ('GBM', 'Disease', (70, 73)) ('patient', 'Species', '9606', (165, 172)) ('tumor', 'Phenotype', 'HP:0002664', (173, 178)) ('GBM', 'Disease', 'MESH:D005909', (103, 106)) ('GBM', 'Disease', 'MESH:D005909', (70, 73)) ('promotes', 'PosReg', (108, 116)) ('tumors', 'Disease', (173, 179)) ('tumors', 'Disease', 'MESH:D009369', (173, 179)) ('tumors', 'Phenotype', 'HP:0002664', (173, 179)) ('LINC00152', 'Gene', '112597', (28, 37)) ('knockdown', 'Var', (38, 47)) ('upregulation', 'PosReg', (87, 99)) 874 29991527 In order to better understand how LINC00152 affects cellular invasion we performed RNA-seq on U87 following knockdown of LINC00152 using a combination of two different siRNAs. ('LINC00152', 'Gene', '112597', (121, 130)) ('knockdown', 'Var', (108, 117)) ('LINC00152', 'Gene', (34, 43)) ('LINC00152', 'Gene', (121, 130)) ('U87', 'CellLine', 'CVCL:0022', (94, 97)) ('LINC00152', 'Gene', '112597', (34, 43)) 878 29991527 More interestingly, six of the genes that were downregulated by LINC00152 knockdown were conversely upregulated by overexpression of the lncRNA: TPM2 (Tropomyosin 2), PTX3 (Pentraxin 3), IGFBP4 (Insulin growth factor binding protein 4), TGM2 (Transglutaminase 2), SPP1 (Secreted phosphoprotein 1) and LUM (Lumican)] (Sup Table 1). ('Secreted phosphoprotein 1', 'Gene', '6696', (270, 295)) ('IGFBP4', 'Gene', '3487', (187, 193)) ('upregulated', 'PosReg', (100, 111)) ('ncRNA', 'Gene', (138, 143)) ('Insulin growth factor binding protein 4', 'Gene', (195, 234)) ('ncRNA', 'Gene', '220202', (138, 143)) ('Insulin growth factor binding protein 4', 'Gene', '3487', (195, 234)) ('TPM2', 'Gene', (145, 149)) ('TPM2', 'Gene', '7169', (145, 149)) ('knockdown', 'Var', (74, 83)) ('TGM2', 'Gene', (237, 241)) ('LINC00152', 'Gene', '112597', (64, 73)) ('LINC00152', 'Gene', (64, 73)) ('downregulated', 'NegReg', (47, 60)) ('PTX3', 'Gene', (167, 171)) ('LUM', 'Gene', (301, 304)) ('PTX3', 'Gene', '5806', (167, 171)) ('SPP1', 'Gene', (264, 268)) ('Transglutaminase 2', 'Gene', (243, 261)) ('TGM2', 'Gene', '7052', (237, 241)) ('IGFBP4', 'Gene', (187, 193)) ('Secreted phosphoprotein 1', 'Gene', (270, 295)) ('Pentraxin 3', 'Gene', '5806', (173, 184)) ('Pentraxin 3', 'Gene', (173, 184)) ('SPP1', 'Gene', '6696', (264, 268)) ('Tropomyosin 2', 'Gene', '7169', (151, 164)) ('Transglutaminase 2', 'Gene', '7052', (243, 261)) ('LUM', 'Gene', '4060', (301, 304)) ('Tropomyosin 2', 'Gene', (151, 164)) 883 29991527 If LINC00152 acts as a miRNA sponge in U87 cells we would expect that the targets of these microRNAs would be repressed upon knockdown of the lncRNA and the subsequent release of the microRNAs from interaction with the lncRNA. ('knockdown', 'Var', (125, 134)) ('miR', 'Gene', '220972', (23, 26)) ('miR', 'Gene', (23, 26)) ('LINC00152', 'Gene', (3, 12)) ('U87', 'CellLine', 'CVCL:0022', (39, 42)) ('ncRNA', 'Gene', (143, 148)) ('ncRNA', 'Gene', (220, 225)) ('LINC00152', 'Gene', '112597', (3, 12)) ('ncRNA', 'Gene', '220202', (143, 148)) ('interaction', 'Interaction', (198, 209)) ('ncRNA', 'Gene', '220202', (220, 225)) 884 29991527 However, we find that there is a statistically significant up-regulation of the targets of these six microRNAs compared with non-targets when LINC00152 is knocked down ruling out the possibility of LINC00152 acting as a ceRNA for these miRNAs (Fig 4C). ('miR', 'Gene', '220972', (236, 239)) ('miR', 'Gene', (236, 239)) ('LINC00152', 'Gene', '112597', (198, 207)) ('knocked down', 'Var', (155, 167)) ('LINC00152', 'Gene', (142, 151)) ('LINC00152', 'Gene', (198, 207)) ('up-regulation', 'PosReg', (59, 72)) ('LINC00152', 'Gene', '112597', (142, 151)) 893 29991527 In order to determine whether this newly identified, potentially protein bound, stem-loop plays a role in LINC00152 function, we created a series of LINC00152 deletion mutants (Fig 5B and Sup Fig 5A). ('LINC00152', 'Gene', (106, 115)) ('LINC00152', 'Gene', '112597', (149, 158)) ('LINC00152', 'Gene', '112597', (106, 115)) ('LINC00152', 'Gene', (149, 158)) ('deletion mutants', 'Var', (159, 175)) 895 29991527 We assessed whether independent overexpression of the mutants was able to stimulate U87 cell invasion. ('mutants', 'Var', (54, 61)) ('U87 cell invasion', 'CPA', (84, 101)) ('stimulate', 'PosReg', (74, 83)) ('U87', 'CellLine', 'CVCL:0022', (84, 87)) 897 29991527 On the other hand, the mutant M4 (which removed the 3' end but preserved the stem-loop) or M7 (which removed the extreme 3' end, and also preserved the stem-loop) increased U87 cell invasion. ('U87 cell invasion', 'CPA', (173, 190)) ("extreme 3' end", 'MPA', (113, 127)) ('increased', 'PosReg', (163, 172)) ('U87', 'CellLine', 'CVCL:0022', (173, 176)) ("3' end", 'MPA', (52, 58)) ('stem-loop', 'MPA', (77, 86)) ('mutant', 'Var', (23, 29)) 898 29991527 Other deletion mutants that removed regions of LINC00152 5' to the stem loop (M5 or M6) stimulated cellular invasion to a similar extent as full-length LINC00152. ('LINC00152', 'Gene', '112597', (152, 161)) ('stimulated', 'PosReg', (88, 98)) ('cellular invasion', 'CPA', (99, 116)) ('LINC00152', 'Gene', (152, 161)) ('deletion mutants', 'Var', (6, 22)) ('LINC00152', 'Gene', '112597', (47, 56)) ('LINC00152', 'Gene', (47, 56)) 899 29991527 Finally, overexpression of M8, containing only the protein bound stem-loop (nucleotides 280-401) was sufficient to stimulate invasion of U87 cells (Fig 5D). ('U87', 'CellLine', 'CVCL:0022', (137, 140)) ('invasion', 'CPA', (125, 133)) ('stimulate', 'PosReg', (115, 124)) ('nucleotides 280-401', 'Var', (76, 95)) 910 29991527 Thus, the phenotype that we observe with siRNA directed towards LINC00152 is also likely through knocking down the highly similar MIR4435-2HG. ('MIR4435-2HG', 'Gene', (130, 141)) ('LINC00152', 'Gene', (64, 73)) ('knocking', 'Var', (97, 105)) ('LINC00152', 'Gene', '112597', (64, 73)) ('MIR4435-2HG', 'Gene', '541471', (130, 141)) 915 29991527 Moreover, the Kaplan Meier plot to estimate survival showed that expression of either RNA is associated with poor patient survival (Fig 7G and H). ('patient', 'Species', '9606', (114, 121)) ('expression', 'Var', (65, 75)) ('patient survival', 'CPA', (114, 130)) ('poor', 'NegReg', (109, 113)) 917 29991527 GWAS and high throughput sequencing studies have found that many of the genomic lesions and expression alterations seen in cancer and other pathologies fall within non-protein coding regions of the genome and may lead to dysregulation of ncRNAs. ('cancer', 'Phenotype', 'HP:0002664', (123, 129)) ('ncRNA', 'Gene', (238, 243)) ('alterations', 'Var', (103, 114)) ('dysregulation', 'MPA', (221, 234)) ('lead to', 'Reg', (213, 220)) ('cancer', 'Disease', 'MESH:D009369', (123, 129)) ('ncRNA', 'Gene', '220202', (238, 243)) ('cancer', 'Disease', (123, 129)) ('fall', 'Phenotype', 'HP:0002527', (152, 156)) ('expression', 'MPA', (92, 102)) 937 29991527 GSEA of RNA-seq from LINC00152 knocked down cells also supports the idea that LINC00152 is involved in promoting invasion. ('promoting', 'PosReg', (103, 112)) ('invasion', 'CPA', (113, 121)) ('LINC00152', 'Gene', (21, 30)) ('knocked down', 'Var', (31, 43)) ('LINC00152', 'Gene', '112597', (78, 87)) ('LINC00152', 'Gene', '112597', (21, 30)) ('LINC00152', 'Gene', (78, 87)) 969 27072750 For subtotal resections, the volume of residual tumor is predictive of disease progression. ('tumor', 'Phenotype', 'HP:0002664', (48, 53)) ('subtotal', 'Var', (4, 12)) ('tumor', 'Disease', (48, 53)) ('tumor', 'Disease', 'MESH:D009369', (48, 53)) 984 27072750 A subset of pilocytic astrocytomas arise in patients with neurofibromatosis type 1 due to germline NF1 mutation that is accompanied by loss of heterozygosity of the remaining wild-type NF1 allele in the tumor. ('tumor', 'Phenotype', 'HP:0002664', (203, 208)) ('tumor', 'Disease', (203, 208)) ('neurofibromatosis type 1', 'Gene', '4763', (58, 82)) ('patients', 'Species', '9606', (44, 52)) ('neurofibromatosis type 1', 'Gene', (58, 82)) ('NF1', 'Gene', (99, 102)) ('NF1', 'Gene', '4763', (99, 102)) ('pilocytic astrocytomas', 'Disease', (12, 34)) ('tumor', 'Disease', 'MESH:D009369', (203, 208)) ('mutation', 'Var', (103, 111)) ('NF1', 'Gene', (185, 188)) ('astrocytoma', 'Phenotype', 'HP:0009592', (22, 33)) ('pilocytic astrocytomas', 'Disease', 'MESH:D001254', (12, 34)) ('neurofibromatosis', 'Phenotype', 'HP:0001067', (58, 75)) ('NF1', 'Gene', '4763', (185, 188)) 986 27072750 On the other hand, the vast majority of sporadic pilocytic astrocytomas arising in the posterior fossa/cerebellum of non-NF1 patients harbor a duplication of the 3' portion of the BRAF gene encoding the C-terminal kinase domain. ('patients', 'Species', '9606', (125, 133)) ('BRAF', 'Gene', (180, 184)) ('NF1', 'Gene', '4763', (121, 124)) ('astrocytoma', 'Phenotype', 'HP:0009592', (59, 70)) ('sporadic pilocytic astrocytomas', 'Disease', (40, 71)) ('duplication', 'Var', (143, 154)) ('sporadic pilocytic astrocytomas', 'Disease', 'MESH:D001254', (40, 71)) ('BRAF', 'Gene', '673', (180, 184)) ('NF1', 'Gene', (121, 124)) 988 27072750 Other less common fusion partners for the duplicated BRAF kinase domain have been described including FAM131B, RNF130, CLCN6 and GNAI1. ('CLCN6', 'Gene', '1185', (119, 124)) ('FAM131B', 'Gene', (102, 109)) ('BRAF', 'Gene', '673', (53, 57)) ('BRAF', 'Gene', (53, 57)) ('CLCN6', 'Gene', (119, 124)) ('FAM131B', 'Gene', '9715', (102, 109)) ('GNAI1', 'Gene', '2770', (129, 134)) ('RNF130', 'Gene', '55819', (111, 117)) ('RNF130', 'Gene', (111, 117)) ('GNAI1', 'Gene', (129, 134)) ('duplicated', 'Var', (42, 52)) 989 27072750 Outside of the posterior fossa BRAF duplication and gene fusion is less common, being found in approximately half of cases centered in the diencephalon and cerebral hemispheres. ('found', 'Reg', (86, 91)) ('duplication', 'Var', (36, 47)) ('diencephalon', 'Disease', 'None', (139, 151)) ('diencephalon', 'Disease', (139, 151)) ('BRAF', 'Gene', '673', (31, 35)) ('BRAF', 'Gene', (31, 35)) 990 27072750 Pilocytic astrocytomas lacking BRAF duplication and gene fusion occasionally harbor the BRAFV600E activating missense mutation (6%), somatic mutations in NF1 (3%) or PTPN11 (2%), activating mutations within the kinase domain of FGFR1 (6%), and gene fusions involving NTRK2 (3%). ('Pilocytic astrocytomas', 'Disease', (0, 22)) ('FGFR1', 'Gene', '2260', (228, 233)) ('BRAF', 'Gene', (88, 92)) ('BRAF', 'Gene', '673', (88, 92)) ('PTPN11', 'Gene', (166, 172)) ('NTRK2', 'Gene', (267, 272)) ('gene fusions', 'Var', (244, 256)) ('astrocytoma', 'Phenotype', 'HP:0009592', (10, 21)) ('NF1', 'Gene', '4763', (154, 157)) ('PTPN11', 'Gene', '5781', (166, 172)) ('BRAF', 'Gene', '673', (31, 35)) ('FGFR1', 'Gene', (228, 233)) ('BRAF', 'Gene', (31, 35)) ('activating', 'Reg', (179, 189)) ('mutations', 'Var', (141, 150)) ('NF1', 'Gene', (154, 157)) ('activating', 'PosReg', (98, 108)) ('NTRK2', 'Gene', '4915', (267, 272)) ('Pilocytic astrocytomas', 'Disease', 'MESH:D001254', (0, 22)) ('BRAFV600E', 'Mutation', 'rs113488022', (88, 97)) 991 27072750 Indeed, it appears that virtually all pilocytic astrocytomas harbor genetic alterations that activate the Ras-Raf-MEK-ERK signaling pathway. ('alterations', 'Var', (76, 87)) ('pilocytic astrocytomas', 'Disease', (38, 60)) ('ERK', 'Gene', '2048', (118, 121)) ('pilocytic astrocytomas', 'Disease', 'MESH:D001254', (38, 60)) ('ERK', 'Gene', (118, 121)) ('Raf', 'Gene', '22882', (110, 113)) ('MEK', 'Gene', (114, 117)) ('astrocytoma', 'Phenotype', 'HP:0009592', (48, 59)) ('MEK', 'Gene', '5609', (114, 117)) ('activate', 'PosReg', (93, 101)) ('Raf', 'Gene', (110, 113)) 992 27072750 BRAF mutations and the resultant signaling aberrations will be discussed in greater detail below. ('BRAF', 'Gene', (0, 4)) ('BRAF', 'Gene', '673', (0, 4)) ('mutations', 'Var', (5, 14)) 1005 27072750 Pediatric-type diffuse astrocytomas are genetically distinct from diffuse astrocytomas arising in adult patients, though older teenagers with diffuse astrocytomas arising within the cerebral hemispheres may sometimes have genetic alterations similar to those found in adults. ('astrocytoma', 'Phenotype', 'HP:0009592', (150, 161)) ('astrocytoma', 'Phenotype', 'HP:0009592', (23, 34)) ('astrocytomas', 'Disease', 'MESH:D001254', (150, 162)) ('astrocytomas', 'Disease', (23, 35)) ('astrocytomas', 'Disease', (74, 86)) ('astrocytomas', 'Disease', (150, 162)) ('astrocytoma', 'Phenotype', 'HP:0009592', (74, 85)) ('genetic alterations', 'Var', (222, 241)) ('patients', 'Species', '9606', (104, 112)) ('astrocytomas', 'Disease', 'MESH:D001254', (74, 86)) ('astrocytomas', 'Disease', 'MESH:D001254', (23, 35)) 1006 27072750 The vast majority of grade II and III infiltrative gliomas arising in adult patients harbor IDH1 or IDH2 mutation (most commonly the R132H substitution in IDH1), thought to be an early transforming event during gliomagenesis. ('IDH1', 'Gene', '3417', (155, 159)) ('glioma', 'Disease', (211, 217)) ('IDH2', 'Gene', (100, 104)) ('IDH2', 'Gene', '3418', (100, 104)) ('glioma', 'Disease', 'MESH:D005910', (211, 217)) ('gliomas', 'Disease', (51, 58)) ('glioma', 'Disease', (51, 57)) ('grade II', 'Disease', (21, 29)) ('glioma', 'Disease', 'MESH:D005910', (51, 57)) ('R132H', 'Mutation', 'rs121913500', (133, 138)) ('gliomas', 'Disease', 'MESH:D005910', (51, 58)) ('glioma', 'Phenotype', 'HP:0009733', (211, 217)) ('patients', 'Species', '9606', (76, 84)) ('IDH1', 'Gene', (92, 96)) ('glioma', 'Phenotype', 'HP:0009733', (51, 57)) ('gliomas', 'Phenotype', 'HP:0009733', (51, 58)) ('IDH1', 'Gene', (155, 159)) ('IDH1', 'Gene', '3417', (92, 96)) ('R132H', 'Var', (133, 138)) 1007 27072750 However, IDH mutations are rare in pediatric low-grade astrocytomas, highlighting one of the distinct differences in pathobiology between these adult and pediatric gliomas,. ('pediatric gliomas', 'Disease', 'MESH:D005910', (154, 171)) ('glioma', 'Phenotype', 'HP:0009733', (164, 170)) ('astrocytomas', 'Disease', 'MESH:D001254', (55, 67)) ('IDH', 'Gene', (9, 12)) ('astrocytoma', 'Phenotype', 'HP:0009592', (55, 66)) ('pediatric gliomas', 'Disease', (154, 171)) ('IDH', 'Gene', '3417', (9, 12)) ('gliomas', 'Phenotype', 'HP:0009733', (164, 171)) ('astrocytomas', 'Disease', (55, 67)) ('mutations', 'Var', (13, 22)) 1008 27072750 Recent genetic analyses of diffuse astrocytomas arising in the cerebral hemispheres of pediatric patients have found rearrangement of MYB or MYBL1 genes, BRAFV600E mutation, and FGFR1 alterations including missense mutations, duplications of the kinase domain, and gene fusions. ('astrocytomas', 'Disease', 'MESH:D001254', (35, 47)) ('astrocytoma', 'Phenotype', 'HP:0009592', (35, 46)) ('duplications', 'Var', (226, 238)) ('missense mutations', 'Var', (206, 224)) ('FGFR1', 'Gene', '2260', (178, 183)) ('MYB', 'Gene', '4602', (141, 144)) ('MYB', 'Gene', (141, 144)) ('gene fusions', 'Var', (265, 277)) ('astrocytomas', 'Disease', (35, 47)) ('MYB', 'Gene', '4602', (134, 137)) ('BRAFV600E', 'Mutation', 'rs113488022', (154, 163)) ('MYBL1', 'Gene', (141, 146)) ('MYB', 'Gene', (134, 137)) ('BRAFV600E mutation', 'Var', (154, 172)) ('patients', 'Species', '9606', (97, 105)) ('MYBL1', 'Gene', '4603', (141, 146)) ('FGFR1', 'Gene', (178, 183)) ('rearrangement', 'Var', (117, 130)) ('kinase domain', 'MPA', (246, 259)) 1009 27072750 MYB and MYBL1 encode transcriptional activator proteins, and the rearrangements of these genes in pediatric gliomas typically lead to truncation of their C-terminal negative regulatory domains causing constitutive activation and altered gene transcription,. ('MYB', 'Gene', (0, 3)) ('MYBL1', 'Gene', (8, 13)) ('pediatric gliomas', 'Disease', 'MESH:D005910', (98, 115)) ('gliomas', 'Phenotype', 'HP:0009733', (108, 115)) ('MYB', 'Gene', '4602', (8, 11)) ('truncation', 'MPA', (134, 144)) ('gene transcription', 'MPA', (237, 255)) ('MYB', 'Gene', (8, 11)) ('pediatric gliomas', 'Disease', (98, 115)) ('rearrangements', 'Var', (65, 79)) ('MYBL1', 'Gene', '4603', (8, 13)) ('lead to', 'Reg', (126, 133)) ('glioma', 'Phenotype', 'HP:0009733', (108, 114)) ('altered', 'Reg', (229, 236)) ('MYB', 'Gene', '4602', (0, 3)) ('constitutive activation', 'MPA', (201, 224)) ('C-terminal negative regulatory domains', 'MPA', (154, 192)) 1010 27072750 The rearrangements of MYB and MYBL1 genes have only been found in PLGGs within the cerebral hemispheres and have not been found in pediatric high-grade gliomas. ('gliomas', 'Disease', 'MESH:D005910', (152, 159)) ('gliomas', 'Phenotype', 'HP:0009733', (152, 159)) ('rearrangements', 'Var', (4, 18)) ('gliomas', 'Disease', (152, 159)) ('PLGGs', 'Disease', (66, 71)) ('found', 'Reg', (57, 62)) ('MYB', 'Gene', '4602', (22, 25)) ('MYBL1', 'Gene', (30, 35)) ('MYB', 'Gene', '4602', (30, 33)) ('MYB', 'Gene', (30, 33)) ('MYB', 'Gene', (22, 25)) ('MYBL1', 'Gene', '4603', (30, 35)) ('glioma', 'Phenotype', 'HP:0009733', (152, 158)) 1012 27072750 thalamus, pons, and spinal cord) frequently harbor missense mutations at codon 27 in either of the H3F3A or HIST1H3B genes, encoding the histone H3 variants, H3.3 and H3.1, respectively,,,,,. ('H3F3A', 'Gene', '3020', (99, 104)) ('H3F3A', 'Gene', (99, 104)) ('HIST1H3B', 'Gene', (108, 116)) ('HIST1H3B', 'Gene', '8358', (108, 116)) ('missense mutations', 'Var', (51, 69)) 1013 27072750 These missense mutations cause a lysine to methionine substitution, altering a critical site of post-translational modification within these histone H3 variants that leads to altered gene expression profiles thought to contribute to tumorigenesis,. ('tumor', 'Phenotype', 'HP:0002664', (233, 238)) ('methionine', 'Chemical', 'MESH:D008715', (43, 53)) ('tumor', 'Disease', (233, 238)) ('lysine', 'Chemical', 'MESH:D008239', (33, 39)) ('missense mutations', 'Var', (6, 24)) ('contribute', 'Reg', (219, 229)) ('lysine', 'Var', (33, 39)) ('cause', 'Reg', (25, 30)) ('histone H3', 'Protein', (141, 151)) ('variants', 'Var', (152, 160)) ('altering', 'Reg', (68, 76)) ('critical site of post-translational modification', 'MPA', (79, 127)) ('tumor', 'Disease', 'MESH:D009369', (233, 238)) ('gene expression profiles', 'MPA', (183, 207)) ('altered', 'Reg', (175, 182)) 1014 27072750 A mutant-specific antibody for histone H3-K27M mutant protein has been developed for immunohistochemical use and is now routinely used in surgical neuropathology for the identification of the diffuse midline gliomas with this important molecular alteration,,. ('midline gliomas', 'Disease', 'MESH:D005910', (200, 215)) ('gliomas', 'Phenotype', 'HP:0009733', (208, 215)) ('K27M', 'Mutation', 'p.K27M', (42, 46)) ('glioma', 'Phenotype', 'HP:0009733', (208, 214)) ('midline gliomas', 'Disease', (200, 215)) ('H3-K27M', 'Var', (39, 46)) 1015 27072750 Though only 2% of PLGG as a whole harbor histone H3-K27M mutation, this alteration occurs in a significant subset of low-grade and high-grade diffuse gliomas arising in midline structures where it has significant prognostic implications. ('gliomas', 'Disease', 'MESH:D005910', (150, 157)) ('gliomas', 'Phenotype', 'HP:0009733', (150, 157)) ('gliomas', 'Disease', (150, 157)) ('K27M', 'Mutation', 'p.K27M', (52, 56)) ('histone H3-K27M mutation', 'Var', (41, 65)) ('low-grade', 'Disease', (117, 126)) ('glioma', 'Phenotype', 'HP:0009733', (150, 156)) 1016 27072750 In a recent study of diffuse midline gliomas, seven of the nine (78%) pediatric cases that displayed low-grade histologic features at time of initial biopsy were found to have histone H3-K27M mutation. ('histone H3-K27M mutation', 'Var', (176, 200)) ('midline gliomas', 'Disease', (29, 44)) ('midline gliomas', 'Disease', 'MESH:D005910', (29, 44)) ('gliomas', 'Phenotype', 'HP:0009733', (37, 44)) ('K27M', 'Mutation', 'p.K27M', (187, 191)) ('glioma', 'Phenotype', 'HP:0009733', (37, 43)) 1019 27072750 Amongst the five patients with K27M+ pontine gliomas that displayed only low-grade histologic features, all experienced disease course typical of diffuse intrinsic pontine glioma (i.e. ('experienced', 'Reg', (108, 119)) ('K27M+', 'Var', (31, 36)) ('glioma', 'Disease', 'MESH:D005910', (172, 178)) ('glioma', 'Disease', 'MESH:D005910', (45, 51)) ('glioma', 'Phenotype', 'HP:0009733', (172, 178)) ('glioma', 'Phenotype', 'HP:0009733', (45, 51)) ('K27M', 'Mutation', 'p.K27M', (31, 35)) ('patients', 'Species', '9606', (17, 25)) ('gliomas', 'Disease', 'MESH:D005910', (45, 52)) ('glioma', 'Disease', (172, 178)) ('glioma', 'Disease', (45, 51)) ('gliomas', 'Phenotype', 'HP:0009733', (45, 52)) ('gliomas', 'Disease', (45, 52)) 1023 27072750 With the exception of a couple rare case reports of children with K27M+ gliomas with indolent behavior,, the vast majority of K27M+ gliomas in children have aggressive clinical course regardless of the grade of histologic features observed in biopsy specimens. ('gliomas', 'Disease', 'MESH:D005910', (132, 139)) ('children', 'Species', '9606', (52, 60)) ('gliomas', 'Phenotype', 'HP:0009733', (132, 139)) ('gliomas', 'Disease', (132, 139)) ('K27M', 'Mutation', 'p.K27M', (126, 130)) ('glioma', 'Phenotype', 'HP:0009733', (72, 78)) ('K27M+', 'Var', (126, 131)) ('K27M', 'Mutation', 'p.K27M', (66, 70)) ('children', 'Species', '9606', (143, 151)) ('glioma', 'Phenotype', 'HP:0009733', (132, 138)) ('gliomas', 'Disease', 'MESH:D005910', (72, 79)) ('gliomas', 'Phenotype', 'HP:0009733', (72, 79)) ('gliomas', 'Disease', (72, 79)) 1024 27072750 This is in contrast to K27M+ gliomas located in the thalamus of adult patients, where histone H3 status does not uniformly appear to portend worse prognosis,. ('patients', 'Species', '9606', (70, 78)) ('K27M+', 'Var', (23, 28)) ('gliomas', 'Phenotype', 'HP:0009733', (29, 36)) ('portend', 'Reg', (133, 140)) ('gliomas', 'Disease', (29, 36)) ('gliomas', 'Disease', 'MESH:D005910', (29, 36)) ('glioma', 'Phenotype', 'HP:0009733', (29, 35)) ('K27M', 'Mutation', 'p.K27M', (23, 27)) 1027 27072750 SEGA is virtually always associated with the genetic syndrome tuberous sclerosis, resulting from germline mutations in TSC1 or TSC2, and up to 20% of children with tuberous sclerosis develop SEGAs. ('TSC2', 'Gene', (127, 131)) ('SEGA', 'Phenotype', 'HP:0009718', (191, 195)) ('associated', 'Reg', (25, 35)) ('TSC1', 'Gene', '7248', (119, 123)) ('tuberous sclerosis', 'Disease', 'MESH:D014402', (164, 182)) ('TSC1', 'Gene', (119, 123)) ('tuberous sclerosis', 'Disease', 'MESH:D014402', (62, 80)) ('genetic syndrome tuberous sclerosis', 'Disease', (45, 80)) ('TSC2', 'Gene', '7249', (127, 131)) ('mutations', 'Var', (106, 115)) ('SEGAs', 'Disease', (191, 196)) ('SEGA', 'Phenotype', 'HP:0009718', (0, 4)) ('children', 'Species', '9606', (150, 158)) ('tuberous sclerosis', 'Disease', (164, 182)) ('genetic syndrome tuberous sclerosis', 'Disease', 'MESH:D014402', (45, 80)) 1032 27072750 Whereas virtually all oligodendrogliomas in adult patients have mutation of the IDH1 or IDH2 genes, co-deletion of chromosomes 1p and 19q, TERT promoter mutation, and mutations in CIC or FUBP1, these alterations are uncommon in their pediatric counterpart, being only present in tumors arising in older teenagers. ('tumor', 'Phenotype', 'HP:0002664', (279, 284)) ('mutations', 'Var', (167, 176)) ('gliomas', 'Phenotype', 'HP:0009733', (33, 40)) ('tumors', 'Disease', (279, 285)) ('IDH1', 'Gene', (80, 84)) ('CIC', 'Gene', (180, 183)) ('tumors', 'Disease', 'MESH:D009369', (279, 285)) ('FUBP1', 'Gene', '8880', (187, 192)) ('TERT', 'Gene', (139, 143)) ('oligodendrogliomas', 'Disease', 'MESH:D009837', (22, 40)) ('TERT', 'Gene', '7015', (139, 143)) ('mutation', 'Var', (64, 72)) ('patients', 'Species', '9606', (50, 58)) ('IDH1', 'Gene', '3417', (80, 84)) ('glioma', 'Phenotype', 'HP:0009733', (33, 39)) ('CIC', 'Gene', '23152', (180, 183)) ('IDH2', 'Gene', (88, 92)) ('co-deletion', 'Var', (100, 111)) ('oligodendrogliomas', 'Disease', (22, 40)) ('IDH2', 'Gene', '3418', (88, 92)) ('tumors', 'Phenotype', 'HP:0002664', (279, 285)) ('FUBP1', 'Gene', (187, 192)) 1033 27072750 Whole-genome sequencing has found a duplication of the 3' portion of the FGFR1 gene encoding the intracellular kinase domain portion of the protein in 3 of 5 pediatric oligodendrogliomas. ('duplication', 'Var', (36, 47)) ('FGFR1', 'Gene', '2260', (73, 78)) ('oligodendrogliomas', 'Disease', 'MESH:D009837', (168, 186)) ('pediatric oligodendroglioma', 'Disease', (158, 185)) ('glioma', 'Phenotype', 'HP:0009733', (179, 185)) ('FGFR1', 'Gene', (73, 78)) ('pediatric oligodendroglioma', 'Disease', 'MESH:D009837', (158, 185)) ('gliomas', 'Phenotype', 'HP:0009733', (179, 186)) ('oligodendrogliomas', 'Disease', (168, 186)) 1034 27072750 Other smaller series corroborate the lack of 1p19q co-deletion in pediatric-type oligodendroglioma, with the presence of 1p19q co-deletion occurring only in the "adult-type" usually in older teenagers and young adults,,,. ('oligodendroglioma', 'Disease', 'MESH:D009837', (81, 98)) ('1p19q', 'Var', (121, 126)) ('1p19q', 'Var', (45, 50)) ('oligodendroglioma', 'Disease', (81, 98)) ('glioma', 'Phenotype', 'HP:0009733', (92, 98)) 1039 27072750 The BRAFV600E mutation is present in 15-51% of DNT, and FGFR1 alterations are present in 58-82%. ('BRAFV600E', 'Var', (4, 13)) ('BRAFV600E', 'Mutation', 'rs113488022', (4, 13)) ('FGFR1', 'Gene', (56, 61)) ('FGFR1', 'Gene', '2260', (56, 61)) ('DNT', 'Chemical', '-', (47, 50)) 1057 27072750 Recently, the MYB-QKI gene fusion was found to be a specific genetic alteration in angiocentric gliomas and was demonstrated to be the single genetic driver of these rare glial tumors. ('MYB', 'Gene', (14, 17)) ('glial tumors', 'Disease', (171, 183)) ('angiocentric gliomas', 'Disease', 'MESH:D005910', (83, 103)) ('fusion', 'Var', (27, 33)) ('glioma', 'Phenotype', 'HP:0009733', (96, 102)) ('tumor', 'Phenotype', 'HP:0002664', (177, 182)) ('angiocentric gliomas', 'Disease', (83, 103)) ('QKI', 'Gene', (18, 21)) ('tumors', 'Phenotype', 'HP:0002664', (177, 183)) ('glial tumors', 'Disease', 'MESH:D005910', (171, 183)) ('gliomas', 'Phenotype', 'HP:0009733', (96, 103)) ('QKI', 'Gene', '9444', (18, 21)) ('MYB', 'Gene', '4602', (14, 17)) 1064 27072750 The NF1 syndrome results from mutation of neurofibromin 1 (NF1), a tumor suppressor gene residing on chromosome 17q. ('NF1', 'Gene', '4763', (4, 7)) ('neurofibromin 1', 'Gene', (42, 57)) ('mutation', 'Var', (30, 38)) ('tumor', 'Disease', 'MESH:D009369', (67, 72)) ('results from', 'Reg', (17, 29)) ('NF1', 'Gene', (59, 62)) ('tumor', 'Phenotype', 'HP:0002664', (67, 72)) ('NF1', 'Gene', (4, 7)) ('neurofibromin 1', 'Gene', '4763', (42, 57)) ('tumor', 'Disease', (67, 72)) ('NF1', 'Gene', '4763', (59, 62)) 1065 27072750 The majority of NF1 mutations result in protein truncation, causing disruption of its functional domain, Ras-GAP related-domain (Ras-GRD). ('NF1', 'Gene', (16, 19)) ('NF1', 'Gene', '4763', (16, 19)) ('protein truncation', 'MPA', (40, 58)) ('result in', 'Reg', (30, 39)) ('functional domain', 'MPA', (86, 103)) ('disruption', 'NegReg', (68, 78)) ('Ras-GAP related-domain', 'MPA', (105, 127)) ('mutations', 'Var', (20, 29)) 1067 27072750 Truncation of NF1 and disruption of Ras-GRD results in dysregulation of the Raf and PI3K pathways and promotion of cellular proliferation,. ('PI3', 'Gene', '5266', (84, 87)) ('dysregulation', 'MPA', (55, 68)) ('NF1', 'Gene', '4763', (14, 17)) ('cellular proliferation', 'CPA', (115, 137)) ('disruption', 'Var', (22, 32)) ('Truncation', 'Var', (0, 10)) ('PI3', 'Gene', (84, 87)) ('Raf', 'Gene', '22882', (76, 79)) ('promotion', 'PosReg', (102, 111)) ('Ras-GRD', 'Protein', (36, 43)) ('NF1', 'Gene', (14, 17)) ('Raf', 'Gene', (76, 79)) 1068 27072750 Indeed, dysregulation of the Ras-Raf-MAP kinase pathway plays an important role in the molecular pathogenesis of PLGG. ('dysregulation', 'Var', (8, 21)) ('Raf', 'Gene', (33, 36)) ('PLGG', 'Disease', (113, 117)) ('Raf', 'Gene', '22882', (33, 36)) 1071 27072750 There have been two major BRAF genomic alterations characterized in PLGG, the BRAFV600E missense mutation and BRAF gene duplication/fusions. ('gene duplication/fusions', 'Var', (115, 139)) ('BRAF', 'Gene', '673', (78, 82)) ('BRAF', 'Gene', '673', (26, 30)) ('BRAF', 'Gene', (78, 82)) ('BRAF', 'Gene', (26, 30)) ('BRAFV600E', 'Mutation', 'rs113488022', (78, 87)) ('BRAF', 'Gene', '673', (110, 114)) ('missense mutation', 'Var', (88, 105)) ('BRAF', 'Gene', (110, 114)) 1072 27072750 The BRAFV600E mutation results from replacement of valine by glutamic acid within the activation loop of the enzyme. ('BRAFV600E', 'Var', (4, 13)) ('results from', 'Reg', (23, 35)) ('BRAFV600E', 'Mutation', 'rs113488022', (4, 13)) ('valine', 'Chemical', 'MESH:D014633', (51, 57)) ('glutamic acid', 'Chemical', 'MESH:D018698', (61, 74)) ('glutamic', 'Protein', (61, 69)) ('valine', 'MPA', (51, 57)) 1074 27072750 The BRAFV600E mutation is sufficient for NIH3T3 fibroblast transformation in vitro. ('NIH3T3', 'CellLine', 'CVCL:0594', (41, 47)) ('BRAFV600E', 'Var', (4, 13)) ('BRAFV600E', 'Mutation', 'rs113488022', (4, 13)) ('NIH3T3 fibroblast transformation', 'CPA', (41, 73)) 1075 27072750 Interestingly, BRAFV600E also promotes proliferative transformation of human neural stem cells followed by senescence, and it has been hypothesized that this "oncogene-induced senescence" may be one underlying mechanism for the low-grade pathogenesis of pilocytic astrocytomas,. ('pilocytic astrocytomas', 'Disease', (254, 276)) ('pilocytic astrocytomas', 'Disease', 'MESH:D001254', (254, 276)) ('promotes', 'PosReg', (30, 38)) ('proliferative transformation', 'CPA', (39, 67)) ('BRAFV600E', 'Var', (15, 24)) ('BRAFV600E', 'Mutation', 'rs113488022', (15, 24)) ('astrocytoma', 'Phenotype', 'HP:0009592', (264, 275)) ('senescence', 'CPA', (107, 117)) ('human', 'Species', '9606', (71, 76)) 1076 27072750 In the whole-genome sequencing study by Zhang and colleagues, BRAFV600E mutations were detected in 70% of pleomorphic xanthoastrocytomas, 23% of diffuse astrocytomas, 33% of gangliogliomas, and 6% of pilocytic astrocytomas. ('astrocytomas', 'Disease', (153, 165)) ('astrocytomas', 'Disease', 'MESH:D001254', (210, 222)) ('astrocytoma', 'Phenotype', 'HP:0009592', (210, 221)) ('astrocytoma', 'Phenotype', 'HP:0009592', (153, 164)) ('gliomas', 'Disease', 'MESH:D005910', (181, 188)) ('mutations', 'Var', (72, 81)) ('glioma', 'Phenotype', 'HP:0009733', (181, 187)) ('BRAFV600E', 'Mutation', 'rs113488022', (62, 71)) ('pleomorphic xanthoastrocytomas', 'Disease', (106, 136)) ('ganglioglioma', 'Disease', 'MESH:D018303', (174, 187)) ('astrocytomas', 'Disease', (124, 136)) ('astrocytomas', 'Disease', 'MESH:D001254', (153, 165)) ('gliomas', 'Phenotype', 'HP:0009733', (181, 188)) ('pilocytic astrocytomas', 'Disease', (200, 222)) ('astrocytomas', 'Disease', (210, 222)) ('BRAFV600E mutations', 'Var', (62, 81)) ('detected', 'Reg', (87, 95)) ('ganglioglioma', 'Disease', (174, 187)) ('astrocytomas', 'Disease', 'MESH:D001254', (124, 136)) ('pilocytic astrocytomas', 'Disease', 'MESH:D001254', (200, 222)) ('astrocytoma', 'Phenotype', 'HP:0009592', (124, 135)) ('gliomas', 'Disease', (181, 188)) ('pleomorphic xanthoastrocytomas', 'Disease', 'MESH:D008228', (106, 136)) 1077 27072750 In addition to the BRAFV600E missense mutation, genetic duplication/fusion mutations are common in PLGG. ('BRAFV600E', 'Var', (19, 28)) ('BRAFV600E', 'Mutation', 'rs113488022', (19, 28)) ('PLGG', 'Disease', (99, 103)) ('common', 'Reg', (89, 95)) ('genetic duplication/fusion mutations', 'Var', (48, 84)) 1080 27072750 Over 90% of pilocytic astrocytomas arising in the cerebellum in children without NF1 have BRAF-KIAA1549 gene fusions, whereas approximately half of pilocytic astrocytomas arising outside the cerebellum have the BRAF-KIAA1549 fusion,. ('BRAF-KIAA1549', 'Disease', 'None', (90, 103)) ('BRAF-KIAA1549', 'Disease', (90, 103)) ('BRAF-KIAA1549', 'Disease', 'None', (211, 224)) ('BRAF-KIAA1549', 'Disease', (211, 224)) ('NF1', 'Gene', (81, 84)) ('fusions', 'Var', (109, 116)) ('NF1', 'Gene', '4763', (81, 84)) ('pilocytic astrocytomas', 'Disease', (148, 170)) ('pilocytic astrocytomas', 'Disease', (12, 34)) ('children', 'Species', '9606', (64, 72)) ('pilocytic astrocytomas', 'Disease', 'MESH:D001254', (148, 170)) ('astrocytoma', 'Phenotype', 'HP:0009592', (22, 33)) ('pilocytic astrocytomas', 'Disease', 'MESH:D001254', (12, 34)) ('astrocytoma', 'Phenotype', 'HP:0009592', (158, 169)) 1082 27072750 Tuberous sclerosis results from germline mutations in either of the genes hamartin (TSC1) or tuberin (TSC2),,, and SEGA is strongly associated with tuberous sclerosis. ('TSC2', 'Gene', (102, 106)) ('Tuberous sclerosis', 'Disease', 'MESH:D014402', (0, 18)) ('TSC1', 'Gene', '7248', (84, 88)) ('Tuberous sclerosis', 'Disease', (0, 18)) ('results from', 'Reg', (19, 31)) ('germline mutations', 'Var', (32, 50)) ('tuberin', 'Gene', (93, 100)) ('SEGA', 'Phenotype', 'HP:0009718', (115, 119)) ('tuberous sclerosis', 'Disease', (148, 166)) ('TSC1', 'Gene', (84, 88)) ('TSC2', 'Gene', '7249', (102, 106)) ('associated', 'Reg', (132, 142)) ('tuberin', 'Gene', '7249', (93, 100)) ('hamartin', 'Gene', '7248', (74, 82)) ('tuberous sclerosis', 'Disease', 'MESH:D014402', (148, 166)) ('hamartin', 'Gene', (74, 82)) 1085 27072750 Mutations in TSC1 or TSC2 can result in loss of function of the protein complex, resulting in unopposed activation of Rheb-GTP. ('Rheb', 'Gene', (118, 122)) ('activation', 'PosReg', (104, 114)) ('TSC2', 'Gene', (21, 25)) ('TSC1', 'Gene', '7248', (13, 17)) ('protein complex', 'Protein', (64, 79)) ('Mutations', 'Var', (0, 9)) ('Rheb', 'Gene', '6009', (118, 122)) ('TSC1', 'Gene', (13, 17)) ('loss of function', 'NegReg', (40, 56)) ('TSC2', 'Gene', '7249', (21, 25)) ('GTP', 'Chemical', 'MESH:D006160', (123, 126)) 1087 27072750 Sporadic mutations within the mTOR signaling pathway in children without tuberous sclerosis have also been shown to be important in the pathogenesis in PLGG. ('important', 'Reg', (119, 128)) ('tuberous sclerosis', 'Disease', (73, 91)) ('PLGG', 'Disease', (152, 156)) ('children', 'Species', '9606', (56, 64)) ('mutations', 'Var', (9, 18)) ('tuberous sclerosis', 'Disease', 'MESH:D014402', (73, 91)) ('mTOR', 'Gene', '2475', (30, 34)) ('mTOR', 'Gene', (30, 34)) 1092 27072750 Approximately half of PLGG show enhanced expression of phospho-S6 and phospho-EBP1, and expression of these two proteins is associated with worse progression-free survival. ('EBP1', 'Gene', (78, 82)) ('EBP1', 'Gene', '4790', (78, 82)) ('expression', 'MPA', (41, 51)) ('progression-free survival', 'CPA', (146, 171)) ('enhanced', 'PosReg', (32, 40)) ('PLGG', 'Gene', (22, 26)) ('phospho-S6', 'Var', (55, 65)) 1096 27072750 Akt phosphorylation is associated with a more clinically aggressive pilocytic astrocytoma. ('astrocytoma', 'Phenotype', 'HP:0009592', (78, 89)) ('aggressive pilocytic astrocytoma', 'Disease', 'MESH:D001254', (57, 89)) ('aggressive pilocytic astrocytoma', 'Disease', (57, 89)) ('Akt', 'Gene', '207', (0, 3)) ('associated', 'Reg', (23, 33)) ('Akt', 'Gene', (0, 3)) ('phosphorylation', 'Var', (4, 19)) 1097 27072750 Both the Ras-Raf-MAP kinase and mTOR pathways are affected by alterations of the FGFR1 gene that encodes the transmembrane receptor tyrosine kinase fibroblast growth factor receptor 1. ('FGFR1', 'Gene', (81, 86)) ('mTOR', 'Gene', '2475', (32, 36)) ('mTOR', 'Gene', (32, 36)) ('Raf', 'Gene', (13, 16)) ('FGFR1', 'Gene', '2260', (81, 86)) ('Raf', 'Gene', '22882', (13, 16)) ('alterations', 'Var', (62, 73)) ('affected', 'Reg', (50, 58)) 1098 27072750 A variety of FGFR1 alterations have been found in PLGG including somatic missense mutations, duplication of the 3' portion of the gene encoding the kinase domain, and rearrangement usually involving fusion with TACC genes. ('found', 'Reg', (41, 46)) ('PLGG', 'Disease', (50, 54)) ('FGFR1', 'Gene', (13, 18)) ('duplication', 'Var', (93, 104)) ('alterations', 'Var', (19, 30)) ('FGFR1', 'Gene', '2260', (13, 18)) ('missense mutations', 'Var', (73, 91)) ('rearrangement', 'Var', (167, 180)) 1099 27072750 These alterations in FGFR1 lead to its constitutive activation of downstream signaling pathways including both Ras-Raf-MEK-ERK and PI3K-Akt-mTOR. ('MEK', 'Gene', (119, 122)) ('alterations', 'Var', (6, 17)) ('MEK', 'Gene', '5609', (119, 122)) ('PI3', 'Gene', (131, 134)) ('Raf', 'Gene', (115, 118)) ('FGFR1', 'Gene', (21, 26)) ('Akt', 'Gene', '207', (136, 139)) ('PI3', 'Gene', '5266', (131, 134)) ('Raf', 'Gene', '22882', (115, 118)) ('ERK', 'Gene', (123, 126)) ('ERK', 'Gene', '2048', (123, 126)) ('FGFR1', 'Gene', '2260', (21, 26)) ('mTOR', 'Gene', (140, 144)) ('Akt', 'Gene', (136, 139)) ('mTOR', 'Gene', '2475', (140, 144)) ('downstream signaling pathways', 'Pathway', (66, 95)) ('activation', 'PosReg', (52, 62)) 1100 27072750 Elucidation of oncogenic mutations within the Ras-Raf-MAP kinase and PI3-kinase-AKT-mTOR pathways has led to the development of agents that specifically target oncogenic proteins within these pathways for the treatment of pediatric gliomas. ('mutations', 'Var', (25, 34)) ('Raf', 'Gene', (50, 53)) ('AKT', 'Gene', '207', (80, 83)) ('pediatric gliomas', 'Disease', (222, 239)) ('gliomas', 'Phenotype', 'HP:0009733', (232, 239)) ('mTOR', 'Gene', '2475', (84, 88)) ('PI3-kinase', 'Gene', '5293', (69, 79)) ('AKT', 'Gene', (80, 83)) ('mTOR', 'Gene', (84, 88)) ('PI3-kinase', 'Gene', (69, 79)) ('Raf', 'Gene', '22882', (50, 53)) ('glioma', 'Phenotype', 'HP:0009733', (232, 238)) ('pediatric gliomas', 'Disease', 'MESH:D005910', (222, 239)) 1102 27072750 The enzyme inhibitor vemurafenib specifically inhibits BRAFV600E from activating MEK, and has been shown to have strong clinical activity in BRAFV600E positive melanoma. ('BRAFV600E positive', 'Var', (141, 159)) ('melanoma', 'Phenotype', 'HP:0002861', (160, 168)) ('vemurafenib', 'Chemical', 'MESH:D000077484', (21, 32)) ('melanoma', 'Disease', (160, 168)) ('BRAFV600E', 'Var', (55, 64)) ('BRAFV600E', 'Mutation', 'rs113488022', (141, 150)) ('activating', 'MPA', (70, 80)) ('BRAFV600E', 'Mutation', 'rs113488022', (55, 64)) ('melanoma', 'Disease', 'MESH:D008545', (160, 168)) ('inhibits', 'NegReg', (46, 54)) ('MEK', 'Gene', (81, 84)) ('MEK', 'Gene', '5609', (81, 84)) 1104 27072750 A multicenter trial under the auspices of the Pacific Pediatric Neuro-Oncology Consortium (PNOC002) is enrolling children with recurrent or refractory BRAFV600E gliomas to evaluate the safety and pharmacokinetic characteristics of vemurafenib. ('BRAFV600E', 'Var', (151, 160)) ('BRAFV600E', 'Mutation', 'rs113488022', (151, 160)) ('Oncology', 'Phenotype', 'HP:0002664', (70, 78)) ('PNOC', 'Gene', '5368', (91, 95)) ('glioma', 'Phenotype', 'HP:0009733', (161, 167)) ('children', 'Species', '9606', (113, 121)) ('gliomas', 'Disease', (161, 168)) ('vemurafenib', 'Chemical', 'MESH:D000077484', (231, 242)) ('gliomas', 'Disease', 'MESH:D005910', (161, 168)) ('gliomas', 'Phenotype', 'HP:0009733', (161, 168)) ('PNOC', 'Gene', (91, 95)) 1105 27072750 Dabrafenib is a selective ATP-competitive inhibitor of the BRAFV600E kinase, approved in unresectable or metastatic melanoma with the BRAFV600E mutation. ('BRAFV600E', 'Mutation', 'rs113488022', (59, 68)) ('ATP', 'Chemical', 'MESH:D000255', (26, 29)) ('BRAFV600E', 'Gene', (59, 68)) ('melanoma', 'Phenotype', 'HP:0002861', (116, 124)) ('melanoma', 'Disease', (116, 124)) ('melanoma', 'Disease', 'MESH:D008545', (116, 124)) ('Dabrafenib', 'Chemical', 'MESH:C561627', (0, 10)) ('BRAFV600E', 'Var', (134, 143)) ('BRAFV600E', 'Mutation', 'rs113488022', (134, 143)) 1106 27072750 NCT01677741 is currently enrolling children with BRAFV600E positive relapsed or refractory solid tumors, including high-grade and low-grade gliomas (Table 1). ('glioma', 'Phenotype', 'HP:0009733', (140, 146)) ('solid tumors', 'Disease', 'MESH:D009369', (91, 103)) ('BRAFV600E', 'Var', (49, 58)) ('BRAFV600E', 'Mutation', 'rs113488022', (49, 58)) ('tumor', 'Phenotype', 'HP:0002664', (97, 102)) ('solid tumors', 'Disease', (91, 103)) ('tumors', 'Phenotype', 'HP:0002664', (97, 103)) ('gliomas', 'Disease', 'MESH:D005910', (140, 147)) ('gliomas', 'Phenotype', 'HP:0009733', (140, 147)) ('gliomas', 'Disease', (140, 147)) ('high-grade', 'Disease', (115, 125)) ('children', 'Species', '9606', (35, 43)) 1110 27072750 A proportion of BRAF mutated tumors have BRAF mutations other than the V600E missense mutation, including alternative missense mutations, duplications, fusions, and deletions that have been shown to decrease the efficacy of BRAFV600E-targeted inhibition. ('BRAFV600E', 'Mutation', 'rs113488022', (224, 233)) ('fusions', 'Var', (152, 159)) ('V600E', 'Mutation', 'rs113488022', (228, 233)) ('BRAF', 'Gene', (16, 20)) ('BRAF', 'Gene', '673', (16, 20)) ('V600E', 'Mutation', 'rs113488022', (71, 76)) ('tumor', 'Phenotype', 'HP:0002664', (29, 34)) ('deletions', 'Var', (165, 174)) ('decrease', 'NegReg', (199, 207)) ('BRAF', 'Gene', '673', (41, 45)) ('tumors', 'Phenotype', 'HP:0002664', (29, 35)) ('tumors', 'Disease', 'MESH:D009369', (29, 35)) ('BRAF', 'Gene', (224, 228)) ('V600E', 'Var', (71, 76)) ('BRAF', 'Gene', (41, 45)) ('duplications', 'Var', (138, 150)) ('tumors', 'Disease', (29, 35)) ('BRAF', 'Gene', '673', (224, 228)) 1111 27072750 For instance, in cells expressing KIAA1549-BRAF, these fusion kinases function as homodimers that are resistant to PLX4720 (a research analog of vemurafenib), and PLX4720 leads to paradoxical activation of MEK and ERK. ('KIAA1549', 'Gene', (34, 42)) ('MEK', 'Gene', (206, 209)) ('KIAA1549', 'Gene', '57670', (34, 42)) ('BRAF', 'Gene', '673', (43, 47)) ('vemurafenib', 'Chemical', 'MESH:D000077484', (145, 156)) ('MEK', 'Gene', '5609', (206, 209)) ('BRAF', 'Gene', (43, 47)) ('ERK', 'Gene', (214, 217)) ('activation', 'PosReg', (192, 202)) ('ERK', 'Gene', '2048', (214, 217)) ('PLX4720', 'Var', (163, 170)) 1112 27072750 However, some tumors harboring BRAF alteration do have sensitivity to MEK inhibition. ('alteration', 'Var', (36, 46)) ('sensitivity', 'MPA', (55, 66)) ('MEK', 'Gene', (70, 73)) ('tumors', 'Disease', (14, 20)) ('tumors', 'Phenotype', 'HP:0002664', (14, 20)) ('tumors', 'Disease', 'MESH:D009369', (14, 20)) ('BRAF', 'Gene', '673', (31, 35)) ('MEK', 'Gene', '5609', (70, 73)) ('tumor', 'Phenotype', 'HP:0002664', (14, 19)) ('BRAF', 'Gene', (31, 35)) 1114 27072750 Selumetinib (AZD6244), another MEK inhibitor, has been shown to have activity against a pilocytic astrocytoma xenograft harboring the BRAFV600E mutation. ('astrocytoma', 'Phenotype', 'HP:0009592', (98, 109)) ('activity', 'MPA', (69, 77)) ('MEK', 'Gene', (31, 34)) ('MEK', 'Gene', '5609', (31, 34)) ('pilocytic astrocytoma', 'Disease', 'MESH:D001254', (88, 109)) ('AZD6244', 'Chemical', 'MESH:C517975', (13, 20)) ('BRAFV600E', 'Var', (134, 143)) ('BRAFV600E', 'Mutation', 'rs113488022', (134, 143)) ('Selumetinib', 'Chemical', 'MESH:C517975', (0, 11)) ('pilocytic astrocytoma', 'Disease', (88, 109)) 1119 27072750 A clinical response to sirolimus in a tuberous sclerosis child with SEGA harboring a TSC2 gene mutation was first reported in 2008. ('tuberous sclerosis', 'Disease', 'MESH:D014402', (38, 56)) ('child', 'Species', '9606', (57, 62)) ('SEGA', 'Phenotype', 'HP:0009718', (68, 72)) ('sirolimus', 'Chemical', 'MESH:D020123', (23, 32)) ('tuberous sclerosis', 'Disease', (38, 56)) ('TSC2', 'Gene', (85, 89)) ('TSC2', 'Gene', '7249', (85, 89)) ('mutation', 'Var', (95, 103)) 1152 27072750 Sporadic pilocytic astrocytomas arising in the posterior fossa harbor BRAF duplication and gene fusion. ('astrocytoma', 'Phenotype', 'HP:0009592', (19, 30)) ('Sporadic pilocytic astrocytomas', 'Disease', 'MESH:D001254', (0, 31)) ('Sporadic pilocytic astrocytomas', 'Disease', (0, 31)) ('BRAF', 'Gene', '673', (70, 74)) ('gene fusion', 'Var', (91, 102)) ('BRAF', 'Gene', (70, 74)) 1153 27072750 Outside the posterior fossa sporadic pilocytic astrocytomas lacking BRAF duplication and gene fusion may harbor the BRAFV600E missense mutation, NF1 or PTPN11 somatic mutations, activating FGFR1 mutations, and gene fusions involving NTRK2. ('PTPN11', 'Gene', '5781', (152, 158)) ('NTRK2', 'Gene', '4915', (233, 238)) ('sporadic pilocytic astrocytomas', 'Disease', 'MESH:D001254', (28, 59)) ('FGFR1', 'Gene', (189, 194)) ('BRAFV600E', 'Mutation', 'rs113488022', (116, 125)) ('sporadic pilocytic astrocytomas', 'Disease', (28, 59)) ('NF1', 'Gene', '4763', (145, 148)) ('BRAF', 'Gene', '673', (68, 72)) ('BRAF', 'Gene', '673', (116, 120)) ('gene fusions', 'Var', (210, 222)) ('BRAF', 'Gene', (68, 72)) ('BRAF', 'Gene', (116, 120)) ('NTRK2', 'Gene', (233, 238)) ('mutations', 'Var', (195, 204)) ('NF1', 'Gene', (145, 148)) ('astrocytoma', 'Phenotype', 'HP:0009592', (47, 58)) ('activating', 'PosReg', (178, 188)) ('FGFR1', 'Gene', '2260', (189, 194)) ('PTPN11', 'Gene', (152, 158)) 1154 27072750 Virtually all pilocytic astrocytomas harbor genetic alterations that activate the Ras-Raf-MEK-ERK signaling pathway. ('ERK', 'Gene', (94, 97)) ('pilocytic astrocytomas', 'Disease', (14, 36)) ('pilocytic astrocytomas', 'Disease', 'MESH:D001254', (14, 36)) ('activate', 'PosReg', (69, 77)) ('Raf', 'Gene', '22882', (86, 89)) ('astrocytoma', 'Phenotype', 'HP:0009592', (24, 35)) ('genetic alterations', 'Var', (44, 63)) ('MEK', 'Gene', (90, 93)) ('MEK', 'Gene', '5609', (90, 93)) ('Raf', 'Gene', (86, 89)) ('ERK', 'Gene', '2048', (94, 97)) 1157 27072750 Immunohistochemistry for histone H3-K27M mutant protein plays an important role in the diagnosis of midline diffuse gliomas, as this mutation is associated with a poor prognosis. ('midline diffuse gliomas', 'Disease', 'MESH:D005910', (100, 123)) ('glioma', 'Phenotype', 'HP:0009733', (116, 122)) ('gliomas', 'Phenotype', 'HP:0009733', (116, 123)) ('K27M', 'Mutation', 'p.K27M', (36, 40)) ('H3-K27M', 'Var', (33, 40)) ('midline diffuse gliomas', 'Disease', (100, 123)) 1160 27072750 IDH1/IDH2 mutations, co-deletion of chromosomes 1p and 19q, TERT promoter mutation, and mutations in CIC or FUBP1 are rare in children. ('CIC', 'Gene', '23152', (101, 104)) ('IDH1', 'Gene', '3417', (0, 4)) ('IDH2', 'Gene', (5, 9)) ('TERT', 'Gene', '7015', (60, 64)) ('CIC', 'Gene', (101, 104)) ('mutations', 'Var', (88, 97)) ('FUBP1', 'Gene', '8880', (108, 113)) ('children', 'Species', '9606', (126, 134)) ('FUBP1', 'Gene', (108, 113)) ('IDH2', 'Gene', '3418', (5, 9)) ('IDH1', 'Gene', (0, 4)) ('mutations', 'Var', (10, 19)) ('TERT', 'Gene', (60, 64)) ('co-deletion', 'Var', (21, 32)) 1161 27072750 Up to 60% of ganglioglioma tumors harbor the BRAFV600E mutation. ('tumor', 'Phenotype', 'HP:0002664', (27, 32)) ('glioma', 'Phenotype', 'HP:0009733', (20, 26)) ('BRAFV600E', 'Var', (45, 54)) ('BRAFV600E', 'Mutation', 'rs113488022', (45, 54)) ('tumors', 'Phenotype', 'HP:0002664', (27, 33)) ('ganglioglioma tumors', 'Disease', (13, 33)) ('ganglioglioma tumors', 'Disease', 'MESH:D018303', (13, 33)) 1165 27072750 Majority of NF1 mutations result in protein truncation, causing disruption in its ability to regulate the Ras-Raf-MEK-ERK signaling pathway. ('ERK', 'Gene', '2048', (118, 121)) ('NF1', 'Gene', (12, 15)) ('ERK', 'Gene', (118, 121)) ('NF1', 'Gene', '4763', (12, 15)) ('result in', 'Reg', (26, 35)) ('ability', 'MPA', (82, 89)) ('mutations', 'Var', (16, 25)) ('MEK', 'Gene', (114, 117)) ('regulate', 'MPA', (93, 101)) ('MEK', 'Gene', '5609', (114, 117)) ('Raf', 'Gene', '22882', (110, 113)) ('disruption', 'NegReg', (64, 74)) ('protein', 'Protein', (36, 43)) ('Raf', 'Gene', (110, 113)) 1168 27072750 Tuberous sclerosis results from germline mutations in TSC1 or TSC2. ('Tuberous sclerosis', 'Disease', 'MESH:D014402', (0, 18)) ('Tuberous sclerosis', 'Disease', (0, 18)) ('results from', 'Reg', (19, 31)) ('germline mutations', 'Var', (32, 50)) ('TSC1', 'Gene', '7248', (54, 58)) ('TSC2', 'Gene', '7249', (62, 66)) ('TSC2', 'Gene', (62, 66)) ('TSC1', 'Gene', (54, 58)) 1169 27072750 Mutations in TSC1 or TSC2 lead to disinhibited activation of the PI3-Akt-mTOR signaling cascade, promoting SEGA tumorigenesis. ('Akt', 'Gene', (69, 72)) ('tumor', 'Disease', (113, 118)) ('mTOR', 'Gene', '2475', (73, 77)) ('SEGA', 'Phenotype', 'HP:0009718', (107, 111)) ('SEGA', 'Disease', (107, 111)) ('TSC2', 'Gene', (21, 25)) ('mTOR', 'Gene', (73, 77)) ('TSC1', 'Gene', '7248', (13, 17)) ('promoting', 'PosReg', (97, 106)) ('PI3', 'Gene', '5266', (65, 68)) ('Mutations', 'Var', (0, 9)) ('tumor', 'Disease', 'MESH:D009369', (113, 118)) ('TSC1', 'Gene', (13, 17)) ('Akt', 'Gene', '207', (69, 72)) ('tumor', 'Phenotype', 'HP:0002664', (113, 118)) ('TSC2', 'Gene', '7249', (21, 25)) ('PI3', 'Gene', (65, 68)) 1172 27072750 Vemurafenib specifically inhibits BRAFV600E from activating MEK. ('BRAFV600E', 'Mutation', 'rs113488022', (34, 43)) ('MEK', 'Gene', '5609', (60, 63)) ('inhibits', 'NegReg', (25, 33)) ('activating', 'MPA', (49, 59)) ('BRAFV600E', 'Var', (34, 43)) ('Vemurafenib', 'Chemical', 'MESH:D000077484', (0, 11)) ('MEK', 'Gene', (60, 63)) 1176 27072750 Genome sequencing and identification of genetic alterations in PLGG subtypes are changing the way these tumors are diagnosed, prognosticated, and managed. ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('PLGG', 'Gene', (63, 67)) ('tumors', 'Phenotype', 'HP:0002664', (104, 110)) ('changing', 'Reg', (81, 89)) ('tumors', 'Disease', (104, 110)) ('tumors', 'Disease', 'MESH:D009369', (104, 110)) ('genetic alterations', 'Var', (40, 59)) 1180 33628829 miR-193a-3p was highly expressed in glioma tissues and significantly correlated with poor survival in patients with glioma. ('correlated', 'Reg', (69, 79)) ('patients', 'Species', '9606', (102, 110)) ('poor', 'NegReg', (85, 89)) ('miR-193a-3p', 'Var', (0, 11)) ('glioma', 'Phenotype', 'HP:0009733', (36, 42)) ('glioma', 'Phenotype', 'HP:0009733', (116, 122)) 1181 33628829 The target genes for miR-193a-3p were involved in many cancer-related signaling pathways. ('cancer', 'Phenotype', 'HP:0002664', (55, 61)) ('involved', 'Reg', (38, 46)) ('miR-193a-3p', 'Var', (21, 32)) ('cancer', 'Disease', 'MESH:D009369', (55, 61)) ('cancer', 'Disease', (55, 61)) 1185 33628829 It has been confirmed that the miR-193a-3p in exosomes promotes lung cancer cell invasion by activating STAT3 signaling-induced epithelial-mesenchymal transition (EMT) and suppresses the progression of non-small-cell lung cancer via the p53/Slug/L1CAM pathway. ('lung cancer', 'Disease', (64, 75)) ('STAT3', 'Gene', '6774', (104, 109)) ('lung cancer', 'Phenotype', 'HP:0100526', (64, 75)) ('lung cancer', 'Disease', (217, 228)) ('STAT3', 'Gene', (104, 109)) ('lung cancer', 'Phenotype', 'HP:0100526', (217, 228)) ('cancer', 'Phenotype', 'HP:0002664', (69, 75)) ('promotes', 'PosReg', (55, 63)) ('non-small-cell lung cancer', 'Phenotype', 'HP:0030358', (202, 228)) ('small-cell lung cancer', 'Phenotype', 'HP:0030357', (206, 228)) ('p53/Slug/L1CAM pathway', 'Pathway', (237, 259)) ('lung cancer', 'Disease', 'MESH:D008175', (64, 75)) ('activating', 'PosReg', (93, 103)) ('miR-193a-3p', 'Var', (31, 42)) ('suppresses', 'NegReg', (172, 182)) ('cancer', 'Phenotype', 'HP:0002664', (222, 228)) ('lung cancer', 'Disease', 'MESH:D008175', (217, 228)) ('progression', 'CPA', (187, 198)) 1213 33628829 So far, a number of miRNAs with prognostic value, such as miR-196a, miR-503, and miR-26b, have been proposed. ('miR-26b', 'Gene', (81, 88)) ('miR-503', 'Gene', (68, 75)) ('miR-26b', 'Gene', '407017', (81, 88)) ('miR-503', 'Gene', '574506', (68, 75)) ('miR-196a', 'Var', (58, 66)) 1215 33628829 The roles of miR-193a-3p in cancer progression have been reported that it inhibits the proliferation and migration of lung cancer and colorectal adenocarcinoma cells by targeting kirsten rat sarcoma viral oncogene (KRAS). ('cancer', 'Phenotype', 'HP:0002664', (123, 129)) ('colorectal adenocarcinoma', 'Disease', (134, 159)) ('cancer', 'Phenotype', 'HP:0002664', (28, 34)) ('proliferation', 'CPA', (87, 100)) ('colorectal adenocarcinoma', 'Disease', 'MESH:D015179', (134, 159)) ('carcinoma', 'Phenotype', 'HP:0030731', (150, 159)) ('miR-193a-3p', 'Var', (13, 24)) ('sarcoma', 'Phenotype', 'HP:0100242', (191, 198)) ('inhibits', 'NegReg', (74, 82)) ('lung cancer', 'Disease', (118, 129)) ('lung cancer', 'Phenotype', 'HP:0100526', (118, 129)) ('targeting', 'Reg', (169, 178)) 1216 33628829 miR-193a-3p acts as a suppressor of metastatic disease progression in non-small-cell lung cancer (NSCLC) via the modulation of p53/Slug/L1CAM pathway. ('metastatic disease progression', 'CPA', (36, 66)) ('lung cancer', 'Phenotype', 'HP:0100526', (85, 96)) ('cancer', 'Phenotype', 'HP:0002664', (90, 96)) ('non-small-cell lung cancer', 'Disease', (70, 96)) ('non-small-cell lung cancer', 'Phenotype', 'HP:0030358', (70, 96)) ('modulation', 'Reg', (113, 123)) ('p53/Slug/L1CAM pathway', 'Pathway', (127, 149)) ('miR-193a-3p', 'Var', (0, 11)) ('NSCLC', 'Disease', (98, 103)) ('small-cell lung cancer', 'Phenotype', 'HP:0030357', (74, 96)) ('NSCLC', 'Disease', 'MESH:D002289', (98, 103)) 1217 33628829 reported that miR-193a-3p is specifically downregulated and acts as a tumor suppressor in BRAF-mutated colorectal cancer. ('BRAF', 'Gene', (90, 94)) ('tumor', 'Phenotype', 'HP:0002664', (70, 75)) ('BRAF', 'Gene', '673', (90, 94)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (103, 120)) ('downregulated', 'NegReg', (42, 55)) ('colorectal cancer', 'Disease', (103, 120)) ('cancer', 'Phenotype', 'HP:0002664', (114, 120)) ('miR-193a-3p', 'Var', (14, 25)) 1218 33628829 miR-193a-3p could suppress proliferation and promote apoptosis by targeting cyclin D1 in hepatocellular carcinoma cells. ('hepatocellular carcinoma', 'Disease', (89, 113)) ('cyclin D1', 'Gene', '595', (76, 85)) ('suppress', 'NegReg', (18, 26)) ('apoptosis', 'CPA', (53, 62)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (89, 113)) ('carcinoma', 'Phenotype', 'HP:0030731', (104, 113)) ('cyclin D1', 'Gene', (76, 85)) ('proliferation', 'CPA', (27, 40)) ('miR-193a-3p', 'Var', (0, 11)) ('promote', 'PosReg', (45, 52)) ('targeting', 'Reg', (66, 75)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (89, 113)) 1220 33628829 In addition, miR-193a-3p was involved in the tumorigenicity of renal cell carcinoma (RCC) tissues and cell lines and can increase the proliferation and migration by targeting ST3GalIV via PI3K/Akt pathway in RCC cells. ('ST3GalIV', 'Gene', '6484', (175, 183)) ('RCC', 'Disease', 'MESH:C538614', (85, 88)) ('proliferation', 'CPA', (134, 147)) ('tumorigenicity', 'CPA', (45, 59)) ('renal cell carcinoma', 'Disease', 'MESH:C538614', (63, 83)) ('tumor', 'Phenotype', 'HP:0002664', (45, 50)) ('RCC', 'Phenotype', 'HP:0005584', (208, 211)) ('Akt', 'Gene', (193, 196)) ('RCC', 'Disease', (208, 211)) ('ST3GalIV', 'Gene', (175, 183)) ('renal cell carcinoma', 'Disease', (63, 83)) ('involved', 'Reg', (29, 37)) ('Akt', 'Gene', '207', (193, 196)) ('renal cell carcinoma', 'Phenotype', 'HP:0005584', (63, 83)) ('increase', 'PosReg', (121, 129)) ('targeting', 'Reg', (165, 174)) ('RCC', 'Disease', 'MESH:C538614', (208, 211)) ('RCC', 'Phenotype', 'HP:0005584', (85, 88)) ('carcinoma', 'Phenotype', 'HP:0030731', (74, 83)) ('miR-193a-3p', 'Var', (13, 24)) ('RCC', 'Disease', (85, 88)) 1221 33628829 It was identified that silencing of miR-193a-3p through hypermethylation can promote HER2 positive breast cancer progress by targeting growth factor receptor bound protein 7 (GRB7), extracellular signal-regulated kinase 1/2 (ERK1/2), and forkhead box M1 (FOXM1) signaling. ('forkhead box M1', 'Gene', (238, 253)) ('FOXM1', 'Gene', (255, 260)) ('promote', 'PosReg', (77, 84)) ('miR-193a-3p', 'Gene', (36, 47)) ('GRB7', 'Gene', '2886', (175, 179)) ('hypermethylation', 'Var', (56, 72)) ('forkhead box M1', 'Gene', '2305', (238, 253)) ('breast cancer', 'Phenotype', 'HP:0003002', (99, 112)) ('growth factor receptor bound protein 7', 'Gene', '2886', (135, 173)) ('silencing', 'Var', (23, 32)) ('HER2', 'Gene', (85, 89)) ('targeting', 'Reg', (125, 134)) ('HER2', 'Gene', '2064', (85, 89)) ('growth factor receptor bound protein 7', 'Gene', (135, 173)) ('GRB7', 'Gene', (175, 179)) ('FOXM1', 'Gene', '2305', (255, 260)) ('cancer', 'Phenotype', 'HP:0002664', (106, 112)) 1225 33628829 For example, miR-204-5p suppresses EMT and snail family transcriptional repressor 2 (STAT3) signaling pathways by targeting SNAI2, (SUZ12) polycomb repressive complex 2 subunit HDAC1, and Janus kinase 2 (JAK2). ('HDAC1', 'Gene', (177, 182)) ('EMT', 'CPA', (35, 38)) ('Janus kinase 2', 'Gene', '3717', (188, 202)) ('JAK2', 'Gene', (204, 208)) ('HDAC1', 'Gene', '3065', (177, 182)) ('miR-204-5p', 'Chemical', '-', (13, 23)) ('DA', 'Chemical', 'MESH:C025953', (178, 180)) ('SNAI2', 'Gene', (124, 129)) ('snail family transcriptional repressor 2', 'Gene', (43, 83)) ('SUZ12', 'Gene', '23512', (132, 137)) ('miR-204-5p', 'Var', (13, 23)) ('suppresses', 'NegReg', (24, 34)) ('snail family transcriptional repressor 2', 'Gene', '6591', (43, 83)) ('SNAI2', 'Gene', '6591', (124, 129)) ('JAK2', 'Gene', '3717', (204, 208)) ('SUZ12', 'Gene', (132, 137)) ('targeting', 'Reg', (114, 123)) ('Janus kinase 2', 'Gene', (188, 202)) 1255 31466397 The long structures of repeated disaccharide units are implicated in the regulation of many oncogenic processes and CS up-regulation or modifications have been associated with cancer progression. ('disaccharide', 'Chemical', 'MESH:D004187', (32, 44)) ('associated', 'Reg', (160, 170)) ('cancer', 'Disease', 'MESH:D009369', (176, 182)) ('cancer', 'Phenotype', 'HP:0002664', (176, 182)) ('modifications', 'Var', (136, 149)) ('oncogenic processes', 'CPA', (92, 111)) ('cancer', 'Disease', (176, 182)) ('up-regulation', 'PosReg', (119, 132)) ('implicated', 'Reg', (55, 65)) 1267 31466397 Finally, CTCs from three patient samples are analyzed by whole exome sequencing (WES), which confirms the presence of glioma-associated mutations. ('glioma', 'Disease', (118, 124)) ('patient', 'Species', '9606', (25, 32)) ('glioma', 'Disease', 'MESH:D005910', (118, 124)) ('mutations', 'Var', (136, 145)) ('glioma', 'Phenotype', 'HP:0009733', (118, 124)) 1287 31466397 T7039, Sigma-Aldrich) at a concentration of 20 ng/mL or equal volumes of TGF-beta suspension buffer as control (0.2 microm filtered distilled water) for 72 h to induce the mesenchymal transition. ('TGF-beta', 'Gene', '7040', (73, 81)) ('TGF-beta', 'Gene', (73, 81)) ('induce', 'PosReg', (161, 167)) ('mesenchymal transition', 'CPA', (172, 194)) ('T7039', 'Var', (0, 5)) 1298 31466397 The samples were incubated with primary antibodies together with rVAR2 or rDBL4 over night at 4 C in the following concentrations: rVAR2 (50 nM), rDBL4 (50 nM), anti-NRP1 (Cat. ('NRP1', 'Gene', (167, 171)) ('NRP1', 'Gene', '8829', (167, 171)) ('rVAR2 (50 nM', 'Var', (132, 144)) ('rDBL4 (50 nM', 'Var', (147, 159)) 1314 31466397 The blood sample was diluted 10 times in Red Blood Cell (RBC) lysis buffer resulting in a final concentration of 0.155M ammonium chloride, 0.01M potassium hydrogen carbonate and 0.1 mM EDTA, and incubated for 13 min. ('EDTA', 'Chemical', 'MESH:D004492', (185, 189)) ('0.01M', 'Var', (139, 144)) ('0.155M', 'Var', (113, 119)) ('potassium hydrogen carbonate', 'Chemical', 'MESH:D001639', (145, 173)) ('ammonium chloride', 'Chemical', 'MESH:D000643', (120, 137)) 1350 31466397 Variants outside a selected glioblastoma-related target region containing 95 candidate genes were excluded from the call set. ('glioblastoma', 'Disease', (28, 40)) ('glioblastoma', 'Phenotype', 'HP:0012174', (28, 40)) ('glioblastoma', 'Disease', 'MESH:D005909', (28, 40)) ('Variants', 'Var', (0, 8)) 1353 31466397 We tested rVAR2 binding to a panel of cell lines, including low-grade (WHO grade II) diffuse glioma (Res259) as well as high-grade (WHO grade IV) GBM (U87mg, KNS-42, and U118mg), to test for the presence of ofCS in glioma. ('U87mg', 'Var', (151, 156)) ('glioma', 'Disease', (93, 99)) ('Res259', 'Chemical', 'MESH:C570647', (101, 107)) ('glioma', 'Phenotype', 'HP:0009733', (215, 221)) ('tested', 'Reg', (3, 9)) ('glioma', 'Disease', (215, 221)) ('U118mg', 'Var', (170, 176)) ('glioma', 'Disease', 'MESH:D005910', (93, 99)) ('glioma', 'Phenotype', 'HP:0009733', (93, 99)) ('binding', 'Interaction', (16, 23)) ('glioma', 'Disease', 'MESH:D005910', (215, 221)) ('rVAR2', 'Protein', (10, 15)) 1366 31466397 By this procedure, we achieved an average recovery of 76%, 41%, 11%, and 64% for U87mg, Res259, KNS-42, and U118mg cells, respectively (Figure 2D). ('Res259', 'Chemical', 'MESH:C570647', (88, 94)) ('U118mg', 'Var', (108, 114)) ('U87mg', 'Var', (81, 86)) 1368 31466397 We have previously described that single cancer cells simultaneously display the ofCS modification on several proteoglycans. ('proteoglycans', 'Protein', (110, 123)) ('cancer', 'Phenotype', 'HP:0002664', (41, 47)) ('ofCS modification', 'Var', (81, 98)) ('cancer', 'Disease', (41, 47)) ('cancer', 'Disease', 'MESH:D009369', (41, 47)) 1375 31466397 Similarly, ofCS and CSPG4 were clearly co-localizing on U87mg and U188mg cells (p < 0.001, one-way ANOVA) (Figure 3B). ('U87mg', 'Var', (56, 61)) ('ofCS', 'Gene', (11, 15)) ('co-localizing', 'Reg', (39, 52)) ('U188mg', 'Var', (66, 72)) ('CSPG4', 'Gene', '1464', (20, 25)) ('CSPG4', 'Gene', (20, 25)) 1385 31466397 However, it was noticed that rVAR2-staining of U87mg after magnetic capture was somewhat reduced compared to the Res259 and KNS-42 cells. ('Res259', 'Chemical', 'MESH:C570647', (113, 119)) ('rVAR2-staining', 'CPA', (29, 43)) ('U87mg', 'Var', (47, 52)) ('reduced', 'NegReg', (89, 96)) 1387 31466397 The rVAR2 staining enabled detection of U87mg cells and their separation from CD45- and/or CD66b-positive WBCs (Figure 4B). ('CD66b', 'Gene', '1088', (91, 96)) ('CD45', 'Gene', (78, 82)) ('U87mg cells', 'Var', (40, 51)) ('CD66b', 'Gene', (91, 96)) ('CD45', 'Gene', '5788', (78, 82)) 1395 31466397 To confirm that the VAR2+, CD45- cells detected in the patient blood samples were indeed glioma-derived CTCs, we performed targeted whole exome sequencing (WES) searching for glioma relevant mutations. ('glioma', 'Disease', 'MESH:D005910', (89, 95)) ('glioma', 'Phenotype', 'HP:0009733', (89, 95)) ('CD45', 'Gene', '5788', (27, 31)) ('glioma', 'Disease', (175, 181)) ('glioma', 'Disease', (89, 95)) ('patient', 'Species', '9606', (55, 62)) ('glioma', 'Disease', 'MESH:D005910', (175, 181)) ('VAR2+', 'Var', (20, 25)) ('CD45', 'Gene', (27, 31)) ('glioma', 'Phenotype', 'HP:0009733', (175, 181)) 1399 31466397 Indeed, we identified genes with cancer-indicative mutations in all CTC samples: RB1, TP53/EPM2AIP1, and TP53/ALK for patient 1, 3, and 4, respectively (Table 2). ('mutations', 'Var', (51, 60)) ('cancer', 'Disease', (33, 39)) ('cancer', 'Disease', 'MESH:D009369', (33, 39)) ('EPM2AIP1', 'Gene', (91, 99)) ('TP53', 'Gene', '7157', (86, 90)) ('ALK', 'Gene', '238', (110, 113)) ('RB1', 'Gene', (81, 84)) ('TP53', 'Gene', (86, 90)) ('cancer', 'Phenotype', 'HP:0002664', (33, 39)) ('RB1', 'Gene', '5925', (81, 84)) ('TP53', 'Gene', '7157', (105, 109)) ('ALK', 'Gene', (110, 113)) ('TP53', 'Gene', (105, 109)) ('patient', 'Species', '9606', (118, 125)) ('EPM2AIP1', 'Gene', '9852', (91, 99)) 1425 31466397 In this study, we sought to identify ofCS-modified proteoglycans in glioma by using rVAR2-based protein pull-down of lysates from KNS-42, U118mg, and U87mg cell lines. ('glioma', 'Disease', 'MESH:D005910', (68, 74)) ('glioma', 'Phenotype', 'HP:0009733', (68, 74)) ('U118mg', 'Var', (138, 144)) ('glioma', 'Disease', (68, 74)) ('U87mg', 'Var', (150, 155)) 1431 31466397 High CD44 expression is common in GBM and is used to identify GBM with particular poor survival chance. ('expression', 'MPA', (10, 20)) ('CD44', 'Gene', '960', (5, 9)) ('High', 'Var', (0, 4)) ('CD44', 'Gene', (5, 9)) 1436 31466397 We picked CTCs and performed WGA followed by WES against a panel of known glioma mutations to confirm that the detected rVAR2+, CD45-, and DAPI+ cells were actual CTCs derived from the brain tumors. ('brain tumor', 'Phenotype', 'HP:0030692', (185, 196)) ('glioma', 'Disease', 'MESH:D005910', (74, 80)) ('glioma', 'Phenotype', 'HP:0009733', (74, 80)) ('CD45', 'Gene', (128, 132)) ('rVAR2+', 'Var', (120, 126)) ('CD45', 'Gene', '5788', (128, 132)) ('glioma', 'Disease', (74, 80)) ('brain tumors', 'Disease', 'MESH:D001932', (185, 197)) ('brain tumors', 'Phenotype', 'HP:0030692', (185, 197)) ('tumor', 'Phenotype', 'HP:0002664', (191, 196)) ('mutations', 'Var', (81, 90)) ('tumors', 'Phenotype', 'HP:0002664', (191, 197)) ('brain tumors', 'Disease', (185, 197)) 1438 31466397 Patient I, which was diagnosed with anaplastic oligodendroglioma, had CTCs with mutation in the RB1 gene, which results in a frameshift with premature stop codon. ('frameshift', 'Var', (125, 135)) ('anaplastic oligodendroglioma', 'Disease', (36, 64)) ('RB1', 'Gene', '5925', (96, 99)) ('results in', 'Reg', (112, 122)) ('glioma', 'Phenotype', 'HP:0009733', (58, 64)) ('anaplastic oligodendroglioma', 'Disease', 'MESH:D009837', (36, 64)) ('RB1', 'Gene', (96, 99)) ('Patient', 'Species', '9606', (0, 7)) ('mutation', 'Var', (80, 88)) 1439 31466397 Alterations in genes that are associated with the retinoblastoma pathway is a predictor of poor chance of survival in gliomas. ('genes', 'Gene', (15, 20)) ('gliomas', 'Disease', 'MESH:D005910', (118, 125)) ('retinoblastoma', 'Phenotype', 'HP:0009919', (50, 64)) ('gliomas', 'Phenotype', 'HP:0009733', (118, 125)) ('gliomas', 'Disease', (118, 125)) ('Alterations', 'Var', (0, 11)) ('retinoblastoma', 'Disease', 'MESH:D012175', (50, 64)) ('retinoblastoma', 'Disease', (50, 64)) ('glioma', 'Phenotype', 'HP:0009733', (118, 124)) 1440 31466397 Interestingly, the somatic mutation pattern found in the tumor biopsy from this patient showed mutation of the IDH1 gene, a common feature of lower grade gliomas, which was not detected in the CTC sample. ('glioma', 'Phenotype', 'HP:0009733', (154, 160)) ('IDH1', 'Gene', '3417', (111, 115)) ('tumor', 'Disease', 'MESH:D009369', (57, 62)) ('gliomas', 'Phenotype', 'HP:0009733', (154, 161)) ('gliomas', 'Disease', (154, 161)) ('tumor', 'Phenotype', 'HP:0002664', (57, 62)) ('gliomas', 'Disease', 'MESH:D005910', (154, 161)) ('tumor', 'Disease', (57, 62)) ('patient', 'Species', '9606', (80, 87)) ('IDH1', 'Gene', (111, 115)) ('mutation', 'Var', (95, 103)) 1442 31466397 A TP53 mutation was found in the CTCs from both patient 3 (GBM) and 4 (anaplastic oligodendroglioma). ('anaplastic oligodendroglioma', 'Disease', (71, 99)) ('patient', 'Species', '9606', (48, 55)) ('TP53', 'Gene', '7157', (2, 6)) ('anaplastic oligodendroglioma', 'Disease', 'MESH:D009837', (71, 99)) ('mutation', 'Var', (7, 15)) ('glioma', 'Phenotype', 'HP:0009733', (93, 99)) ('TP53', 'Gene', (2, 6)) 1444 31466397 Another detected mutation in patient 3 was a missense mutation in the EPM2AIP1 gene. ('missense mutation', 'Var', (45, 62)) ('EPM2AIP1', 'Gene', '9852', (70, 78)) ('EPM2AIP1', 'Gene', (70, 78)) ('patient', 'Species', '9606', (29, 36)) 1445 31466397 The EPM2AIP1 mutations have previously been described in different gastrointestinal cancers. ('gastrointestinal cancers', 'Disease', (67, 91)) ('EPM2AIP1', 'Gene', '9852', (4, 12)) ('gastrointestinal cancers', 'Disease', 'MESH:D005770', (67, 91)) ('cancers', 'Phenotype', 'HP:0002664', (84, 91)) ('EPM2AIP1', 'Gene', (4, 12)) ('cancer', 'Phenotype', 'HP:0002664', (84, 90)) ('mutations', 'Var', (13, 22)) ('described', 'Reg', (44, 53)) 1446 31466397 Interestingly, EPM2AIP1 is part of a bidirectional promotor with MLH1 and epimutations causing hypermethylation has been linked to hereditary colorectal cancers. ('hereditary colorectal cancers', 'Disease', (131, 160)) ('EPM2AIP1', 'Gene', (15, 23)) ('linked', 'Reg', (121, 127)) ('hereditary colorectal cancers', 'Disease', 'MESH:D015179', (131, 160)) ('MLH1', 'Gene', '4292', (65, 69)) ('MLH1', 'Gene', (65, 69)) ('cancers', 'Phenotype', 'HP:0002664', (153, 160)) ('cancer', 'Phenotype', 'HP:0002664', (153, 159)) ('hypermethylation', 'Var', (95, 111)) ('EPM2AIP1', 'Gene', '9852', (15, 23)) ('epimutations', 'Var', (74, 86)) 1448 31466397 In patient 4 the WES analysis also detected mutations in the ALK gene, which encodes a receptor tyrisone kinase. ('detected', 'Reg', (35, 43)) ('ALK', 'Gene', (61, 64)) ('patient', 'Species', '9606', (3, 10)) ('mutations', 'Var', (44, 53)) ('ALK', 'Gene', '238', (61, 64)) ('tyrisone', 'Chemical', 'None', (96, 104)) 1449 31466397 ALK is frequently mutated in neuroblastoma and indeed the detected NM_004304.4_p.R1275L variant is a described hot spot locus within the kinase domain. ('neuroblastoma', 'Disease', (29, 42)) ('p.R1275L', 'Mutation', 'p.R1275L', (79, 87)) ('neuroblastoma', 'Disease', 'MESH:D009447', (29, 42)) ('neuroblastoma', 'Phenotype', 'HP:0003006', (29, 42)) ('NM_004304.4_p.R1275L', 'Var', (67, 87)) ('ALK', 'Gene', (0, 3)) ('ALK', 'Gene', '238', (0, 3)) 1450 31466397 This hotspot mutation hinders the auto-inhibition of ALK and acts transformative. ('ALK', 'Gene', (53, 56)) ('mutation', 'Var', (13, 21)) ('hinders', 'NegReg', (22, 29)) ('auto-inhibition', 'MPA', (34, 49)) ('ALK', 'Gene', '238', (53, 56)) 1451 31466397 Consequently, neuroblastoma patients with ALK mutations show poorer overall survival. ('neuroblastoma', 'Disease', (14, 27)) ('mutations', 'Var', (46, 55)) ('ALK', 'Gene', '238', (42, 45)) ('neuroblastoma', 'Phenotype', 'HP:0003006', (14, 27)) ('ALK', 'Gene', (42, 45)) ('neuroblastoma', 'Disease', 'MESH:D009447', (14, 27)) ('patients', 'Species', '9606', (28, 36)) ('poorer', 'NegReg', (61, 67)) ('overall', 'MPA', (68, 75)) 1452 31466397 Importantly, small molecules for targeted therapy of ALK have been developed and neuroblastoma cell lines harboring p.R1275 mutations show sensitivity towards ALK inhibitors, such as crizotinib. ('neuroblastoma', 'Phenotype', 'HP:0003006', (81, 94)) ('ALK', 'Gene', (53, 56)) ('ALK', 'Gene', '238', (159, 162)) ('neuroblastoma', 'Disease', 'MESH:D009447', (81, 94)) ('p.R1275 mutations', 'Var', (116, 133)) ('neuroblastoma', 'Disease', (81, 94)) ('ALK', 'Gene', (159, 162)) ('ALK', 'Gene', '238', (53, 56)) ('crizotinib', 'Chemical', 'MESH:C551994', (183, 193)) ('sensitivity', 'MPA', (139, 150)) 1453 31466397 Altogether, the specific detection of glioma-related mutation patterns in the CTC samples strongly indicates that the detected cells originate from a glioma site. ('mutation', 'Var', (53, 61)) ('glioma', 'Disease', 'MESH:D005910', (38, 44)) ('glioma', 'Phenotype', 'HP:0009733', (38, 44)) ('glioma', 'Disease', (150, 156)) ('glioma', 'Disease', (38, 44)) ('glioma', 'Disease', 'MESH:D005910', (150, 156)) ('glioma', 'Phenotype', 'HP:0009733', (150, 156)) 1458 31466397 ; Formal analysis, S.R.B.-C., T.D.A., M.H.T., T.G.T., O.O. ('H.T', 'Disease', 'MESH:D000848', (40, 43)) ('H.T', 'Disease', (40, 43)) ('T.G.T.', 'Var', (46, 52)) 1459 31466397 ; Investigation, S.R.B.-C., R.S.P., M.A.P., T.M.C., C.L., N.T.S., T.D.A., A.M.J., M.H.T., O.O. ('N.T.S', 'Disease', (58, 63)) ('T.M.C.', 'Var', (44, 50)) ('T.D.A.', 'Var', (66, 72)) ('H.T', 'Disease', (84, 87)) ('N.T.S', 'Disease', 'MESH:D018455', (58, 63)) ('H.T', 'Disease', 'MESH:D000848', (84, 87)) 1478 31316099 Wide-field fluorescence guided brain tumor surgery, most notably with 5-aminolevulinic acid (5-ALA), has been shown to improve extent of resection for patients with glioblastoma and is easily incorporated into a standard surgical workflow. ('improve', 'PosReg', (119, 126)) ('extent of resection', 'CPA', (127, 146)) ('5-aminolevulinic acid', 'Var', (70, 91)) ('glioblastoma', 'Disease', (165, 177)) ('glioblastoma', 'Disease', 'MESH:D005909', (165, 177)) ('patients', 'Species', '9606', (151, 159)) ('brain tumor', 'Disease', 'MESH:D001932', (31, 42)) ('tumor', 'Phenotype', 'HP:0002664', (37, 42)) ('brain tumor', 'Disease', (31, 42)) ('5-ALA', 'Chemical', 'MESH:C000614854', (93, 98)) ('glioblastoma', 'Phenotype', 'HP:0012174', (165, 177)) ('5-aminolevulinic acid', 'Chemical', 'MESH:C000614854', (70, 91)) ('brain tumor', 'Phenotype', 'HP:0030692', (31, 42)) 1613 28116517 The water frequency shift due to field inhomogeneity was measured in a separate scan using the water saturation shift referencing method with 21 offset frequencies ranging from -1.25 ppm to 1.25 ppm at a step of 0.125 ppm (16 Hz) and one reference scan without a saturation RF pulse resulting in a full z spectrum within the offset range. ('water', 'Chemical', 'MESH:D014867', (4, 9)) ('water', 'Chemical', 'MESH:D014867', (95, 100)) ('full z spectrum', 'MPA', (298, 313)) ('1.25 ppm', 'Var', (190, 198)) 1621 28116517 The data for the offsets (+4, +3.5, +3 ppm) and (-3, -3.5, -4 ppm) for each voxel were interpolated to 385 points over a frequency offset range from +5 to +2 ppm and from -2 to -5 ppm, respectively, and shifted using the fitted water saturation shift referencing central frequency offset at the same voxel. ('+4', 'Var', (26, 28)) ('water', 'Chemical', 'MESH:D014867', (228, 233)) ('-3', 'Var', (49, 51)) 1687 25062303 Recurrence after gross-total resection of low-grade pediatric brain tumors: the frequency and timing of postoperative imaging Low-grade glial and glioneuronal brain tumors are frequently encountered in the pediatric population and can be effectively treated by resection. ('brain tumors', 'Disease', (62, 74)) ('Low-grade', 'Var', (126, 135)) ('brain tumor', 'Phenotype', 'HP:0030692', (159, 170)) ('tumor', 'Phenotype', 'HP:0002664', (165, 170)) ('tumors', 'Phenotype', 'HP:0002664', (68, 74)) ('tumor', 'Phenotype', 'HP:0002664', (68, 73)) ('tumors', 'Phenotype', 'HP:0002664', (165, 171)) ('brain tumor', 'Phenotype', 'HP:0030692', (62, 73)) ('brain tumors', 'Disease', 'MESH:D001932', (159, 171)) ('brain tumors', 'Disease', 'MESH:D001932', (62, 74)) ('brain tumors', 'Phenotype', 'HP:0030692', (62, 74)) ('brain tumors', 'Phenotype', 'HP:0030692', (159, 171)) ('brain tumors', 'Disease', (159, 171)) ('glial and glioneuronal brain tumors', 'Phenotype', 'HP:0025170', (136, 171)) 1745 25062303 Among the patients in whom recurrence was observed, we found that nodular FLAIR signal in the tumor cavity on the immediate postoperative MR image that persisted to the first interval postoperative MR image might be a useful marker for recurrence. ('tumor', 'Disease', 'MESH:D009369', (94, 99)) ('tumor', 'Phenotype', 'HP:0002664', (94, 99)) ('tumor', 'Disease', (94, 99)) ('nodular', 'Var', (66, 73)) ('patients', 'Species', '9606', (10, 18)) 1790 25062303 An earlier report by Dorward and colleagues described early nodular enhancement at 3-6 months, high Ki 67 labeling index, and CD68 positivity as potential predictors of recurrence in patients with JPA following GTR. ('CD68', 'Gene', (126, 130)) ('JPA', 'Disease', (197, 200)) ('positivity', 'Var', (131, 141)) ('enhancement', 'PosReg', (68, 79)) ('GTR', 'Chemical', '-', (211, 214)) ('patients', 'Species', '9606', (183, 191)) ('CD68', 'Gene', '968', (126, 130)) 1873 26410079 Duration of surgery, measured from skin incision to wound closure, was significantly longer in the iMRI group (median 540 min (range 300-840)) than it was in the conventional group (median 300 min (range 240-720)), due to further removal of residual tumor and preparing and scanning time needed in the iMRI group (p < 0.001; Fig. ('longer', 'PosReg', (85, 91)) ('tumor', 'Disease', (250, 255)) ('tumor', 'Disease', 'MESH:D009369', (250, 255)) ('tumor', 'Phenotype', 'HP:0002664', (250, 255)) ('iMRI', 'Var', (99, 103)) 1878 26410079 Permanent deficits developed in 4 patients (10.3 %) in the iMRI group, compared with 2 patients (16.7 %) in the conventional group (p = 0.928). ('iMRI', 'Var', (59, 63)) ('Permanent deficits', 'Disease', 'MESH:D003638', (0, 18)) ('Permanent deficits', 'Disease', (0, 18)) ('patients', 'Species', '9606', (34, 42)) ('patients', 'Species', '9606', (87, 95)) 1894 26410079 Since surgery is the first therapeutic option to consider in LGG, the impact of surgery has been studied in numerous literature, supporting the significant effect of EOR on overall survival (OS) by delaying anaplastic transformation, even in incomplete tumor removal. ('anaplastic transformation', 'CPA', (207, 232)) ('EOR', 'Var', (166, 169)) ('tumor', 'Disease', 'MESH:D009369', (253, 258)) ('overall survival', 'MPA', (173, 189)) ('OS', 'Chemical', '-', (191, 193)) ('tumor', 'Phenotype', 'HP:0002664', (253, 258)) ('tumor', 'Disease', (253, 258)) ('delaying', 'NegReg', (198, 206)) 1938 26410079 Further, some studies reported similar seizure outcome between groups regarding the resection of hippocampus and amygdala. ('seizure', 'Disease', 'MESH:D012640', (39, 46)) ('resection', 'Var', (84, 93)) ('seizure', 'Disease', (39, 46)) ('seizure', 'Phenotype', 'HP:0001250', (39, 46)) 1944 26410079 Reducing an epileptogenic mass involving these regions was more likely to include excision of the mesial temporal structures and the insular cortex and might possibly resulting in disconnection of critical seizure propagation pathways. ('excision', 'Var', (82, 90)) ('seizure', 'Disease', (206, 213)) ('seizure', 'Disease', 'MESH:D012640', (206, 213)) ('epileptogenic', 'Disease', (12, 25)) ('seizure', 'Phenotype', 'HP:0001250', (206, 213)) ('disconnection', 'NegReg', (180, 193)) 2073 32640583 Image parameters according to IDH mutation status. ('IDH', 'Gene', '3417', (30, 33)) ('mutation', 'Var', (34, 42)) ('IDH', 'Gene', (30, 33)) 2078 30926639 We detected at least one EGFR mutation in 23% of LGGs, which was significantly higher than 6% seen in TCGA, a pattern that can be partially explained by the different patient composition and sequencing depth. ('LGGs', 'Disease', (49, 53)) ('EGFR', 'Gene', (25, 29)) ('mutation', 'Var', (30, 38)) ('patient', 'Species', '9606', (167, 174)) ('higher', 'PosReg', (79, 85)) ('EGFR', 'Gene', '1956', (25, 29)) ('detected', 'Reg', (3, 11)) 2079 30926639 IDH hotspot mutations were found with higher frequencies in LGG (83%) and secondary GBM (77%) than primary GBM (9%). ('GBM', 'Phenotype', 'HP:0012174', (84, 87)) ('IDH', 'Gene', (0, 3)) ('mutations', 'Var', (12, 21)) ('IDH', 'Gene', '3417', (0, 3)) ('secondary GBM', 'Disease', (74, 87)) ('GBM', 'Phenotype', 'HP:0012174', (107, 110)) ('LGG', 'Disease', (60, 63)) 2080 30926639 Multivariate analyses controlling for age, histology, and tumor grade confirm the prognostic value of IDH mutation. ('IDH', 'Gene', '3417', (102, 105)) ('tumor', 'Disease', (58, 63)) ('tumor', 'Phenotype', 'HP:0002664', (58, 63)) ('mutation', 'Var', (106, 114)) ('tumor', 'Disease', 'MESH:D009369', (58, 63)) ('IDH', 'Gene', (102, 105)) 2081 30926639 We predicted 1p/19q status using the panel sequencing data, and received only modest performance by benchmarking the prediction to Fluorescent In Situ Hybridization (FISH) results of 50 tumors. ('tumor', 'Phenotype', 'HP:0002664', (186, 191)) ('tumors', 'Phenotype', 'HP:0002664', (186, 192)) ('1p/19q status', 'Var', (13, 26)) ('tumors', 'Disease', (186, 192)) ('tumors', 'Disease', 'MESH:D009369', (186, 192)) 2089 30926639 Integrated DNA sequencing and copy number analysis pinpointed potential driver genes including not only known players such as EGFR, TP53, IDH1, CDKN2A, etc., but also novel genes such as LZTR1 and FGFR-TACC fusions. ('FGFR-TACC', 'Gene', (197, 206)) ('EGFR', 'Gene', (126, 130)) ('fusions', 'Var', (207, 214)) ('LZTR1', 'Gene', '8216', (187, 192)) ('TP53', 'Gene', '7157', (132, 136)) ('IDH1', 'Gene', '3417', (138, 142)) ('TP53', 'Gene', (132, 136)) ('CDKN2A', 'Gene', (144, 150)) ('LZTR1', 'Gene', (187, 192)) ('CDKN2A', 'Gene', '1029', (144, 150)) ('IDH1', 'Gene', (138, 142)) ('EGFR', 'Gene', '1956', (126, 130)) 2090 30926639 Unsupervised clustering of gene expression and DNA methylation profiles led to the discoveries of three robust transcriptome based GBM subtypes and a hypermethylation phenotype (G-CIMP) featuring recurrent mutations in IDH genes. ('IDH', 'Gene', (219, 222)) ('mutations', 'Var', (206, 215)) ('GBM', 'Phenotype', 'HP:0012174', (131, 134)) ('IDH', 'Gene', '3417', (219, 222)) 2093 30926639 In this classification, IDH mutations are the top tier marker that separates LGGs into mutant and wildtype, followed by 1p/19q codeletion as the second marker that further divides mutant tumors. ('IDH', 'Gene', (24, 27)) ('tumor', 'Phenotype', 'HP:0002664', (187, 192)) ('IDH', 'Gene', '3417', (24, 27)) ('tumors', 'Disease', (187, 193)) ('LGGs', 'Disease', (77, 81)) ('tumors', 'Disease', 'MESH:D009369', (187, 193)) ('tumors', 'Phenotype', 'HP:0002664', (187, 193)) ('mutations', 'Var', (28, 37)) 2118 30926639 Mutations in IDH1 and IDH2 (collectively referred to as IDH hereafter) were found with high prevalence in lower grand gliomas (83%) and secondary glioblastomas (77%) but much less commonly in primary (9%) and recurrent glioblastomas (9%). ('found', 'Reg', (76, 81)) ('glioblastomas', 'Phenotype', 'HP:0012174', (219, 232)) ('glioma', 'Phenotype', 'HP:0009733', (118, 124)) ('glioblastomas', 'Phenotype', 'HP:0012174', (146, 159)) ('lower grand gliomas', 'Disease', (106, 125)) ('gliomas', 'Phenotype', 'HP:0009733', (118, 125)) ('IDH', 'Gene', (56, 59)) ('IDH2', 'Gene', (22, 26)) ('IDH1', 'Gene', (13, 17)) ('IDH', 'Gene', (22, 25)) ('Mutations', 'Var', (0, 9)) ('IDH2', 'Gene', '3418', (22, 26)) ('IDH', 'Gene', (13, 16)) ('glioblastomas', 'Disease', (219, 232)) ('glioblastoma', 'Phenotype', 'HP:0012174', (219, 231)) ('glioblastoma', 'Phenotype', 'HP:0012174', (146, 158)) ('glioblastomas', 'Disease', (146, 159)) ('lower grand gliomas', 'Disease', 'MESH:D005910', (106, 125)) ('IDH', 'Gene', '3417', (56, 59)) ('glioblastomas', 'Disease', 'MESH:D005909', (219, 232)) ('IDH1', 'Gene', '3417', (13, 17)) ('IDH', 'Gene', '3417', (22, 25)) ('glioblastomas', 'Disease', 'MESH:D005909', (146, 159)) ('IDH', 'Gene', '3417', (13, 16)) 2119 30926639 The similar frequencies of IDH mutation in primary and recurrent glioblastomas corroborate the contention that these mutations are acquired early in gliomagenesis. ('IDH', 'Gene', (27, 30)) ('glioma', 'Disease', (149, 155)) ('IDH', 'Gene', '3417', (27, 30)) ('mutation', 'Var', (31, 39)) ('glioblastomas', 'Phenotype', 'HP:0012174', (65, 78)) ('glioblastomas', 'Disease', 'MESH:D005909', (65, 78)) ('glioma', 'Phenotype', 'HP:0009733', (149, 155)) ('glioma', 'Disease', 'MESH:D005910', (149, 155)) ('glioblastomas', 'Disease', (65, 78)) ('glioblastoma', 'Phenotype', 'HP:0012174', (65, 77)) 2128 30926639 Eighty-five per cent of mutations found by T200 were also detected on T200.1. ('T200', 'Gene', '5788', (43, 47)) ('T200', 'Gene', (70, 74)) ('mutations', 'Var', (24, 33)) ('T200', 'Gene', (43, 47)) ('T200', 'Gene', '5788', (70, 74)) 2129 30926639 T200.1 panel generally identified more mutations due to its larger targeted territories, but this difference was not statistically different (P=0.4, Wilcox rank sum test). ('T200', 'Gene', '5788', (0, 4)) ('T200', 'Gene', (0, 4)) ('mutations', 'Var', (39, 48)) 2131 30926639 These two cases included an IDH mutant, 1p/19q non-codeletion grade II glioma and an IDH wild type primary glioblastoma. ('IDH', 'Gene', '3417', (85, 88)) ('IDH', 'Gene', (28, 31)) ('1p/19q', 'Var', (40, 46)) ('IDH', 'Gene', '3417', (28, 31)) ('glioma', 'Disease', (71, 77)) ('glioblastoma', 'Phenotype', 'HP:0012174', (107, 119)) ('glioblastoma', 'Disease', (107, 119)) ('glioma', 'Disease', 'MESH:D005910', (71, 77)) ('glioma', 'Phenotype', 'HP:0009733', (71, 77)) ('IDH', 'Gene', (85, 88)) ('glioblastoma', 'Disease', 'MESH:D005909', (107, 119)) 2133 30926639 Interestingly for this case, we detected five mutations in the first specimen and four mutations in the second specimen, and BRAF V600E mutation was the only mutation shared between the two specimens (Supplementary Fig. ('V600E', 'Mutation', 'rs113488022', (130, 135)) ('BRAF', 'Gene', '673', (125, 129)) ('V600E', 'Var', (130, 135)) ('BRAF', 'Gene', (125, 129)) 2134 30926639 Both specimens harbored mutations in PTEN, but the mutations occurred at different loci in distinct forms (missense point mutation vs a two-nucleotide deletion), suggesting a remarkable selective pressure driven evolutionary convergence on this important tumor suppressor gene. ('tumor', 'Disease', 'MESH:D009369', (255, 260)) ('tumor', 'Phenotype', 'HP:0002664', (255, 260)) ('tumor', 'Disease', (255, 260)) ('PTEN', 'Gene', (37, 41)) ('PTEN', 'Gene', '5728', (37, 41)) ('mutations', 'Var', (24, 33)) ('harbored', 'Reg', (15, 23)) 2135 30926639 Only 35 mutations (1.4%) were synonymous, compared to 24% observed in TCGA (P<0.05, t test), suggesting a strong selection for nonsynonymous mutations in the cancer genes sequenced on T200. ('cancer', 'Phenotype', 'HP:0002664', (158, 164)) ('cancer', 'Disease', 'MESH:D009369', (158, 164)) ('cancer', 'Disease', (158, 164)) ('T200', 'Gene', (184, 188)) ('nonsynonymous mutations', 'Var', (127, 150)) ('T200', 'Gene', '5788', (184, 188)) 2136 30926639 Tumor suppressors, including PTEN, RB1, and ATRX, were enriched for deactivating mutations such as frame-shift indels and gain of stop codons, illustrated by a panel of manually curated driver genes (Fig. ('ATRX', 'Gene', (44, 48)) ('Tumor', 'Phenotype', 'HP:0002664', (0, 5)) ('RB1', 'Gene', (35, 38)) ('ATRX', 'Gene', '546', (44, 48)) ('PTEN', 'Gene', (29, 33)) ('RB1', 'Gene', '5925', (35, 38)) ('PTEN', 'Gene', '5728', (29, 33)) ('stop', 'MPA', (130, 134)) ('gain', 'PosReg', (122, 126)) ('frame-shift indels', 'Var', (99, 117)) 2138 30926639 PI3K pathway genes, including PIK3CA, PIK3CG, and PIK3R1, were collectively mutated in 37 patients (16%), suggesting that targeting this pathway could have important potential in treating glioma. ('PIK3CG', 'Gene', (38, 44)) ('PIK3CA', 'Gene', (30, 36)) ('glioma', 'Phenotype', 'HP:0009733', (188, 194)) ('glioma', 'Disease', 'MESH:D005910', (188, 194)) ('PIK3CG', 'Gene', '5294', (38, 44)) ('mutated', 'Var', (76, 83)) ('PIK3CA', 'Gene', '5290', (30, 36)) ('PI3K', 'Gene', (0, 4)) ('PIK3R1', 'Gene', '5295', (50, 56)) ('glioma', 'Disease', (188, 194)) ('PIK3R1', 'Gene', (50, 56)) ('patients', 'Species', '9606', (90, 98)) 2139 30926639 Surprisingly, we found 10 patients harboring BRAF mutations, nine of which were V600E. ('mutations', 'Var', (50, 59)) ('patients', 'Species', '9606', (26, 34)) ('V600E', 'Var', (80, 85)) ('BRAF', 'Gene', (45, 49)) ('BRAF', 'Gene', '673', (45, 49)) ('V600E', 'Mutation', 'rs113488022', (80, 85)) 2144 30926639 In contrast, it was mutated in around 10% of glioblastomas, including secondary glioblastoma (11.8%). ('glioblastoma', 'Phenotype', 'HP:0012174', (80, 92)) ('mutated', 'Var', (20, 27)) ('glioblastomas', 'Phenotype', 'HP:0012174', (45, 58)) ('glioblastoma', 'Disease', (45, 57)) ('glioblastoma', 'Disease', 'MESH:D005909', (45, 57)) ('glioblastomas', 'Disease', 'MESH:D005909', (45, 58)) ('glioblastoma', 'Phenotype', 'HP:0012174', (45, 57)) ('glioblastoma', 'Disease', (80, 92)) ('glioblastoma', 'Disease', 'MESH:D005909', (80, 92)) ('glioblastomas', 'Disease', (45, 58)) 2145 30926639 In TCGA, this gene was mutated in 2% of lower grade gliomas but 8% of glioblastomas (Supplementary Table 1). ('glioblastoma', 'Phenotype', 'HP:0012174', (70, 82)) ('gliomas', 'Disease', (52, 59)) ('glioblastomas', 'Disease', (70, 83)) ('gliomas', 'Disease', 'MESH:D005910', (52, 59)) ('gliomas', 'Phenotype', 'HP:0009733', (52, 59)) ('glioma', 'Phenotype', 'HP:0009733', (52, 58)) ('mutated', 'Var', (23, 30)) ('glioblastomas', 'Phenotype', 'HP:0012174', (70, 83)) ('glioblastomas', 'Disease', 'MESH:D005909', (70, 83)) ('TCGA', 'Gene', (3, 7)) 2147 30926639 Higher frequency of EGFR mutations was previously reported in glioblastoma than lower grade glioma. ('glioblastoma', 'Phenotype', 'HP:0012174', (62, 74)) ('mutations', 'Var', (25, 34)) ('EGFR', 'Gene', (20, 24)) ('glioma', 'Phenotype', 'HP:0009733', (92, 98)) ('glioma', 'Disease', (92, 98)) ('glioblastoma', 'Disease', (62, 74)) ('reported', 'Reg', (50, 58)) ('glioma', 'Disease', 'MESH:D005910', (92, 98)) ('glioblastoma', 'Disease', 'MESH:D005909', (62, 74)) ('EGFR', 'Gene', '1956', (20, 24)) 2148 30926639 We found EGFR mutations evenly distributed across the groups. ('EGFR', 'Gene', '1956', (9, 13)) ('EGFR', 'Gene', (9, 13)) ('mutations', 'Var', (14, 23)) 2149 30926639 Unlike TCGA that identified EGFR mutations in 6% of lower grade gliomas, we observed 23% mutation in our cohort (FDR=1.6e-4, chi-square test, Fig. ('glioma', 'Phenotype', 'HP:0009733', (64, 70)) ('EGFR', 'Gene', '1956', (28, 32)) ('EGFR', 'Gene', (28, 32)) ('mutations', 'Var', (33, 42)) ('gliomas', 'Phenotype', 'HP:0009733', (64, 71)) ('gliomas', 'Disease', (64, 71)) ('gliomas', 'Disease', 'MESH:D005910', (64, 71)) 2151 30926639 We speculate that the elevated prevalence of EGFR mutation compared to TCGA in lower grade tumors might be due to the different composition of patients in the two studies, and the fact that our sequencing data have a higher depth of coverage. ('tumors', 'Disease', (91, 97)) ('tumors', 'Disease', 'MESH:D009369', (91, 97)) ('tumors', 'Phenotype', 'HP:0002664', (91, 97)) ('EGFR', 'Gene', (45, 49)) ('patients', 'Species', '9606', (143, 151)) ('tumor', 'Phenotype', 'HP:0002664', (91, 96)) ('EGFR', 'Gene', '1956', (45, 49)) ('mutation', 'Var', (50, 58)) 2154 30926639 the fraction of reads carrying variant allele over the total number of reads, across glioma groups (Fig. ('glioma', 'Disease', (85, 91)) ('variant', 'Var', (31, 38)) ('glioma', 'Phenotype', 'HP:0009733', (85, 91)) ('glioma', 'Disease', 'MESH:D005910', (85, 91)) 2156 30926639 We speculate that the lower VAFs suggest EGFR mutations in these groups were likely present in a small subset of cells. ('EGFR', 'Gene', '1956', (41, 45)) ('EGFR', 'Gene', (41, 45)) ('mutations', 'Var', (46, 55)) 2159 30926639 Mutations in IDH1 and IDH2 predominantly affect amino acid 132 of IDH1 and the analogous amino acid 172 of IDH2. ('IDH1', 'Gene', '3417', (66, 70)) ('IDH2', 'Gene', '3418', (107, 111)) ('amino acid 132', 'MPA', (48, 62)) ('IDH2', 'Gene', (22, 26)) ('IDH1', 'Gene', (13, 17)) ('Mutations', 'Var', (0, 9)) ('IDH1', 'Gene', '3417', (13, 17)) ('IDH2', 'Gene', '3418', (22, 26)) ('IDH2', 'Gene', (107, 111)) ('IDH1', 'Gene', (66, 70)) ('affect', 'Reg', (41, 47)) 2160 30926639 We detected mutations in IDH1 or IDH2 in 88 tumors, including four hypermutators (Table 1). ('tumors', 'Disease', (44, 50)) ('tumors', 'Disease', 'MESH:D009369', (44, 50)) ('tumors', 'Phenotype', 'HP:0002664', (44, 50)) ('IDH2', 'Gene', (33, 37)) ('mutations', 'Var', (12, 21)) ('IDH1', 'Gene', '3417', (25, 29)) ('IDH2', 'Gene', '3418', (33, 37)) ('tumor', 'Phenotype', 'HP:0002664', (44, 49)) ('IDH1', 'Gene', (25, 29)) ('detected', 'Reg', (3, 11)) 2163 30926639 The 84 non-hypermutators all had only one IDH mutation, affecting either R332 in IDH1 or R172 in IDH2. ('IDH2', 'Gene', (97, 101)) ('IDH', 'Gene', (42, 45)) ('IDH', 'Gene', (97, 100)) ('IDH', 'Gene', '3417', (42, 45)) ('IDH2', 'Gene', '3418', (97, 101)) ('R172', 'Var', (89, 93)) ('R332', 'Var', (73, 77)) ('IDH', 'Gene', '3417', (97, 100)) ('affecting', 'Reg', (56, 65)) ('IDH1', 'Gene', (81, 85)) ('IDH', 'Gene', (81, 84)) ('IDH1', 'Gene', '3417', (81, 85)) ('IDH', 'Gene', '3417', (81, 84)) 2164 30926639 The only exception was a recurrent glioblastoma case where a I98T mutation was found in IDH2. ('IDH2', 'Gene', (88, 92)) ('I98T', 'Var', (61, 65)) ('I98T', 'Mutation', 'rs139512088', (61, 65)) ('glioblastoma', 'Disease', (35, 47)) ('IDH2', 'Gene', '3418', (88, 92)) ('glioblastoma', 'Disease', 'MESH:D005909', (35, 47)) ('glioblastoma', 'Phenotype', 'HP:0012174', (35, 47)) 2165 30926639 The four hypermutators harbored more than one mutations in IDH, but IDH1 R132H was found in all four with higher variant allele fractions than other IDH mutations with borderline significance (P=0.15, t test), suggesting the hotspot mutation was acquired before the hypermutator phenotype. ('IDH', 'Gene', '3417', (68, 71)) ('IDH', 'Gene', (59, 62)) ('IDH', 'Gene', (149, 152)) ('R132H', 'Var', (73, 78)) ('IDH', 'Gene', '3417', (59, 62)) ('IDH', 'Gene', '3417', (149, 152)) ('IDH1', 'Gene', (68, 72)) ('R132H', 'Mutation', 'rs121913500', (73, 78)) ('IDH1', 'Gene', '3417', (68, 72)) ('IDH', 'Gene', (68, 71)) 2168 30926639 A multivariate analysis controlling for tumor grade, pathology, and age confirmed the significant association between IDH mutation and better outcome (P=0.003, HR=0.25). ('better', 'Disease', (135, 141)) ('mutation', 'Var', (122, 130)) ('tumor', 'Disease', 'MESH:D009369', (40, 45)) ('IDH', 'Gene', (118, 121)) ('IDH', 'Gene', '3417', (118, 121)) ('tumor', 'Phenotype', 'HP:0002664', (40, 45)) ('tumor', 'Disease', (40, 45)) 2171 30926639 BAF and copy number of 1p and 19 were positively correlated (r=0.64, P<0.001, Pearson correlation) (Fig. ('BAF', 'Gene', (0, 3)) ('BAF', 'Gene', '8815', (0, 3)) ('copy number', 'Var', (8, 19)) 2175 30926639 Despite the limited coverage offered by targeted sequencing, we observed 12 tumors with excessive mutational load (Supplementary Fig. ('tumor', 'Phenotype', 'HP:0002664', (76, 81)) ('mutational', 'Var', (98, 108)) ('tumors', 'Disease', (76, 82)) ('tumors', 'Phenotype', 'HP:0002664', (76, 82)) ('tumors', 'Disease', 'MESH:D009369', (76, 82)) 2177 30926639 Seven of the 12 cases demonstrated the temozolomide signature, with C>T substitutions accounting for 95% of all point mutations (Fig. ('temozolomide', 'Chemical', 'MESH:D000077204', (39, 51)) ('C>T substitutions', 'Var', (68, 85)) ('temozolomide signature', 'MPA', (39, 61)) 2178 30926639 No evidence of altered polymerase POLE associated hypermutation (featuring C>A transversion at CpT dinucleotide and C>T transition at CpG dinucleotide) was observed in any of the hypermutators. ('polymerase POLE', 'Enzyme', (23, 38)) ('CpT dinucleotide', 'Chemical', '-', (95, 111)) ('C>A transversion', 'Var', (75, 91)) ('C>T transition', 'Var', (116, 130)) ('CpG dinucleotide', 'Chemical', 'MESH:C015772', (134, 150)) 2180 30926639 C>A mutations are best known to be caused by tobacco consumption and are abundant in lung cancer. ('lung cancer', 'Disease', (85, 96)) ('lung cancer', 'Phenotype', 'HP:0100526', (85, 96)) ('cancer', 'Phenotype', 'HP:0002664', (90, 96)) ('lung cancer', 'Disease', 'MESH:D008175', (85, 96)) ('tobacco', 'Species', '4097', (45, 52)) ('mutations', 'Var', (4, 13)) ('C>A', 'Gene', (0, 3)) 2190 30926639 Despite a small sample size, these data suggest increased mutational load did not significantly promote tumor aggressiveness. ('mutational load', 'Var', (58, 73)) ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('tumor aggressiveness', 'Disease', (104, 124)) ('tumor aggressiveness', 'Disease', 'MESH:D001523', (104, 124)) ('aggressiveness', 'Phenotype', 'HP:0000718', (110, 124)) 2208 30926639 Our analysis suggests T200 can recapitulate patterns reported by TCGA and others, most notably histological group associated mutations in glioma genes. ('mutations', 'Var', (125, 134)) ('glioma', 'Disease', (138, 144)) ('T200', 'Gene', '5788', (22, 26)) ('glioma', 'Phenotype', 'HP:0009733', (138, 144)) ('glioma', 'Disease', 'MESH:D005910', (138, 144)) ('T200', 'Gene', (22, 26)) 2209 30926639 Using prospectively collected tumors, we show that IDH mutation is a prognostic marker after adjusting for age, grade, and histology. ('tumors', 'Disease', (30, 36)) ('tumors', 'Disease', 'MESH:D009369', (30, 36)) ('tumors', 'Phenotype', 'HP:0002664', (30, 36)) ('IDH', 'Gene', (51, 54)) ('IDH', 'Gene', '3417', (51, 54)) ('tumor', 'Phenotype', 'HP:0002664', (30, 35)) ('mutation', 'Var', (55, 63)) 2213 30926639 We identified 12 hypermutators from our cohort, seven demonstrated temozolomide related mutational signature, suggesting cytotoxic agents can serve as potent mutagens. ('temozolomide', 'MPA', (67, 79)) ('mutational', 'Var', (88, 98)) ('temozolomide', 'Chemical', 'MESH:D000077204', (67, 79)) 2215 30926639 Interestingly, the hypermutators had comparable outcome than non-hypermutators, in fact, slightly better (P=0.08, Cox proportional-hazards model, correcting for pathology and age; Hazard Ratio 0.16, 95% CI 0.02-1.2), suggesting the additional mutations acquired did not confer significant growth incentive or evolutionary advantage to the tumor. ('tumor', 'Phenotype', 'HP:0002664', (339, 344)) ('mutations', 'Var', (243, 252)) ('tumor', 'Disease', (339, 344)) ('tumor', 'Disease', 'MESH:D009369', (339, 344)) 2216 30926639 Recent studies suggest excessive somatic mutations may facilitate the generation of more neoantigens thus elicit stronger immune cell infiltration to the tumor niche, resulting in a more hostile growth environment. ('somatic mutations', 'Var', (33, 50)) ('generation', 'MPA', (70, 80)) ('hostile growth environment', 'MPA', (187, 213)) ('stronger', 'PosReg', (113, 121)) ('facilitate', 'PosReg', (55, 65)) ('elicit', 'Reg', (106, 112)) ('immune cell infiltration', 'CPA', (122, 146)) ('neoantigens', 'MPA', (89, 100)) ('tumor', 'Disease', 'MESH:D009369', (154, 159)) ('more', 'PosReg', (182, 186)) ('tumor', 'Phenotype', 'HP:0002664', (154, 159)) ('tumor', 'Disease', (154, 159)) 2222 30926639 Overall, single agent targeted therapy to date has been extremely disappointing due to the inherent heterogeneity of the disease and due to multiple driver mutations in different cell populations within a tumor. ('mutations', 'Var', (156, 165)) ('tumor', 'Phenotype', 'HP:0002664', (205, 210)) ('tumor', 'Disease', (205, 210)) ('tumor', 'Disease', 'MESH:D009369', (205, 210)) 2227 30926639 Future therapeutic strategies in clinical trials should ideally be informed by molecular profiling results and employ combination therapies with targeted drugs to attack subsets of tumor cells harboring different driver mutations while using treatments with less specificity to target cells with passenger and/or secondary mutations. ('mutations', 'Var', (220, 229)) ('tumor', 'Disease', (181, 186)) ('tumor', 'Phenotype', 'HP:0002664', (181, 186)) ('tumor', 'Disease', 'MESH:D009369', (181, 186)) 2239 29896307 Image-guided paclitaxel injection after nanoagonist-mediated BBB modulation more efficiently attenuated tumor growth and extended survival than in animal models treated with paclitaxel or temozolomide alone. ('temozolomide', 'Chemical', 'MESH:D000077204', (188, 200)) ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('modulation', 'Var', (65, 75)) ('attenuated tumor', 'Disease', (93, 109)) ('survival', 'CPA', (130, 138)) ('attenuated tumor', 'Disease', 'MESH:C538265', (93, 109)) ('paclitaxel', 'Chemical', 'MESH:D017239', (174, 184)) ('extended', 'PosReg', (121, 129)) ('paclitaxel', 'Chemical', 'MESH:D017239', (13, 23)) 2247 29896307 However, non-selective BBB disruption results in complications such as epileptic seizures and brain edema. ('edema', 'Phenotype', 'HP:0000969', (100, 105)) ('non-selective', 'Var', (9, 22)) ('seizures', 'Phenotype', 'HP:0001250', (81, 89)) ('results in', 'Reg', (38, 48)) ('brain edema', 'Phenotype', 'HP:0002181', (94, 105)) ('brain edema', 'Disease', (94, 105)) ('epileptic seizures', 'Disease', (71, 89)) ('brain edema', 'Disease', 'MESH:D001929', (94, 105)) ('epileptic seizures', 'Disease', 'MESH:D004827', (71, 89)) 2280 29896307 Nanoagonists induced ASF assembly more efficiently than regadenoson. ('induced', 'Reg', (13, 20)) ('Nanoagonists', 'Var', (0, 12)) ('ASF', 'Gene', '110809', (21, 24)) ('regadenoson', 'Chemical', 'MESH:C430916', (56, 67)) ('ASF', 'Gene', (21, 24)) 2284 29896307 Phosphorylation of myosin light chain (MLC) protein triggers the formation of ASF from short F-actins to elicit cytoskeletal contraction. ('elicit', 'Reg', (105, 111)) ('Phosphorylation', 'Var', (0, 15)) ('MLC', 'Gene', '170790', (39, 42)) ('MLC', 'Gene', (39, 42)) ('ASF', 'Gene', '110809', (78, 81)) ('ASF', 'Gene', (78, 81)) ('myosin light chain', 'Gene', (19, 37)) ('cytoskeletal contraction', 'CPA', (112, 136)) ('short F-actins', 'Protein', (87, 101)) ('myosin light chain', 'Gene', '170790', (19, 37)) 2288 29896307 injection (39.3 mg/mouse) in mice bearing orthotopic U87MG glioma xenografts (Figure S4). ('glioma xenograft', 'Disease', (59, 75)) ('glioma xenograft', 'Disease', 'MESH:D005910', (59, 75)) ('U87MG', 'CellLine', 'CVCL:0022', (53, 58)) ('U87MG', 'Var', (53, 58)) ('glioma', 'Phenotype', 'HP:0009733', (59, 65)) ('mouse', 'Species', '10090', (19, 24)) ('mice', 'Species', '10090', (29, 33)) 2298 29896307 Compared with the Ktrans map post treatment with Gd3+-DTPA alone, the combined treatment of nanoagonist followed by Gd3+-DTPA remarkably enhanced the Ktrans signal in both the glioma parenchyma and margin but not in the normal brain tissue (Figure 4B). ('enhanced', 'PosReg', (137, 145)) ('glioma parenchyma', 'Disease', 'MESH:D005910', (176, 193)) ('glioma parenchyma', 'Disease', (176, 193)) ('Gd3+-DTPA', 'Chemical', '-', (116, 125)) ('glioma', 'Phenotype', 'HP:0009733', (176, 182)) ('Ktrans', 'Chemical', '-', (18, 24)) ('Ktrans signal', 'MPA', (150, 163)) ('Gd3+-DTPA', 'Chemical', '-', (49, 58)) ('Ktrans', 'Chemical', '-', (150, 156)) ('Gd3+-DTPA', 'Var', (116, 125)) 2320 29896307 However, the non-specific BBB breakdown leads to potential risks such as epileptic seizures and vasogenic edema. ('edema', 'Disease', (106, 111)) ('epileptic seizures', 'Disease', (73, 91)) ('seizures', 'Phenotype', 'HP:0001250', (83, 91)) ('breakdown', 'Var', (30, 39)) ('edema', 'Disease', 'MESH:D004487', (106, 111)) ('epileptic seizures', 'Disease', 'MESH:D004827', (73, 91)) ('edema', 'Phenotype', 'HP:0000969', (106, 111)) 2328 29896307 Both regadenoson and nanoagonist led to an increased F/G-actin ratio and MLC phosphorylation level but reduced TJ-associated protein level in the endothelial monolayer. ('MLC', 'Gene', '170790', (73, 76)) ('MLC', 'Gene', (73, 76)) ('reduced', 'NegReg', (103, 110)) ('TJ-associated protein level', 'MPA', (111, 138)) ('nanoagonist', 'Var', (21, 32)) ('increased', 'PosReg', (43, 52)) ('F/G-actin ratio', 'MPA', (53, 68)) ('regadenoson', 'Chemical', 'MESH:C430916', (5, 16)) 2344 29896307 Overall, nanoagonist-mediated BBB permeability enhancement followed by image-guided drug injection holds promise to improve the response of multiple therapeutics to glioma and minimize their side effects. ('response', 'MPA', (128, 136)) ('improve', 'PosReg', (116, 123)) ('glioma', 'Disease', 'MESH:D005910', (165, 171)) ('glioma', 'Phenotype', 'HP:0009733', (165, 171)) ('nanoagonist-mediated', 'Var', (9, 29)) ('BBB permeability', 'CPA', (30, 46)) ('enhancement', 'PosReg', (47, 58)) ('glioma', 'Disease', (165, 171)) 2354 29896307 Nine mice bearing orthotropic glioma xenografts were randomly divided into three groups (three mice in each group): Den-PEG, Den-Reg and Den-RGD-Reg. ('glioma', 'Phenotype', 'HP:0009733', (30, 36)) ('glioma xenograft', 'Disease', 'MESH:D005910', (30, 46)) ('mice', 'Species', '10090', (95, 99)) ('Den-Reg', 'Chemical', '-', (125, 132)) ('Den-RGD-Reg', 'Var', (137, 148)) ('Den-PEG', 'Var', (116, 123)) ('Den-PEG', 'Chemical', '-', (116, 123)) ('mice', 'Species', '10090', (5, 9)) ('Den-RGD-Reg', 'Chemical', '-', (137, 148)) ('glioma xenograft', 'Disease', (30, 46)) 2388 28473657 IE86 staining positively correlates with the staining of activating transcription factor 5 (ATF5) which is essential for glioma cell viability and proliferation suggesting that HCMV IE86 could have important implications in glioma biology. ('HCMV IE86', 'Var', (177, 186)) ('rat', 'Species', '10116', (154, 157)) ('glioma', 'Disease', 'MESH:D005910', (224, 230)) ('glioma', 'Disease', (121, 127)) ('glioma', 'Disease', 'MESH:D005910', (121, 127)) ('activating transcription factor 5', 'Gene', '22809', (57, 90)) ('glioma', 'Phenotype', 'HP:0009733', (121, 127)) ('glioma', 'Phenotype', 'HP:0009733', (224, 230)) ('activating transcription factor 5', 'Gene', (57, 90)) ('HCMV', 'Species', '10359', (177, 181)) ('glioma', 'Disease', (224, 230)) 2390 28473657 We demonstrate that IE86 protein physically interacts with, and acetylates ATF5 thereby promoting glioma cell survival. ('acetylates', 'Var', (64, 74)) ('glioma', 'Disease', 'MESH:D005910', (98, 104)) ('protein', 'Protein', (25, 32)) ('glioma', 'Phenotype', 'HP:0009733', (98, 104)) ('IE86', 'Gene', (20, 24)) ('interacts', 'Interaction', (44, 53)) ('promoting', 'PosReg', (88, 97)) ('glioma', 'Disease', (98, 104)) ('ATF5', 'Protein', (75, 79)) ('rat', 'Species', '10116', (10, 13)) 2418 28473657 Disturbance on ATF5 function or expression drives apoptosis of glioma cell lines while not affecting survival of nonneoplastic brain cells. ('glioma', 'Disease', 'MESH:D005910', (63, 69)) ('glioma', 'Phenotype', 'HP:0009733', (63, 69)) ('Disturbance', 'Var', (0, 11)) ('ATF5', 'Gene', (15, 19)) ('expression', 'MPA', (32, 42)) ('apoptosis', 'CPA', (50, 59)) ('glioma', 'Disease', (63, 69)) 2427 28473657 We found IE86 positive reactivity in the GBM tumor cells nuclei and partly in the perinuclear cytoplasm (Figure 1A). ('tumor', 'Phenotype', 'HP:0002664', (45, 50)) ('tumor', 'Disease', (45, 50)) ('IE86', 'Var', (9, 13)) ('tumor', 'Disease', 'MESH:D009369', (45, 50)) ('reactivity', 'MPA', (23, 33)) 2451 28473657 To determine which part of ATF5 interacts with IE86, we performed immunoprecipitation analysis using C6 cells transfected with a construct expressing GFP-ATF5 or GFP-dnATF5. ('GFP-ATF5', 'Var', (150, 158)) ('GFP-dnATF5', 'Var', (162, 172)) ('C6', 'CellLine', 'CVCL:X905', (101, 103)) 2456 28473657 These results suggest that ATF5 acetylation induced by IE86 is subject to p300-dependent manner. ('p300', 'Gene', (74, 78)) ('p300', 'Gene', '2033', (74, 78)) ('ATF5 acetylation', 'MPA', (27, 43)) ('IE86', 'Var', (55, 59)) 2459 28473657 To exam whether the K29 in ATF5 GK motif is the acetylation site of IE86 as well, we transfected IE86 plasmid and wild-type (WT) ATF5 or ATF5 (K29R) to C6 cells, in which K29 was mutated into arginine. ('arginine', 'Chemical', 'MESH:D001120', (192, 200)) ('C6', 'CellLine', 'CVCL:X905', (152, 154)) ('K29R', 'Var', (143, 147)) ('K29', 'Gene', (171, 174)) ('K29R', 'SUBSTITUTION', 'None', (143, 147)) ('mutated', 'Var', (179, 186)) 2460 28473657 Immunoblotting analysis displayed that WT ATF5 but not ATF5 (K29R) acetylated by IE86 (Figure 6). ('K29R', 'Var', (61, 65)) ('IE86', 'Gene', (81, 85)) ('K29R', 'SUBSTITUTION', 'None', (61, 65)) ('acetylated', 'MPA', (67, 77)) 2462 28473657 Our in vitro results showed that IE86 could enhance tumor survivability. ('tumor', 'Phenotype', 'HP:0002664', (52, 57)) ('tumor', 'Disease', (52, 57)) ('IE86', 'Var', (33, 37)) ('enhance', 'PosReg', (44, 51)) ('tumor', 'Disease', 'MESH:D009369', (52, 57)) 2466 28473657 At the endpoint, the tumor volume and weight of vector group was significantly smaller than that of IE group (Figure 7). ('vector', 'Var', (48, 54)) ('tumor', 'Disease', (21, 26)) ('smaller', 'NegReg', (79, 86)) ('tumor', 'Disease', 'MESH:D009369', (21, 26)) ('tumor', 'Phenotype', 'HP:0002664', (21, 26)) 2481 28473657 IE86 has the ability to form a complex with several cellular regulators, including the TATA box-binding protein (TBP), TFIIB, Sp1,Tef-1, c-Jun, JunB, p53, and P300. ('TBP', 'Gene', '6908', (113, 116)) ('IE86', 'Var', (0, 4)) ('P300', 'Gene', (159, 163)) ('Tef-1', 'Gene', (130, 135)) ('c-Jun', 'Gene', '3725', (137, 142)) ('JunB', 'Gene', '3726', (144, 148)) ('TFIIB', 'Gene', (119, 124)) ('TATA box-binding protein', 'Gene', (87, 111)) ('P300', 'Gene', '2033', (159, 163)) ('complex', 'Interaction', (31, 38)) ('p53', 'Gene', (150, 153)) ('Tef-1', 'Gene', '7003', (130, 135)) ('TFIIB', 'Gene', '2959', (119, 124)) ('p53', 'Gene', '7157', (150, 153)) ('TATA box-binding protein', 'Gene', '6908', (87, 111)) ('c-Jun', 'Gene', (137, 142)) ('JunB', 'Gene', (144, 148)) ('TBP', 'Gene', (113, 116)) 2482 28473657 The IE86 protein is reported to inhibit the induction of apoptosis by TNF-alpha. ('TNF-alpha', 'Gene', (70, 79)) ('TNF-alpha', 'Gene', '7124', (70, 79)) ('IE86', 'Var', (4, 8)) ('inhibit', 'NegReg', (32, 39)) 2495 28473657 Immunoblotting of the immunoprecipitated IE with an anti-ATF5 antibody from C6 cell transfected with a construct expressing GFP-ATF5 or GFP-dnATF5 showed that ATF5 but not dnATF5 associated with IE, indicating that IE specifically interacts with the N-terminal proline-rich domain of ATF5. ('GFP-dnATF5', 'Var', (136, 146)) ('GFP-ATF5', 'Var', (124, 132)) ('interacts', 'Interaction', (231, 240)) ('C6', 'CellLine', 'CVCL:X905', (76, 78)) ('proline', 'Chemical', 'MESH:D011392', (261, 268)) ('associated', 'Interaction', (179, 189)) 2537 28473657 Antibodies used were anti-ATF5 (Abcam), anti-P300 (Santa Cruz), anti-IE (Virostat), anti-FLAG (Stratagene) and anti-beta-actin (Santa Cruz). ('rat', 'Species', '10116', (97, 100)) ('anti-ATF5', 'Var', (21, 30)) ('P300', 'Gene', '2033', (45, 49)) ('beta-actin', 'Gene', '728378', (116, 126)) ('beta-actin', 'Gene', (116, 126)) ('anti-FLAG', 'Var', (84, 93)) ('P300', 'Gene', (45, 49)) ('anti-IE', 'Var', (64, 71)) 2538 28473657 For cell death analysis, gating was adjusted using 7-aminoactinomycin D (7-AAD) staining with dot plots displaying FL3-7-AAD on the y-axis and FL2- annexin V-PE on the x-axis and 5,000 events were collected for each sample. ('FL2-', 'Var', (143, 147)) ('annexin V', 'Gene', '308', (148, 157)) ('7-aminoactinomycin D', 'Chemical', 'MESH:C025942', (51, 71)) ('annexin V', 'Gene', (148, 157)) ('7-AAD', 'Chemical', 'MESH:C025942', (119, 124)) ('FL3-7-AAD', 'Chemical', '-', (115, 124)) ('FL3-7-AAD', 'Var', (115, 124)) ('7-AAD', 'Chemical', 'MESH:C025942', (73, 78)) 2600 26337080 Finally, dynamic 1H-MRS showed that, at high grade glioma, the [NAA] reduced greatly to almost to the noise level and the noise will have relatively more effect on the small NAA peak, therefore, make the [Cho/NAA] change greatly from 0 to 6 min. ('Cho', 'Chemical', 'MESH:D002794', (205, 208)) ('high grade', 'Var', (40, 50)) ('glioma', 'Disease', (51, 57)) ('NAA', 'Chemical', 'MESH:C000179', (64, 67)) ('NAA', 'Chemical', 'MESH:C000179', (209, 212)) ('[Cho/NAA', 'MPA', (204, 212)) ('reduced', 'NegReg', (69, 76)) ('NAA', 'Chemical', 'MESH:C000179', (174, 177)) ('1H', 'Chemical', '-', (17, 19)) ('glioma', 'Disease', 'MESH:D005910', (51, 57)) ('glioma', 'Phenotype', 'HP:0009733', (51, 57)) ('make', 'Reg', (195, 199)) ('small NAA', 'Phenotype', 'HP:0000430', (168, 177)) ('[NAA]', 'MPA', (63, 68)) ('change', 'Reg', (214, 220)) 2661 26050591 The study was halted on the assumption that results with radiotherapy alone would be inferior to radiotherapy and temozolomide) Finally, EORTC 22033/26033, NCIC CE5, accrued patients with LGGs who "required treatment" defined as several unfavorable factors such as age >=40, but additional prognostic factors that were not solely identified by the Pignatti analysis. ('patients', 'Species', '9606', (174, 182)) ('EORTC', 'Var', (137, 142)) ('temozolomide', 'Chemical', 'MESH:D000077204', (114, 126)) ('LGGs', 'Disease', (188, 192)) 2662 26050591 Patients were randomized to either radiotherapy or temozolomide alone, but were stratified by loss of chrososome 1p in tumor DNA which is a favorable molecular factor (results discussed below). ('tumor', 'Disease', (119, 124)) ('chrososome 1p', 'Var', (102, 115)) ('loss', 'NegReg', (94, 98)) ('temozolomide', 'Chemical', 'MESH:D000077204', (51, 63)) ('Patients', 'Species', '9606', (0, 8)) ('tumor', 'Disease', 'MESH:D009369', (119, 124)) ('tumor', 'Phenotype', 'HP:0002664', (119, 124)) 2663 26050591 Loss of chromosomes 1p and 19q, O6-Methylguanine-DNA-methyltransferase (MGMT) promoter methylation, and isocitrate dehydrogenase (IDH) mutations are among the best-understood biomarkers, although several others are emerging. ('isocitrate dehydrogenase', 'Gene', '3417', (104, 128)) ('IDH', 'Gene', '3417', (130, 133)) ('MGMT', 'Gene', '4255', (72, 76)) ('MGMT', 'Gene', (72, 76)) ('mutations', 'Var', (135, 144)) ('O6-Methylguanine-DNA-methyltransferase', 'Gene', '4255', (32, 70)) ('Loss', 'NegReg', (0, 4)) ('O6-Methylguanine-DNA-methyltransferase', 'Gene', (32, 70)) ('isocitrate dehydrogenase', 'Gene', (104, 128)) ('IDH', 'Gene', (130, 133)) 2664 26050591 1p19q co-deletion is clearly prognostic in both anaplastic oligodendroglial tumors and LGGs, although it is less well studied in the latter. ('prognostic', 'Reg', (29, 39)) ('tumor', 'Phenotype', 'HP:0002664', (76, 81)) ('1p19q co-deletion', 'Var', (0, 17)) ('LGGs', 'Disease', (88, 92)) ('tumors', 'Phenotype', 'HP:0002664', (76, 82)) ('anaplastic oligodendroglial tumors', 'Disease', 'MESH:D002277', (48, 82)) ('anaplastic oligodendroglial tumors', 'Disease', (48, 82)) 2669 26050591 In addition, IDH mutation induces methylation of many genes (G-CIMP), which may partially explain the effect of MGMT methylation at specific sites in the promoter. ('induces', 'Reg', (26, 33)) ('IDH', 'Gene', '3417', (13, 16)) ('mutation', 'Var', (17, 25)) ('MGMT', 'Gene', (112, 116)) ('MGMT', 'Gene', '4255', (112, 116)) ('IDH', 'Gene', (13, 16)) ('methylation', 'MPA', (34, 45)) 2670 26050591 Tumors with 1p19q co-deletion appear to represent a subset of those with IDH mutation. ('1p19q co-deletion', 'Var', (12, 29)) ('IDH', 'Gene', (73, 76)) ('Tumors', 'Disease', (0, 6)) ('IDH', 'Gene', '3417', (73, 76)) ('Tumors', 'Disease', 'MESH:D009369', (0, 6)) ('Tumors', 'Phenotype', 'HP:0002664', (0, 6)) 2671 26050591 Surprisingly, one study suggested that in the natural history of a low grade astrocytoma, untreated patients with tumors harboring methylated MGMT promoters had a shorter PFS than untreated patients without MGMT methylated tumors. ('tumor', 'Phenotype', 'HP:0002664', (223, 228)) ('patients', 'Species', '9606', (190, 198)) ('tumors', 'Disease', (223, 229)) ('MGMT', 'Gene', '4255', (207, 211)) ('patients', 'Species', '9606', (100, 108)) ('shorter', 'NegReg', (163, 170)) ('tumors', 'Disease', 'MESH:D009369', (114, 120)) ('astrocytoma', 'Disease', 'MESH:D001254', (77, 88)) ('astrocytoma', 'Disease', (77, 88)) ('MGMT', 'Gene', '4255', (142, 146)) ('PFS', 'MPA', (171, 174)) ('tumors', 'Disease', 'MESH:D009369', (223, 229)) ('MGMT', 'Gene', (207, 211)) ('methylated', 'Var', (131, 141)) ('tumors', 'Phenotype', 'HP:0002664', (114, 120)) ('astrocytoma', 'Phenotype', 'HP:0009592', (77, 88)) ('MGMT', 'Gene', (142, 146)) ('tumor', 'Phenotype', 'HP:0002664', (114, 119)) ('tumors', 'Phenotype', 'HP:0002664', (223, 229)) ('tumors', 'Disease', (114, 120)) 2677 26050591 In fact, both patients treated with radiotherapy and PCV and those treated with radiotherapy alone experienced improved cognition (as measured by mini mental status examination) over time, suggesting improved tumor control results in improved symptoms. ('improved', 'PosReg', (234, 242)) ('tumor', 'Disease', (209, 214)) ('symptoms', 'MPA', (243, 251)) ('radiotherapy', 'Var', (36, 48)) ('improved', 'PosReg', (111, 119)) ('PCV', 'Var', (53, 56)) ('improved', 'PosReg', (200, 208)) ('tumor', 'Disease', 'MESH:D009369', (209, 214)) ('patients', 'Species', '9606', (14, 22)) ('cognition', 'CPA', (120, 129)) ('tumor', 'Phenotype', 'HP:0002664', (209, 214)) 2690 26050591 The updated results from RTOG 9802 demonstrated improved PFS in the subset of patients with low grade astrocytomas (median 3.7 years vs. 1.7 years, HR = 0.58) by adding PCV to radiotherapy vs. radiotherapy alone). ('astrocytomas', 'Disease', 'MESH:D001254', (102, 114)) ('PFS', 'MPA', (57, 60)) ('PCV', 'Var', (169, 172)) ('improved', 'PosReg', (48, 56)) ('astrocytoma', 'Phenotype', 'HP:0009592', (102, 113)) ('patients', 'Species', '9606', (78, 86)) ('astrocytomas', 'Disease', (102, 114)) 2693 26050591 On first glance, it appears mysterious why patients with low grade astrocytomas benefited from adding PCV to radiotherapy in RTOG 9802, as astrocytomas are considered less chemo-sensitive than oligodendrogliomas, and they rarely harbor 1p19q co-deletion which is typically linked with response to chemotherapy. ('astrocytomas', 'Disease', 'MESH:D001254', (67, 79)) ('astrocytomas', 'Disease', (139, 151)) ('oligodendrogliomas', 'Disease', (193, 211)) ('patients', 'Species', '9606', (43, 51)) ('gliomas', 'Phenotype', 'HP:0009733', (204, 211)) ('astrocytomas', 'Disease', (67, 79)) ('glioma', 'Phenotype', 'HP:0009733', (204, 210)) ('astrocytomas', 'Disease', 'MESH:D001254', (139, 151)) ('astrocytoma', 'Phenotype', 'HP:0009592', (67, 78)) ('astrocytoma', 'Phenotype', 'HP:0009592', (139, 150)) ('oligodendrogliomas', 'Disease', 'MESH:D009837', (193, 211)) ('1p19q', 'Var', (236, 241)) 2697 26050591 Looking at the data from trials of anaplastic oligodendroglial tumors, it appears that IDH mutant or MGMT methylated tumors benefit from PCV when added to radiotherapy, even in the absence of 1p19q co-deletion. ('tumor', 'Phenotype', 'HP:0002664', (117, 122)) ('MGMT', 'Gene', (101, 105)) ('tumors', 'Phenotype', 'HP:0002664', (117, 123)) ('benefit', 'PosReg', (124, 131)) ('IDH', 'Gene', (87, 90)) ('MGMT', 'Gene', '4255', (101, 105)) ('tumors', 'Phenotype', 'HP:0002664', (63, 69)) ('tumors', 'Disease', (117, 123)) ('tumors', 'Disease', 'MESH:D009369', (117, 123)) ('IDH', 'Gene', '3417', (87, 90)) ('tumors', 'Disease', (63, 69)) ('tumors', 'Disease', 'MESH:D009369', (63, 69)) ('anaplastic oligodendroglial tumors', 'Disease', 'MESH:D002277', (35, 69)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) ('mutant', 'Var', (91, 97)) ('anaplastic oligodendroglial tumors', 'Disease', (35, 69)) 2698 26050591 IDH mutation is far more common in LGGs than anaplastic tumors, and MGMT methylation is linked with and possibly dependent on IDH mutation, regardless of histologic subtype. ('common', 'Reg', (25, 31)) ('IDH', 'Gene', (0, 3)) ('tumor', 'Phenotype', 'HP:0002664', (56, 61)) ('IDH', 'Gene', '3417', (126, 129)) ('anaplastic tumors', 'Disease', 'MESH:D002277', (45, 62)) ('LGGs', 'Disease', (35, 39)) ('IDH', 'Gene', '3417', (0, 3)) ('linked', 'Reg', (88, 94)) ('mutation', 'Var', (4, 12)) ('tumors', 'Phenotype', 'HP:0002664', (56, 62)) ('anaplastic tumors', 'Disease', (45, 62)) ('MGMT', 'Gene', '4255', (68, 72)) ('MGMT', 'Gene', (68, 72)) ('IDH', 'Gene', (126, 129)) 2700 26050591 In summary, similar to patients with anaplastic oligodendroglial tumors, those with LGGs harboring both 1p19q co-deletion and IDH mutation may benefit most from PCV, explaining the clear improvement in oligodendrogliomas which are typically 1p19q co-deleted. ('anaplastic oligodendroglial tumors', 'Disease', 'MESH:D002277', (37, 71)) ('glioma', 'Phenotype', 'HP:0009733', (213, 219)) ('IDH', 'Gene', '3417', (126, 129)) ('anaplastic oligodendroglial tumors', 'Disease', (37, 71)) ('tumor', 'Phenotype', 'HP:0002664', (65, 70)) ('patients', 'Species', '9606', (23, 31)) ('mutation', 'Var', (130, 138)) ('improvement', 'PosReg', (187, 198)) ('oligodendrogliomas', 'Disease', 'MESH:D009837', (202, 220)) ('tumors', 'Phenotype', 'HP:0002664', (65, 71)) ('oligodendrogliomas', 'Disease', (202, 220)) ('1p19q', 'Var', (104, 109)) ('gliomas', 'Phenotype', 'HP:0009733', (213, 220)) ('IDH', 'Gene', (126, 129)) 2714 26050591 Chemotherapy alone (generally temozolomide) with deferred radiotherapy is the treatment recommended most frequently among neuro-oncologists for patients with 1p19q co-deleted anaplastic oligodendroglial tumors which are even more aggressive than lower grade tumors. ('tumor', 'Phenotype', 'HP:0002664', (258, 263)) ('1p19q co-deleted', 'Var', (158, 174)) ('tumor', 'Phenotype', 'HP:0002664', (203, 208)) ('temozolomide', 'Chemical', 'MESH:D000077204', (30, 42)) ('tumors', 'Disease', (258, 264)) ('tumors', 'Phenotype', 'HP:0002664', (258, 264)) ('tumors', 'Disease', 'MESH:D009369', (203, 209)) ('tumors', 'Disease', (203, 209)) ('tumors', 'Phenotype', 'HP:0002664', (203, 209)) ('tumors', 'Disease', 'MESH:D009369', (258, 264)) ('anaplastic oligodendroglial tumors', 'Disease', 'MESH:D002277', (175, 209)) ('anaplastic oligodendroglial tumors', 'Disease', (175, 209)) ('patients', 'Species', '9606', (144, 152)) 2719 26050591 The frequency of grade 3 treated related toxicities was lower in RTOG 0424 than among patients treated with radiotherapy and PCV in RTOG 9802. ('toxicities', 'Disease', (41, 51)) ('lower', 'NegReg', (56, 61)) ('RTOG 0424', 'Var', (65, 74)) ('toxicities', 'Disease', 'MESH:D064420', (41, 51)) ('patients', 'Species', '9606', (86, 94)) 2732 26050591 The "CODEL" trial, for patients with newly diagnosed anaplastic oligodendroglial tumors harboring 1p19q codeletion, will compare radiotherapy with either PCV or temozolomide. ('anaplastic oligodendroglial tumors', 'Disease', (53, 87)) ('temozolomide', 'Chemical', 'MESH:D000077204', (161, 173)) ('patients', 'Species', '9606', (23, 31)) ('anaplastic oligodendroglial tumors', 'Disease', 'MESH:D002277', (53, 87)) ('1p19q codeletion', 'Var', (98, 114)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('tumors', 'Phenotype', 'HP:0002664', (81, 87)) 2743 33986244 Interfering with hyaluronic acid metabolism suppresses glioma cell proliferation by regulating autophagy The tumor microenvironment plays an important role in tumor progression. ('Interfering', 'Var', (0, 11)) ('tumor', 'Phenotype', 'HP:0002664', (159, 164)) ('tumor', 'Disease', 'MESH:D009369', (109, 114)) ('tumor', 'Disease', (159, 164)) ('hyaluronic acid metabolism suppresses glioma', 'Disease', 'MESH:D005910', (17, 61)) ('glioma', 'Phenotype', 'HP:0009733', (55, 61)) ('hyaluronic acid metabolism suppresses glioma', 'Disease', (17, 61)) ('tumor', 'Phenotype', 'HP:0002664', (109, 114)) ('autophagy', 'CPA', (95, 104)) ('regulating', 'Reg', (84, 94)) ('tumor', 'Disease', 'MESH:D009369', (159, 164)) ('tumor', 'Disease', (109, 114)) 2747 33986244 Silencing HAS3 expression or blocking CD44 inhibited glioma cell proliferation in vitro and in vivo. ('glioma', 'Disease', (53, 59)) ('inhibited', 'NegReg', (43, 52)) ('blocking', 'NegReg', (29, 37)) ('HAS3 expression', 'Protein', (10, 25)) ('glioma', 'Phenotype', 'HP:0009733', (53, 59)) ('glioma', 'Disease', 'MESH:D005910', (53, 59)) ('CD44', 'Gene', (38, 42)) ('Silencing', 'Var', (0, 9)) 2763 33986244 For instance, HMW-HA possesses antiangiogenic and immunosuppressive activities, whereas LMW-HA induces inflammation and is related to the angiogenesis, survival, growth, and metastasis of tumors. ('metastasis of tumors', 'Disease', 'MESH:D009362', (174, 194)) ('tumors', 'Phenotype', 'HP:0002664', (188, 194)) ('inflammation', 'Disease', (103, 115)) ('metastasis of tumors', 'Disease', (174, 194)) ('inflammation', 'Disease', 'MESH:D007249', (103, 115)) ('HA', 'Chemical', 'MESH:D006820', (18, 20)) ('LMW-HA', 'Var', (88, 94)) ('antiangiogenic', 'CPA', (31, 45)) ('related', 'Reg', (123, 130)) ('immunosuppressive activities', 'CPA', (50, 78)) ('tumor', 'Phenotype', 'HP:0002664', (188, 193)) ('angiogenesis', 'CPA', (138, 150)) ('induces', 'PosReg', (95, 102)) ('HA', 'Chemical', 'MESH:D006820', (92, 94)) 2768 33986244 Inhibition of CD44 activity induces the apoptosis of invasive tumors. ('invasive tumors', 'Disease', (53, 68)) ('tumor', 'Phenotype', 'HP:0002664', (62, 67)) ('apoptosis', 'CPA', (40, 49)) ('tumors', 'Phenotype', 'HP:0002664', (62, 68)) ('CD44', 'Protein', (14, 18)) ('activity', 'MPA', (19, 27)) ('invasive tumors', 'Disease', 'MESH:D009361', (53, 68)) ('Inhibition', 'Var', (0, 10)) 2779 33986244 Alterations in HA metabolism induced by silencing HAS3, blocking its binding with the receptor CD44, or administering 4-MU inhibited autophagy flux, arrested the cell cycle at G1 phase, and subsequently inhibited glioma cell proliferation in the present study. ('4-MU', 'Chemical', 'MESH:D006923', (118, 122)) ('glioma', 'Disease', 'MESH:D005910', (213, 219)) ('glioma', 'Phenotype', 'HP:0009733', (213, 219)) ('HAS3', 'Gene', (50, 54)) ('arrest', 'Disease', 'MESH:D006323', (149, 155)) ('HA', 'Chemical', 'MESH:D006820', (50, 52)) ('blocking', 'NegReg', (56, 64)) ('arrest', 'Disease', (149, 155)) ('cell cycle at G1 phase', 'CPA', (162, 184)) ('binding', 'Interaction', (69, 76)) ('inhibited', 'NegReg', (123, 132)) ('autophagy flux', 'CPA', (133, 147)) ('inhibited', 'NegReg', (203, 212)) ('silencing', 'Var', (40, 49)) ('glioma', 'Disease', (213, 219)) ('HA', 'Chemical', 'MESH:D006820', (15, 17)) 2788 33986244 Moreover, in view of HAS1, HAS2, and HAS3 expression in glioma, we over-expressed HAS1 and knocked down HAS2 in glioma cell lines, the results demonstrated the over-expression of HAS1 or the silencing of HAS2 did not significantly affect the viability of glioma cells (Supplementary Fig. ('silencing', 'Var', (191, 200)) ('HAS1', 'Gene', '3036', (21, 25)) ('HAS2', 'Gene', (104, 108)) ('HAS1', 'Gene', (179, 183)) ('HAS2', 'Gene', '3037', (204, 208)) ('glioma', 'Disease', (112, 118)) ('HAS2', 'Gene', '3037', (27, 31)) ('HAS1', 'Gene', '3036', (179, 183)) ('glioma', 'Disease', 'MESH:D005910', (112, 118)) ('HAS1', 'Gene', (82, 86)) ('glioma', 'Disease', (255, 261)) ('glioma', 'Disease', (56, 62)) ('knocked', 'Var', (91, 98)) ('glioma', 'Disease', 'MESH:D005910', (255, 261)) ('glioma', 'Disease', 'MESH:D005910', (56, 62)) ('HAS1', 'Gene', '3036', (82, 86)) ('HAS2', 'Gene', '3037', (104, 108)) ('glioma', 'Phenotype', 'HP:0009733', (112, 118)) ('HAS2', 'Gene', (204, 208)) ('glioma', 'Phenotype', 'HP:0009733', (255, 261)) ('glioma', 'Phenotype', 'HP:0009733', (56, 62)) ('HAS2', 'Gene', (27, 31)) ('HAS1', 'Gene', (21, 25)) 2796 33986244 The results confirmed the relative expression levels of HA, HAS3, and CD44 in glioma were higher than those in HUVEC cells (Supplementary Fig. ('glioma', 'Phenotype', 'HP:0009733', (78, 84)) ('HA', 'Chemical', 'MESH:D006820', (56, 58)) ('HAS3', 'Gene', (60, 64)) ('HUVEC', 'CellLine', 'CVCL:2959', (111, 116)) ('expression levels', 'MPA', (35, 52)) ('glioma', 'Disease', (78, 84)) ('CD44', 'Var', (70, 74)) ('higher', 'PosReg', (90, 96)) ('HA', 'Chemical', 'MESH:D006820', (60, 62)) ('glioma', 'Disease', 'MESH:D005910', (78, 84)) 2800 33986244 Exogenous HA reversed this effect of HAS3 knockdown. ('HAS3', 'Gene', (37, 41)) ('HA', 'Chemical', 'MESH:D006820', (37, 39)) ('knockdown', 'Var', (42, 51)) ('HA', 'Chemical', 'MESH:D006820', (10, 12)) 2803 33986244 Moreover, inhibition of HAS3 or treatment with the CD44 antibody decreased the expression of Ki67 in U251 or LN229 glioma cells, respectively (Fig. ('Ki67', 'Gene', (93, 97)) ('glioma', 'Disease', (115, 121)) ('expression', 'MPA', (79, 89)) ('decreased', 'NegReg', (65, 74)) ('Ki67', 'Gene', '17345', (93, 97)) ('U251', 'CellLine', 'CVCL:0021', (101, 105)) ('glioma', 'Phenotype', 'HP:0009733', (115, 121)) ('HAS3', 'Protein', (24, 28)) ('glioma', 'Disease', 'MESH:D005910', (115, 121)) ('CD44', 'Gene', (51, 55)) ('inhibition', 'Var', (10, 20)) ('LN229', 'CellLine', 'CVCL:0393', (109, 114)) 2808 33986244 2E, HAS3 and CD44 expression were significantly decreased in glioma cells transfected with the HAS3 siRNA and CD44 siRNA, respectively, compared with control glioma cells. ('glioma', 'Phenotype', 'HP:0009733', (61, 67)) ('glioma', 'Disease', 'MESH:D005910', (158, 164)) ('glioma', 'Phenotype', 'HP:0009733', (158, 164)) ('HAS3', 'Var', (95, 99)) ('decreased', 'NegReg', (48, 57)) ('glioma', 'Disease', (61, 67)) ('CD44', 'Gene', (13, 17)) ('glioma', 'Disease', (158, 164)) ('expression', 'MPA', (18, 28)) ('HAS3', 'Gene', (4, 8)) ('CD44 siRNA', 'Var', (110, 120)) ('glioma', 'Disease', 'MESH:D005910', (61, 67)) 2810 33986244 The inhibition of HAS3 or CD44 in vivo significantly decreased the glioma volumes, extended the survival time of mice, and downregulated Ki67 expression compared with controls (Fig. ('Ki67', 'Gene', '17345', (137, 141)) ('glioma', 'Disease', (67, 73)) ('downregulated', 'NegReg', (123, 136)) ('Ki67', 'Gene', (137, 141)) ('inhibition', 'Var', (4, 14)) ('survival time', 'CPA', (96, 109)) ('CD44', 'Gene', (26, 30)) ('glioma', 'Phenotype', 'HP:0009733', (67, 73)) ('extended', 'PosReg', (83, 91)) ('expression', 'MPA', (142, 152)) ('glioma', 'Disease', 'MESH:D005910', (67, 73)) ('decreased', 'NegReg', (53, 62)) ('mice', 'Species', '10090', (113, 117)) ('HAS3', 'Gene', (18, 22)) 2811 33986244 As expected, silencing of HAS3 also reduced the production of HA in vivo (Fig. ('HA', 'Chemical', 'MESH:D006820', (62, 64)) ('HAS3', 'Gene', (26, 30)) ('reduced', 'NegReg', (36, 43)) ('production of HA', 'MPA', (48, 64)) ('HA', 'Chemical', 'MESH:D006820', (26, 28)) ('silencing', 'Var', (13, 22)) 2817 33986244 HAS3 silencing or treatment with the CD44 antibody increased the number of autophagic vesicles in glioma cells (Fig. ('glioma', 'Disease', 'MESH:D005910', (98, 104)) ('increased', 'PosReg', (51, 60)) ('glioma', 'Phenotype', 'HP:0009733', (98, 104)) ('CD44', 'Gene', (37, 41)) ('silencing', 'Var', (5, 14)) ('HAS3', 'Protein', (0, 4)) ('glioma', 'Disease', (98, 104)) 2824 33986244 Based on these results, treatments interfering with HA metabolism by silencing HAS3 or the application of an antibody against CD44 blocks autophagy flux. ('HA', 'Chemical', 'MESH:D006820', (52, 54)) ('HA', 'Chemical', 'MESH:D006820', (79, 81)) ('HAS3', 'Protein', (79, 83)) ('CD44', 'Gene', (126, 130)) ('blocks', 'NegReg', (131, 137)) ('autophagy flux', 'CPA', (138, 152)) ('silencing', 'Var', (69, 78)) 2825 33986244 CQ, an inhibitor of autophagy flux, was used to measure autophagy flux in glioma cells and our research further confirmed that interfering with HA metabolism inhibits cell proliferation by inhibiting autophagy flux. ('glioma', 'Disease', 'MESH:D005910', (74, 80)) ('inhibits', 'NegReg', (158, 166)) ('HA', 'Chemical', 'MESH:D006820', (144, 146)) ('interfering', 'Var', (127, 138)) ('inhibiting', 'NegReg', (189, 199)) ('glioma', 'Disease', (74, 80)) ('CQ', 'Chemical', 'MESH:D002738', (0, 2)) ('HA metabolism', 'MPA', (144, 157)) ('glioma', 'Phenotype', 'HP:0009733', (74, 80)) ('autophagy flux', 'CPA', (200, 214)) ('cell proliferation', 'CPA', (167, 185)) 2829 33986244 Therefore, we investigated the effect of silencing HAS3 or treatment with CD44 antibodies on glioma cell cycle arrest. ('cell cycle arrest', 'Phenotype', 'HP:0011018', (100, 117)) ('glioma', 'Disease', (93, 99)) ('silencing', 'Var', (41, 50)) ('arrest', 'Disease', 'MESH:D006323', (111, 117)) ('CD44', 'Gene', (74, 78)) ('arrest', 'Disease', (111, 117)) ('glioma', 'Disease', 'MESH:D005910', (93, 99)) ('HAS3', 'Gene', (51, 55)) ('glioma', 'Phenotype', 'HP:0009733', (93, 99)) 2831 33986244 More importantly, silencing HAS3 or treatment with the anti-CD44 antibodies decreased the levels of the cell cycle-related proteins cyclin B1 and cyclin D1 in glioma cells, and CQ treatment further enhanced this effect (Fig. ('cyclin D1', 'Gene', (146, 155)) ('glioma', 'Disease', (159, 165)) ('silencing', 'Var', (18, 27)) ('cyclin D1', 'Gene', '595', (146, 155)) ('cyclin B1', 'Gene', '891', (132, 141)) ('cyclin B1', 'Gene', (132, 141)) ('decreased', 'NegReg', (76, 85)) ('CQ', 'Chemical', 'MESH:D002738', (177, 179)) ('glioma', 'Disease', 'MESH:D005910', (159, 165)) ('antibodies', 'Var', (65, 75)) ('glioma', 'Phenotype', 'HP:0009733', (159, 165)) ('anti-CD44', 'Gene', (55, 64)) ('HAS3', 'Gene', (28, 32)) 2832 33986244 Inhibition of HAS3 or treatment with the CD44 antibody combined with autophagy inhibitors exerted synergistic inhibitory effects on glioma proliferation through a molecular mechanism that involves arresting the cell cycle in G1 phase. ('glioma', 'Disease', (132, 138)) ('arrest', 'Disease', 'MESH:D006323', (197, 203)) ('CD44', 'Gene', (41, 45)) ('HAS3', 'Gene', (14, 18)) ('Inhibition', 'Var', (0, 10)) ('glioma', 'Disease', 'MESH:D005910', (132, 138)) ('cell cycle', 'CPA', (211, 221)) ('arrest', 'Disease', (197, 203)) ('glioma', 'Phenotype', 'HP:0009733', (132, 138)) 2834 33986244 In addition, 4-MU inhibited HA synthesis in glioma cells (Supplementary Fig. ('4-MU', 'Chemical', 'MESH:D006923', (13, 17)) ('HA', 'Chemical', 'MESH:D006820', (28, 30)) ('4-MU', 'Var', (13, 17)) ('glioma', 'Disease', (44, 50)) ('HA synthesis', 'MPA', (28, 40)) ('inhibited', 'NegReg', (18, 27)) ('glioma', 'Disease', 'MESH:D005910', (44, 50)) ('glioma', 'Phenotype', 'HP:0009733', (44, 50)) 2838 33986244 Moreover, 4-MU increased the number of autophagic vesicles in vitro (Fig. ('increased', 'PosReg', (15, 24)) ('4-MU', 'Chemical', 'MESH:D006923', (10, 14)) ('number of autophagic vesicles in vitro', 'CPA', (29, 67)) ('4-MU', 'Var', (10, 14)) 2840 33986244 GFP-RFP-LC3 fluorescence assays showed that 4-MU blocked the autophagy flux of glioma cells (Fig. ('4-MU', 'Chemical', 'MESH:D006923', (44, 48)) ('glioma', 'Disease', (79, 85)) ('4-MU', 'Var', (44, 48)) ('LC3', 'Gene', '84557', (8, 11)) ('glioma', 'Disease', 'MESH:D005910', (79, 85)) ('LC3', 'Gene', (8, 11)) ('glioma', 'Phenotype', 'HP:0009733', (79, 85)) ('blocked', 'NegReg', (49, 56)) 2844 33986244 3G-H, 4-MU decreased the volume of glioma tissues, and the levels of HA and Ki67 were also decreased. ('Ki67', 'Gene', (76, 80)) ('decreased', 'NegReg', (11, 20)) ('Ki67', 'Gene', '17345', (76, 80)) ('glioma', 'Disease', 'MESH:D005910', (35, 41)) ('HA', 'Chemical', 'MESH:D006820', (69, 71)) ('4-MU', 'Chemical', 'MESH:D006923', (6, 10)) ('glioma', 'Phenotype', 'HP:0009733', (35, 41)) ('levels of HA', 'MPA', (59, 71)) ('4-MU', 'Var', (6, 10)) ('decreased', 'NegReg', (91, 100)) ('glioma', 'Disease', (35, 41)) 2846 33986244 Overall, 4-MU suppressed the proliferation of glioma cells in vitro and in vivo by blocking autophagy flux. ('blocking', 'NegReg', (83, 91)) ('autophagy flux', 'CPA', (92, 106)) ('4-MU', 'Var', (9, 13)) ('glioma', 'Disease', (46, 52)) ('proliferation', 'CPA', (29, 42)) ('suppressed', 'NegReg', (14, 24)) ('glioma', 'Disease', 'MESH:D005910', (46, 52)) ('glioma', 'Phenotype', 'HP:0009733', (46, 52)) ('4-MU', 'Chemical', 'MESH:D006923', (9, 13)) 2849 33986244 Previous studies have confirmed that the abnormal accumulation of HA is related to the dysregulated expression of HA synthases and HA degradation enzymes in patients with many pathological conditions, such as cancer, injury, and inflammation. ('dysregulated', 'Var', (87, 99)) ('inflammation', 'Disease', 'MESH:D007249', (229, 241)) ('HA', 'Chemical', 'MESH:D006820', (66, 68)) ('injury', 'Disease', (217, 223)) ('HA', 'Chemical', 'MESH:D006820', (131, 133)) ('cancer', 'Disease', 'MESH:D009369', (209, 215)) ('inflammation', 'Disease', (229, 241)) ('expression', 'MPA', (100, 110)) ('patients', 'Species', '9606', (157, 165)) ('HA', 'Chemical', 'MESH:D006820', (114, 116)) ('cancer', 'Disease', (209, 215)) ('accumulation', 'PosReg', (50, 62)) ('injury', 'Disease', 'MESH:D014947', (217, 223)) ('cancer', 'Phenotype', 'HP:0002664', (209, 215)) 2857 33986244 Moreover, glioma cell viability was not significantly affected when HAS2 was knocked down or HAS1 was overexpressed. ('knocked down', 'Var', (77, 89)) ('HAS1', 'Gene', '3036', (93, 97)) ('HAS2', 'Gene', (68, 72)) ('HAS1', 'Gene', (93, 97)) ('HAS2', 'Gene', '3037', (68, 72)) ('glioma', 'Phenotype', 'HP:0009733', (10, 16)) ('glioma', 'Disease', 'MESH:D005910', (10, 16)) ('glioma', 'Disease', (10, 16)) 2863 33986244 For example, the interaction of LMW-HA with CD44 and TLR enhanced the production of IL-1beta/IL-8 via the subsequent activation of MyD88/NF-kappaB and finally promoted the invasiveness of breast cancer cells. ('NF-kappaB', 'Gene', '4790', (137, 146)) ('breast cancer', 'Phenotype', 'HP:0003002', (188, 201)) ('LMW-HA', 'Var', (32, 38)) ('IL-8', 'Gene', '3576', (93, 97)) ('enhanced', 'PosReg', (57, 65)) ('IL-1beta', 'Gene', (84, 92)) ('MyD88', 'Gene', (131, 136)) ('HA', 'Chemical', 'MESH:D006820', (36, 38)) ('invasiveness of breast cancer', 'Disease', 'MESH:D001943', (172, 201)) ('TLR', 'Gene', (53, 56)) ('IL-1beta', 'Gene', '3552', (84, 92)) ('activation', 'PosReg', (117, 127)) ('IL-8', 'Gene', (93, 97)) ('cancer', 'Phenotype', 'HP:0002664', (195, 201)) ('interaction', 'Interaction', (17, 28)) ('NF-kappaB', 'Gene', (137, 146)) ('CD44', 'Gene', (44, 48)) ('invasiveness of breast cancer', 'Disease', (172, 201)) ('MyD88', 'Gene', '4615', (131, 136)) ('promoted', 'PosReg', (159, 167)) 2877 33986244 4-MU inhibits HA synthesis through the depletion of cellular UDP, which finally leads to changes in the tumor microenvironment and the inhibition of tumor growth. ('inhibition', 'NegReg', (135, 145)) ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('tumor', 'Disease', 'MESH:D009369', (149, 154)) ('changes', 'Reg', (89, 96)) ('tumor', 'Disease', (104, 109)) ('HA', 'Chemical', 'MESH:D006820', (14, 16)) ('UDP', 'Chemical', 'MESH:D014530', (61, 64)) ('tumor', 'Phenotype', 'HP:0002664', (149, 154)) ('depletion of cellular UDP', 'MPA', (39, 64)) ('4-MU', 'Chemical', 'MESH:D006923', (0, 4)) ('tumor', 'Disease', (149, 154)) ('HA synthesis', 'MPA', (14, 26)) ('leads', 'Reg', (80, 85)) ('inhibits', 'NegReg', (5, 13)) ('4-MU', 'Var', (0, 4)) ('tumor', 'Disease', 'MESH:D009369', (104, 109)) 2879 33986244 Recently, research has demonstrated that dietary supplementation of 4-MU can serve as an effective chemotherapeutic for prostate cancer. ('cancer', 'Phenotype', 'HP:0002664', (129, 135)) ('prostate cancer', 'Phenotype', 'HP:0012125', (120, 135)) ('4-MU', 'Chemical', 'MESH:D006923', (68, 72)) ('4-MU', 'Var', (68, 72)) ('prostate cancer', 'Disease', (120, 135)) ('prostate cancer', 'Disease', 'MESH:D011471', (120, 135)) 2880 33986244 4-MU can also decrease the growth of pancreatic cancer by inhibiting HA synthesis. ('cancer', 'Phenotype', 'HP:0002664', (48, 54)) ('pancreatic cancer', 'Phenotype', 'HP:0002894', (37, 54)) ('inhibiting', 'NegReg', (58, 68)) ('HA', 'Chemical', 'MESH:D006820', (69, 71)) ('pancreatic cancer', 'Disease', (37, 54)) ('HA synthesis', 'MPA', (69, 81)) ('decrease', 'NegReg', (14, 22)) ('4-MU', 'Chemical', 'MESH:D006923', (0, 4)) ('growth', 'MPA', (27, 33)) ('pancreatic cancer', 'Disease', 'MESH:D010190', (37, 54)) ('4-MU', 'Var', (0, 4)) 2881 33986244 The BBB is known to be a major obstacle for glioma treatment; Fortunately, 4-MU has the characteristic of relatively small molecular weight and ability to penetrate the BBB. ('4-MU', 'Chemical', 'MESH:D006923', (75, 79)) ('4-MU', 'Var', (75, 79)) ('glioma', 'Disease', (44, 50)) ('glioma', 'Disease', 'MESH:D005910', (44, 50)) ('glioma', 'Phenotype', 'HP:0009733', (44, 50)) 2915 33986244 The main antibodies utilized in the present study were as follows: HAS3 (BF0681, Affinity), CD44 (A0340, Abclonal), HA (Ab53842, Abcam), and Ki67 (A2094-100, Abclonal). ('Ki67', 'Gene', '17345', (141, 145)) ('A0340', 'Var', (98, 103)) ('HA', 'Chemical', 'MESH:D006820', (67, 69)) ('Ki67', 'Gene', (141, 145)) ('HA', 'Chemical', 'MESH:D006820', (116, 118)) 2936 32468052 We have expanded on our observations by including data relating to mutations and copy number alterations at pan-cancer level. ('cancer', 'Disease', (112, 118)) ('cancer', 'Disease', 'MESH:D009369', (112, 118)) ('mutations', 'Var', (67, 76)) ('cancer', 'Phenotype', 'HP:0002664', (112, 118)) ('copy number alterations', 'Var', (81, 104)) 2938 32468052 Based on increasing data, older age and male sex predispose to severe COVID-19, whilst a number of underlying diseases/conditions are also directly related with significantly higher risk for adverse clinical outcomes from COVID-19. ('severe', 'Var', (63, 69)) ('COVID-19', 'Disease', (70, 78)) ('COVID-19', 'Disease', 'MESH:C000657245', (222, 230)) ('COVID-19', 'Disease', (222, 230)) ('COVID-19', 'Disease', 'MESH:C000657245', (70, 78)) 2958 32468052 Furthermore, using the cBioportal pan-cancer panel, the region and the types of mutations were identified which these two genes have in all the examined cancer types (Figs. ('cancer', 'Disease', 'MESH:D009369', (153, 159)) ('cancer', 'Phenotype', 'HP:0002664', (38, 44)) ('cancer', 'Disease', (153, 159)) ('mutations', 'Var', (80, 89)) ('cancer', 'Disease', 'MESH:D009369', (38, 44)) ('cancer', 'Phenotype', 'HP:0002664', (153, 159)) ('cancer', 'Disease', (38, 44)) 2959 32468052 Most of the CTSL mutations are lying on the peptidase region and are mostly found in CESC, ESCA, Mature B-cell Neoplasms, Melanoma and COAD (Fig. ('ESCA', 'Disease', (91, 95)) ('B-cell Neoplasms', 'Disease', 'MESH:D016393', (104, 120)) ('Melanoma', 'Disease', 'MESH:D008545', (122, 130)) ('Melanoma', 'Phenotype', 'HP:0002861', (122, 130)) ('found', 'Reg', (76, 81)) ('COAD', 'Disease', 'MESH:D029424', (135, 139)) ('CTSL', 'Gene', '1514', (12, 16)) ('Melanoma', 'Disease', (122, 130)) ('CTSL', 'Gene', (12, 16)) ('B-cell Neoplasms', 'Disease', (104, 120)) ('Neoplasms', 'Phenotype', 'HP:0002664', (111, 120)) ('CESC', 'Disease', (85, 89)) ('COAD', 'Disease', (135, 139)) ('mutations', 'Var', (17, 26)) 2960 32468052 Of note, in most of the cancers the majority of the patients had deletions and partly some gains and amplifications (Fig. ('cancer', 'Phenotype', 'HP:0002664', (24, 30)) ('gains', 'PosReg', (91, 96)) ('cancers', 'Phenotype', 'HP:0002664', (24, 31)) ('deletions', 'Var', (65, 74)) ('cancers', 'Disease', 'MESH:D009369', (24, 31)) ('cancers', 'Disease', (24, 31)) ('patients', 'Species', '9606', (52, 60)) 2961 32468052 TMPRSS2 mutations were lying across the whole gene region and mostly consist of gene fusions (TMPRSS2-ERG) in prostate adenocarcinoma (Fig. ('TMPRSS2', 'Gene', '7113', (94, 101)) ('prostate adenocarcinoma', 'Disease', (110, 133)) ('carcinoma', 'Phenotype', 'HP:0030731', (124, 133)) ('prostate adenocarcinoma', 'Disease', 'MESH:D011471', (110, 133)) ('TMPRSS2', 'Gene', (0, 7)) ('mutations', 'Var', (8, 17)) ('TMPRSS2', 'Gene', (94, 101)) ('consist', 'Reg', (69, 76)) ('TMPRSS2', 'Gene', '7113', (0, 7)) 2964 32468052 Of note, neither of the two proteins were differentially regulated in LUAD; a comorbidity of severe COVID-19 contrary to ACE-2. ('ACE-2', 'Gene', '59272', (121, 126)) ('LUAD', 'Disease', (70, 74)) ('severe', 'Var', (93, 99)) ('COVID-19', 'Disease', (100, 108)) ('COVID-19', 'Disease', 'MESH:C000657245', (100, 108)) ('ACE-2', 'Gene', (121, 126)) 2969 32468052 In our analysis we also demonstrate that the pancreas is riddled with deep deletions for TMPRSS2 where ACE-2 is co-expressed. ('ACE-2', 'Gene', '59272', (103, 108)) ('deletions', 'Var', (75, 84)) ('TMPRSS2', 'Gene', (89, 96)) ('TMPRSS2', 'Gene', '7113', (89, 96)) ('ACE-2', 'Gene', (103, 108)) 3004 31968004 T2 FLAIR features also showed distinct characteristics between IDH wildtype and mutant tumors,1p/19q co-deleted and 1p/19q intact tumors, MGMT methylated and unmethylated tumors respectively, which could useful in molecular classification of patients with grade II/III glioma. ('tumors', 'Disease', 'MESH:D009369', (130, 136)) ('tumor', 'Phenotype', 'HP:0002664', (87, 92)) ('tumors', 'Phenotype', 'HP:0002664', (87, 93)) ('glioma', 'Phenotype', 'HP:0009733', (269, 275)) ('tumors', 'Phenotype', 'HP:0002664', (171, 177)) ('patients', 'Species', '9606', (242, 250)) ('MGMT', 'Gene', (138, 142)) ('mutant', 'Var', (80, 86)) ('IDH', 'Gene', (63, 66)) ('III glioma', 'Disease', 'MESH:D005910', (265, 275)) ('tumors', 'Disease', (87, 93)) ('tumor', 'Phenotype', 'HP:0002664', (171, 176)) ('tumors', 'Phenotype', 'HP:0002664', (130, 136)) ('tumors', 'Disease', (171, 177)) ('IDH', 'Gene', '3417', (63, 66)) ('tumor', 'Phenotype', 'HP:0002664', (130, 135)) ('tumors', 'Disease', 'MESH:D009369', (87, 93)) ('tumors', 'Disease', (130, 136)) ('tumors', 'Disease', 'MESH:D009369', (171, 177)) ('MGMT', 'Gene', '4255', (138, 142)) ('useful', 'Reg', (204, 210)) ('III glioma', 'Disease', (265, 275)) 3054 31968004 It can be seen that the Ki-67 and CD34 models were slightly inferior performed to the other two models. ('CD34', 'Gene', '947', (34, 38)) ('Ki-67', 'Var', (24, 29)) ('CD34', 'Gene', (34, 38)) 3080 31968004 For example, modifications in the level of S100A3 protein expression level could help identify the pilocytic astrocytomas from WHO grade II-IV astrocytic tumors. ('astrocytic tumors', 'Disease', 'MESH:D001254', (143, 160)) ('pilocytic astrocytomas', 'Disease', 'MESH:D001254', (99, 121)) ('tumors', 'Phenotype', 'HP:0002664', (154, 160)) ('S100A3', 'Gene', (43, 49)) ('S100A3', 'Gene', '6274', (43, 49)) ('astrocytic tumors', 'Disease', (143, 160)) ('tumor', 'Phenotype', 'HP:0002664', (154, 159)) ('astrocytoma', 'Phenotype', 'HP:0009592', (109, 120)) ('pilocytic astrocytomas', 'Disease', (99, 121)) ('modifications', 'Var', (13, 26)) 3083 31968004 Another study reported that S100A4 played a crucial role in neutrophil-promoting tumor progression and S100A4 depletion could increase the effectiveness of anti-VEGF therapy in glioma. ('VEGF', 'Gene', '7422', (161, 165)) ('glioma', 'Disease', (177, 183)) ('S100A4', 'Gene', (28, 34)) ('tumor', 'Disease', 'MESH:D009369', (81, 86)) ('S100A4', 'Gene', '6275', (28, 34)) ('S100A4', 'Gene', '6275', (103, 109)) ('S100A4', 'Gene', (103, 109)) ('glioma', 'Disease', 'MESH:D005910', (177, 183)) ('glioma', 'Phenotype', 'HP:0009733', (177, 183)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('increase', 'PosReg', (126, 134)) ('depletion', 'Var', (110, 119)) ('VEGF', 'Gene', (161, 165)) ('tumor', 'Disease', (81, 86)) ('effectiveness', 'MPA', (139, 152)) 3104 31968004 CD34 staining were also associated with hypoxia-induced angiogenesis and may play a role in glioblastoma hemorrhage. ('hypoxia', 'Disease', (40, 47)) ('hypoxia', 'Disease', 'MESH:D000860', (40, 47)) ('associated', 'Reg', (24, 34)) ('glioblastoma hemorrhage', 'Disease', (92, 115)) ('play', 'Reg', (77, 81)) ('glioblastoma', 'Phenotype', 'HP:0012174', (92, 104)) ('CD34', 'Gene', '947', (0, 4)) ('staining', 'Var', (5, 13)) ('role', 'Reg', (84, 88)) ('glioblastoma hemorrhage', 'Disease', 'MESH:D005909', (92, 115)) ('CD34', 'Gene', (0, 4)) 3171 31968004 Ki-67: The nuclear protein Ki-67 has been widely used as an indicator of cell proliferation in gliomas. ('glioma', 'Phenotype', 'HP:0009733', (95, 101)) ('Ki-67', 'Var', (27, 32)) ('gliomas', 'Disease', 'MESH:D005910', (95, 102)) ('gliomas', 'Phenotype', 'HP:0009733', (95, 102)) ('gliomas', 'Disease', (95, 102)) 3191 31968004 Another study reported that S100A4 played a crucial role in neutrophil-promoting tumor progression and S100A4 depletion could increase the effectiveness of anti-VEGF therapy in glioma [56]." ('VEGF', 'Gene', '7422', (161, 165)) ('glioma', 'Disease', (177, 183)) ('S100A4', 'Gene', (28, 34)) ('tumor', 'Disease', 'MESH:D009369', (81, 86)) ('S100A4', 'Gene', '6275', (28, 34)) ('S100A4', 'Gene', '6275', (103, 109)) ('S100A4', 'Gene', (103, 109)) ('glioma', 'Disease', 'MESH:D005910', (177, 183)) ('glioma', 'Phenotype', 'HP:0009733', (177, 183)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('increase', 'PosReg', (126, 134)) ('depletion', 'Var', (110, 119)) ('VEGF', 'Gene', (161, 165)) ('tumor', 'Disease', (81, 86)) ('effectiveness', 'MPA', (139, 152)) 3205 31968004 And we have made some revision for this discussion part from two aspects including: (a)Why we want to have a try to use radiomics for identifying the four biomarkers of Ki-67, vimentin, S-100 and CD34. ('vimentin', 'Gene', '7431', (176, 184)) ('S-100', 'Gene', '6271', (186, 191)) ('CD34', 'Gene', '947', (196, 200)) ('vimentin', 'Gene', (176, 184)) ('CD34', 'Gene', (196, 200)) ('Ki-67', 'Var', (169, 174)) ('S-100', 'Gene', (186, 191)) 3206 31968004 (a) Why we want to have a try to use radiomics for identifying the four biomarkers of Ki-67, vimentin, S-100 and CD34? ('vimentin', 'Gene', '7431', (93, 101)) ('S-100', 'Gene', '6271', (103, 108)) ('CD34', 'Gene', (113, 117)) ('CD34', 'Gene', '947', (113, 117)) ('vimentin', 'Gene', (93, 101)) ('Ki-67', 'Var', (86, 91)) ('S-100', 'Gene', (103, 108)) 3232 31968004 T2 FLAIR features also showed distinct characteristics between IDH wildtype and mutant tumors,1p/19q co-deleted and 1p/19q intact tumors, MGMT methylated and unmethylated tumors respectively, which could useful in molecular classification of patients with grade II/III glioma [32]. ('tumors', 'Disease', 'MESH:D009369', (130, 136)) ('tumor', 'Phenotype', 'HP:0002664', (87, 92)) ('tumors', 'Phenotype', 'HP:0002664', (87, 93)) ('glioma', 'Phenotype', 'HP:0009733', (269, 275)) ('tumors', 'Phenotype', 'HP:0002664', (171, 177)) ('patients', 'Species', '9606', (242, 250)) ('MGMT', 'Gene', (138, 142)) ('mutant', 'Var', (80, 86)) ('IDH', 'Gene', (63, 66)) ('III glioma', 'Disease', 'MESH:D005910', (265, 275)) ('tumors', 'Disease', (87, 93)) ('tumor', 'Phenotype', 'HP:0002664', (171, 176)) ('tumors', 'Phenotype', 'HP:0002664', (130, 136)) ('tumors', 'Disease', (171, 177)) ('IDH', 'Gene', '3417', (63, 66)) ('tumor', 'Phenotype', 'HP:0002664', (130, 135)) ('tumors', 'Disease', 'MESH:D009369', (87, 93)) ('tumors', 'Disease', (130, 136)) ('tumors', 'Disease', 'MESH:D009369', (171, 177)) ('MGMT', 'Gene', '4255', (138, 142)) ('III glioma', 'Disease', (265, 275)) 3242 31968004 The clinical relevance for the respective marker was described in detail as follows: Ki-67: The nuclear protein Ki-67 has been widely used as an indicator of cell proliferation in gliomas. ('gliomas', 'Phenotype', 'HP:0009733', (180, 187)) ('gliomas', 'Disease', (180, 187)) ('gliomas', 'Disease', 'MESH:D005910', (180, 187)) ('glioma', 'Phenotype', 'HP:0009733', (180, 186)) ('Ki-67', 'Var', (112, 117)) 3244 31968004 Another study reported that S100A4 played a crucial role in neutrophil-promoting tumor progression and S100A4 depletion could increase the effectiveness of anti-VEGF therapy in glioma [56]. ('VEGF', 'Gene', '7422', (161, 165)) ('glioma', 'Disease', (177, 183)) ('S100A4', 'Gene', (28, 34)) ('tumor', 'Disease', 'MESH:D009369', (81, 86)) ('S100A4', 'Gene', '6275', (28, 34)) ('S100A4', 'Gene', '6275', (103, 109)) ('S100A4', 'Gene', (103, 109)) ('glioma', 'Disease', 'MESH:D005910', (177, 183)) ('glioma', 'Phenotype', 'HP:0009733', (177, 183)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('increase', 'PosReg', (126, 134)) ('depletion', 'Var', (110, 119)) ('VEGF', 'Gene', (161, 165)) ('tumor', 'Disease', (81, 86)) ('effectiveness', 'MPA', (139, 152)) 3269 28921173 Although independent factors, i.e., age, preoperative Karnofsky performance scale (KPS), molecular markers (IDH-1 mutation, O6-methylguanin-DNA-methyltransferase, MGMT, promoter methylation), and tumor location, might play a role in influencing OS, EoR is the variable that we as neurosurgeons can influence. ('influencing', 'Reg', (233, 244)) ('tumor', 'Disease', (196, 201)) ('MGMT', 'Gene', (163, 167)) ('IDH-1', 'Gene', '3417', (108, 113)) ('IDH-1', 'Gene', (108, 113)) ('MGMT', 'Gene', '4255', (163, 167)) ('tumor', 'Disease', 'MESH:D009369', (196, 201)) ('OS', 'Chemical', '-', (245, 247)) ('mutation', 'Var', (114, 122)) ('tumor', 'Phenotype', 'HP:0002664', (196, 201)) 3279 28921173 5-Aminolevulinic acid, a prodrug and a precursor in heme biosynthesis, leads to accumulation of fluorescent protoporphyrin IX (PPIX) in certain glioma tumor cells, enabling their visualization with the use of commercially available microscopes equipped with a special filter system. ('glioma tumor', 'Disease', 'MESH:D005910', (144, 156)) ('PPIX', 'Chemical', 'MESH:C028025', (127, 131)) ('glioma', 'Phenotype', 'HP:0009733', (144, 150)) ('tumor', 'Phenotype', 'HP:0002664', (151, 156)) ('5-Aminolevulinic acid', 'Chemical', 'MESH:C000614854', (0, 21)) ('protoporphyrin IX', 'Chemical', 'MESH:C028025', (108, 125)) ('5-Aminolevulinic acid', 'Var', (0, 21)) ('accumulation', 'PosReg', (80, 92)) ('glioma tumor', 'Disease', (144, 156)) ('heme', 'Chemical', 'MESH:D006418', (52, 56)) 3334 28921173 Furthermore, in 44-55% of cases where lesions in the preoperative MRI are suggestive of low-grade glioma, an anaplastic focus could still be discovered. ('glioma', 'Phenotype', 'HP:0009733', (98, 104)) ('lesions', 'Var', (38, 45)) ('glioma', 'Disease', 'MESH:D005910', (98, 104)) ('glioma', 'Disease', (98, 104)) 3341 28921173 Thus, studies applying high-field iMRI report much higher resection rates for non-fluorescing and enhancing gliomas, which is probably more suitable for low-grade glioma surgery. ('gliomas', 'Disease', 'MESH:D005910', (108, 115)) ('enhancing', 'PosReg', (98, 107)) ('gliomas', 'Phenotype', 'HP:0009733', (108, 115)) ('gliomas', 'Disease', (108, 115)) ('glioma', 'Disease', (163, 169)) ('glioma', 'Disease', (108, 114)) ('glioma', 'Disease', 'MESH:D005910', (163, 169)) ('glioma', 'Disease', 'MESH:D005910', (108, 114)) ('glioma', 'Phenotype', 'HP:0009733', (163, 169)) ('glioma', 'Phenotype', 'HP:0009733', (108, 114)) ('non-fluorescing', 'Var', (78, 93)) ('higher', 'PosReg', (51, 57)) ('resection', 'CPA', (58, 67)) 3374 30766494 This genetic susceptibility can in part be explained by variants of complement factor 4 (C4), possibly linked to increased synaptic pruning during brain development. ('variants', 'Var', (56, 64)) ('complement factor 4', 'Gene', (68, 87)) ('C4', 'Gene', '720', (89, 91)) ('complement factor 4', 'Gene', '720', (68, 87)) 3410 30766494 Binding of IL-1 can initiate and strengthen the acute phase response by inducing fever that increases migration of leucocytes, by stimulating the acute phase proteins such as CRP, by activation of the hypothalamus-pituitary-adrenal (HPA) axis with cortisol regulating innate inflammation, and by inducing adhesion molecules that increase leucocyte recruitement. ('acute phase proteins', 'MPA', (146, 166)) ('inducing', 'Reg', (296, 304)) ('fever', 'Phenotype', 'HP:0001945', (81, 86)) ('leucocyte recruitement', 'CPA', (338, 360)) ('cortisol', 'Chemical', 'MESH:D006854', (248, 256)) ('inflammation', 'Disease', (275, 287)) ('migration of leucocytes', 'CPA', (102, 125)) ('inducing', 'Reg', (72, 80)) ('Binding', 'Var', (0, 7)) ('CRP', 'Gene', '1401', (175, 178)) ('stimulating', 'PosReg', (130, 141)) ('activation', 'PosReg', (183, 193)) ('IL-1', 'Gene', '3552', (11, 15)) ('adhesion molecules', 'Protein', (305, 323)) ('increase', 'PosReg', (329, 337)) ('hypothalamus-pituitary-adrenal (HPA) axis', 'Disease', 'MESH:D007029', (201, 242)) ('fever', 'Disease', 'MESH:D005334', (81, 86)) ('fever', 'Disease', (81, 86)) ('IL-1', 'Gene', (11, 15)) ('CRP', 'Gene', (175, 178)) ('inflammation', 'Disease', 'MESH:D007249', (275, 287)) ('increases', 'PosReg', (92, 101)) 3421 30766494 There is a growing body of evidence implicating dysregulated immunity in schizophrenia from both in-vitro and in-vivo studies. ('dysregulated', 'Var', (48, 60)) ('schizophrenia', 'Phenotype', 'HP:0100753', (73, 86)) ('schizophrenia', 'Disease', 'MESH:D012559', (73, 86)) ('schizophrenia', 'Disease', (73, 86)) 3437 30766494 They included 99 studies with 8,234 participants and found that peripheral levels of the following cytokines differed between patients with schizophrenia and healthy controls in more than 50% of the included studies, listed according to falling prevalence among the studies: IL-6, TNF-alpha, IL-10, IFN-gamma, IL-1beta, IL-8, IL-2, IL-1RA, furthermore the gene polymorphisms for TNF-alpha 1800629, IL-6 rs1800795, and IL-1beta rs16944, and elevated expression levels of IL-6, TNFR1, TNFR2, and IL-1beta mRNAs. ('participants', 'Species', '9606', (36, 48)) ('IL-1beta', 'Gene', (310, 318)) ('IL-1RA', 'Gene', (332, 338)) ('TNF-alpha', 'Gene', '7124', (379, 388)) ('rs1800795', 'Var', (403, 412)) ('IL-1beta', 'Gene', (418, 426)) ('schizophrenia', 'Disease', (140, 153)) ('elevated', 'PosReg', (440, 448)) ('patients', 'Species', '9606', (126, 134)) ('TNF-alpha', 'Gene', (379, 388)) ('IL-6', 'Gene', (275, 279)) ('IL-1RA', 'Gene', '3557', (332, 338)) ('IL-2', 'Gene', '3558', (326, 330)) ('IL-8', 'Gene', (320, 324)) ('falling', 'Phenotype', 'HP:0002527', (237, 244)) ('IFN-gamma', 'Gene', '3458', (299, 308)) ('IFN-gamma', 'Gene', (299, 308)) ('rs16944', 'Var', (427, 434)) ('rs1800795', 'Mutation', 'rs1800795', (403, 412)) ('IL-10', 'Gene', '3586', (292, 297)) ('schizophrenia', 'Disease', 'MESH:D012559', (140, 153)) ('expression levels', 'MPA', (449, 466)) ('IL-10', 'Gene', (292, 297)) ('TNF-alpha', 'Gene', '7124', (281, 290)) ('IL-6', 'Gene', '3569', (470, 474)) ('IL-2', 'Gene', (326, 330)) ('schizophrenia', 'Phenotype', 'HP:0100753', (140, 153)) ('TNF-alpha', 'Gene', (281, 290)) ('TNFR1', 'Gene', '7132', (476, 481)) ('IL-1beta', 'Gene', '3553', (494, 502)) ('rs16944', 'Mutation', 'rs16944', (427, 434)) ('IL-6', 'Gene', (470, 474)) ('TNFR1', 'Gene', (476, 481)) ('TNFR2', 'Gene', (483, 488)) ('IL-8', 'Gene', '3576', (320, 324)) ('IL-6', 'Gene', '3569', (398, 402)) ('IL-1beta', 'Gene', '3553', (310, 318)) ('TNFR2', 'Gene', '7133', (483, 488)) ('elevated expression levels of IL-6', 'Phenotype', 'HP:0030783', (440, 474)) ('IL-1beta', 'Gene', '3553', (418, 426)) ('IL-1beta', 'Gene', (494, 502)) ('IL-6', 'Gene', (398, 402)) ('IL-6', 'Gene', '3569', (275, 279)) 3511 30766494 Also antibodies to gliadin have been found elevated in studies comparing patients with schizophrenia to healthy controls, but this was not the case for antibodies more specific to coeliac disease. ('schizophrenia', 'Phenotype', 'HP:0100753', (87, 100)) ('elevated', 'PosReg', (43, 51)) ('coeliac disease', 'Disease', (180, 195)) ('antibodies', 'Var', (5, 15)) ('coeliac disease', 'Phenotype', 'HP:0002608', (180, 195)) ('gliadin', 'Protein', (19, 26)) ('schizophrenia', 'Disease', (87, 100)) ('patients', 'Species', '9606', (73, 81)) ('coeliac disease', 'Disease', 'MESH:D004194', (180, 195)) ('schizophrenia', 'Disease', 'MESH:D012559', (87, 100)) 3574 30766494 In another study by the same group 20 stable outpatients with CRP >5 mg/L will be randomized to receive treatment with tocilizumab or placebo for 12 weeks. ('>5 mg/L', 'Var', (66, 73)) ('CRP', 'Gene', (62, 65)) ('CRP', 'Gene', '1401', (62, 65)) ('tocilizumab', 'Chemical', 'MESH:C502936', (119, 130)) ('patients', 'Species', '9606', (48, 56)) 3577 30766494 NAC interacts with a wide range of physiological pathways, and has anti-oxidative and anti-inflammatory effects. ('NAC', 'Var', (0, 3)) ('NAC', 'Chemical', 'MESH:D000111', (0, 3)) ('interacts', 'Reg', (4, 13)) ('anti-inflammatory effects', 'CPA', (86, 111)) ('anti-oxidative', 'MPA', (67, 81)) 3578 30766494 A recent systematic review and meta-analysis summarizing the results from 3 RCTs with schizophrenia patients found that NAC improved total psychopathology. ('schizophrenia', 'Disease', 'MESH:D012559', (86, 99)) ('schizophrenia', 'Phenotype', 'HP:0100753', (86, 99)) ('improved', 'PosReg', (124, 132)) ('NAC', 'Var', (120, 123)) ('total psychopathology', 'MPA', (133, 154)) ('NAC', 'Chemical', 'MESH:D000111', (120, 123)) ('patients', 'Species', '9606', (100, 108)) ('schizophrenia', 'Disease', (86, 99)) 3579 30766494 A recent RCT including 63 early psychosis patients found that NAC had no effects on positive and negative symptoms or functional outcome, but a significant effect on processing speed. ('effect', 'Reg', (156, 162)) ('psychosis', 'Phenotype', 'HP:0000709', (32, 41)) ('NAC', 'Chemical', 'MESH:D000111', (62, 65)) ('psychosis', 'Disease', (32, 41)) ('patients', 'Species', '9606', (42, 50)) ('psychosis', 'Disease', 'MESH:D011605', (32, 41)) ('processing speed', 'MPA', (166, 182)) ('NAC', 'Var', (62, 65)) 3600 30766494 Also in this meta-analysis minocycline was superior to placebo in improving PANSS total, negative and general subscale, and here also for the positive subscale. ('minocycline', 'Chemical', 'MESH:D008911', (27, 38)) ('minocycline', 'Var', (27, 38)) ('improving', 'PosReg', (66, 75)) ('PANSS total', 'MPA', (76, 87)) 3646 27835581 Similar to other cancers, malignant glioma is a pathological outcome resulted from genetic mutations, epigenetic aberrations, environmental stress, malfunctioned metabolism, and immunological dysfunctions. ('immunological dysfunctions', 'Disease', 'MESH:D007154', (178, 204)) ('immunological dysfunctions', 'Disease', (178, 204)) ('epigenetic aberrations', 'Var', (102, 124)) ('malfunctioned', 'Var', (148, 161)) ('malignant glioma', 'Disease', (26, 42)) ('malignant glioma', 'Disease', 'MESH:D005910', (26, 42)) ('cancers', 'Phenotype', 'HP:0002664', (17, 24)) ('cancers', 'Disease', (17, 24)) ('cancers', 'Disease', 'MESH:D009369', (17, 24)) ('glioma', 'Phenotype', 'HP:0009733', (36, 42)) ('cancer', 'Phenotype', 'HP:0002664', (17, 23)) ('genetic mutations', 'Var', (83, 100)) ('resulted from', 'Reg', (69, 82)) 3647 27835581 For GBM patients received gross total resection in surgery and adjuvant treatments, the 5-year survival rate is merely 0.05% to 4.7% after the first diagnosis, which imperatively necessitates in-depth and comprehensive understanding of the glioma etiology. ('glioma', 'Disease', 'MESH:D005910', (240, 246)) ('glioma', 'Phenotype', 'HP:0009733', (240, 246)) ('GBM', 'Gene', (4, 7)) ('glioma', 'Disease', (240, 246)) ('gross total', 'Var', (26, 37)) ('patients', 'Species', '9606', (8, 16)) 3648 27835581 Although epigenetic aberration has been uncovered as a driving force in a variety of human diseases, its mechanistic relation to malignant glioma has been less explored. ('malignant glioma', 'Disease', 'MESH:D005910', (129, 145)) ('malignant glioma', 'Disease', (129, 145)) ('glioma', 'Phenotype', 'HP:0009733', (139, 145)) ('epigenetic aberration', 'Var', (9, 30)) ('human', 'Species', '9606', (85, 90)) 3649 27835581 As a core epigenetic modulator, DNA methylation (mainly the addition of a methyl-group to the 5-carbon of cytosine) is able to turn off the downstream gene transcription when accumulating at the CpG islands of promoter. ('cytosine', 'Chemical', 'MESH:D003596', (106, 114)) ('carbon', 'Chemical', 'MESH:D002244', (96, 102)) ('turn', 'Reg', (127, 131)) ('methylation', 'Var', (36, 47)) 3657 27835581 We further uncover that depleting MBD3 enhances the transcription of the oncogenic miR-17-92 cluster at chromosome 13, therefore promoting tumor proliferation. ('tumor', 'Disease', 'MESH:D009369', (139, 144)) ('depleting', 'Var', (24, 33)) ('miR-17-92', 'Gene', (83, 92)) ('enhances', 'PosReg', (39, 47)) ('transcription', 'MPA', (52, 65)) ('tumor', 'Disease', (139, 144)) ('MBD3', 'Gene', (34, 38)) ('tumor', 'Phenotype', 'HP:0002664', (139, 144)) ('promoting', 'PosReg', (129, 138)) ('miR-17-92', 'Gene', '407975', (83, 92)) 3667 27835581 Hence, we proposed that the deregulated MBD3 may join other oncogenic events (e.g., global DNA hypohydroxymethylation) to promote gliomagenesis and metastasis. ('glioma', 'Disease', (130, 136)) ('promote', 'PosReg', (122, 129)) ('global DNA hypohydroxymethylation', 'MPA', (84, 117)) ('deregulated', 'Var', (28, 39)) ('glioma', 'Disease', 'MESH:D005910', (130, 136)) ('glioma', 'Phenotype', 'HP:0009733', (130, 136)) ('MBD3', 'Gene', (40, 44)) 3674 27835581 The top-matched gene ontology (GO) term in the down-regulated DEGs by MBD3-KD is the "MHC II protein complex" - a surface protein complex presenting antigens to the CD4+ T cells (Figure S3). ('MBD3-KD', 'Var', (70, 77)) ('DEGs', 'Gene', '8560', (62, 66)) ('down-regulated', 'NegReg', (47, 61)) ('DEGs', 'Gene', (62, 66)) 3676 27835581 Other up-regulated DEGs by MBD3-KD include transport proteins (e.g., ion channel proteins and solute carrier family), cytochrome P450 family, growth factors (e.g., FGF and IGF), and dynein proteins, all of which are hallmarks for active cell metabolism and proliferation. ('DEGs', 'Gene', '8560', (19, 23)) ('transport proteins', 'MPA', (43, 61)) ('DEGs', 'Gene', (19, 23)) ('ion channel proteins', 'MPA', (69, 89)) ('cytochrome P450 family', 'Enzyme', (118, 140)) ('dynein proteins', 'Protein', (182, 197)) ('up-regulated', 'PosReg', (6, 18)) ('MBD3-KD', 'Var', (27, 34)) 3677 27835581 Moreover, the MBD3-KD induced DEG-dependent cell functions and diseases, as revealed by Ingenuity Pathway Analysis (IPA), mainly point to "gliomagenesis", "inflammatory responses", "metabolism", and "signaling" in the central nervous system (CNS) (Figure 3). ('MBD3-KD', 'Var', (14, 21)) ('point', 'Reg', (129, 134)) ('glioma', 'Disease', (139, 145)) ('glioma', 'Disease', 'MESH:D005910', (139, 145)) ('glioma', 'Phenotype', 'HP:0009733', (139, 145)) 3683 27835581 Transcription of CIITA is subjected to epigenetic inactivation, especially by DNA methylation in the promoter IV region. ('methylation', 'Var', (82, 93)) ('CIITA', 'Gene', (17, 22)) ('epigenetic inactivation', 'MPA', (39, 62)) ('CIITA', 'Gene', '4261', (17, 22)) ('DNA methylation', 'Var', (78, 93)) 3684 27835581 With methylation-specific PCR (MSP), the methylation level of the CIITA promoter IV was also found to rapidly increase by ~20% after 72 hours of MBD3-KD (Figure S6B), which supports an epigenetic control on the CIITA gene expression by MBD3. ('CIITA', 'Gene', (211, 216)) ('increase', 'PosReg', (110, 118)) ('MBD3-KD', 'Var', (145, 152)) ('CIITA', 'Gene', '4261', (211, 216)) ('CIITA', 'Gene', (66, 71)) ('CIITA', 'Gene', '4261', (66, 71)) ('methylation level', 'MPA', (41, 58)) 3697 27835581 Among all the variants, the full-length (WT), Delta(9, 10), Delta(11q), and Delta(9, 10, 11q) are four predominant BRCA1 gene products. ('Delta(11q', 'Var', (60, 69)) ('BRCA1', 'Gene', '672', (115, 120)) ('variants', 'Var', (14, 22)) ('Delta(9, 10, 11q', 'Var', (76, 92)) ('BRCA1', 'Gene', (115, 120)) 3698 27835581 The Delta(11q) and Delta(9, 10, 11q) variants respectively give rise to the functional isoforms of BRCA1a and BRCA1b proteins. ('BRCA1', 'Gene', (99, 104)) ('BRCA1', 'Gene', '672', (110, 115)) ('Delta(11q', 'Var', (4, 13)) ('proteins', 'Protein', (117, 125)) ('functional isoforms', 'MPA', (76, 95)) ('give rise', 'Reg', (59, 68)) ('BRCA1', 'Gene', (110, 115)) ('Delta(9, 10, 11q', 'Var', (19, 35)) ('BRCA1', 'Gene', '672', (99, 104)) 3699 27835581 In light of this knowledge, we next evaluated the quantities of these four major BRCA1 variants after MBD3 knockdown. ('BRCA1', 'Gene', '672', (81, 86)) ('variants', 'Var', (87, 95)) ('BRCA1', 'Gene', (81, 86)) 3702 27835581 As a result, the disturbed equilibrium in BRCA1 expression would exacerbate the glioma progression, as supported by the Kaplan-Meier survival data in the NCI REMBRANDT database (https://caintegrator.nci.nih.gov/rembrandt, Figure S9). ('glioma', 'Disease', (80, 86)) ('BRCA1', 'Gene', '672', (42, 47)) ('exacerbate', 'PosReg', (65, 75)) ('BRCA1', 'Gene', (42, 47)) ('expression', 'MPA', (48, 58)) ('glioma', 'Disease', 'MESH:D005910', (80, 86)) ('glioma', 'Phenotype', 'HP:0009733', (80, 86)) ('disturbed', 'Var', (17, 26)) 3734 27835581 Nevertheless, by epigenetically regulating the CIITA gene and relevant lncRNAs on chromosome 6, MBD3 may be able to reactivate MHC class II molecules and hence serve as a therapeutic target to advance the current wave of immunotherapies. ('CIITA', 'Gene', (47, 52)) ('CIITA', 'Gene', '4261', (47, 52)) ('MHC class II molecules', 'Protein', (127, 149)) ('MBD3', 'Gene', (96, 100)) ('reactivate', 'NegReg', (116, 126)) ('epigenetically regulating', 'Var', (17, 42)) ('advance', 'PosReg', (193, 200)) 3742 27835581 In our study, the up-regulation of miR-17-92 in GBM rather than in low-grade gliomas, can be primarily attributed to the significantly higher expression of n-Myc (up by 4.46-fold) and E2Fs (Figure S14). ('up-regulation', 'PosReg', (18, 31)) ('gliomas', 'Disease', (77, 84)) ('GBM', 'Disease', (48, 51)) ('gliomas', 'Disease', 'MESH:D005910', (77, 84)) ('n-Myc', 'Gene', (156, 161)) ('miR-17-92', 'Gene', (35, 44)) ('n-Myc', 'Gene', '4613', (156, 161)) ('gliomas', 'Phenotype', 'HP:0009733', (77, 84)) ('E2Fs', 'Var', (184, 188)) ('expression', 'MPA', (142, 152)) ('higher', 'PosReg', (135, 141)) ('glioma', 'Phenotype', 'HP:0009733', (77, 83)) ('miR-17-92', 'Gene', '407975', (35, 44)) 3743 27835581 As a control mechanism, MBD3 and its associated Mi-2/NuRD complex could epigenetically fine-tune the transactivation activity of Myc proteins. ('fine-tune', 'Reg', (87, 96)) ('Myc', 'Gene', (129, 132)) ('transactivation activity', 'MPA', (101, 125)) ('epigenetically', 'Var', (72, 86)) ('MBD3', 'Gene', (24, 28)) ('Myc', 'Gene', '4609', (129, 132)) 3751 27835581 Although BRCA1 is a tumor suppressor gene responding to DNA damage, the disequilibrium among its spliced variants may adversely abrogate the therapeutic benefits from the DNA damage-inducing agents, such as temozolomide and platinum drugs. ('abrogate', 'NegReg', (128, 136)) ('disequilibrium', 'MPA', (72, 86)) ('therapeutic', 'MPA', (141, 152)) ('BRCA1', 'Gene', '672', (9, 14)) ('tumor', 'Disease', 'MESH:D009369', (20, 25)) ('variants', 'Var', (105, 113)) ('temozolomide', 'Chemical', 'MESH:D000077204', (207, 219)) ('tumor', 'Phenotype', 'HP:0002664', (20, 25)) ('BRCA1', 'Gene', (9, 14)) ('tumor', 'Disease', (20, 25)) 3752 27835581 With an over-activation of Gomafu by depleting MBD3, the full-length BRCA1 increases at the cost of two major spliced variants BRCA1a and BRCA1b. ('BRCA1', 'Gene', '672', (138, 143)) ('BRCA1', 'Gene', '672', (127, 132)) ('BRCA1', 'Gene', '672', (69, 74)) ('Gomafu', 'Gene', '440823', (27, 33)) ('BRCA1', 'Gene', (138, 143)) ('BRCA1', 'Gene', (127, 132)) ('BRCA1', 'Gene', (69, 74)) ('Gomafu', 'Gene', (27, 33)) ('depleting', 'Var', (37, 46)) ('increases', 'PosReg', (75, 84)) 3754 27835581 Clinically, the altered ratio of BRCA1 variants would undermine the survival of glioma patients who need standard temozolomide treatment. ('glioma', 'Disease', (80, 86)) ('survival', 'CPA', (68, 76)) ('undermine', 'NegReg', (54, 63)) ('glioma', 'Disease', 'MESH:D005910', (80, 86)) ('BRCA1', 'Gene', '672', (33, 38)) ('temozolomide', 'Chemical', 'MESH:D000077204', (114, 126)) ('glioma', 'Phenotype', 'HP:0009733', (80, 86)) ('patients', 'Species', '9606', (87, 95)) ('BRCA1', 'Gene', (33, 38)) ('variants', 'Var', (39, 47)) 3771 27835581 The difference of whole-genome transcriptome between low-grade glioma and GBM, as well as the DEGs before and after knocking down MBD3 in human SF767 GBM cells were investigated by the SurePrint G3 Human Gene Expression 8 x 60K Microarray Kit (Design ID: 028004, Agilent) that covers 27,958 Entrez Gene RNAs and 7,419 lncRNAs. ('DEGs', 'Gene', '8560', (94, 98)) ('SF767', 'CellLine', 'CVCL:6950', (144, 149)) ('DEGs', 'Gene', (94, 98)) ('human', 'Species', '9606', (138, 143)) ('glioma', 'Disease', 'MESH:D005910', (63, 69)) ('glioma', 'Phenotype', 'HP:0009733', (63, 69)) ('Human', 'Species', '9606', (198, 203)) ('knocking', 'Var', (116, 124)) ('glioma', 'Disease', (63, 69)) 3777 27835581 PCR amplifications for BRCA1 variants, p53, p21 and Caspase3 were performed in a StepOnePlus system (Applied Biosystems) with SYBR Green PCR Master Mix (Life Technologies). ('Caspase3', 'Gene', (52, 60)) ('Caspase3', 'Gene', '836', (52, 60)) ('variants', 'Var', (29, 37)) ('p53', 'Gene', (39, 42)) ('p21', 'Gene', '1026', (44, 47)) ('p53', 'Gene', '7157', (39, 42)) ('p21', 'Gene', (44, 47)) ('BRCA1', 'Gene', '672', (23, 28)) ('BRCA1', 'Gene', (23, 28)) 3837 22937526 A mutation in the NF-1 gene results in an absence of a protein called neurofibromin. ('neurofibromin', 'Gene', '4763', (70, 83)) ('mutation', 'Var', (2, 10)) ('absence', 'NegReg', (42, 49)) ('neurofibromin', 'Gene', (70, 83)) ('NF-1', 'Gene', (18, 22)) 3844 22937526 Patients with Turcot's syndrome typically have a defect in the adenomatous polyposis coli (APC) gene and/or a mutation in DNA mismatch repair (MMR) genes predisposing them to the development of multiple colorectal adenomas, colorectal adenocarcinoma, and primary brain tumors. ('adenomatous polyposis coli', 'Disease', (63, 89)) ('adenomatous polyposis coli', 'Disease', 'MESH:D011125', (63, 89)) ('tumors', 'Phenotype', 'HP:0002664', (269, 275)) ('colorectal adenocarcinoma', 'Disease', 'MESH:D015179', (224, 249)) ('multiple colorectal adenomas', 'Disease', 'MESH:C563924', (194, 222)) ('brain tumors', 'Disease', 'MESH:D001932', (263, 275)) ('brain tumors', 'Phenotype', 'HP:0030692', (263, 275)) ('tumor', 'Phenotype', 'HP:0002664', (269, 274)) ('defect', 'NegReg', (49, 55)) ("Turcot's syndrome", 'Disease', (14, 31)) ("Turcot's syndrome", 'Disease', 'MESH:C536928', (14, 31)) ('Patients', 'Species', '9606', (0, 8)) ('brain tumor', 'Phenotype', 'HP:0030692', (263, 274)) ('APC', 'Phenotype', 'HP:0005227', (91, 94)) ('APC', 'Disease', 'MESH:D011125', (91, 94)) ('APC', 'Disease', (91, 94)) ('brain tumors', 'Disease', (263, 275)) ('multiple colorectal adenomas', 'Disease', (194, 222)) ('mutation', 'Var', (110, 118)) ('colorectal adenocarcinoma', 'Disease', (224, 249)) ('MMR', 'Gene', (143, 146)) ('adenomatous polyposis coli', 'Phenotype', 'HP:0005227', (63, 89)) 3845 22937526 The MMR mutations are thought to be associated with the development of HGG in these patients whereas the APC defects are more closely associated with medulloblastoma development. ('medulloblastoma', 'Phenotype', 'HP:0002885', (150, 165)) ('APC defects', 'Disease', 'MESH:D011125', (105, 116)) ('patients', 'Species', '9606', (84, 92)) ('HGG', 'Disease', (71, 74)) ('APC defects', 'Disease', (105, 116)) ('mutations', 'Var', (8, 17)) ('medulloblastoma', 'Disease', (150, 165)) ('APC', 'Phenotype', 'HP:0005227', (105, 108)) ('associated with', 'Reg', (36, 51)) ('MMR', 'Gene', (4, 7)) ('medulloblastoma', 'Disease', 'MESH:D008527', (150, 165)) 3880 22937526 An analysis of p53 revealed that those patients with overexpression of p53 and/or a mutation in the TP53 gene had significantly lower PFS as compared to children who had neither of these findings. ('TP53', 'Gene', '7157', (100, 104)) ('patients', 'Species', '9606', (39, 47)) ('overexpression', 'PosReg', (53, 67)) ('TP53', 'Gene', (100, 104)) ('PFS', 'MPA', (134, 137)) ('children', 'Species', '9606', (153, 161)) ('p53', 'Gene', (15, 18)) ('p53', 'Gene', (71, 74)) ('p53', 'Gene', '7157', (15, 18)) ('p53', 'Gene', '7157', (71, 74)) ('lower', 'NegReg', (128, 133)) ('mutation', 'Var', (84, 92)) 3881 22937526 Abnormalities of p53 were most commonly seen in WHO grade IV tumors; however, p53 was shown to be an independent prognostic factor regardless of histologic grade. ('Abnormalities', 'Var', (0, 13)) ('IV tumors', 'Disease', 'MESH:D009369', (58, 67)) ('p53', 'Gene', (78, 81)) ('tumor', 'Phenotype', 'HP:0002664', (61, 66)) ('tumors', 'Phenotype', 'HP:0002664', (61, 67)) ('p53', 'Gene', (17, 20)) ('p53', 'Gene', '7157', (17, 20)) ('p53', 'Gene', '7157', (78, 81)) ('IV tumors', 'Disease', (58, 67)) 3908 22937526 Unfortunately, numerous subsequent combination studies completed over the last 40 years have never reached the outcomes achieved by the CCG-943 trial, suggesting that the addition of LGGs in this cohort skewed the survivals reported. ('addition', 'Var', (171, 179)) ('CCG', 'Chemical', '-', (136, 139)) ('survivals', 'MPA', (214, 223)) 3968 22937526 One of the most common genetic abnormalities in adult HGG is the amplification of epidermal growth factor receptor (EGFR). ('epidermal growth factor receptor', 'Gene', (82, 114)) ('genetic abnormalities', 'Disease', (23, 44)) ('adult HGG', 'Disease', (48, 57)) ('epidermal growth factor receptor', 'Gene', '1956', (82, 114)) ('amplification', 'Var', (65, 78)) ('EGFR', 'Gene', '1956', (116, 120)) ('EGFR', 'Gene', (116, 120)) ('genetic abnormalities', 'Disease', 'MESH:D030342', (23, 44)) 3971 22937526 Mutations in the p53 pathway are a much more common finding in pediatric HGG. ('common', 'Reg', (45, 51)) ('pediatric HGG', 'Disease', (63, 76)) ('Mutations', 'Var', (0, 9)) ('p53', 'Gene', (17, 20)) ('p53', 'Gene', '7157', (17, 20)) 3972 22937526 Both overexpression of p53 and mutations in the TP53 suppressor gene can lead to defects in this pathway and tumorigenesis. ('mutations', 'Var', (31, 40)) ('TP53', 'Gene', '7157', (48, 52)) ('defects', 'NegReg', (81, 88)) ('TP53', 'Gene', (48, 52)) ('tumor', 'Disease', 'MESH:D009369', (109, 114)) ('p53', 'Gene', (23, 26)) ('p53', 'Gene', '7157', (23, 26)) ('tumor', 'Phenotype', 'HP:0002664', (109, 114)) ('tumor', 'Disease', (109, 114)) 3973 22937526 Many of the alteration/abnormalities identified in adult HGG such as retinoblastoma gene mutation, amplifications of MYC, MYCN, CDK6, CCND2, deletion of CDKN2C and PTEN mutations are less well understood and overall seemingly less prevalent among children. ('MYCN', 'Gene', '4613', (122, 126)) ('retinoblastoma', 'Disease', 'MESH:D012175', (69, 83)) ('children', 'Species', '9606', (247, 255)) ('PTEN', 'Gene', (164, 168)) ('CDK6', 'Gene', (128, 132)) ('MYC', 'Gene', '4609', (117, 120)) ('MYC', 'Gene', (122, 125)) ('CDKN2C', 'Gene', '1031', (153, 159)) ('retinoblastoma', 'Phenotype', 'HP:0009919', (69, 83)) ('PTEN', 'Gene', '5728', (164, 168)) ('MYCN', 'Gene', (122, 126)) ('deletion', 'Var', (141, 149)) ('retinoblastoma', 'Disease', (69, 83)) ('CCND2', 'Gene', (134, 139)) ('MYC', 'Gene', '4609', (122, 125)) ('CCND2', 'Gene', '894', (134, 139)) ('MYC', 'Gene', (117, 120)) ('CDKN2C', 'Gene', (153, 159)) ('CDK6', 'Gene', '1021', (128, 132)) 3974 22937526 Among the numerous focal genetic alterations elucidated in pediatric HGG, platelet-derived growth factor receptor A (PDGFRA) amplification is by far the most common genomic event identified. ('amplification', 'Var', (125, 138)) ('PDGFRA', 'Gene', (117, 123)) ('PDGFRA', 'Gene', '5156', (117, 123)) ('platelet-derived growth factor receptor A', 'Gene', '5156', (74, 115)) ('common', 'Reg', (158, 164)) ('platelet-derived growth factor receptor A', 'Gene', (74, 115)) 3976 22937526 Another mutation observed in about 10% of pediatric HGG is the V600E point mutation in BRAF. ('V600E point', 'Var', (63, 74)) ('BRAF', 'Gene', '673', (87, 91)) ('BRAF', 'Gene', (87, 91)) ('V600E', 'Mutation', 'rs113488022', (63, 68)) 3978 22937526 Distinct from the BRAFV600E mutation in many LGG, however, CDKN2A/CDKN2B mutations are more common in these HGG which may help explain why these lesions behave more malignant compared to their LGG counterparts. ('HGG', 'Disease', (108, 111)) ('CDKN2B', 'Gene', '1030', (66, 72)) ('common', 'Reg', (92, 98)) ('CDKN2A', 'Gene', (59, 65)) ('CDKN2B', 'Gene', (66, 72)) ('mutations', 'Var', (73, 82)) ('CDKN2A', 'Gene', '1029', (59, 65)) 3980 22937526 PDGFRA was the predominant target of focal amplification in childhood HGG as mentioned above. ('PDGFRA', 'Gene', (0, 6)) ('PDGFRA', 'Gene', '5156', (0, 6)) ('child', 'Species', '9606', (60, 65)) ('childhood HGG', 'Disease', (60, 73)) ('focal amplification', 'Var', (37, 56)) 3981 22937526 Specific gene expression analyses identified a possible role for disrupted PDGFRalpha signaling in pediatric HGG. ('pediatric HGG', 'Disease', (99, 112)) ('PDGFRalpha', 'Gene', '5156', (75, 85)) ('PDGFRalpha', 'Gene', (75, 85)) ('disrupted', 'Var', (65, 74)) 3982 22937526 This group also did not identify a significant number of isocitrate dehydrogenase I (IDHI) mutations in pediatric HGG which have been shown to be quite prevalent and prognostic among adult HGG patients. ('patients', 'Species', '9606', (193, 201)) ('mutations', 'Var', (91, 100)) ('IDHI', 'Gene', (85, 89)) 3989 22937526 Mutations in H3F3A were observed in 31%, which was identified to effect key regulatory post-translational modifications. ('H3F3A', 'Gene', '3020', (13, 18)) ('Mutations', 'Var', (0, 9)) ('H3F3A', 'Gene', (13, 18)) 3990 22937526 Mutations in ATRX (alpha-thalassemia/mental retardation syndrome X-linked) and DAXX (death-domain associated protein), were identified in 31% of tumor samples and TP53 mutations were found in 54% of all cases. ('DAXX', 'Gene', '1616', (79, 83)) ('thalassemia/mental retardation syndrome X-linked', 'Disease', (25, 73)) ('tumor', 'Disease', 'MESH:D009369', (145, 150)) ('ATRX', 'Gene', (13, 17)) ('thalassemia/mental retardation syndrome X-linked', 'Disease', 'MESH:C538258', (25, 73)) ('identified', 'Reg', (124, 134)) ('mental retardation', 'Phenotype', 'HP:0001249', (37, 55)) ('ATRX', 'Gene', '546', (13, 17)) ('TP53', 'Gene', '7157', (163, 167)) ('tumor', 'Phenotype', 'HP:0002664', (145, 150)) ('DAXX', 'Gene', (79, 83)) ('tumor', 'Disease', (145, 150)) ('Mutations', 'Var', (0, 9)) ('TP53', 'Gene', (163, 167)) 3991 22937526 TP53 mutations were found at a higher percent in samples that also had H3F3A and/or ATRX mutations. ('TP53', 'Gene', '7157', (0, 4)) ('TP53', 'Gene', (0, 4)) ('H3F3A', 'Gene', (71, 76)) ('ATRX', 'Gene', '546', (84, 88)) ('mutations', 'Var', (5, 14)) ('mutations', 'Var', (89, 98)) ('H3F3A', 'Gene', '3020', (71, 76)) ('ATRX', 'Gene', (84, 88)) 4054 22394548 cellularity, pleomorphism, vessel hyperplasia and degree of mitosis, and lowers the proliferating cell nuclear antigen, a marker for late G1- and S-phases of the cell cycle. ('hyperplasia', 'Disease', 'MESH:D006965', (34, 45)) ('cellularity', 'CPA', (0, 11)) ('mitosis', 'Disease', (60, 67)) ('proliferating cell nuclear antigen', 'MPA', (84, 118)) ('pleomorphism', 'Var', (13, 25)) ('lowers', 'NegReg', (73, 79)) ('mitosis', 'Disease', 'None', (60, 67)) ('hyperplasia', 'Disease', (34, 45)) 4116 22394548 Moreover, the effects of an oligodendroglial differentiation, as well as recently discovered molecular genetic markers (such as LOH1p/19q, TP53 mutations, MGMT promoter methylation and IDH1 mutations), on the efficiency of interstitial brachytherapy, have not been evaluated yet. ('IDH1', 'Gene', '3417', (185, 189)) ('MGMT', 'Gene', '4255', (155, 159)) ('mutations', 'Var', (190, 199)) ('LOH1p/19q', 'Gene', (128, 137)) ('MGMT', 'Gene', (155, 159)) ('TP53', 'Gene', '7157', (139, 143)) ('TP53', 'Gene', (139, 143)) ('mutations', 'Var', (144, 153)) ('IDH1', 'Gene', (185, 189)) 4125 22394548 found a 5-year survival rate as high as 93% in patients with low activity temporary iodine-125 implants (54Gy, 10cGy/h). ('activity', 'MPA', (65, 73)) ('iodine-125', 'Chemical', 'MESH:C000614960', (84, 94)) ('low', 'NegReg', (61, 64)) ('patients', 'Species', '9606', (47, 55)) ('54Gy', 'Var', (105, 109)) 4130 22394548 Target volume and radiation dose showed a direct correlation with the risk of radionecrosis with critical values being 35 cm3 and 100Gy for permanent and 50Gy at 42cGy/h for temporary implants. ('necrosis', 'Disease', 'MESH:D009336', (83, 91)) ('100Gy', 'Var', (130, 135)) ('necrosis', 'Disease', (83, 91)) ('50Gy', 'Var', (154, 158)) 4143 22394548 Factors associated with improved survival were age <= 45-50 years, KPS >= 80-90, superficial location, decreasing volume of implanted tumour, chemotherapy at recurrence and reoperation at the original site in case of tumour recurrence. ('KPS >= 80-90', 'Var', (67, 79)) ('improved', 'PosReg', (24, 32)) ('tumour', 'Phenotype', 'HP:0002664', (217, 223)) ('tumour', 'Disease', 'MESH:D009369', (217, 223)) ('tumour', 'Disease', 'MESH:D009369', (134, 140)) ('survival', 'MPA', (33, 41)) ('tumour', 'Disease', (134, 140)) ('tumour', 'Disease', (217, 223)) ('tumour', 'Phenotype', 'HP:0002664', (134, 140)) 4155 22394548 Iodine-125 has improved the survival most demonstrably in poorer prognostic classes so that a selection bias does not account for the survival benefit. ('improved', 'PosReg', (15, 23)) ('survival', 'MPA', (28, 36)) ('Iodine-125', 'Chemical', 'MESH:C000614960', (0, 10)) ('Iodine-125', 'Var', (0, 10)) 4173 22394548 For metastases, good prognostic factors are KPS >= 70, solitary metastasis, no extracerebral metastases, long time interval between primary diagnosis and diagnosis of metastases. ('metastases', 'Disease', 'MESH:D009362', (4, 14)) ('metastases', 'Disease', (93, 103)) ('KPS >= 70', 'Var', (44, 53)) ('metastases', 'Disease', (167, 177)) ('metastases', 'Disease', 'MESH:D009362', (93, 103)) ('solitary', 'Disease', (55, 63)) ('metastases', 'Disease', 'MESH:D009362', (167, 177)) ('metastases', 'Disease', (4, 14)) 4198 22394548 Late radiation necrosis is a severe side effect which seems to occur in 40% of the low-dose-rate implantations and is correlated with total radiation dose, implanted activity and the velocity of tumour shrinkage. ('low-dose-rate', 'Var', (83, 96)) ('tumour', 'Disease', 'MESH:D009369', (195, 201)) ('tumour', 'Disease', (195, 201)) ('radiation necrosis', 'Disease', 'MESH:D004194', (5, 23)) ('radiation necrosis', 'Disease', (5, 23)) ('tumour', 'Phenotype', 'HP:0002664', (195, 201)) 4369 31788085 Mutant-allele tumor heterogeneity in malignant glioma effectively predicts neoplastic recurrence Intra-tumor heterogeneity (ITH) is one of the most important causes of therapy resistance, which eventually leads to the poor outcomes observed in patients with glioma. ('glioma', 'Phenotype', 'HP:0009733', (47, 53)) ('tumor', 'Phenotype', 'HP:0002664', (103, 108)) ('glioma', 'Disease', 'MESH:D005910', (258, 264)) ('patients', 'Species', '9606', (244, 252)) ('leads', 'Reg', (205, 210)) ('tumor', 'Phenotype', 'HP:0002664', (14, 19)) ('causes', 'Reg', (158, 164)) ('glioma', 'Phenotype', 'HP:0009733', (258, 264)) ('tumor', 'Disease', (103, 108)) ('glioma', 'Disease', (47, 53)) ('malignant glioma', 'Disease', (37, 53)) ('malignant glioma', 'Disease', 'MESH:D005910', (37, 53)) ('Mutant-allele', 'Var', (0, 13)) ('tumor', 'Disease', 'MESH:D009369', (103, 108)) ('glioma', 'Disease', 'MESH:D005910', (47, 53)) ('tumor', 'Disease', (14, 19)) ('tumor', 'Disease', 'MESH:D009369', (14, 19)) ('Intra-tumor', 'Disease', (97, 108)) ('Intra-tumor', 'Disease', 'MESH:D009369', (97, 108)) ('glioma', 'Disease', (258, 264)) 4370 31788085 Mutant-allele tumor heterogeneity (MATH) values are based on whole-exon sequencing and precisely reflect genetic ITH. ('Mutant-allele', 'Var', (0, 13)) ('tumor', 'Disease', (14, 19)) ('tumor', 'Phenotype', 'HP:0002664', (14, 19)) ('tumor', 'Disease', 'MESH:D009369', (14, 19)) 4376 31788085 MATH values were negatively associated with the 2- and 5-year recurrence-free survival (RFS) rates in patients with glioma, particularly in the IDH1/2-wt and GBM cohorts (P=0.001 and P=0.017, respectively). ('GBM', 'Disease', 'MESH:D005909', (158, 161)) ('MATH', 'Var', (0, 4)) ('patients', 'Species', '9606', (102, 110)) ('glioma', 'Disease', (116, 122)) ('recurrence-free survival', 'CPA', (62, 86)) ('negatively', 'NegReg', (17, 27)) ('glioma', 'Disease', 'MESH:D005910', (116, 122)) ('glioma', 'Phenotype', 'HP:0009733', (116, 122)) ('GBM', 'Disease', (158, 161)) 4387 31788085 Mutant-allele tumor heterogeneity (MATH) values are indicators of gene mutation dispersion that were developed by Mroz and Rocco. ('Mutant-allele', 'Var', (0, 13)) ('tumor', 'Disease', (14, 19)) ('tumor', 'Phenotype', 'HP:0002664', (14, 19)) ('tumor', 'Disease', 'MESH:D009369', (14, 19)) 4416 31788085 These results demonstrated that MATH values were negatively associated with the interval to glioma RFS (Fig. ('negatively', 'NegReg', (49, 59)) ('glioma', 'Disease', (92, 98)) ('MATH', 'Var', (32, 36)) ('glioma', 'Disease', 'MESH:D005910', (92, 98)) ('glioma', 'Phenotype', 'HP:0009733', (92, 98)) 4417 31788085 Patients with glioma with IDH1/2-wt are predicted to have a poor prognosis. ('IDH1/2-wt', 'Var', (26, 35)) ('glioma', 'Disease', (14, 20)) ('Patients', 'Species', '9606', (0, 8)) ('glioma', 'Disease', 'MESH:D005910', (14, 20)) ('glioma', 'Phenotype', 'HP:0009733', (14, 20)) 4419 31788085 Similarly, although patients with GBM have been reported to have the shortest interval to recurrence among all patients with malignant glioma, the present study revealed that prognoses were significantly improved in patients with GBM with low MATH levels compared with those with high MATH levels (Fig. ('GBM', 'Disease', (34, 37)) ('malignant glioma', 'Disease', 'MESH:D005910', (125, 141)) ('GBM', 'Disease', (230, 233)) ('malignant glioma', 'Disease', (125, 141)) ('GBM', 'Disease', 'MESH:D005909', (34, 37)) ('GBM', 'Disease', 'MESH:D005909', (230, 233)) ('low', 'Var', (239, 242)) ('prognoses', 'CPA', (175, 184)) ('patients', 'Species', '9606', (216, 224)) ('glioma', 'Phenotype', 'HP:0009733', (135, 141)) ('low MATH', 'Phenotype', 'HP:0001249', (239, 247)) ('patients', 'Species', '9606', (20, 28)) ('improved', 'PosReg', (204, 212)) ('high MATH levels', 'Phenotype', 'HP:0001249', (280, 296)) ('patients', 'Species', '9606', (111, 119)) 4422 31788085 It was observed that seven genes [IDH1, tumor protein p53 (TP53), titin (TTN), ATRX chromatin remodeler (ATRX), capicua transcriptional repressor, mucin 16 (MUC16) and epidermal growth factor receptor (EGFR)] were hypermutated in the low-MATH group (frequency >10%; Fig. ('EGFR', 'Gene', (202, 206)) ('capicua transcriptional repressor', 'Gene', '23152', (112, 145)) ('mucin 16', 'Gene', (147, 155)) ('TTN', 'Gene', (73, 76)) ('tumor', 'Phenotype', 'HP:0002664', (40, 45)) ('IDH1', 'Gene', '3417', (34, 38)) ('TP53', 'Gene', (59, 63)) ('low-MATH', 'Var', (234, 242)) ('p53', 'Gene', '7157', (54, 57)) ('ATRX', 'Gene', (105, 109)) ('EGFR', 'Gene', '1956', (202, 206)) ('MUC16', 'Gene', '94025', (157, 162)) ('titin', 'Gene', '7273', (66, 71)) ('capicua transcriptional repressor', 'Gene', (112, 145)) ('ATRX', 'Gene', '546', (105, 109)) ('titin', 'Gene', (66, 71)) ('mucin 16', 'Gene', '94025', (147, 155)) ('p53', 'Gene', (54, 57)) ('tumor', 'Disease', (40, 45)) ('TP53', 'Gene', '7157', (59, 63)) ('epidermal growth factor receptor', 'Gene', (168, 200)) ('tumor', 'Disease', 'MESH:D009369', (40, 45)) ('low-MATH', 'Phenotype', 'HP:0001249', (234, 242)) ('epidermal growth factor receptor', 'Gene', '1956', (168, 200)) ('ATRX', 'Gene', (79, 83)) ('MUC16', 'Gene', (157, 162)) ('ATRX', 'Gene', '546', (79, 83)) ('IDH1', 'Gene', (34, 38)) ('TTN', 'Gene', '7273', (73, 76)) 4425 31788085 Using a chi2 test, it was identified that while the difference in TP53 was not significant (P=0.91), the mutation sample frequencies of IDH1 and ATRX were significantly lower in the high-MATH group, whereas the mutation sample frequencies of TTN, MUC16 and EGFR were significantly higher in the high-MATH group (Fig. ('ATRX', 'Gene', '546', (145, 149)) ('TTN', 'Gene', '7273', (242, 245)) ('TP53', 'Gene', '7157', (66, 70)) ('EGFR', 'Gene', (257, 261)) ('TP53', 'Gene', (66, 70)) ('MUC16', 'Gene', '94025', (247, 252)) ('higher', 'PosReg', (281, 287)) ('high-MATH', 'Var', (182, 191)) ('IDH1', 'Gene', (136, 140)) ('ATRX', 'Gene', (145, 149)) ('TTN', 'Gene', (242, 245)) ('IDH1', 'Gene', '3417', (136, 140)) ('lower', 'NegReg', (169, 174)) ('MUC16', 'Gene', (247, 252)) ('EGFR', 'Gene', '1956', (257, 261)) 4428 31788085 In univariate Cox regression analysis, race and the mutation status of the MUC16 gene had no effect on glioma recurrence. ('glioma', 'Disease', 'MESH:D005910', (103, 109)) ('glioma', 'Phenotype', 'HP:0009733', (103, 109)) ('Cox', 'Gene', '1351', (14, 17)) ('Cox', 'Gene', (14, 17)) ('MUC16', 'Gene', (75, 80)) ('mutation', 'Var', (52, 60)) ('glioma', 'Disease', (103, 109)) ('MUC16', 'Gene', '94025', (75, 80)) 4429 31788085 The results of the multivariate Cox regression analysis suggested that MATH level, the mutation status of two genes (IDH and TTN), and four clinical characteristics (age, sex, WHO grade and histological classification) had a significant influence on glioma recurrence. ('TTN', 'Gene', '7273', (125, 128)) ('glioma', 'Phenotype', 'HP:0009733', (250, 256)) ('IDH', 'Gene', (117, 120)) ('glioma', 'Disease', (250, 256)) ('influence', 'Reg', (237, 246)) ('IDH', 'Gene', '3417', (117, 120)) ('TTN', 'Gene', (125, 128)) ('Cox', 'Gene', '1351', (32, 35)) ('Cox', 'Gene', (32, 35)) ('mutation', 'Var', (87, 95)) ('glioma', 'Disease', 'MESH:D005910', (250, 256)) ('clinical', 'Species', '191496', (140, 148)) 4441 31788085 Patients with GBM and IDH1/2-wt glioma had higher MATH levels than the other patients with glioma. ('higher', 'PosReg', (43, 49)) ('GBM', 'Disease', (14, 17)) ('glioma', 'Disease', (32, 38)) ('glioma', 'Disease', (91, 97)) ('GBM', 'Disease', 'MESH:D005909', (14, 17)) ('MATH levels', 'MPA', (50, 61)) ('patients', 'Species', '9606', (77, 85)) ('Patients', 'Species', '9606', (0, 8)) ('glioma', 'Phenotype', 'HP:0009733', (32, 38)) ('glioma', 'Disease', 'MESH:D005910', (32, 38)) ('glioma', 'Disease', 'MESH:D005910', (91, 97)) ('IDH1/2-wt', 'Var', (22, 31)) ('glioma', 'Phenotype', 'HP:0009733', (91, 97)) 4442 31788085 Furthermore, MATH values were independent predictors of glioma recurrence (P=0.015). ('MATH values', 'Var', (13, 24)) ('glioma', 'Disease', (56, 62)) ('glioma', 'Disease', 'MESH:D005910', (56, 62)) ('glioma', 'Phenotype', 'HP:0009733', (56, 62)) 4449 31788085 High ITH levels have been found to increase chemoradiotherapy resistance in glioma. ('increase', 'PosReg', (35, 43)) ('chemoradiotherapy resistance', 'MPA', (44, 72)) ('glioma', 'Disease', (76, 82)) ('glioma', 'Disease', 'MESH:D005910', (76, 82)) ('glioma', 'Phenotype', 'HP:0009733', (76, 82)) ('High ITH levels', 'Var', (0, 15)) 4451 31788085 In patients receiving chemotherapy drugs or radiation, high ITH gliomas will have more residual subclones to replace those that are lost. ('glioma', 'Phenotype', 'HP:0009733', (64, 70)) ('gliomas', 'Phenotype', 'HP:0009733', (64, 71)) ('gliomas', 'Disease', (64, 71)) ('patients', 'Species', '9606', (3, 11)) ('gliomas', 'Disease', 'MESH:D005910', (64, 71)) ('high ITH', 'Var', (55, 63)) 4452 31788085 Additionally, gene enrichment analysis demonstrated that the gene mutations occurring in patients with high MATH values were enriched in the 'BH3 anti-apoptotic', 'MAD2 inhibitory signal' and 'glutathione biosynthesis' signaling pathways, which act to inhibit apoptosis, mitotic catastrophe and radio-chemotherapy resistance, respectively (Fig. ('mutations', 'Var', (66, 75)) ('radio-chemotherapy resistance', 'CPA', (295, 324)) ('inhibit', 'NegReg', (252, 259)) ("'glutathione biosynthesis' signaling pathways", 'Pathway', (192, 237)) ('MAD2', 'Gene', (164, 168)) ('apoptosis', 'CPA', (260, 269)) ('MAD2', 'Gene', '4085', (164, 168)) ('patients', 'Species', '9606', (89, 97)) ('mitotic catastrophe', 'CPA', (271, 290)) ('glutathione', 'Chemical', 'MESH:D005978', (193, 204)) 4455 31788085 In the nomogram, several factors including, MATH level, gene IDH1/2, gene TTN, age, sex, WHO grade and histological classification, were indicated to have a substantial effect on glioma recurrence. ('TTN', 'Gene', (74, 77)) ('TTN', 'Gene', '7273', (74, 77)) ('effect', 'Reg', (169, 175)) ('glioma', 'Disease', 'MESH:D005910', (179, 185)) ('glioma', 'Phenotype', 'HP:0009733', (179, 185)) ('gene', 'Var', (56, 60)) ('glioma', 'Disease', (179, 185)) 4456 31788085 Age has been identified as an independent prognostic factor in high-grade glioma, and elderly patients with glioma exhibit abnormal repair functions, resulting in gene mutations and impaired DNA metabolic functions. ('glioma', 'Disease', 'MESH:D005910', (74, 80)) ('repair functions', 'CPA', (132, 148)) ('patients', 'Species', '9606', (94, 102)) ('glioma', 'Disease', (108, 114)) ('gene mutations', 'Var', (163, 177)) ('glioma', 'Disease', 'MESH:D005910', (108, 114)) ('glioma', 'Disease', (74, 80)) ('DNA metabolic functions', 'MPA', (191, 214)) ('glioma', 'Phenotype', 'HP:0009733', (108, 114)) ('impaired', 'NegReg', (182, 190)) ('glioma', 'Phenotype', 'HP:0009733', (74, 80)) 4461 31788085 Additionally, while IDH1/2 mutation status, WHO grade and histological classification are generally considered to influence glioma prognosis, the present study revealed that patients with IDH1/2-wt glioma, GBM and WHO grade IV all have high MATH levels. ('GBM', 'Disease', (206, 209)) ('IDH1/2-wt', 'Var', (188, 197)) ('glioma', 'Disease', (124, 130)) ('high MATH levels', 'Phenotype', 'HP:0001249', (236, 252)) ('glioma', 'Disease', (198, 204)) ('GBM', 'Disease', 'MESH:D005909', (206, 209)) ('patients', 'Species', '9606', (174, 182)) ('glioma', 'Phenotype', 'HP:0009733', (124, 130)) ('glioma', 'Phenotype', 'HP:0009733', (198, 204)) ('glioma', 'Disease', 'MESH:D005910', (124, 130)) ('glioma', 'Disease', 'MESH:D005910', (198, 204)) 4462 31788085 The mutation status of the TTN gene was strongly associated with glioma recurrence. ('glioma', 'Disease', (65, 71)) ('TTN', 'Gene', (27, 30)) ('glioma', 'Disease', 'MESH:D005910', (65, 71)) ('mutation', 'Var', (4, 12)) ('glioma', 'Phenotype', 'HP:0009733', (65, 71)) ('associated with', 'Reg', (49, 64)) ('TTN', 'Gene', '7273', (27, 30)) 4465 31788085 Although, to the best of our knowledge, no studies have yet investigated the association between TTN and tumors, data from the TCGA database revealed that the TTN gene has a high frequency of mutation in a number of tumors, including lung (724 cases), skin (379 cases), uterus (282 cases), stomach (274 cases), colon (264 cases) and breast (291 cases) tumors . ('tumors', 'Disease', (105, 111)) ('breast', 'Disease', (333, 339)) ('tumors', 'Disease', (216, 222)) ('TTN', 'Gene', (159, 162)) ('stomach', 'Disease', (290, 297)) ('TTN', 'Gene', (97, 100)) ('tumors', 'Disease', 'MESH:D009369', (352, 358)) ('tumors', 'Disease', 'MESH:D009369', (105, 111)) ('mutation', 'Var', (192, 200)) ('tumors', 'Disease', 'MESH:D009369', (216, 222)) ('colon', 'Disease', (311, 316)) ('skin', 'Disease', (252, 256)) ('tumors', 'Phenotype', 'HP:0002664', (352, 358)) ('tumors', 'Phenotype', 'HP:0002664', (105, 111)) ('tumor', 'Phenotype', 'HP:0002664', (216, 221)) ('lung', 'Disease', (234, 238)) ('uterus', 'Disease', (270, 276)) ('tumor', 'Phenotype', 'HP:0002664', (352, 357)) ('tumors', 'Phenotype', 'HP:0002664', (216, 222)) ('tumor', 'Phenotype', 'HP:0002664', (105, 110)) ('TTN', 'Gene', '7273', (159, 162)) ('tumors', 'Disease', (352, 358)) ('TTN', 'Gene', '7273', (97, 100)) 4466 31788085 In the present study, the mutation status of the TP53, PTEN, EGFR and ATRX genes was not associated with glioma recurrence. ('associated', 'Reg', (89, 99)) ('PTEN', 'Gene', '5728', (55, 59)) ('glioma', 'Disease', 'MESH:D005910', (105, 111)) ('ATRX', 'Gene', '546', (70, 74)) ('glioma', 'Phenotype', 'HP:0009733', (105, 111)) ('TP53', 'Gene', '7157', (49, 53)) ('mutation', 'Var', (26, 34)) ('TP53', 'Gene', (49, 53)) ('glioma', 'Disease', (105, 111)) ('ATRX', 'Gene', (70, 74)) ('EGFR', 'Gene', '1956', (61, 65)) ('EGFR', 'Gene', (61, 65)) ('PTEN', 'Gene', (55, 59)) 4469 31788085 For example, a number of studies have demonstrated that TP53 mutations are significantly associated with short survival times in patients with glioma. ('short', 'NegReg', (105, 110)) ('associated', 'Reg', (89, 99)) ('glioma', 'Disease', 'MESH:D005910', (143, 149)) ('patients', 'Species', '9606', (129, 137)) ('TP53', 'Gene', '7157', (56, 60)) ('glioma', 'Phenotype', 'HP:0009733', (143, 149)) ('mutations', 'Var', (61, 70)) ('TP53', 'Gene', (56, 60)) ('glioma', 'Disease', (143, 149)) 4470 31788085 However, not all mutations in TP53 result in a loss in gene transcription; patients with TP53 mutant glioma that retain transcriptional activity exhibit longer survival times. ('survival', 'CPA', (160, 168)) ('TP53', 'Gene', '7157', (89, 93)) ('TP53', 'Gene', (30, 34)) ('TP53', 'Gene', (89, 93)) ('glioma', 'Disease', 'MESH:D005910', (101, 107)) ('glioma', 'Disease', (101, 107)) ('patients', 'Species', '9606', (75, 83)) ('mutant', 'Var', (94, 100)) ('gene transcription', 'MPA', (55, 73)) ('TP53', 'Gene', '7157', (30, 34)) ('glioma', 'Phenotype', 'HP:0009733', (101, 107)) ('longer', 'PosReg', (153, 159)) 4473 31788085 In addition, MATH values do not comprehensively describe glioma ITH, which results from epigenetic regulation and the tumor microenvironment and needs to be analyzed using advanced methods. ('results from', 'Reg', (75, 87)) ('tumor', 'Disease', 'MESH:D009369', (118, 123)) ('epigenetic', 'Var', (88, 98)) ('glioma', 'Disease', (57, 63)) ('tumor', 'Phenotype', 'HP:0002664', (118, 123)) ('tumor', 'Disease', (118, 123)) ('glioma', 'Disease', 'MESH:D005910', (57, 63)) ('glioma', 'Phenotype', 'HP:0009733', (57, 63)) 4476 31788085 GBM glioblastoma ITH intra-tumor heterogeneity LGG low grade glioma MATH mutant-allele tumor heterogeneity RFS recurrence-free survival ('GBM', 'Disease', (0, 3)) ('glioma', 'Phenotype', 'HP:0009733', (61, 67)) ('tumor', 'Phenotype', 'HP:0002664', (27, 32)) ('tumor', 'Phenotype', 'HP:0002664', (87, 92)) ('mutant-allele', 'Var', (73, 86)) ('intra-tumor', 'Disease', (21, 32)) ('GBM', 'Disease', 'MESH:D005909', (0, 3)) ('tumor', 'Disease', (27, 32)) ('LGG low', 'Phenotype', 'HP:0004315', (47, 54)) ('tumor', 'Disease', (87, 92)) ('glioblastoma', 'Disease', (4, 16)) ('glioma', 'Disease', (61, 67)) ('glioblastoma', 'Disease', 'MESH:D005909', (4, 16)) ('intra-tumor', 'Disease', 'MESH:D009369', (21, 32)) ('glioblastoma', 'Phenotype', 'HP:0012174', (4, 16)) ('tumor', 'Disease', 'MESH:D009369', (87, 92)) ('tumor', 'Disease', 'MESH:D009369', (27, 32)) ('glioma', 'Disease', 'MESH:D005910', (61, 67)) 4493 31601888 Approximately 80% of LGG harbor driver mutations in isocitrate dehydrogenase (IDH) 1 or 2 genes, while HGG are mostly IDH wildtype. ('LGG', 'Disease', (21, 24)) ('isocitrate dehydrogenase (IDH) 1', 'Gene', '3417', (52, 84)) ('mutations', 'Var', (39, 48)) 4512 31601888 Since the observed differences in quantity and location of CD8 T cells could be due to different levels in antigenicity, we have determined the quantity of: (i) neo-antigens that may arise from expressed somatic mutations and (ii) cancer germline antigens (CGAs) that may arise from loss of epigenetic silencing. ('CGA', 'Gene', (257, 260)) ('cancer', 'Disease', 'MESH:D009369', (231, 237)) ('cancer', 'Disease', (231, 237)) ('loss', 'NegReg', (283, 287)) ('CD8', 'Gene', (59, 62)) ('CGA', 'Gene', '1113', (257, 260)) ('CD8', 'Gene', '925', (59, 62)) ('mutations', 'Var', (212, 221)) ('cancer', 'Phenotype', 'HP:0002664', (231, 237)) ('epigenetic silencing', 'Var', (291, 311)) 4513 31601888 Importantly, on average only two of these expressed mutations per tumor scored sufficiently high according to MHC class I binding, proteasomal C terminal cleavage and TAP transport efficiency to be considered a neo-epitope. ('mutations', 'Var', (52, 61)) ('tumor', 'Phenotype', 'HP:0002664', (66, 71)) ('binding', 'Interaction', (122, 129)) ('tumor', 'Disease', (66, 71)) ('MHC', 'Gene', '3107', (110, 113)) ('proteasomal C terminal cleavage', 'MPA', (131, 162)) ('tumor', 'Disease', 'MESH:D009369', (66, 71)) ('TAP', 'Gene', (167, 170)) ('TAP', 'Gene', '23541', (167, 170)) ('MHC', 'Gene', (110, 113)) 4531 31601888 For example, in a murine model for LGG, the introduction of mutant IDH1 or treatment with 2HG reduced protein levels of CXCL10 likely through decreased production of STAT1, and suppressed the accumulation of T cells at tumor sites. ('suppressed', 'NegReg', (177, 187)) ('accumulation', 'CPA', (192, 204)) ('tumor', 'Phenotype', 'HP:0002664', (219, 224)) ('protein levels of CXCL10', 'MPA', (102, 126)) ('STAT1', 'Gene', '20846', (166, 171)) ('reduced', 'NegReg', (94, 101)) ('STAT1', 'Gene', (166, 171)) ('tumor', 'Disease', (219, 224)) ('IDH1', 'Gene', (67, 71)) ('decreased', 'NegReg', (142, 151)) ('mutant', 'Var', (60, 66)) ('tumor', 'Disease', 'MESH:D009369', (219, 224)) ('murine', 'Species', '10090', (18, 24)) 4532 31601888 A different study showed that 2HG reduced proliferation of human T cells cultured in vitro. ('human', 'Species', '9606', (59, 64)) ('reduced', 'NegReg', (34, 41)) ('proliferation of human T cells cultured in vitro', 'CPA', (42, 90)) ('2HG', 'Var', (30, 33)) 4536 31601888 A recent study analyzed PD-1+ T cell infiltration and also PD-L1 tumor cell expression in 57 IDH mutant and 117 IDH wildtype gliomas and found that IDH wildtype HGG gliomas display more prominent PD-1+ T cells and higher PD-L1 expression when compared to IDH mutant LGG cases. ('gliomas', 'Disease', (125, 132)) ('higher', 'PosReg', (214, 220)) ('IDH', 'Var', (148, 151)) ('PD-L1 tumor', 'Disease', 'MESH:C536029', (59, 70)) ('gliomas', 'Disease', 'MESH:D005910', (125, 132)) ('PD-L1', 'Protein', (221, 226)) ('PD-1+ T cells', 'CPA', (196, 209)) ('gliomas', 'Phenotype', 'HP:0009733', (125, 132)) ('glioma', 'Phenotype', 'HP:0009733', (165, 171)) ('glioma', 'Phenotype', 'HP:0009733', (125, 131)) ('tumor', 'Phenotype', 'HP:0002664', (65, 70)) ('expression', 'MPA', (227, 237)) ('HGG', 'Disease', (161, 164)) ('gliomas', 'Disease', (165, 172)) ('gliomas', 'Disease', 'MESH:D005910', (165, 172)) ('PD-L1 tumor', 'Disease', (59, 70)) ('gliomas', 'Phenotype', 'HP:0009733', (165, 172)) 4537 31601888 Garber and colleagues also showed a positive correlation between PD-1+ T cells and high but not low tumor grade. ('tumor', 'Phenotype', 'HP:0002664', (100, 105)) ('high', 'CPA', (83, 87)) ('PD-1+ T cells', 'Var', (65, 78)) ('tumor', 'Disease', (100, 105)) ('tumor', 'Disease', 'MESH:D009369', (100, 105)) 4541 31601888 Studies on melanoma and non-small-cell lung carcinoma have shown that response to checkpoint inhibitors is associated with a high mutational load. ('melanoma', 'Disease', 'MESH:D008545', (11, 19)) ('non-small-cell lung carcinoma', 'Disease', (24, 53)) ('non-small-cell lung carcinoma', 'Disease', 'MESH:D002289', (24, 53)) ('carcinoma', 'Phenotype', 'HP:0030731', (44, 53)) ('high mutational load', 'Var', (125, 145)) ('melanoma', 'Phenotype', 'HP:0002861', (11, 19)) ('melanoma', 'Disease', (11, 19)) 4543 31601888 In most HGG and LGG mutational burden is more than an order of magnitude lower than in melanomas and lung adenocarcinomas. ('melanoma', 'Phenotype', 'HP:0002861', (87, 95)) ('HGG', 'Disease', (8, 11)) ('carcinoma', 'Phenotype', 'HP:0030731', (111, 120)) ('lung adenocarcinomas', 'Disease', (101, 121)) ('melanomas', 'Disease', (87, 96)) ('lung adenocarcinomas', 'Phenotype', 'HP:0030078', (101, 121)) ('LGG', 'Disease', (16, 19)) ('lower', 'NegReg', (73, 78)) ('melanomas', 'Phenotype', 'HP:0002861', (87, 96)) ('mutational', 'Var', (20, 30)) ('lung adenocarcinomas', 'Disease', 'MESH:C538231', (101, 121)) ('melanomas', 'Disease', 'MESH:D008545', (87, 96)) 4549 31601888 Indeed, there is preclinical evidence for the immunogenicity of a number of neo-epitopes arising from hallmark glioma mutations, including EGFRvIII (an intragenic deletion of exons 2-7 of the epidermal growth factor receptor), IDH1R132H and H3.3K27M . ('deletion', 'Var', (163, 171)) ('EGFRvIII', 'Gene', (139, 147)) ('H3.3K27M', 'Var', (241, 249)) ('mutations', 'Var', (118, 127)) ('glioma', 'Phenotype', 'HP:0009733', (111, 117)) ('hallmark glioma', 'Disease', (102, 117)) ('IDH1R132H', 'Var', (227, 236)) ('hallmark glioma', 'Disease', 'MESH:D005910', (102, 117)) 4561 31601888 We performed sanger sequencing on DNA isolated from FFPE tumor tissue samples in case of unknown IDH1 mutation status. ('IDH1', 'Gene', (97, 101)) ('mutation', 'Var', (102, 110)) ('tumor', 'Disease', 'MESH:D009369', (57, 62)) ('tumor', 'Phenotype', 'HP:0002664', (57, 62)) ('tumor', 'Disease', (57, 62)) 4570 31601888 Live T cells (7AAD-, CD14-, CD3+) were quantified on a FACS Canto (BD Biosciences) and flow cytometric data was analyzed using FlowJo V10. ('CD14', 'Gene', '929', (21, 25)) ('CD3+', 'Var', (28, 32)) ('CD14', 'Gene', (21, 25)) 4574 31601888 The sections were washed in PBS and incubated for 1 hour with one of the following mouse anti-human primary antibodies: anti-CD3 clone F7.2.38, 1:100; anti-CD8 clone C8/144B, 1:200, anti-CD31 clone JC70A, 1:30 (all from Agilent Technologies, Amstelveen, the Netherlands); and, subsequently, with goat anti-mouse biotinylated, 1:200 (Agilent Technologies). ('JC70A', 'Var', (198, 203)) ('CD31', 'Gene', '5175', (187, 191)) ('mouse', 'Species', '10090', (83, 88)) ('mouse', 'Species', '10090', (306, 311)) ('human', 'Species', '9606', (94, 99)) ('CD8', 'Gene', '925', (156, 159)) ('goat', 'Species', '9925', (296, 300)) ('CD8', 'Gene', (156, 159)) ('CD31', 'Gene', (187, 191)) 4588 25558448 O6-methylguanine-DNA methyltransferase activity is associated with response to alkylating agent therapy and with MGMT promoter methylation in glioblastoma and anaplastic glioma CpG methylation in the O6-methylguanine-DNA methyltransferase (MGMT) promoter is associated with better outcome following alkylating agent chemotherapy in glioblastoma (GBM) and anaplastic glioma (AG). ('glioblastoma', 'Disease', (332, 344)) ('glioblastoma', 'Phenotype', 'HP:0012174', (332, 344)) ('O6-methylguanine-DNA methyltransferase', 'Gene', '4255', (200, 238)) ('glioma', 'Disease', (170, 176)) ('O6-methylguanine-DNA methyltransferase', 'Gene', '4255', (0, 38)) ('GBM', 'Phenotype', 'HP:0012174', (346, 349)) ('MGMT', 'Gene', (113, 117)) ('glioma', 'Disease', (366, 372)) ('methylation', 'Var', (181, 192)) ('glioma', 'Disease', 'MESH:D005910', (170, 176)) ('anaplastic glioma', 'Disease', 'MESH:D005910', (159, 176)) ('MGMT', 'Gene', (240, 244)) ('glioma', 'Disease', 'MESH:D005910', (366, 372)) ('O6-methylguanine-DNA methyltransferase', 'Gene', (200, 238)) ('anaplastic glioma', 'Disease', (159, 176)) ('anaplastic glioma', 'Disease', 'MESH:D005910', (355, 372)) ('glioblastoma', 'Disease', 'MESH:D005909', (142, 154)) ('glioma', 'Phenotype', 'HP:0009733', (170, 176)) ('O6-methylguanine-DNA methyltransferase', 'Gene', (0, 38)) ('glioma', 'Phenotype', 'HP:0009733', (366, 372)) ('anaplastic glioma', 'Disease', (355, 372)) ('glioblastoma', 'Disease', 'MESH:D005909', (332, 344)) ('MGMT', 'Gene', '4255', (113, 117)) ('glioblastoma', 'Disease', (142, 154)) ('MGMT', 'Gene', '4255', (240, 244)) ('glioblastoma', 'Phenotype', 'HP:0012174', (142, 154)) 4592 25558448 Analysis of MGMT promoter methylation status in 47 of the GBMs revealed that methylated tumors had significantly lower activity (P <= 0.005) and longer PFS (P <= 0.036) compared to unmethylated tumors, despite overlapping activities. ('tumors', 'Disease', 'MESH:D009369', (88, 94)) ('tumors', 'Disease', (194, 200)) ('lower', 'NegReg', (113, 118)) ('GBM', 'Phenotype', 'HP:0012174', (58, 61)) ('tumor', 'Phenotype', 'HP:0002664', (194, 199)) ('MGMT', 'Gene', (12, 16)) ('tumors', 'Disease', 'MESH:D009369', (194, 200)) ('MGMT', 'Gene', '4255', (12, 16)) ('tumor', 'Phenotype', 'HP:0002664', (88, 93)) ('tumors', 'Phenotype', 'HP:0002664', (194, 200)) ('activity', 'MPA', (119, 127)) ('tumors', 'Phenotype', 'HP:0002664', (88, 94)) ('tumors', 'Disease', (88, 94)) ('PFS', 'MPA', (152, 155)) ('methylated', 'Var', (77, 87)) 4593 25558448 PFS was also significantly greater in methylated vs. unmethylated GBMs with comparable activity (P <= 0.005), and among unmethylated tumors with less than median activity (P <= 0.026), suggesting that mechanisms in addition to MGMT promote alkylator resistance. ('tumors', 'Phenotype', 'HP:0002664', (133, 139)) ('promote', 'PosReg', (232, 239)) ('MGMT', 'Gene', (227, 231)) ('greater', 'PosReg', (27, 34)) ('tumors', 'Disease', (133, 139)) ('PFS', 'MPA', (0, 3)) ('MGMT', 'Gene', '4255', (227, 231)) ('tumors', 'Disease', 'MESH:D009369', (133, 139)) ('methylated', 'Var', (38, 48)) ('tumor', 'Phenotype', 'HP:0002664', (133, 138)) ('GBM', 'Phenotype', 'HP:0012174', (66, 69)) ('alkylator resistance', 'MPA', (240, 260)) 4600 25558448 Better response in methylated tumors is unlikely due to lower MGMT activity alone. ('methylated', 'Var', (19, 29)) ('MGMT', 'Gene', (62, 66)) ('tumors', 'Disease', (30, 36)) ('tumors', 'Disease', 'MESH:D009369', (30, 36)) ('tumors', 'Phenotype', 'HP:0002664', (30, 36)) ('MGMT', 'Gene', '4255', (62, 66)) ('tumor', 'Phenotype', 'HP:0002664', (30, 35)) 4618 25558448 Hypermethylation of the MGMT promoter has also been observed in an appreciable fraction of GBMs and other gliomas. ('observed', 'Reg', (52, 60)) ('MGMT', 'Gene', '4255', (24, 28)) ('GBM', 'Phenotype', 'HP:0012174', (91, 94)) ('GBMs', 'Disease', (91, 95)) ('glioma', 'Phenotype', 'HP:0009733', (106, 112)) ('Hypermethylation', 'Var', (0, 16)) ('gliomas', 'Disease', 'MESH:D005910', (106, 113)) ('gliomas', 'Phenotype', 'HP:0009733', (106, 113)) ('gliomas', 'Disease', (106, 113)) ('MGMT', 'Gene', (24, 28)) 4621 25558448 The association of promoter methylation status with clinical response strongly suggests that absence or low expression of MGMT promotes alkylator sensitivity in vivo. ('alkylator sensitivity', 'MPA', (136, 157)) ('promotes', 'PosReg', (127, 135)) ('expression', 'MPA', (108, 118)) ('MGMT', 'Gene', (122, 126)) ('low', 'NegReg', (104, 107)) ('MGMT', 'Gene', '4255', (122, 126)) ('absence', 'Var', (93, 100)) 4628 25558448 Univariate Cox regression models, with activity entered either as a dichotomous variable using median activity as the cut point or as a continuous variable, revealed an inverse association between MGMT activity and PFS in 91 GBMs and in 84 AGs. ('GBM', 'Phenotype', 'HP:0012174', (225, 228)) ('AGs', 'Chemical', '-', (240, 243)) ('MGMT', 'Gene', (197, 201)) ('MGMT', 'Gene', '4255', (197, 201)) ('PFS', 'Var', (215, 218)) ('inverse', 'NegReg', (169, 176)) 4630 25558448 In all groups examined, less than median MGMT activity was associated with longer PFS following alkylators therapy. ('less', 'Var', (24, 28)) ('MGMT', 'Gene', '4255', (41, 45)) ('MGMT', 'Gene', (41, 45)) ('PFS', 'MPA', (82, 85)) 4636 25558448 GBMs harboring mutant IDH1/2 or with histological evidence of progression from a lower grade glioma (so-called secondary GBM) were excluded from this study. ('glioma', 'Disease', (93, 99)) ('IDH1/2', 'Gene', (22, 28)) ('GBM', 'Phenotype', 'HP:0012174', (0, 3)) ('glioma', 'Disease', 'MESH:D005910', (93, 99)) ('GBM', 'Phenotype', 'HP:0012174', (121, 124)) ('glioma', 'Phenotype', 'HP:0009733', (93, 99)) ('mutant', 'Var', (15, 21)) ('IDH1/2', 'Gene', '3417;3418', (22, 28)) 4722 25558448 This observation suggests that the association of outcome with MGMT in all 84 AGs does not merely reflect the contribution of treatment-responsive oligodendroglial tumors harboring deletions on chromosomes 1p and 19q. ('deletions on', 'Var', (181, 193)) ('MGMT', 'Gene', '4255', (63, 67)) ('MGMT', 'Gene', (63, 67)) ('tumors', 'Phenotype', 'HP:0002664', (164, 170)) ('AGs', 'Chemical', '-', (78, 81)) ('oligodendroglial tumors', 'Disease', 'MESH:D009369', (147, 170)) ('oligodendroglial tumors', 'Disease', (147, 170)) ('tumor', 'Phenotype', 'HP:0002664', (164, 169)) 4728 25558448 Finally, analysis of groups by alkylator regimen revealed significant inverse associations in dichotomous and continuous models between MGMT activity and PFS for the 42 tumors receiving PCV, the most frequent treatment regimen, as well as significant associations for the 42 tumors treated with other alkylating agents (Table 5). ('PCV', 'Var', (186, 189)) ('tumor', 'Phenotype', 'HP:0002664', (275, 280)) ('tumors', 'Disease', 'MESH:D009369', (169, 175)) ('PFS', 'Gene', (154, 157)) ('tumors', 'Disease', (275, 281)) ('tumor', 'Phenotype', 'HP:0002664', (169, 174)) ('tumors', 'Phenotype', 'HP:0002664', (275, 281)) ('tumors', 'Phenotype', 'HP:0002664', (169, 175)) ('inverse', 'NegReg', (70, 77)) ('MGMT', 'Gene', '4255', (136, 140)) ('tumors', 'Disease', 'MESH:D009369', (275, 281)) ('MGMT', 'Gene', (136, 140)) ('tumors', 'Disease', (169, 175)) 4732 25558448 As noted earlier, CpG methylation of the MGMT promoter is associated with better outcome following alkylator therapy in GBMs, and methylation has been associated in some, but not all, studies, with low or absent MGMT activity . ('better', 'PosReg', (74, 80)) ('methylation', 'Var', (130, 141)) ('CpG methylation', 'Var', (18, 33)) ('GBM', 'Phenotype', 'HP:0012174', (120, 123)) ('MGMT', 'Gene', '4255', (212, 216)) ('MGMT', 'Gene', (212, 216)) ('MGMT', 'Gene', '4255', (41, 45)) ('MGMT', 'Gene', (41, 45)) 4739 25558448 3A, PFS for these unmethylated tumors with low MGMT activity remained significantly shorter than that for methylated tumors (5 vs. 7.5 months; P <= 0.005). ('tumor', 'Phenotype', 'HP:0002664', (117, 122)) ('tumor', 'Phenotype', 'HP:0002664', (31, 36)) ('tumors', 'Phenotype', 'HP:0002664', (117, 123)) ('tumors', 'Disease', (31, 37)) ('low', 'Var', (43, 46)) ('tumors', 'Phenotype', 'HP:0002664', (31, 37)) ('tumors', 'Disease', (117, 123)) ('tumors', 'Disease', 'MESH:D009369', (117, 123)) ('tumors', 'Disease', 'MESH:D009369', (31, 37)) ('MGMT', 'Gene', (47, 51)) ('shorter', 'NegReg', (84, 91)) ('MGMT', 'Gene', '4255', (47, 51)) 4746 25558448 Promoter methylation was displayed by 59% (20/34) of AGs and was accompanied by significantly lower risk for progression (HR = 0.113; P <= 0.001) and longer PFS (56 vs. 8 months; P <= 0.001). ('AGs', 'Chemical', '-', (53, 56)) ('Promoter methylation', 'Var', (0, 20)) ('lower', 'NegReg', (94, 99)) ('PFS', 'MPA', (157, 160)) 4747 25558448 2, mean MGMT activity was 2.3-fold lower in methylated tumors (3.7 +- 2.7 vs. 11 +- 8.6 fmol/106 cells; P <= 0.0001). ('methylated', 'Var', (44, 54)) ('tumor', 'Phenotype', 'HP:0002664', (55, 60)) ('tumors', 'Phenotype', 'HP:0002664', (55, 61)) ('MGMT', 'Gene', '4255', (8, 12)) ('MGMT', 'Gene', (8, 12)) ('lower', 'NegReg', (35, 40)) ('tumors', 'Disease', (55, 61)) ('tumors', 'Disease', 'MESH:D009369', (55, 61)) 4755 25558448 Here we present evidence that low MGMT activity is associated with better response to alkylating agent therapy and with promoter methylation in high-grade gliomas. ('gliomas', 'Phenotype', 'HP:0009733', (155, 162)) ('response', 'MPA', (74, 82)) ('low', 'Var', (30, 33)) ('promoter', 'MPA', (120, 128)) ('glioma', 'Phenotype', 'HP:0009733', (155, 161)) ('MGMT', 'Gene', (34, 38)) ('gliomas', 'Disease', (155, 162)) ('better', 'PosReg', (67, 73)) ('MGMT', 'Gene', '4255', (34, 38)) ('gliomas', 'Disease', 'MESH:D005910', (155, 162)) 4773 25558448 We also found that the reduced risk of progression in GBMs and AGs displaying MGMT promoter methylation was accompanied by lower MGMT activity (Fig. ('promoter methylation', 'Var', (83, 103)) ('GBM', 'Phenotype', 'HP:0012174', (54, 57)) ('methylation', 'Var', (92, 103)) ('lower', 'NegReg', (123, 128)) ('MGMT', 'Gene', (129, 133)) ('MGMT', 'Gene', '4255', (78, 82)) ('MGMT', 'Gene', '4255', (129, 133)) ('MGMT', 'Gene', (78, 82)) ('reduced', 'NegReg', (23, 30)) ('AGs', 'Chemical', '-', (63, 66)) 4774 25558448 Our findings are in accord with those of others as well as the recent report that the fraction of cells immunopositive for MGMT is significantly lower in methylated GBMs. ('methylated', 'Var', (154, 164)) ('GBM', 'Phenotype', 'HP:0012174', (165, 168)) ('MGMT', 'Gene', (123, 127)) ('lower', 'NegReg', (145, 150)) ('MGMT', 'Gene', '4255', (123, 127)) 4775 25558448 These results support the hypothesis that the better treatment outcome associated with promoter methylation is due, at least in part, to decreased removal of O6-alkylguanine adducts. ('O6-alkylguanine', 'Chemical', '-', (158, 173)) ('promoter methylation', 'Var', (87, 107)) ('O6-alkylguanine adducts', 'MPA', (158, 181)) ('removal', 'MPA', (147, 154)) ('decreased', 'NegReg', (137, 146)) 4776 25558448 However, we found that the range of MGMT activities overlapped appreciably between methylated and unmethylated GBMs and AGs. ('MGMT', 'Gene', (36, 40)) ('MGMT', 'Gene', '4255', (36, 40)) ('methylated', 'Var', (83, 93)) ('AGs', 'Chemical', '-', (120, 123)) ('GBM', 'Phenotype', 'HP:0012174', (111, 114)) 4782 25558448 found that PFS was reduced for elderly patients with promoter methylated GBMs following concomitant treatment with corticosteroids and alkylators compared to treatment with alkylators alone. ('GBMs', 'Gene', (73, 77)) ('patients', 'Species', '9606', (39, 47)) ('PFS', 'MPA', (11, 14)) ('promoter methylated', 'Var', (53, 72)) ('GBM', 'Phenotype', 'HP:0012174', (73, 76)) ('reduced', 'NegReg', (19, 26)) 4783 25558448 Nevertheless, we found that the prolonged PFS that accompanies low MGMT activity in methylated gliomas was not observed in unmethylated tumors with comparable activity (Fig. ('tumors', 'Disease', (136, 142)) ('tumors', 'Disease', 'MESH:D009369', (136, 142)) ('glioma', 'Phenotype', 'HP:0009733', (95, 101)) ('tumors', 'Phenotype', 'HP:0002664', (136, 142)) ('gliomas', 'Disease', 'MESH:D005910', (95, 102)) ('PFS', 'MPA', (42, 45)) ('MGMT', 'Gene', '4255', (67, 71)) ('gliomas', 'Disease', (95, 102)) ('MGMT', 'Gene', (67, 71)) ('tumor', 'Phenotype', 'HP:0002664', (136, 141)) ('methylated', 'Var', (84, 94)) ('gliomas', 'Phenotype', 'HP:0009733', (95, 102)) ('low', 'Var', (63, 66)) 4784 25558448 This novel finding suggests that MGMT promoter methylation is associated with an alkylation sensitive phenotype that is absent in unmethylated gliomas with low MGMT activity. ('MGMT', 'Gene', (160, 164)) ('associated', 'Reg', (62, 72)) ('MGMT', 'Gene', (33, 37)) ('methylation', 'Var', (47, 58)) ('MGMT', 'Gene', '4255', (160, 164)) ('glioma', 'Phenotype', 'HP:0009733', (143, 149)) ('MGMT', 'Gene', '4255', (33, 37)) ('alkylation sensitive phenotype', 'MPA', (81, 111)) ('gliomas', 'Disease', (143, 150)) ('gliomas', 'Disease', 'MESH:D005910', (143, 150)) ('gliomas', 'Phenotype', 'HP:0009733', (143, 150)) 4785 25558448 While the identity of the genes critical for clinical response remains to be completely elucidated, promoter CpG island methylation appears to silence the expression of a number of DNA repair activities in addition to MGMT, suggesting possible candidate genes that influence sensitivity to alkylating agent-based treatment. ('silence', 'NegReg', (143, 150)) ('methylation', 'Var', (120, 131)) ('expression', 'MPA', (155, 165)) ('MGMT', 'Gene', (218, 222)) ('DNA', 'MPA', (181, 184)) ('MGMT', 'Gene', '4255', (218, 222)) 4802 33652578 Indeed, mutations, chromosomal alterations and the deregulation of teneurins expression have been associated with several tumor types and patient survival. ('teneurins', 'Protein', (67, 76)) ('expression', 'MPA', (77, 87)) ('deregulation', 'Var', (51, 63)) ('teneurins', 'Chemical', '-', (67, 76)) ('mutations', 'Var', (8, 17)) ('tumor', 'Disease', 'MESH:D009369', (122, 127)) ('patient', 'Species', '9606', (138, 145)) ('tumor', 'Phenotype', 'HP:0002664', (122, 127)) ('chromosomal alterations', 'Var', (19, 42)) ('rat', 'Species', '10116', (35, 38)) ('associated', 'Reg', (98, 108)) ('tumor', 'Disease', (122, 127)) 4827 33652578 This trans-homodimerization of teneurins has been reported to allow the correct matching between axons and their targets to occur, thus contributing to correct circuit-wiring in the nervous system. ('circuit-wiring', 'CPA', (160, 174)) ('contributing to', 'Reg', (136, 151)) ('trans-homodimerization', 'Var', (5, 27)) ('matching', 'MPA', (80, 88)) ('teneurins', 'Chemical', '-', (31, 40)) 4828 33652578 Upon homodimerization, teneurins' intracellular domains are cleaved close to the plasma membrane and translocate into the nucleus, where they regulate gene expression via direct and indirect interactions with transcription factors. ('gene expression', 'MPA', (151, 166)) ('teneurins', 'Chemical', '-', (23, 32)) ('interactions', 'Interaction', (191, 203)) ('regulate', 'Reg', (142, 150)) ('homodimerization', 'Var', (5, 21)) 4833 33652578 The different teneurins' alternative variants interact with different ligands, mediating either teneurin homodimerization or heterodimerization with latrophilins, leading to the activation of different biological functions. ('biological functions', 'MPA', (202, 222)) ('teneurin', 'Chemical', '-', (96, 104)) ('teneurins', 'Gene', (14, 23)) ('activation', 'PosReg', (178, 188)) ('teneurin', 'Protein', (96, 104)) ('mediating', 'Reg', (79, 88)) ('teneurin', 'Chemical', '-', (14, 22)) ('teneurins', 'Chemical', '-', (14, 23)) ('variants', 'Var', (37, 45)) ('heterodimerization', 'MPA', (125, 143)) ('homodimerization', 'MPA', (105, 121)) 4844 33652578 Recent data have demonstrated a role for TENM1 in the establishment of olfactory circuits; indeed, TENM1 deletion in mice affects their ability to detect odors and TENM1 mutations in humans are correlated with congenital anosmia. ('deletion', 'Var', (105, 113)) ('ability to detect odors', 'MPA', (136, 159)) ('TENM1', 'Gene', (99, 104)) ('TENM1', 'Gene', (164, 169)) ('congenital anosmia', 'Disease', (210, 228)) ('humans', 'Species', '9606', (183, 189)) ('mutations', 'Var', (170, 179)) ('anosmia', 'Phenotype', 'HP:0000458', (221, 228)) ('affects', 'Reg', (122, 129)) ('mice', 'Species', '10090', (117, 121)) ('rat', 'Species', '10116', (24, 27)) ('correlated with', 'Reg', (194, 209)) ('congenital anosmia', 'Disease', 'MESH:C535983', (210, 228)) 4854 33652578 Indeed, in vivo studies in rodents have demonstrated that TCAP-1 administration impacts upon CRF-associated behavior, such as anxiety and depression, and increases glucose levels in rat brains. ('increases', 'PosReg', (154, 163)) ('anxiety', 'Phenotype', 'HP:0000739', (126, 133)) ('impacts', 'Reg', (80, 87)) ('increases glucose levels', 'Phenotype', 'HP:0003074', (154, 178)) ('depression', 'Disease', 'MESH:D000275', (138, 148)) ('depression', 'Phenotype', 'HP:0000716', (138, 148)) ('CRF-associated', 'Disease', (93, 107)) ('rat', 'Species', '10116', (47, 50)) ('depression', 'Disease', (138, 148)) ('TCAP', 'Gene', (58, 62)) ('rat', 'Species', '10116', (182, 185)) ('glucose levels', 'MPA', (164, 178)) ('TCAP', 'Gene', '8557', (58, 62)) ('anxiety', 'Disease', 'MESH:D001007', (126, 133)) ('glucose', 'Chemical', 'MESH:D005947', (164, 171)) ('anxiety', 'Disease', (126, 133)) ('administration', 'Var', (65, 79)) ('rat', 'Species', '10116', (73, 76)) 4855 33652578 Besides congenital general anosmia, TENM1 deregulation has also been associated with several tumors. ('TENM1', 'Gene', (36, 41)) ('deregulation', 'Var', (42, 54)) ('tumor', 'Phenotype', 'HP:0002664', (93, 98)) ('associated', 'Reg', (69, 79)) ('congenital general anosmia', 'Disease', 'MESH:C535983', (8, 34)) ('tumors', 'Disease', 'MESH:D009369', (93, 99)) ('congenital general anosmia', 'Disease', (8, 34)) ('tumors', 'Phenotype', 'HP:0002664', (93, 99)) ('tumors', 'Disease', (93, 99)) ('anosmia', 'Phenotype', 'HP:0000458', (27, 34)) 4859 33652578 However, data on the association between TENM1 deregulation and tumor progression are scarce and confined to a few tumor types, such as thyroid carcinoma, pituitary tumor and glioblastoma. ('tumor', 'Disease', (115, 120)) ('pituitary tumor', 'Disease', (155, 170)) ('carcinoma', 'Phenotype', 'HP:0030731', (144, 153)) ('tumor', 'Phenotype', 'HP:0002664', (165, 170)) ('tumor', 'Phenotype', 'HP:0002664', (64, 69)) ('tumor', 'Disease', 'MESH:D009369', (115, 120)) ('deregulation', 'Var', (47, 59)) ('tumor', 'Phenotype', 'HP:0002664', (115, 120)) ('thyroid carcinoma', 'Disease', 'MESH:D013964', (136, 153)) ('glioblastoma', 'Disease', 'MESH:D005909', (175, 187)) ('thyroid carcinoma', 'Disease', (136, 153)) ('tumor', 'Disease', (165, 170)) ('tumor', 'Disease', (64, 69)) ('TENM1', 'Gene', (41, 46)) ('glioblastoma', 'Disease', (175, 187)) ('tumor', 'Disease', 'MESH:D009369', (165, 170)) ('tumor', 'Disease', 'MESH:D009369', (64, 69)) ('glioblastoma', 'Phenotype', 'HP:0012174', (175, 187)) ('thyroid carcinoma', 'Phenotype', 'HP:0002890', (136, 153)) ('pituitary tumor', 'Disease', 'MESH:D010911', (155, 170)) 4860 33652578 Further support for TENM1's functional contribution to carcinogenesis, TENM1 mutations and chromosomal alterations have occasionally been found in tumors of differing origins. ('tumor', 'Phenotype', 'HP:0002664', (147, 152)) ('tumors', 'Disease', (147, 153)) ('tumors', 'Phenotype', 'HP:0002664', (147, 153)) ('tumors', 'Disease', 'MESH:D009369', (147, 153)) ('rat', 'Species', '10116', (107, 110)) ('mutations', 'Var', (77, 86)) ('carcinogenesis', 'Disease', 'MESH:D063646', (55, 69)) ('TENM1', 'Gene', (71, 76)) ('carcinogenesis', 'Disease', (55, 69)) 4873 33652578 Recent data show that TENM1 is also up-regulated in a follicular variant of papillary thyroid cancer, and it is significantly more highly expressed and mutated in thyroid malignant nodules than in benign ones. ('papillary thyroid cancer', 'Disease', (76, 100)) ('expressed', 'MPA', (138, 147)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (86, 100)) ('mutated', 'Var', (152, 159)) ('more highly', 'PosReg', (126, 137)) ('up-regulated', 'PosReg', (36, 48)) ('cancer', 'Phenotype', 'HP:0002664', (94, 100)) ('TENM1', 'Gene', (22, 27)) ('papillary thyroid cancer', 'Disease', 'MESH:D000077273', (76, 100)) ('follicular', 'Disease', (54, 64)) ('papillary thyroid cancer', 'Phenotype', 'HP:0002895', (76, 100)) 4875 33652578 Another tumor in which TENM1 seems to play an oncogenic role is glioblastoma, where it promotes the cell proliferation, the cytoskeletal remodeling of tumor cells and the invasion of the surrounding environment, both in vitro and in vivo, via the Myc-dependent transcriptional up-regulation of ras homolog family member A (RhoA) and consequent rho-associated protein kinase (ROCK) activation. ('ras homolog family member A', 'Gene', '387', (294, 321)) ('rho-associated', 'Enzyme', (344, 358)) ('tumor', 'Phenotype', 'HP:0002664', (8, 13)) ('TENM1', 'Var', (23, 28)) ('ras homolog family member A', 'Gene', (294, 321)) ('rat', 'Species', '10116', (112, 115)) ('RhoA', 'Gene', (323, 327)) ('tumor', 'Phenotype', 'HP:0002664', (151, 156)) ('Myc', 'Gene', '4609', (247, 250)) ('up-regulation', 'PosReg', (277, 290)) ('glioblastoma', 'Disease', 'MESH:D005909', (64, 76)) ('RhoA', 'Gene', '387', (323, 327)) ('tumor', 'Disease', (8, 13)) ('activation', 'PosReg', (381, 391)) ('glioblastoma', 'Disease', (64, 76)) ('Myc', 'Gene', (247, 250)) ('tumor', 'Disease', 'MESH:D009369', (8, 13)) ('tumor', 'Disease', (151, 156)) ('glioblastoma', 'Phenotype', 'HP:0012174', (64, 76)) ('cell proliferation', 'CPA', (100, 118)) ('promotes', 'PosReg', (87, 95)) ('tumor', 'Disease', 'MESH:D009369', (151, 156)) 4876 33652578 Indeed, the absence of TENM1, achieved via gene deletion or down-regulation by small interfering RNA (siRNA), drastically reduces the invasive capacity of glioblastoma cells. ('absence', 'NegReg', (12, 19)) ('reduces', 'NegReg', (122, 129)) ('glioblastoma', 'Disease', (155, 167)) ('down-regulation', 'NegReg', (60, 75)) ('TENM1', 'Gene', (23, 28)) ('glioblastoma', 'Disease', 'MESH:D005909', (155, 167)) ('gene deletion', 'Var', (43, 56)) ('glioblastoma', 'Phenotype', 'HP:0012174', (155, 167)) 4880 33652578 Moreover, TENM1 mRNA up-regulation in response to hypoxia increases cell migration capacity in glioblastoma cells, while the blockade of TENM1 expression results in reduces hypoxia-induced glioblastoma cell migration. ('hypoxia', 'Disease', (50, 57)) ('glioblastoma', 'Disease', (189, 201)) ('glioblastoma cell migration', 'Disease', 'MESH:D005909', (189, 216)) ('glioblastoma', 'Phenotype', 'HP:0012174', (189, 201)) ('hypoxia', 'Disease', 'MESH:D000860', (50, 57)) ('increases', 'PosReg', (58, 67)) ('glioblastoma cell migration', 'Disease', (189, 216)) ('hypoxia', 'Disease', (173, 180)) ('TENM1', 'Gene', (10, 15)) ('glioblastoma', 'Disease', 'MESH:D005909', (95, 107)) ('mRNA', 'MPA', (16, 20)) ('rat', 'Species', '10116', (210, 213)) ('hypoxia', 'Disease', 'MESH:D000860', (173, 180)) ('up-regulation', 'PosReg', (21, 34)) ('glioblastoma', 'Disease', (95, 107)) ('reduces', 'NegReg', (165, 172)) ('rat', 'Species', '10116', (76, 79)) ('TENM1', 'Gene', (137, 142)) ('glioblastoma', 'Phenotype', 'HP:0012174', (95, 107)) ('glioblastoma', 'Disease', 'MESH:D005909', (189, 201)) ('blockade', 'Var', (125, 133)) 4887 33652578 Interestingly, a single-cell analysis of circulating tumor cells, performed on a lung cancer patient, highlighted the presence of an acquired TENM1 single nucleotide variation in circulating tumor cells, whose function has not been elucidated. ('lung cancer', 'Phenotype', 'HP:0100526', (81, 92)) ('tumor', 'Disease', 'MESH:D009369', (191, 196)) ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('cancer', 'Phenotype', 'HP:0002664', (86, 92)) ('TENM1', 'Gene', (142, 147)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('single nucleotide variation', 'Var', (148, 175)) ('patient', 'Species', '9606', (93, 100)) ('tumor', 'Disease', (191, 196)) ('tumor', 'Phenotype', 'HP:0002664', (191, 196)) ('tumor', 'Disease', (53, 58)) ('cancer', 'Disease', 'MESH:D009369', (86, 92)) ('cancer', 'Disease', (86, 92)) 4897 33652578 It has been shown that the intracellular domain of TENM2, cleaved and released after TENM2 dimerization, translocate into the nucleus, where it represses Zic-1 mediated transcription, promoting cellular differentiation. ('represses', 'NegReg', (144, 153)) ('TENM2', 'Gene', (85, 90)) ('dimerization', 'Var', (91, 103)) ('promoting', 'PosReg', (184, 193)) ('TENM2', 'Gene', (51, 56)) ('Zic-1', 'Gene', (154, 159)) ('cellular differentiation', 'CPA', (194, 218)) ('Zic-1', 'Gene', '7545', (154, 159)) 4901 33652578 The possible tumor suppressor role of TENM2 is also suggested by the observation that hepatitis B virus-related insertional mutagenesis, leading to TENM2 gene disruption, is frequently associated with hepatocarcinogenesis. ('tumor', 'Disease', (13, 18)) ('hepatitis B virus', 'Species', '10407', (86, 103)) ('hepatocarcinogenesis', 'Disease', 'MESH:D063646', (201, 221)) ('hepatitis', 'Phenotype', 'HP:0012115', (86, 95)) ('TENM2', 'Gene', (148, 153)) ('insertional mutagenesis', 'Var', (112, 135)) ('associated with', 'Reg', (185, 200)) ('hepatocarcinogenesis', 'Disease', (201, 221)) ('tumor', 'Disease', 'MESH:D009369', (13, 18)) ('gene disruption', 'Var', (154, 169)) ('tumor', 'Phenotype', 'HP:0002664', (13, 18)) ('hepatitis B virus-related', 'Disease', (86, 111)) 4912 33652578 A conflicting trend can be observed in urothelial, endometrial, head and neck, renal, stomach and thyroid cancers, as well as in glioma and melanoma, in which low levels of TENM2 expression are correlated with better patients' overall survival. ('endometrial', 'Disease', (51, 62)) ('cancers', 'Phenotype', 'HP:0002664', (106, 113)) ('low levels', 'Var', (159, 169)) ('melanoma', 'Disease', 'MESH:D008545', (140, 148)) ('cancer', 'Phenotype', 'HP:0002664', (106, 112)) ('renal', 'Disease', (79, 84)) ('better', 'PosReg', (210, 216)) ('glioma', 'Disease', (129, 135)) ('glioma', 'Disease', 'MESH:D005910', (129, 135)) ('thyroid cancers', 'Disease', 'MESH:D013964', (98, 113)) ('overall survival', 'CPA', (227, 243)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (98, 112)) ('melanoma', 'Phenotype', 'HP:0002861', (140, 148)) ('melanoma', 'Disease', (140, 148)) ('patients', 'Species', '9606', (217, 225)) ('stomach', 'Disease', (86, 93)) ('urothelial', 'Disease', (39, 49)) ('glioma', 'Phenotype', 'HP:0009733', (129, 135)) ('TENM2', 'Gene', (173, 178)) ('thyroid cancers', 'Disease', (98, 113)) 4915 33652578 Accordingly, an analysis of triple negative breast cancer (TNBC) patient samples has suggested that there is a significant correlation between high TENM2 expression and reduced patient metastatic-free survival time. ('breast cancer', 'Disease', 'MESH:D001943', (44, 57)) ('breast cancer', 'Phenotype', 'HP:0003002', (44, 57)) ('patient metastatic-free survival time', 'CPA', (177, 214)) ('breast cancer', 'Disease', (44, 57)) ('high', 'Var', (143, 147)) ('reduced', 'NegReg', (169, 176)) ('TENM2', 'Gene', (148, 153)) ('cancer', 'Phenotype', 'HP:0002664', (51, 57)) ('patient', 'Species', '9606', (65, 72)) ('patient', 'Species', '9606', (177, 184)) ('expression', 'MPA', (154, 164)) 4918 33652578 A possible link between TENM2 deregulation and the drug sensitivity of cancer cells has also been proposed, again with contradictory results. ('cancer', 'Disease', 'MESH:D009369', (71, 77)) ('TENM2', 'Gene', (24, 29)) ('cancer', 'Disease', (71, 77)) ('drug sensitivity', 'CPA', (51, 67)) ('cancer', 'Phenotype', 'HP:0002664', (71, 77)) ('drug sensitivity', 'Phenotype', 'HP:0020174', (51, 67)) ('deregulation', 'Var', (30, 42)) 4926 33652578 Further evidence supporting a possible role for TENM2 deregulation in the tumor microenvironment comes from whole-genome single nucleotide polymorphism profiling, which compared the progressive passages of tumor-derived endothelial cells. ('tumor', 'Phenotype', 'HP:0002664', (206, 211)) ('tumor', 'Disease', 'MESH:D009369', (74, 79)) ('TENM2', 'Gene', (48, 53)) ('tumor', 'Disease', (206, 211)) ('tumor', 'Phenotype', 'HP:0002664', (74, 79)) ('deregulation', 'Var', (54, 66)) ('tumor', 'Disease', (74, 79)) ('tumor', 'Disease', 'MESH:D009369', (206, 211)) 4931 33652578 Proof of the importance of TENM3 in visual system circuit connectivity has been found in behavioral studies that show that TENM3 KO mice lack binocular vision. ('vision', 'Disease', 'MESH:D015354', (152, 158)) ('TENM3', 'Var', (123, 128)) ('mice', 'Species', '10090', (132, 136)) ('vision', 'Disease', (152, 158)) ('lack', 'NegReg', (137, 141)) 4946 33652578 Data from different tumor types has suggested that TENM3 may possibly contribute to cancer metastasization. ('cancer metastasization', 'Disease', (84, 106)) ('tumor', 'Disease', 'MESH:D009369', (20, 25)) ('cancer', 'Phenotype', 'HP:0002664', (84, 90)) ('tumor', 'Phenotype', 'HP:0002664', (20, 25)) ('TENM3', 'Var', (51, 56)) ('contribute', 'Reg', (70, 80)) ('tumor', 'Disease', (20, 25)) ('cancer metastasization', 'Disease', 'MESH:D009362', (84, 106)) 4949 33652578 Increased TENM3 copy numbers and expressions have also been found in glioblastoma patients with leptomeningeal dissemination, compared to patients who do not present this pattern of metastasization. ('TENM3', 'Gene', (10, 15)) ('leptomeningeal dissemination', 'Disease', (96, 124)) ('patients', 'Species', '9606', (82, 90)) ('Increased', 'PosReg', (0, 9)) ('glioblastoma', 'Disease', (69, 81)) ('glioblastoma', 'Disease', 'MESH:D005909', (69, 81)) ('expressions', 'MPA', (33, 44)) ('patients', 'Species', '9606', (138, 146)) ('glioblastoma', 'Phenotype', 'HP:0012174', (69, 81)) ('copy numbers', 'Var', (16, 28)) 4950 33652578 The possible pro-metastatic role of TENM3 can also be hypothesized in lung tumors in which patients' circulating tumor cells display TENM3 mutations that are also maintained in metastasis, suggesting that these mutations are important for the migration process. ('tumor', 'Disease', (113, 118)) ('patients', 'Species', '9606', (91, 99)) ('rat', 'Species', '10116', (246, 249)) ('mutations', 'Var', (139, 148)) ('lung tumors', 'Disease', 'MESH:D008175', (70, 81)) ('TENM3', 'Gene', (133, 138)) ('tumor', 'Disease', 'MESH:D009369', (75, 80)) ('tumor', 'Disease', 'MESH:D009369', (113, 118)) ('tumor', 'Phenotype', 'HP:0002664', (75, 80)) ('lung tumors', 'Disease', (70, 81)) ('tumor', 'Phenotype', 'HP:0002664', (113, 118)) ('tumors', 'Phenotype', 'HP:0002664', (75, 81)) ('lung tumors', 'Phenotype', 'HP:0100526', (70, 81)) ('tumor', 'Disease', (75, 80)) 4951 33652578 Interestingly, a gene-based query at the Human Protein Atlas displayed a correlation between worst survival and high TENM3 expression in most of the tumors analyzed, including endometrial, lung, ovarian, stomach, thyroid, urothelial cancer and glioma. ('cancer', 'Phenotype', 'HP:0002664', (233, 239)) ('expression', 'MPA', (123, 133)) ('glioma', 'Disease', (244, 250)) ('high', 'Var', (112, 116)) ('stomach', 'Disease', (204, 211)) ('Human', 'Species', '9606', (41, 46)) ('glioma', 'Disease', 'MESH:D005910', (244, 250)) ('tumors', 'Phenotype', 'HP:0002664', (149, 155)) ('thyroid', 'Disease', (213, 220)) ('ovarian', 'Disease', (195, 202)) ('endometrial', 'Disease', (176, 187)) ('tumor', 'Phenotype', 'HP:0002664', (149, 154)) ('glioma', 'Phenotype', 'HP:0009733', (244, 250)) ('tumors', 'Disease', (149, 155)) ('TENM3', 'Gene', (117, 122)) ('lung', 'Disease', (189, 193)) ('tumors', 'Disease', 'MESH:D009369', (149, 155)) ('ovarian', 'Disease', 'MESH:D010049', (195, 202)) ('urothelial cancer', 'Disease', 'MESH:D014523', (222, 239)) ('urothelial cancer', 'Disease', (222, 239)) 4958 33652578 Although no translocations have been reported for TENM3, a high frequency of TENM3 mutation has been found in skin cutaneous melanoma and pancreatic adenocarcinoma, suggesting that TENM3 may also play a role in carcinogenesis in these tumor types, and in others that have not yet been investigated. ('melanoma', 'Phenotype', 'HP:0002861', (125, 133)) ('found', 'Reg', (101, 106)) ('carcinogenesis', 'Disease', (211, 225)) ('tumor', 'Disease', 'MESH:D009369', (235, 240)) ('pancreatic adenocarcinoma', 'Disease', 'MESH:D000230', (138, 163)) ('skin cutaneous melanoma', 'Disease', 'MESH:C562393', (110, 133)) ('tumor', 'Phenotype', 'HP:0002664', (235, 240)) ('play', 'Reg', (196, 200)) ('mutation', 'Var', (83, 91)) ('pancreatic adenocarcinoma', 'Disease', (138, 163)) ('tumor', 'Disease', (235, 240)) ('TENM3', 'Gene', (77, 82)) ('pancreatic adenocarcinoma', 'Phenotype', 'HP:0006725', (138, 163)) ('cutaneous melanoma', 'Phenotype', 'HP:0012056', (115, 133)) ('skin cutaneous melanoma', 'Disease', (110, 133)) ('carcinoma', 'Phenotype', 'HP:0030731', (154, 163)) ('role', 'Reg', (203, 207)) ('carcinogenesis', 'Disease', 'MESH:D063646', (211, 225)) 4962 33652578 Interestingly, a specific TENM3-mutated epitope CD8+ T cell response was observed when peripheral blood mononuclear cells were re-stimulated. ('CD8', 'Gene', (48, 51)) ('TENM3-mutated', 'Var', (26, 39)) ('CD8', 'Gene', '925', (48, 51)) 4970 33652578 The TENM4 protein bears a phenylalanine in the third residue of the fifth EGF repeat in the extracellular domain, and, in the intracellular domain, two SH3-binding domains and one nuclear localization sequence. ('phenylalanine in', 'Var', (26, 42)) ('EGF', 'Gene', (74, 77)) ('EGF', 'Gene', '1950', (74, 77)) ('TENM4', 'Gene', (4, 9)) ('phenylalanine', 'Chemical', 'MESH:D010649', (26, 39)) ('SH3-binding', 'Protein', (152, 163)) 4971 33652578 Lastly, TENM4 lacks the predicted furin cleavage sequence just outside the plasma membrane. ('lacks', 'NegReg', (14, 19)) ('furin', 'Gene', '5045', (34, 39)) ('TENM4', 'Var', (8, 13)) ('furin', 'Gene', (34, 39)) 4973 33652578 Indeed, TENM4 KO neuroblastoma cells of mouse origin display decreased neurite length and ability to generate filopodia-like protrusions through FAK, Cdc42 and Rac1, whereas TENM4 overexpression in neuroblastoma cells promotes protrusion formation. ('neuroblastoma', 'Phenotype', 'HP:0003006', (17, 30)) ('FAK', 'Protein', (145, 148)) ('Rac1', 'Gene', (160, 164)) ('neurite length', 'CPA', (71, 85)) ('TENM4', 'Var', (174, 179)) ('neuroblastoma', 'Disease', 'MESH:D009447', (198, 211)) ('rat', 'Species', '10116', (105, 108)) ('TENM4 KO', 'Var', (8, 16)) ('protrusion formation', 'CPA', (227, 247)) ('neuroblastoma', 'Disease', (198, 211)) ('neuroblastoma', 'Disease', 'MESH:D009447', (17, 30)) ('Cdc42', 'Gene', '12540', (150, 155)) ('neuroblastoma', 'Phenotype', 'HP:0003006', (198, 211)) ('neuroblastoma', 'Disease', (17, 30)) ('decreased', 'NegReg', (61, 70)) ('mouse', 'Species', '10090', (40, 45)) ('Cdc42', 'Gene', (150, 155)) ('Rac1', 'Gene', '19353', (160, 164)) 4974 33652578 Here, its disruption limits the generation of normal oligodendrocyte processes, leading to lower axon myelination, which results in the essential tremor phenotype in mice. ('lower', 'NegReg', (91, 96)) ('axon myelination', 'Disease', (97, 113)) ('essential tremor', 'Phenotype', 'HP:0030186', (136, 152)) ('rat', 'Species', '10116', (36, 39)) ('results in', 'Reg', (121, 131)) ('axon myelination', 'Disease', 'MESH:D003711', (97, 113)) ('tremor', 'Disease', 'MESH:D014202', (146, 152)) ('mice', 'Species', '10090', (166, 170)) ('tremor', 'Phenotype', 'HP:0001337', (146, 152)) ('disruption', 'Var', (10, 20)) ('tremor', 'Disease', (146, 152)) ('limits', 'NegReg', (21, 27)) 4975 33652578 Moreover, a similar phenotype, which is related to TENM4 missense mutations, has been identified in humans, although contrasting results have been obtained in a study performed in the Canadian population. ('missense mutations', 'Var', (57, 75)) ('TENM4', 'Gene', (51, 56)) ('humans', 'Species', '9606', (100, 106)) 4978 33652578 This suggests that TENM4 is down-regulated following the activation and proliferation of satellite cells, probably in response to NOTCH signaling, and that TENM4 has a pivotal role in suppressing myogenic differentiation. ('TENM4', 'Gene', (19, 24)) ('down-regulated', 'NegReg', (28, 42)) ('myogenic differentiation', 'CPA', (196, 220)) ('rat', 'Species', '10116', (79, 82)) ('TENM4', 'Var', (156, 161)) ('suppressing', 'NegReg', (184, 195)) 4983 33652578 Recently, a missense mutation of the gene has been found to co-segregate with schizophrenia, suggesting that TENM4 has a potential role in this pathology. ('schizophrenia', 'Phenotype', 'HP:0100753', (78, 91)) ('schizophrenia', 'Disease', 'MESH:D012559', (78, 91)) ('schizophrenia', 'Disease', (78, 91)) ('missense mutation', 'Var', (12, 29)) 4984 33652578 A TENM4 risk variant has also been associated with mood disorders, and with the early onset of bipolar disorders. ('bipolar disorders', 'Phenotype', 'HP:0007302', (95, 112)) ('TENM4', 'Gene', (2, 7)) ('associated', 'Reg', (35, 45)) ('bipolar disorder', 'Phenotype', 'HP:0007302', (95, 111)) ('mood disorders', 'Disease', (51, 65)) ('bipolar disorders', 'Disease', (95, 112)) ('variant', 'Var', (13, 20)) ('bipolar disorders', 'Disease', 'MESH:D001714', (95, 112)) ('mood disorders', 'Disease', 'MESH:D019964', (51, 65)) 4992 33652578 Interestingly, in the breast cancer cell line MDA-MB-175, TENM4 is involved in a translocation that generates the TENM4-neureguilin-1 fusion gene, resulting in Upsilon-heregulin fusion protein production. ('TENM4-neureguilin-1', 'Var', (114, 133)) ('breast cancer', 'Disease', (22, 35)) ('breast cancer', 'Phenotype', 'HP:0003002', (22, 35)) ('Upsilon-heregulin fusion protein production', 'MPA', (160, 203)) ('MDA-MB-175', 'CellLine', 'CVCL:1400', (46, 56)) ('cancer', 'Phenotype', 'HP:0002664', (29, 35)) ('TENM4', 'Gene', (58, 63)) ('breast cancer', 'Disease', 'MESH:D001943', (22, 35)) ('rat', 'Species', '10116', (104, 107)) 5003 33652578 Significantly lower amounts of TENM4 mRNA transcripts, compared to normal tissues, can also be observed in ovarian serous cystadenocarcinoma, in skin cutaneous melanoma and in testicular germ cell tumors (Figure 5). ('tumors', 'Disease', 'MESH:D009369', (197, 203)) ('carcinoma', 'Phenotype', 'HP:0030731', (131, 140)) ('melanoma', 'Phenotype', 'HP:0002861', (160, 168)) ('lower', 'NegReg', (14, 19)) ('skin cutaneous melanoma', 'Disease', 'MESH:C562393', (145, 168)) ('TENM4', 'Var', (31, 36)) ('ovarian serous cystadenocarcinoma', 'Disease', 'MESH:D018284', (107, 140)) ('tumors', 'Phenotype', 'HP:0002664', (197, 203)) ('skin cutaneous melanoma', 'Disease', (145, 168)) ('tumor', 'Phenotype', 'HP:0002664', (197, 202)) ('germ cell tumors', 'Phenotype', 'HP:0100728', (187, 203)) ('ovarian serous cystadenocarcinoma', 'Disease', (107, 140)) ('cutaneous melanoma', 'Phenotype', 'HP:0012056', (150, 168)) ('tumors', 'Disease', (197, 203)) ('ovarian serous cystadenocarcinoma', 'Phenotype', 'HP:0012887', (107, 140)) 5007 33652578 Indeed, TENM4 peptides have been identified in a proteomic study using human urine, and TENM4 was detected as one of the most abundant proteins in the secretome and in the exosomes derived from a neuroblastoma cell line. ('neuroblastoma', 'Phenotype', 'HP:0003006', (196, 209)) ('TENM4', 'Var', (88, 93)) ('neuroblastoma', 'Disease', 'MESH:D009447', (196, 209)) ('neuroblastoma', 'Disease', (196, 209)) ('human', 'Species', '9606', (71, 76)) 5010 33652578 Current findings suggest that teneurins deregulation is associated with cancer cells proliferation, migration and invasion. ('rat', 'Species', '10116', (103, 106)) ('teneurins', 'Protein', (30, 39)) ('migration', 'CPA', (100, 109)) ('cancer', 'Phenotype', 'HP:0002664', (72, 78)) ('associated', 'Reg', (56, 66)) ('rat', 'Species', '10116', (92, 95)) ('teneurins', 'Chemical', '-', (30, 39)) ('deregulation', 'Var', (40, 52)) ('cancer', 'Disease', 'MESH:D009369', (72, 78)) ('invasion', 'CPA', (114, 122)) ('cancer', 'Disease', (72, 78)) 5016 33652578 However, it has to be noted that an oncogenic role for TENM2 cannot be excluded, since in TNBC, a significant correlation between high TENM2 expression and reduced patient metastatic-free survival time has been demonstrated. ('TNBC', 'Disease', (90, 94)) ('high', 'Var', (130, 134)) ('patient', 'Species', '9606', (164, 171)) ('TENM2', 'Gene', (135, 140)) ('reduced', 'NegReg', (156, 163)) ('rat', 'Species', '10116', (218, 221)) ('expression', 'MPA', (141, 151)) ('patient metastatic-free survival time', 'CPA', (164, 201)) 5022 33652578 The data mining of publicly available data sets derived from large cohorts of oncologic patients provides interesting evidence about the presence of somatic mutations and chromosomal alterations (e.g., translocations, copy number variations, chromothripsis, and viral genome integration) leading to both teneurins' inactivation or overexpression in human tumors. ('viral genome integration', 'Var', (262, 286)) ('inactivation', 'NegReg', (315, 327)) ('rat', 'Species', '10116', (187, 190)) ('human', 'Species', '9606', (349, 354)) ('overexpression', 'PosReg', (331, 345)) ('tumor', 'Phenotype', 'HP:0002664', (355, 360)) ('copy number variations', 'Var', (218, 240)) ('teneurins', 'Chemical', '-', (304, 313)) ('patients', 'Species', '9606', (88, 96)) ('rat', 'Species', '10116', (280, 283)) ('chromothripsis', 'Disease', (242, 256)) ('tumors', 'Disease', (355, 361)) ('tumors', 'Disease', 'MESH:D009369', (355, 361)) ('tumors', 'Phenotype', 'HP:0002664', (355, 361)) ('chromothripsis', 'Disease', 'MESH:D000072837', (242, 256)) ('teneurins', 'Protein', (304, 313)) ('translocations', 'Var', (202, 216)) 5029 33652578 ; Writing:Original Draft Preparation: G.P., R.R., M.A., F.R., G.B. ('M.A.', 'Var', (50, 54)) ('F.R.', 'Var', (56, 60)) ('rat', 'Species', '10116', (30, 33)) 5033 32426049 Predicting STAT1 as a prognostic marker in patients with solid cancer Aberrant activities of signal transducer and activator of transcription 1 (STAT1) have been implicated in cancer development. ('implicated', 'Reg', (162, 172)) ('STAT1', 'Gene', (11, 16)) ('patients', 'Species', '9606', (43, 51)) ('cancer', 'Phenotype', 'HP:0002664', (63, 69)) ('STAT1', 'Gene', (145, 150)) ('STAT1', 'Gene', '6772', (11, 16)) ('cancer', 'Phenotype', 'HP:0002664', (176, 182)) ('signal transducer and activator of transcription 1', 'Gene', '6772', (93, 143)) ('Aberrant activities', 'Var', (70, 89)) ('STAT1', 'Gene', '6772', (145, 150)) ('cancer', 'Disease', 'MESH:D009369', (63, 69)) ('cancer', 'Disease', (176, 182)) ('cancer', 'Disease', 'MESH:D009369', (176, 182)) ('cancer', 'Disease', (63, 69)) 5038 32426049 Pooled data showed that overexpressed STAT1 favored long overall survival (OS) (HR = 0.604, 95% CI = 0.431-0.846, p = 0.003) and disease-specific survival (DSS) (HR = 0.650, 95% CI = 0.512-0.825, p = 0.000). ('disease-specific survival', 'CPA', (129, 154)) ('STAT1', 'Gene', (38, 43)) ('DSS', 'Chemical', '-', (156, 159)) ('favored', 'PosReg', (44, 51)) ('overexpressed', 'Var', (24, 37)) 5059 32426049 Patients with STAT1 or phospho-STAT1 at a high expression level have a worse outcome compared with patients with STAT1 at a low expression level. ('phospho-STAT1 at', 'Var', (23, 39)) ('STAT1', 'Var', (14, 19)) ('patients', 'Species', '9606', (99, 107)) ('Patients', 'Species', '9606', (0, 8)) 5081 32426049 Our analysis revealed that highly expressed STAT1 was a positive predictor for OS among cancer patients (HR = 0.604, 95% CI = 0.431-0.846, p = 0.003) (Figure 3). ('highly expressed', 'Var', (27, 43)) ('cancer', 'Disease', (88, 94)) ('cancer', 'Disease', 'MESH:D009369', (88, 94)) ('patients', 'Species', '9606', (95, 103)) ('cancer', 'Phenotype', 'HP:0002664', (88, 94)) ('STAT1', 'Gene', (44, 49)) 5085 32426049 The pooled results indicated a positive correlation between highly expressed STAT1 and longer DSS (HR = 0.650, 95% CI = 0.512-0.825, p = 0.000) (Figure 4B). ('highly expressed', 'Var', (60, 76)) ('DSS', 'Chemical', '-', (94, 97)) ('longer DSS', 'Disease', (87, 97)) ('STAT1', 'Gene', (77, 82)) 5086 32426049 The first subgroup analyses by region revealed that the pooled HRs were 0.630 (95% CI = 0.337-1.178, p = 0.148) for Asian patients (five studies) and 0.666 (95% CI = 0.431-0.846, p = 0.000) for Non-Asian patients (six studies). ('Asian patients', 'Disease', (116, 130)) ('patients', 'Species', '9606', (204, 212)) ('0.666', 'Var', (150, 155)) ('0.630', 'Var', (72, 77)) ('patients', 'Species', '9606', (122, 130)) 5087 32426049 The fourth subgroup analyses by cancer types displayed that highly expressed STAT1 was associated with favorable OS of patients with high-grade serous ovarian cancer (HR = 0.683, 95% CI = 0.497-0.938, p = 0.019) (2 studies), oral squamous cell carcinoma (HR = 0.486, 95% CI = 0.241-0.980, p = 0.044) (two studies), and another five cancers (pooled HR = 0.542, 95% CI = 0.361-0.813, p = 0.003), but not in lung cancer (HR = 1.223, 95% CI = 0.996-1.501, p = 0.055) (two studies). ('oral squamous cell carcinoma', 'Disease', (225, 253)) ('lung cancer', 'Disease', (405, 416)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (151, 165)) ('cancer', 'Disease', 'MESH:D009369', (332, 338)) ('cancers', 'Disease', 'MESH:D009369', (332, 339)) ('serous ovarian cancer', 'Disease', (144, 165)) ('cancer', 'Phenotype', 'HP:0002664', (410, 416)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (230, 253)) ('cancer', 'Disease', (159, 165)) ('cancer', 'Disease', 'MESH:D009369', (410, 416)) ('cancer', 'Disease', (32, 38)) ('cancer', 'Phenotype', 'HP:0002664', (159, 165)) ('cancer', 'Phenotype', 'HP:0002664', (32, 38)) ('lung cancer', 'Disease', 'MESH:D008175', (405, 416)) ('carcinoma', 'Phenotype', 'HP:0030731', (244, 253)) ('lung cancer', 'Phenotype', 'HP:0100526', (405, 416)) ('cancers', 'Phenotype', 'HP:0002664', (332, 339)) ('cancer', 'Disease', (332, 338)) ('cancers', 'Disease', (332, 339)) ('STAT1', 'Gene', (77, 82)) ('cancer', 'Disease', 'MESH:D009369', (159, 165)) ('cancer', 'Phenotype', 'HP:0002664', (332, 338)) ('cancer', 'Disease', 'MESH:D009369', (32, 38)) ('serous ovarian cancer', 'Disease', 'MESH:D018284', (144, 165)) ('patients', 'Species', '9606', (119, 127)) ('cancer', 'Disease', (410, 416)) ('oral squamous cell carcinoma', 'Disease', 'MESH:D002294', (225, 253)) ('highly expressed', 'Var', (60, 76)) 5104 32426049 The outcomes after analyses indicate that expression of STAT1 is associated with survival of patients based on their cancer type. ('cancer', 'Phenotype', 'HP:0002664', (117, 123)) ('STAT1', 'Gene', (56, 61)) ('associated with', 'Reg', (65, 80)) ('cancer', 'Disease', 'MESH:D009369', (117, 123)) ('expression', 'Var', (42, 52)) ('cancer', 'Disease', (117, 123)) ('patients', 'Species', '9606', (93, 101)) 5110 32426049 The tumor-suppressive role of STAT1 is driven by findings that the reconstitution of STAT1 in STAT1-deficient murine fibrosarcoma cells significantly suppressed tumorigenicity and metastasis in nude mice. ('STAT1-deficient', 'Gene', (94, 109)) ('tumor', 'Disease', (4, 9)) ('fibrosarcoma', 'Disease', 'MESH:D005354', (117, 129)) ('fibrosarcoma', 'Phenotype', 'HP:0100244', (117, 129)) ('nude mice', 'Species', '10090', (194, 203)) ('suppressed', 'NegReg', (150, 160)) ('tumor', 'Disease', 'MESH:D009369', (161, 166)) ('reconstitution', 'Var', (67, 81)) ('STAT1', 'Gene', (85, 90)) ('tumor', 'Disease', 'MESH:D009369', (4, 9)) ('fibrosarcoma', 'Disease', (117, 129)) ('tumor', 'Phenotype', 'HP:0002664', (161, 166)) ('tumor', 'Phenotype', 'HP:0002664', (4, 9)) ('tumor', 'Disease', (161, 166)) ('murine', 'Species', '10090', (110, 116)) ('sarcoma', 'Phenotype', 'HP:0100242', (122, 129)) 5111 32426049 The high expression of STAT1 is reported to have a good prognosis compared with the low or negative expression of STAT1 in some cancer patients. ('cancer', 'Disease', 'MESH:D009369', (128, 134)) ('patients', 'Species', '9606', (135, 143)) ('cancer', 'Phenotype', 'HP:0002664', (128, 134)) ('high', 'Var', (4, 8)) ('STAT1', 'Gene', (23, 28)) ('cancer', 'Disease', (128, 134)) 5112 32426049 However, on the other hand, two studies have identified high STAT1 mRNA levels associated with poor prognosis, tumor progression, and worse survival in breast cancer. ('tumor', 'Disease', 'MESH:D009369', (111, 116)) ('associated', 'Reg', (79, 89)) ('tumor', 'Phenotype', 'HP:0002664', (111, 116)) ('cancer', 'Phenotype', 'HP:0002664', (159, 165)) ('breast cancer', 'Disease', 'MESH:D001943', (152, 165)) ('tumor', 'Disease', (111, 116)) ('breast cancer', 'Disease', (152, 165)) ('STAT1 mRNA levels', 'MPA', (61, 78)) ('breast cancer', 'Phenotype', 'HP:0003002', (152, 165)) ('high', 'Var', (56, 60)) 5115 32426049 The survival analysis of TCGA data revealed that highly expressed STAT1 was associated with longer OS in ovarian cancer, rectum adenocarcinoma, sarcoma, and skin cutaneous melanoma. ('sarcoma', 'Disease', (144, 151)) ('sarcoma', 'Phenotype', 'HP:0100242', (144, 151)) ('cancer', 'Phenotype', 'HP:0002664', (113, 119)) ('highly expressed', 'Var', (49, 65)) ('cutaneous melanoma', 'Phenotype', 'HP:0012056', (162, 180)) ('skin cutaneous melanoma', 'Disease', (157, 180)) ('STAT1', 'Gene', (66, 71)) ('longer OS in ovarian cancer', 'Disease', (92, 119)) ('rectum adenocarcinoma', 'Disease', (121, 142)) ('carcinoma', 'Phenotype', 'HP:0030731', (133, 142)) ('associated', 'Reg', (76, 86)) ('rectum adenocarcinoma', 'Disease', 'MESH:D012004', (121, 142)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (105, 119)) ('sarcoma', 'Disease', 'MESH:D012509', (144, 151)) ('longer OS in ovarian cancer', 'Disease', 'MESH:C567932', (92, 119)) ('melanoma', 'Phenotype', 'HP:0002861', (172, 180)) ('skin cutaneous melanoma', 'Disease', 'MESH:C562393', (157, 180)) 5125 32426049 For instance, STAT1 can arrest the cell cycle in response to IFNgamma through direct interaction with cyclin D1 and CDK4 proteins. ('arrest', 'Disease', (24, 30)) ('cell cycle', 'CPA', (35, 45)) ('IFNgamma', 'Gene', '3458', (61, 69)) ('IFNgamma', 'Gene', (61, 69)) ('CDK4', 'Gene', (116, 120)) ('CDK4', 'Gene', '1019', (116, 120)) ('cyclin D1', 'Gene', '595', (102, 111)) ('cyclin D1', 'Gene', (102, 111)) ('arrest', 'Disease', 'MESH:D006323', (24, 30)) ('interaction', 'Interaction', (85, 96)) ('STAT1', 'Var', (14, 19)) 5131 32426049 Full-length STAT1alpha isoform has traditionally been considered as the physiologically active form of STAT1 after phosphorylation at Tyr701 and Ser727 residues, and the truncated STAT1beta isoform is considered as a physiological inhibitor of STAT1. ('Tyr701', 'Chemical', '-', (134, 140)) ('Ser727', 'Var', (145, 151)) ('Ser727', 'Chemical', '-', (145, 151)) ('Tyr701', 'Var', (134, 140)) 5132 32426049 The expression and activation ratio of STAT1alpha and STAT1beta in different cancer types may impact cancer progression and promote a 'switch' from tumor cell proliferation to a death phenotype. ('cancer', 'Disease', 'MESH:D009369', (101, 107)) ('tumor', 'Phenotype', 'HP:0002664', (148, 153)) ('STAT1beta', 'Var', (54, 63)) ('cancer', 'Disease', (101, 107)) ('cancer', 'Disease', (77, 83)) ('tumor', 'Disease', (148, 153)) ('death', 'Disease', 'MESH:D003643', (178, 183)) ('cancer', 'Disease', 'MESH:D009369', (77, 83)) ('death', 'Disease', (178, 183)) ("'switch'", 'PosReg', (134, 142)) ('STAT1alpha', 'Gene', (39, 49)) ('promote', 'PosReg', (124, 131)) ('cancer', 'Phenotype', 'HP:0002664', (77, 83)) ('cancer', 'Phenotype', 'HP:0002664', (101, 107)) ('tumor', 'Disease', 'MESH:D009369', (148, 153)) ('impact', 'Reg', (94, 100)) 5134 32426049 Interestingly, another study shows that STAT1beta protects STAT1alpha from degradation and enhances STAT1 function in esophageal squamous cell carcinoma. ('STAT1alpha', 'Protein', (59, 69)) ('carcinoma', 'Phenotype', 'HP:0030731', (143, 152)) ('STAT1 function', 'MPA', (100, 114)) ('enhances', 'PosReg', (91, 99)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (118, 152)) ('STAT1beta', 'Var', (40, 49)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (129, 152)) ('degradation', 'MPA', (75, 86)) ('esophageal squamous cell carcinoma', 'Disease', (118, 152)) 5145 31514337 However, significantly increased TGFBI was predominantly found in muscle invasive (14,411.7 pg/mg creatinine), high-grade (8190.7 pg/mg) and de novo UC (1856.7 pg/mg; all p < 0.0001). ('TGFBI', 'Gene', '7045', (33, 38)) ('TGFBI', 'Gene', (33, 38)) ('muscle invasive', 'Disease', (66, 81)) ('8190.7', 'Var', (123, 129)) ('increased', 'PosReg', (23, 32)) ('1856.7', 'Var', (153, 159)) ('creatinine', 'Chemical', 'MESH:D003404', (98, 108)) 5202 31514337 Therefore, we investigated the role of TGFBI on tumor cell proliferation by siRNA mediated gene silencing of TGFBI. ('TGFBI', 'Gene', '7045', (39, 44)) ('tumor', 'Disease', (48, 53)) ('gene silencing', 'Var', (91, 105)) ('TGFBI', 'Gene', (39, 44)) ('TGFBI', 'Gene', '7045', (109, 114)) ('investigated', 'Reg', (14, 26)) ('TGFBI', 'Gene', (109, 114)) ('tumor', 'Disease', 'MESH:D009369', (48, 53)) ('rat', 'Species', '10116', (66, 69)) ('tumor', 'Phenotype', 'HP:0002664', (48, 53)) 5208 31514337 Knockdown of TGFBI resulted in a significant decrease of TGFBI concentration in the cell supernatant in comparison to negative control (Figure 5B). ('rat', 'Species', '10116', (70, 73)) ('TGFBI', 'Gene', '7045', (57, 62)) ('Knockdown', 'Var', (0, 9)) ('TGFBI', 'Gene', (57, 62)) ('TGFBI', 'Gene', '7045', (13, 18)) ('decrease', 'NegReg', (45, 53)) ('TGFBI', 'Gene', (13, 18)) 5210 31514337 On day 4 (96 h) TGFBI-siRNA transfected cells significantly increased their G1 and G2/M phase populations by 19.9% (p = 0.0273) and 7.6% (p <= 0.0066) compared to negative control. ('transfected', 'Var', (28, 39)) ('TGFBI', 'Gene', (16, 21)) ('increased', 'PosReg', (60, 69)) ('TGFBI', 'Gene', '7045', (16, 21)) 5212 31514337 Together, these results indicate that TGFBI-deficient 5637 bladder cancer cells have a disrupted cell cycle with, most likely, erroneous G1/S transitioning and S phase regulation. ('bladder cancer', 'Phenotype', 'HP:0009725', (59, 73)) ('disrupted', 'Reg', (87, 96)) ('TGFBI', 'Gene', (38, 43)) ('TGFBI', 'Gene', '7045', (38, 43)) ('cancer', 'Phenotype', 'HP:0002664', (67, 73)) ('bladder cancer', 'Disease', 'MESH:D001749', (59, 73)) ('cell cycle', 'CPA', (97, 107)) ('erroneous', 'Var', (127, 136)) ('S phase regulation', 'CPA', (160, 178)) ('bladder cancer', 'Disease', (59, 73)) 5220 31514337 Incubation of the cells for 48 h with 10 microM inhibitor caused a significant decrease of TGFBI concentration in the cell supernatant (Figure 7A; p <= 0.032). ('TGFBI', 'Gene', '7045', (91, 96)) ('TGFBI', 'Gene', (91, 96)) ('decrease', 'NegReg', (79, 87)) ('inhibitor', 'Var', (48, 57)) ('concentration in the cell supernatant', 'MPA', (97, 134)) ('rat', 'Species', '10116', (104, 107)) 5263 31514337 The silencing of TGFBI in glioma and gastrointestinal cancer decreased local tumor growth and metastasis. ('gastrointestinal cancer', 'Phenotype', 'HP:0007378', (37, 60)) ('tumor', 'Phenotype', 'HP:0002664', (77, 82)) ('TGFBI', 'Gene', '7045', (17, 22)) ('cancer', 'Phenotype', 'HP:0002664', (54, 60)) ('TGFBI', 'Gene', (17, 22)) ('glioma', 'Phenotype', 'HP:0009733', (26, 32)) ('silencing', 'Var', (4, 13)) ('glioma and gastrointestinal cancer decreased local tumor', 'Disease', 'MESH:D005770', (26, 82)) 5345 26829751 MYB-QKI rearrangements in Angiocentric Glioma drive tumorigenicity through a tripartite mechanism Angiocentric gliomas are pediatric low-grade gliomas (PLGGs) without known recurrent genetic drivers. ('gliomas', 'Disease', 'MESH:D005910', (111, 118)) ('glioma', 'Phenotype', 'HP:0009733', (143, 149)) ('QKI', 'Gene', (4, 7)) ('Angiocentric gliomas', 'Disease', (98, 118)) ('rearrangements', 'Var', (8, 22)) ('gliomas', 'Phenotype', 'HP:0009733', (143, 150)) ('gliomas', 'Phenotype', 'HP:0009733', (111, 118)) ('QKI', 'Gene', '9444', (4, 7)) ('Angiocentric Glioma', 'Disease', (26, 45)) ('MYB', 'Gene', (0, 3)) ('Angiocentric gliomas', 'Disease', 'MESH:D005910', (98, 118)) ('tumor', 'Phenotype', 'HP:0002664', (52, 57)) ('MYB', 'Gene', '17863', (0, 3)) ('gliomas', 'Disease', (143, 150)) ('Glioma', 'Phenotype', 'HP:0009733', (39, 45)) ('gliomas', 'Disease', (111, 118)) ('tumorigenicity', 'MPA', (52, 66)) ('glioma', 'Phenotype', 'HP:0009733', (111, 117)) ('gliomas', 'Disease', 'MESH:D005910', (143, 150)) ('Angiocentric Glioma', 'Disease', 'MESH:D005910', (26, 45)) 5347 26829751 We identified MYB-QKI fusions as a specific and single candidate driver event in Angiocentric Gliomas. ('MYB-QKI', 'Gene', (14, 21)) ('fusions', 'Var', (22, 29)) ('Angiocentric Gliomas', 'Disease', 'MESH:D005910', (81, 101)) ('Angiocentric Gliomas', 'Disease', (81, 101)) ('Glioma', 'Phenotype', 'HP:0009733', (94, 100)) ('Gliomas', 'Phenotype', 'HP:0009733', (94, 101)) 5348 26829751 In vitro and in vivo functional studies show MYB-QKI rearrangements promote tumorigenesis through three mechanisms: MYB activation by truncation, enhancer translocation driving aberrant MYB-QKI expression, and hemizygous loss of the tumor suppressor QKI. ('tumor', 'Phenotype', 'HP:0002664', (233, 238)) ('MYB-QKI', 'Gene', (45, 52)) ('promote', 'PosReg', (68, 75)) ('tumor', 'Disease', (233, 238)) ('tumor', 'Phenotype', 'HP:0002664', (76, 81)) ('tumor', 'Disease', (76, 81)) ('activation', 'PosReg', (120, 130)) ('expression', 'Species', '29278', (194, 204)) ('MYB-QKI', 'Gene', (186, 193)) ('truncation', 'Var', (134, 144)) ('expression', 'MPA', (194, 204)) ('tumor', 'Disease', 'MESH:D009369', (76, 81)) ('hemizygous loss of the tumor', 'Disease', 'MESH:C564097', (210, 238)) ('rearrangements', 'Var', (53, 67)) ('tumor', 'Disease', 'MESH:D009369', (233, 238)) ('enhancer', 'Var', (146, 154)) ('MYB', 'Gene', (116, 119)) ('hemizygous loss of the tumor', 'Disease', (210, 238)) 5349 26829751 This represents the first example of a single driver rearrangement simultaneously transforming cells via three genetic and epigenetic mechanisms in a tumor. ('cells', 'CPA', (95, 100)) ('transforming', 'Reg', (82, 94)) ('tumor', 'Disease', 'MESH:D009369', (150, 155)) ('tumor', 'Phenotype', 'HP:0002664', (150, 155)) ('tumor', 'Disease', (150, 155)) ('rearrangement', 'Var', (53, 66)) 5352 26829751 We previously identified one Angiocentric Glioma with deletion of the 3' region of MYB and one other Angiocentric Glioma has been reported to harbor a MYB-QKI rearrangement. ('MYB', 'Gene', (83, 86)) ('Angiocentric Glioma', 'Disease', (29, 48)) ('deletion', 'Var', (54, 62)) ('Angiocentric Glioma', 'Disease', 'MESH:D005910', (29, 48)) ('Angiocentric Glioma', 'Disease', (101, 120)) ('Glioma', 'Phenotype', 'HP:0009733', (42, 48)) ('Angiocentric Glioma', 'Disease', 'MESH:D005910', (101, 120)) ('Glioma', 'Phenotype', 'HP:0009733', (114, 120)) 5355 26829751 We found MYB-QKI rearrangements to be the most common event involving a MYB family member and to be specific to Angiocentric Gliomas. ('rearrangements', 'Var', (17, 31)) ('Angiocentric Gliomas', 'Disease', (112, 132)) ('MYB', 'Gene', (72, 75)) ('MYB-QKI', 'Gene', (9, 16)) ('Angiocentric Gliomas', 'Disease', 'MESH:D005910', (112, 132)) ('Glioma', 'Phenotype', 'HP:0009733', (125, 131)) ('Gliomas', 'Phenotype', 'HP:0009733', (125, 132)) 5358 26829751 Rearrangements or structural alterations were observed in 129 tumors (83%; Figure 1a, Supplementary Table 1). ('Rearrangements', 'Var', (0, 14)) ('tumor', 'Phenotype', 'HP:0002664', (62, 67)) ('observed', 'Reg', (46, 54)) ('structural alterations', 'CPA', (18, 40)) ('tumors', 'Disease', (62, 68)) ('tumors', 'Disease', 'MESH:D009369', (62, 68)) ('tumors', 'Phenotype', 'HP:0002664', (62, 68)) 5359 26829751 Rearrangements involving MYB family members (MYB, MYBL1) were the second-most recurrent alteration, affecting 16 tumors (10%), predominantly Diffuse Astrocytomas and Angiocentric Gliomas (Figure 1a and Supplementary Figure 1). ('MYB', 'Gene', (45, 48)) ('Astrocytomas and Angiocentric Gliomas', 'Disease', 'MESH:D005910', (149, 186)) ('Rearrangements', 'Var', (0, 14)) ('tumors', 'Disease', (113, 119)) ('tumors', 'Disease', 'MESH:D009369', (113, 119)) ('MYBL1', 'Gene', (50, 55)) ('Glioma', 'Phenotype', 'HP:0009733', (179, 185)) ('Astrocytoma', 'Phenotype', 'HP:0009592', (149, 160)) ('Gliomas', 'Phenotype', 'HP:0009733', (179, 186)) ('affecting', 'Reg', (100, 109)) ('tumor', 'Phenotype', 'HP:0002664', (113, 118)) ('tumors', 'Phenotype', 'HP:0002664', (113, 119)) 5361 26829751 The other Angiocentric Glioma, which was not centrally reviewed, contained a MYB-ESR1 rearrangement. ('Angiocentric Glioma', 'Disease', (10, 29)) ('Angiocentric Glioma', 'Disease', 'MESH:D005910', (10, 29)) ('Glioma', 'Phenotype', 'HP:0009733', (23, 29)) ('rearrangement', 'Var', (86, 99)) ('contained', 'Reg', (65, 74)) ('MYB-ESR1', 'Gene', (77, 85)) 5362 26829751 Although MYB rearrangements have been described in PLGGs, we were struck by two novel findings: QKI was the most frequent fusion partner, and MYB-QKI fusions were near-universal in Angiocentric Gliomas. ('MYB-QKI', 'Gene', (142, 149)) ('Gliomas', 'Phenotype', 'HP:0009733', (194, 201)) ('fusions', 'Var', (150, 157)) ('Angiocentric Gliomas', 'Disease', (181, 201)) ('Angiocentric Gliomas', 'Disease', 'MESH:D005910', (181, 201)) ('Glioma', 'Phenotype', 'HP:0009733', (194, 200)) 5364 26829751 Nine Angiocentric Gliomas were analyzed by FISH to detect MYB rearrangement or deletion (Figure 1b), and three Angiocentric Gliomas were analyzed by WES and/or aCGH (Supplementary Figure 2). ('Gliomas', 'Phenotype', 'HP:0009733', (124, 131)) ('Angiocentric Gliomas', 'Disease', (111, 131)) ('Angiocentric Gliomas', 'Disease', 'MESH:D005910', (111, 131)) ('Angiocentric Gliomas', 'Disease', (5, 25)) ('Angiocentric Gliomas', 'Disease', 'MESH:D005910', (5, 25)) ('rearrangement', 'Var', (62, 75)) ('Glioma', 'Phenotype', 'HP:0009733', (18, 24)) ('Glioma', 'Phenotype', 'HP:0009733', (124, 130)) ('Gliomas', 'Phenotype', 'HP:0009733', (18, 25)) ('deletion', 'Var', (79, 87)) ('MYB', 'Gene', (58, 61)) 5367 26829751 MYB-QKI rearrangements appeared specific to Angiocentric Glioma. ('MYB-QKI', 'Gene', (0, 7)) ('Angiocentric Glioma', 'Disease', (44, 63)) ('Angiocentric Glioma', 'Disease', 'MESH:D005910', (44, 63)) ('rearrangements', 'Var', (8, 22)) ('Glioma', 'Phenotype', 'HP:0009733', (57, 63)) 5373 26829751 In the WGS/RNA-seq cohort we also observed rearrangements involving QKI but not MYB in three supratentorial Pilocytic Astrocytomas (PAs), and rearrangements involving MYB or MYBL1 but not QKI in nine tumors, seven of which were Diffuse Astrocytomas. ('Astrocytoma', 'Phenotype', 'HP:0009592', (118, 129)) ('QKI but', 'Gene', (68, 75)) ('tumor', 'Phenotype', 'HP:0002664', (200, 205)) ('tumors', 'Phenotype', 'HP:0002664', (200, 206)) ('Astrocytomas', 'Disease', 'MESH:D001254', (118, 130)) ('Astrocytomas', 'Disease', (118, 130)) ('rearrangements', 'Var', (142, 156)) ('MYBL1', 'Gene', (174, 179)) ('tumors', 'Disease', (200, 206)) ('supratentorial Pilocytic Astrocytomas', 'Disease', (93, 130)) ('supratentorial Pilocytic Astrocytomas', 'Disease', 'MESH:D001254', (93, 130)) ('tumors', 'Disease', 'MESH:D009369', (200, 206)) ('MYB', 'Gene', (167, 170)) ('Astrocytoma', 'Phenotype', 'HP:0009592', (236, 247)) ('rearrangements', 'Var', (43, 57)) ('Astrocytomas', 'Disease', 'MESH:D001254', (236, 248)) ('Astrocytomas', 'Disease', (236, 248)) 5381 26829751 Deletions of QKI have been suggested to be oncogenic in a number of cancers including glioblastoma, prostate cancer, and gastric cancer. ('cancer', 'Phenotype', 'HP:0002664', (129, 135)) ('cancer', 'Phenotype', 'HP:0002664', (68, 74)) ('prostate cancer', 'Disease', 'MESH:D011471', (100, 115)) ('QKI', 'Gene', (13, 16)) ('glioblastoma', 'Disease', 'MESH:D005909', (86, 98)) ('cancer', 'Phenotype', 'HP:0002664', (109, 115)) ('gastric cancer', 'Phenotype', 'HP:0012126', (121, 135)) ('prostate cancer', 'Phenotype', 'HP:0012125', (100, 115)) ('cancers', 'Phenotype', 'HP:0002664', (68, 75)) ('gastric cancer', 'Disease', 'MESH:D013274', (121, 135)) ('cancers', 'Disease', (68, 75)) ('cancers', 'Disease', 'MESH:D009369', (68, 75)) ('glioblastoma', 'Disease', (86, 98)) ('prostate cancer', 'Disease', (100, 115)) ('gastric cancer', 'Disease', (121, 135)) ('Deletions', 'Var', (0, 9)) ('glioblastoma', 'Phenotype', 'HP:0012174', (86, 98)) 5382 26829751 In copy-number analyses of 10,570 cancers within the Cancer Genome Atlas, QKI was one of two genes in a deletion peak in adult glioblastomas (Figure 2l), renal clear cell, and cervical squamous cell carcinomas. ('cancer', 'Phenotype', 'HP:0002664', (34, 40)) ('Cancer Genome Atlas', 'Disease', (53, 72)) ('Cancer', 'Phenotype', 'HP:0002664', (53, 59)) ('cervical squamous cell carcinomas', 'Disease', (176, 209)) ('QKI', 'Gene', (74, 77)) ('Cancer Genome Atlas', 'Disease', 'MESH:D009369', (53, 72)) ('adult glioblastomas', 'Disease', (121, 140)) ('cancers within the Cancer', 'Disease', (34, 59)) ('adult glioblastomas', 'Disease', 'MESH:D005909', (121, 140)) ('glioblastomas', 'Phenotype', 'HP:0012174', (127, 140)) ('cancers within the Cancer', 'Disease', 'MESH:D001929', (34, 59)) ('renal clear cell', 'Disease', (154, 170)) ('glioblastoma', 'Phenotype', 'HP:0012174', (127, 139)) ('cervical squamous cell carcinomas', 'Disease', 'MESH:D002294', (176, 209)) ('squamous cell carcinomas', 'Phenotype', 'HP:0002860', (185, 209)) ('cancers', 'Phenotype', 'HP:0002664', (34, 41)) ('deletion', 'Var', (104, 112)) ('carcinomas', 'Phenotype', 'HP:0030731', (199, 209)) 5384 26829751 Focal QKI deletions were observed in over 10% of glioblastomas. ('Focal', 'Gene', (0, 5)) ('glioblastomas', 'Disease', (49, 62)) ('deletions', 'Var', (10, 19)) ('glioblastomas', 'Phenotype', 'HP:0012174', (49, 62)) ('observed', 'Reg', (25, 33)) ('glioblastoma', 'Phenotype', 'HP:0012174', (49, 61)) ('glioblastomas', 'Disease', 'MESH:D005909', (49, 62)) 5386 26829751 We therefore characterized mechanisms through which MYB-QKI rearrangements may contribute to aberrant MYB-QKI expression and evaluated the oncogenic potential of both genes. ('rearrangements', 'Var', (60, 74)) ('MYB-QKI', 'Gene', (52, 59)) ('contribute', 'Reg', (79, 89)) ('expression', 'Species', '29278', (110, 120)) ('aberrant', 'Var', (93, 101)) ('expression', 'MPA', (110, 120)) ('MYB-QKI', 'Gene', (102, 109)) 5388 26829751 Relative to eGFP-expressing cells, those expressing MYB-QKI5 and MYB-QKI6 exhibited significantly different expression of 1621 and 1947 genes, respectively, with 1029 genes overlapping (p<0.0001; Supplementary Table 4). ('expression', 'Species', '29278', (108, 118)) ('different', 'Reg', (98, 107)) ('MYB-QKI6', 'Var', (65, 73)) ('expression', 'MPA', (108, 118)) 5389 26829751 Gene-set enrichment analysis revealed expression of either MYBtrExon1-9 or MYB-QKI was associated with enrichment of signatures of MYB pathway activation (p<0.0001, Supplementary Table 5). ('MYB pathway', 'Pathway', (131, 142)) ('expression', 'Species', '29278', (38, 48)) ('MYB-QKI', 'Gene', (75, 82)) ('MYBtrExon1-9', 'Var', (59, 71)) ('activation', 'PosReg', (143, 153)) 5393 26829751 We observed a slight induction of mim-1 promoter activity with transfection with full length MYB compared to the control vector. ('mim-1', 'Gene', '100073347', (34, 39)) ('mim-1', 'Gene', (34, 39)) ('transfection', 'Var', (63, 75)) 5397 26829751 Angiocentric Gliomas with MYB-QKI exhibit significantly higher MYB expression relative to normal pediatric cortical brain (p=0.0062) or to PLGGs with BRAF or FGFR alterations (p=0.03) (Figure 4a and Supplementary Note 2). ('MYB-QKI', 'Var', (26, 33)) ('Glioma', 'Phenotype', 'HP:0009733', (13, 19)) ('MYB', 'Protein', (63, 66)) ('Gliomas', 'Phenotype', 'HP:0009733', (13, 20)) ('BRAF', 'Gene', (150, 154)) ('BRAF', 'Gene', '673', (150, 154)) ('expression', 'Species', '29278', (67, 77)) ('Angiocentric Gliomas', 'Disease', (0, 20)) ('Angiocentric Gliomas', 'Disease', 'MESH:D005910', (0, 20)) ('expression', 'MPA', (67, 77)) ('higher', 'PosReg', (56, 62)) 5398 26829751 Three Angiocentric Gliomas harbored MYB-QKI rearrangement breakpoints between exons 9 and 10 of MYB. ('MYB', 'Gene', (96, 99)) ('Gliomas', 'Phenotype', 'HP:0009733', (19, 26)) ('rearrangement breakpoints', 'Var', (44, 69)) ('MYB-QKI', 'Gene', (36, 43)) ('Angiocentric Gliomas', 'Disease', 'MESH:D005910', (6, 26)) ('Angiocentric Gliomas', 'Disease', (6, 26)) ('Glioma', 'Phenotype', 'HP:0009733', (19, 25)) 5400 26829751 These data support the selective, aberrant regulation of expression of truncated MYB via MYB-QKI. ('MYB', 'Gene', (81, 84)) ('expression', 'Species', '29278', (57, 67)) ('MYB-QKI', 'Gene', (89, 96)) ('truncated', 'Var', (71, 80)) 5401 26829751 Aberrant oncogene expression can result from enhancer translocation. ('oncogene', 'Protein', (9, 17)) ('Aberrant', 'Var', (0, 8)) ('enhancer translocation', 'CPA', (45, 67)) ('expression', 'Species', '29278', (18, 28)) ('expression', 'MPA', (18, 28)) ('result', 'Reg', (33, 39)) 5407 26829751 Normal human cortical brain is not associated with H3K27ac MYB-related enhancers, and indeed we did not observe formation of H3K27ac MYB enhancer peaks in the Pilocytic Astrocytoma (Supplementary Figure 5). ('human', 'Species', '9606', (7, 12)) ('H3K27ac', 'Var', (125, 132)) ('Astrocytoma', 'Phenotype', 'HP:0009592', (169, 180)) ('Pilocytic Astrocytoma', 'Disease', 'MESH:D001254', (159, 180)) ('Pilocytic Astrocytoma', 'Disease', (159, 180)) 5409 26829751 RNA-seq revealed expression of the first nine exons of MYB corresponding to those retained in the rearrangement, suggesting that the aberrant M5E1 enhancer is regulating expression of truncated MYB from the rearranged allele. ('aberrant', 'Var', (133, 141)) ('expression', 'Species', '29278', (17, 27)) ('MYB', 'Gene', (55, 58)) ('M5E1', 'Gene', (142, 146)) ('expression', 'Species', '29278', (170, 180)) ('expression', 'MPA', (170, 180)) 5410 26829751 The lack of full-length MYB expression indicates the aberrant enhancer does not regulate the remaining wild-type MYB allele. ('aberrant', 'Var', (53, 61)) ('MYB', 'Gene', (24, 27)) ('expression', 'Species', '29278', (28, 38)) 5412 26829751 We observed significant induction of MYB promoter activity in U87 cells stably expressing MYB-QKI with MYB-luc as compared to U87 cells containing MYB-luc or the promoter-less control luciferase construct alone (Figure 5c). ('U87', 'CellLine', 'CVCL:0022', (62, 65)) ('U87', 'CellLine', 'CVCL:0022', (126, 129)) ('MYB-luc', 'Var', (103, 110)) ('induction', 'PosReg', (24, 33)) ('MYB-QKI', 'Var', (90, 97)) ('MYB', 'Protein', (37, 40)) 5416 26829751 Baseline activity of the Q3E1-MYB-luc promoter construct was higher than with MYB-luc alone in U87 glioma cells (Figure 5c), increasing activation by approximately 1.5 fold, a level of activation shown to harbor biological relevance in other diseases. ('glioma', 'Disease', 'MESH:D005910', (99, 105)) ('higher', 'PosReg', (61, 67)) ('glioma', 'Disease', (99, 105)) ('U87', 'CellLine', 'CVCL:0022', (95, 98)) ('Baseline', 'MPA', (0, 8)) ('glioma', 'Phenotype', 'HP:0009733', (99, 105)) ('Q3E1-MYB-luc', 'Var', (25, 37)) ('activation', 'MPA', (136, 146)) 5417 26829751 Expression of MYB-QKI with Q3E1-MYB-luc led to even higher activity, again consistent with an auto-regulatory feedback loop in the presence of the fusion protein (Figure 5c). ('activity', 'MPA', (59, 67)) ('Expression', 'Species', '29278', (0, 10)) ('Q3E1-MYB-luc', 'Var', (27, 39)) ('higher', 'PosReg', (52, 58)) 5418 26829751 Expression of truncated MYB has previously been reported to be oncogenic. ('truncated', 'Var', (14, 23)) ('Expression', 'Species', '29278', (0, 10)) ('MYB', 'Protein', (24, 27)) 5420 26829751 Furthermore mNSCs expressing MYBtr induced diffuse gliomas on average 100 days post intracranial injection (Figure 6e, f). ('gliomas', 'Disease', (51, 58)) ('glioma', 'Phenotype', 'HP:0009733', (51, 57)) ('induced', 'Reg', (35, 42)) ('MYBtr', 'Gene', (29, 34)) ('gliomas', 'Disease', 'MESH:D005910', (51, 58)) ('mNSCs', 'Var', (12, 17)) ('gliomas', 'Phenotype', 'HP:0009733', (51, 58)) 5424 26829751 Similarly both isoforms induced anchorage-independent growth in NIH-3T3 cells (Supplementary Figure 7a); in vivo, overexpression of both MYB-QKI5 and MYB-QKI6, but not full-length MYB, led to tumor formation as flank xenografts (Figure 6b). ('overexpression', 'PosReg', (114, 128)) ('tumor', 'Disease', (192, 197)) ('NIH-3T3', 'CellLine', 'CVCL:0594', (64, 71)) ('led to', 'Reg', (185, 191)) ('MYB-QKI6', 'Var', (150, 158)) ('MYB-QKI5', 'Var', (137, 145)) ('expression', 'Species', '29278', (118, 128)) ('tumor', 'Disease', 'MESH:D009369', (192, 197)) ('flank xenografts', 'CPA', (211, 227)) ('tumor', 'Phenotype', 'HP:0002664', (192, 197)) 5425 26829751 Intracranial injections of mNSCs overexpressing MYB-QKI5 or MYB-QKI6 formed gliomas with infiltrating tumor cells with some evidence of enhanced growth around vessels and a clustered growth pattern, features similar to Angiocentric Glioma and distinct from the histology seen adult glioblastoma models (e.g. ('Angiocentric Glioma', 'Disease', 'MESH:D005910', (219, 238)) ('MYB-QKI5', 'Var', (48, 56)) ('glioblastoma', 'Phenotype', 'HP:0012174', (282, 294)) ('enhanced', 'PosReg', (136, 144)) ('tumor', 'Disease', (102, 107)) ('clustered growth pattern', 'CPA', (173, 197)) ('gliomas', 'Disease', (76, 83)) ('gliomas', 'Disease', 'MESH:D005910', (76, 83)) ('gliomas', 'Phenotype', 'HP:0009733', (76, 83)) ('tumor', 'Disease', 'MESH:D009369', (102, 107)) ('glioma', 'Phenotype', 'HP:0009733', (76, 82)) ('growth around vessels', 'CPA', (145, 166)) ('tumor', 'Phenotype', 'HP:0002664', (102, 107)) ('glioblastoma', 'Disease', (282, 294)) ('glioblastoma', 'Disease', 'MESH:D005909', (282, 294)) ('Angiocentric Glioma', 'Disease', (219, 238)) ('Glioma', 'Phenotype', 'HP:0009733', (232, 238)) ('MYB-QKI6', 'Var', (60, 68)) 5433 26829751 We were interested in understanding how disruption of QKI may contribute to oncogenicity in tumors that harbor MYB-QKI. ('QKI', 'Gene', (54, 57)) ('tumors', 'Disease', 'MESH:D009369', (92, 98)) ('disruption', 'Var', (40, 50)) ('MYB-QKI', 'Gene', (111, 118)) ('tumor', 'Phenotype', 'HP:0002664', (92, 97)) ('contribute', 'Reg', (62, 72)) ('tumors', 'Phenotype', 'HP:0002664', (92, 98)) ('tumors', 'Disease', (92, 98)) 5434 26829751 Exon-specific RNA-seq analysis of Angiocentric Gliomas with MYB-QKI (n=4) showed reduced expression of QKI compared to PLGGs that harbor BRAF alterations (n=5) (Figure 7a and Supplementary Note 2). ('Glioma', 'Phenotype', 'HP:0009733', (47, 53)) ('expression', 'MPA', (89, 99)) ('MYB-QKI', 'Var', (60, 67)) ('BRAF', 'Gene', (137, 141)) ('BRAF', 'Gene', '673', (137, 141)) ('Gliomas', 'Phenotype', 'HP:0009733', (47, 54)) ('Angiocentric Gliomas', 'Disease', (34, 54)) ('reduced', 'NegReg', (81, 88)) ('Angiocentric Gliomas', 'Disease', 'MESH:D005910', (34, 54)) ('QKI', 'Gene', (103, 106)) ('expression', 'Species', '29278', (89, 99)) 5438 26829751 Suppression of Qk by shRNAs in mNSCs expressing MYB-QKI6 led to differential expression of 309 genes relative to shLacZ (q<0.25, Supplementary Table 6). ('MYB-QKI6', 'Var', (48, 56)) ('expression', 'MPA', (77, 87)) ('expression', 'Species', '29278', (77, 87)) ('Suppression', 'NegReg', (0, 11)) 5445 26829751 Thus disruption of both MYB and QKI appear to contribute to tumor formation in a co-operative manner. ('contribute', 'Reg', (46, 56)) ('tumor', 'Disease', 'MESH:D009369', (60, 65)) ('MYB', 'Protein', (24, 27)) ('disruption', 'Var', (5, 15)) ('tumor', 'Phenotype', 'HP:0002664', (60, 65)) ('tumor', 'Disease', (60, 65)) ('QKI', 'Gene', (32, 35)) 5447 26829751 It also represents the first example of a single driver translocation of two genes resulting in the aberrant expression of an activated oncogenic fusion protein which then participates in an auto-regulatory feedback loop, proximal translocation of enhancer elements regulating fusion-gene expression, and simultaneous functional loss of a tumor suppressor gene. ('tumor', 'Disease', (339, 344)) ('participates in', 'Reg', (172, 187)) ('expression', 'MPA', (109, 119)) ('translocation', 'Var', (56, 69)) ('expression', 'Species', '29278', (289, 299)) ('tumor', 'Disease', 'MESH:D009369', (339, 344)) ('auto-regulatory feedback loop', 'MPA', (191, 220)) ('loss', 'NegReg', (329, 333)) ('tumor', 'Phenotype', 'HP:0002664', (339, 344)) ('expression', 'Species', '29278', (109, 119)) 5451 26829751 This could aid in distinction of Angiocentric Glioma from tumors with higher potential for recurrence or require further treatment, such as IDH-mutant diffuse gliomas or ependymomas. ('tumor', 'Phenotype', 'HP:0002664', (58, 63)) ('gliomas', 'Disease', 'MESH:D005910', (159, 166)) ('gliomas', 'Phenotype', 'HP:0009733', (159, 166)) ('IDH-mutant', 'Var', (140, 150)) ('gliomas', 'Disease', (159, 166)) ('tumors', 'Disease', (58, 64)) ('tumors', 'Phenotype', 'HP:0002664', (58, 64)) ('tumors', 'Disease', 'MESH:D009369', (58, 64)) ('Angiocentric Glioma', 'Disease', (33, 52)) ('ependymomas', 'Disease', 'MESH:D004806', (170, 181)) ('Angiocentric Glioma', 'Disease', 'MESH:D005910', (33, 52)) ('glioma', 'Phenotype', 'HP:0009733', (159, 165)) ('ependymomas', 'Disease', (170, 181)) ('Glioma', 'Phenotype', 'HP:0009733', (46, 52)) ('aid', 'Reg', (11, 14)) 5458 26829751 Like MYB-QKI, MYB-NFIB also results in high levels of MYB expression, although the mechanism underlying this, the functional role of NFIB, and oncogenicity of MYB-NFIB remain undefined. ('expression', 'Species', '29278', (58, 68)) ('expression', 'MPA', (58, 68)) ('results', 'Reg', (28, 35)) ('MYB-NFIB', 'Var', (14, 22)) ('MYB', 'Protein', (54, 57)) 5466 26829751 Pediatric tumors are characterized by simple genomes with single driver alterations. ('tumor', 'Phenotype', 'HP:0002664', (10, 15)) ('alterations', 'Var', (72, 83)) ('Pediatric tumors', 'Disease', 'MESH:D063766', (0, 16)) ('tumors', 'Phenotype', 'HP:0002664', (10, 16)) ('Pediatric tumors', 'Disease', (0, 16)) 5473 26829751 FISH was performed as previously described using five micron FFPE tissue sections and Homebrew probes RP11-63K22 (5' to MYB; directly labeled in SpectrumOrange) and RP11-170P19 (3' to MYB; directly labeled in SpectrumGreen) that map to 6q23.3. ('RP11-170P19', 'Disease', (165, 176)) ('RP11-63K22', 'Var', (102, 112)) ('RP11-170P19', 'Disease', 'MESH:C563991', (165, 176)) 5484 26829751 Anchorage-independent growth of NIH3T3 cells was assayed as previously described with the following modifications: NIH3T3 cells expressing each of the MYB-QKI5, MYB-QKI6, MYBtr, full-length MYB and full length QKI proteins and retroviral vector control were plated in 0.7% agar with DMEM and DBS in 96 well plates (in triplicates). ('agar', 'Chemical', 'MESH:D000362', (273, 277)) ('MYB-QKI6', 'Var', (161, 169)) ('NIH3T3', 'CellLine', 'CVCL:0594', (115, 121)) ('DBS', 'Chemical', 'MESH:C007323', (292, 295)) ('DMEM', 'Chemical', '-', (283, 287)) ('MYB-QKI5', 'Gene', (151, 159)) ('NIH3T3', 'CellLine', 'CVCL:0594', (32, 38)) 5490 26829751 The reporter construct was designed using the core MYB recognition element (MRE) consensus sequence PyAAC(G/T)G which is present in the mim-1 gene promoter, a previously described MYB target. ('PyAAC', 'Var', (100, 105)) ('mim-1', 'Gene', (136, 141)) ('mim-1', 'Gene', '100073347', (136, 141)) 5503 26829751 Target mNSC underwent infection using a spin protocol (2000rpm for 120 minutes at 30C with no polybrene). ('underwent', 'Reg', (12, 21)) ('2000rpm', 'Var', (55, 62)) ('polybrene', 'Chemical', 'MESH:D006583', (94, 103)) 5525 24267971 We retrospectively evaluated the incidence of PP in adult patients with sGBM treated with chemoradiation therapy (CRTx) using temozolomide (TMZ) and sought to assess if there was an association between PP and MGMT promoter methylation status, IDH mutations status, or 1p/19q codeletion. ('1p/19q codeletion', 'Var', (268, 285)) ('temozolomide', 'Chemical', 'MESH:D000077204', (126, 138)) ('TMZ', 'Chemical', 'MESH:D000077204', (140, 143)) ('IDH', 'Gene', (243, 246)) ('GBM', 'Phenotype', 'HP:0012174', (73, 76)) ('patients', 'Species', '9606', (58, 66)) ('MGMT', 'Gene', (209, 213)) ('MGMT', 'Gene', '4255', (209, 213)) ('CRTx', 'Chemical', '-', (114, 118)) ('IDH', 'Gene', '3417', (243, 246)) 5530 24267971 Based on this small series of sGBM patients treated with CRTx (concomitantly or sequentially) the frequency of PP appears to be very low in sGBM, even in those patients with methylated MGMT promoter or IDH mutations. ('IDH', 'Gene', (202, 205)) ('MGMT', 'Gene', '4255', (185, 189)) ('MGMT', 'Gene', (185, 189)) ('methylated', 'Var', (174, 184)) ('patients', 'Species', '9606', (160, 168)) ('IDH', 'Gene', '3417', (202, 205)) ('low', 'NegReg', (133, 136)) ('CRTx', 'Chemical', '-', (57, 61)) ('GBM', 'Phenotype', 'HP:0012174', (141, 144)) ('GBM', 'Phenotype', 'HP:0012174', (31, 34)) ('patients', 'Species', '9606', (35, 43)) ('sGBM', 'Disease', (140, 144)) 5554 24267971 Status of 1p/19q codeletion was detected by fluorescence in situ hybridization analysis, using samples of paraffin-embedded tumor tissues, by using probes to detect 1p36.1 to 36.3 (target, red) and 1q25.1 to 25.3 (control, green) for 1p detection, and 19p13.1 to 13.30 (green, control) and 19q13.1 to 13.4 (red, target) for 19q detection (Vysis; Abbot Laboratories, Abbot Park, IL), following the recommendations of the manufacturer. ('1q25.1 to 25.3', 'Var', (198, 212)) ('tumor', 'Phenotype', 'HP:0002664', (124, 129)) ('tumor', 'Disease', (124, 129)) ('1p36.1 to 36.3', 'Var', (165, 179)) ('paraffin', 'Chemical', 'MESH:D010232', (106, 114)) ('tumor', 'Disease', 'MESH:D009369', (124, 129)) 5579 24267971 Of 71 patients with pGBM (26 patients with methylated and 45 with unmethylated MGMT promoter), 19 patients (26.7%) had evidence of PP during the first 6 months after concomitant CRTx with TMZ (Fig. ('MGMT', 'Gene', (79, 83)) ('patients', 'Species', '9606', (29, 37)) ('pGBM', 'Gene', (20, 24)) ('patients', 'Species', '9606', (98, 106)) ('GBM', 'Phenotype', 'HP:0012174', (21, 24)) ('CRTx', 'Chemical', '-', (178, 182)) ('pGBM', 'Chemical', '-', (20, 24)) ('TMZ', 'Chemical', 'MESH:D000077204', (188, 191)) ('patients', 'Species', '9606', (6, 14)) ('methylated', 'Var', (43, 53)) ('MGMT', 'Gene', '4255', (79, 83)) 5580 24267971 Of those, 26 patients had methylated MGMT and 6 had unmethylated MGMT promoter status. ('MGMT', 'Gene', (65, 69)) ('methylated', 'Var', (26, 36)) ('MGMT', 'Gene', '4255', (65, 69)) ('patients', 'Species', '9606', (13, 21)) ('MGMT', 'Gene', '4255', (37, 41)) ('MGMT', 'Gene', (37, 41)) 5583 24267971 Retrospective data suggested that PP may occur more commonly in GBM patients with a methylated MGMT promoter (>90%) than in those with unmethylated promoter (approximately 40%) and is associated even more with improved survival. ('improved', 'PosReg', (210, 218)) ('GBM', 'Phenotype', 'HP:0012174', (64, 67)) ('patients', 'Species', '9606', (68, 76)) ('methylated', 'Var', (84, 94)) ('MGMT', 'Gene', '4255', (95, 99)) ('MGMT', 'Gene', (95, 99)) 5584 24267971 However, as shown in our study, despite the fact that most of the patients in our series had a methylated MGMT promoter (66.6%), none of them showed any sign of PP. ('MGMT', 'Gene', (106, 110)) ('methylated', 'Var', (95, 105)) ('patients', 'Species', '9606', (66, 74)) ('MGMT', 'Gene', '4255', (106, 110)) 5589 24267971 In contrast, our series of 10 sGBM patients harboring an IDH mutation, including 2 patients with oligodendroglial components exhibiting 1p/19q codeletions, did not support the latter hypothesis, as none of them had PP. ('IDH', 'Gene', '3417', (57, 60)) ('mutation', 'Var', (61, 69)) ('GBM', 'Phenotype', 'HP:0012174', (31, 34)) ('patients', 'Species', '9606', (35, 43)) ('patients', 'Species', '9606', (83, 91)) ('IDH', 'Gene', (57, 60)) 5590 24267971 Thus, we conclude that IDH mutations are not associated with PP in sGBM. ('mutations', 'Var', (27, 36)) ('GBM', 'Phenotype', 'HP:0012174', (68, 71)) ('IDH', 'Gene', (23, 26)) ('IDH', 'Gene', '3417', (23, 26)) 5662 31435515 With the disease progression, tumor cells initially possessing common initiating mutations start accumulating additional somatic mutations leading to highly heterogeneous cell populations. ('leading to', 'Reg', (139, 149)) ('mutations', 'Var', (129, 138)) ('tumor', 'Disease', 'MESH:D009369', (30, 35)) ('tumor', 'Phenotype', 'HP:0002664', (30, 35)) ('mutations', 'Var', (81, 90)) ('highly heterogeneous cell populations', 'MPA', (150, 187)) ('tumor', 'Disease', (30, 35)) 5684 31435515 The importance of glioma molecular profiling was underscored by the WHO in 2016, when it issued a new glioma classification based on certain mutations in the genes coding for isocitrate dehydrogenases (IDH1, IDH2) and 1p/19q codeletion. ('isocitrate', 'Chemical', 'MESH:C034219', (175, 185)) ('glioma', 'Disease', 'MESH:D005910', (102, 108)) ('glioma', 'Phenotype', 'HP:0009733', (102, 108)) ('glioma', 'Disease', (18, 24)) ('IDH2', 'Gene', (208, 212)) ('mutations', 'Var', (141, 150)) ('glioma', 'Disease', 'MESH:D005910', (18, 24)) ('IDH2', 'Gene', '3418', (208, 212)) ('glioma', 'Phenotype', 'HP:0009733', (18, 24)) ('IDH1', 'Gene', (202, 206)) ('glioma', 'Disease', (102, 108)) ('IDH1', 'Gene', '3417', (202, 206)) 5685 31435515 Specifically, gliomas are divided into IDH-mutant (IDHmt) and IDH-wild type (IDHwt), IDHmt further subdivided to the ones bearing 1p/19q codeletion and ones with the ATRX (ATP-dependent helicase ATRX, X-linked helicase II) mutation. ('IDH', 'Gene', '3417', (51, 54)) ('X-linked helicase II', 'Gene', '546', (201, 221)) ('1p/19q codeletion', 'Var', (130, 147)) ('IDH', 'Gene', (62, 65)) ('gliomas', 'Disease', 'MESH:D005910', (14, 21)) ('ATRX', 'Gene', (195, 199)) ('IDH', 'Gene', (77, 80)) ('ATRX', 'Gene', '546', (195, 199)) ('IDH', 'Gene', (39, 42)) ('glioma', 'Phenotype', 'HP:0009733', (14, 20)) ('IDH', 'Gene', (85, 88)) ('gliomas', 'Phenotype', 'HP:0009733', (14, 21)) ('IDH', 'Gene', '3417', (62, 65)) ('IDH', 'Gene', '3417', (77, 80)) ('ATP-dependent helicase ATRX', 'Gene', '546', (172, 199)) ('IDH', 'Gene', '3417', (39, 42)) ('IDH', 'Gene', '3417', (85, 88)) ('IDH', 'Gene', (51, 54)) ('ATP-dependent helicase ATRX', 'Gene', (172, 199)) ('ATRX', 'Gene', (166, 170)) ('gliomas', 'Disease', (14, 21)) ('X-linked helicase II', 'Gene', (201, 221)) ('ATRX', 'Gene', '546', (166, 170)) 5686 31435515 Thus, tumors carrying mutations in the IDH gene concurrently with 1p/19q codeletion are classified as oligodendrogliomas, while those bearing mutations in IDH and ATRX are referred to as astrocytomas, and IDHwt tumors are identified as primary glioblastomas. ('tumors', 'Disease', 'MESH:D009369', (211, 217)) ('IDHwt tumors', 'Disease', 'MESH:D009369', (205, 217)) ('primary glioblastomas', 'Disease', (236, 257)) ('glioblastoma', 'Phenotype', 'HP:0012174', (244, 256)) ('tumor', 'Phenotype', 'HP:0002664', (6, 11)) ('oligodendrogliomas', 'Disease', 'MESH:D009837', (102, 120)) ('tumors', 'Phenotype', 'HP:0002664', (6, 12)) ('primary glioblastomas', 'Disease', 'MESH:D005909', (236, 257)) ('IDH', 'Gene', (205, 208)) ('IDH', 'Gene', (39, 42)) ('ATRX', 'Gene', (163, 167)) ('astrocytomas', 'Disease', (187, 199)) ('tumors', 'Phenotype', 'HP:0002664', (211, 217)) ('ATRX', 'Gene', '546', (163, 167)) ('IDH', 'Gene', (155, 158)) ('oligodendrogliomas', 'Disease', (102, 120)) ('tumors', 'Disease', (6, 12)) ('IDH', 'Gene', '3417', (205, 208)) ('mutations', 'Var', (22, 31)) ('tumor', 'Phenotype', 'HP:0002664', (211, 216)) ('tumors', 'Disease', (211, 217)) ('IDH', 'Gene', '3417', (39, 42)) ('glioma', 'Phenotype', 'HP:0009733', (113, 119)) ('glioblastomas', 'Phenotype', 'HP:0012174', (244, 257)) ('astrocytomas', 'Disease', 'MESH:D001254', (187, 199)) ('IDH', 'Gene', '3417', (155, 158)) ('tumors', 'Disease', 'MESH:D009369', (6, 12)) ('gliomas', 'Phenotype', 'HP:0009733', (113, 120)) ('astrocytoma', 'Phenotype', 'HP:0009592', (187, 198)) ('IDHwt tumors', 'Disease', (205, 217)) 5689 31435515 Among patients with diffuse gliomas, the best prognosis is associated with IDHmt and 1p/19q codeletion as well as with the ATRX loss of function. ('ATRX', 'Gene', (123, 127)) ('glioma', 'Phenotype', 'HP:0009733', (28, 34)) ('diffuse gliomas', 'Disease', 'MESH:D005910', (20, 35)) ('ATRX', 'Gene', '546', (123, 127)) ('loss of function', 'NegReg', (128, 144)) ('patients', 'Species', '9606', (6, 14)) ('IDH', 'Gene', (75, 78)) ('IDH', 'Gene', '3417', (75, 78)) ('gliomas', 'Phenotype', 'HP:0009733', (28, 35)) ('diffuse gliomas', 'Disease', (20, 35)) ('1p/19q codeletion', 'Var', (85, 102)) 5690 31435515 Furthermore, the mutation of the TERT gene promoter is unfavorable in IDHwt tumors but beneficial in IDHmt tumors. ('TERT', 'Gene', (33, 37)) ('TERT', 'Gene', '7015', (33, 37)) ('tumor', 'Phenotype', 'HP:0002664', (107, 112)) ('IDHwt tumors', 'Disease', 'MESH:D009369', (70, 82)) ('mutation', 'Var', (17, 25)) ('tumors', 'Phenotype', 'HP:0002664', (107, 113)) ('tumor', 'Phenotype', 'HP:0002664', (76, 81)) ('IDHmt tumors', 'Disease', (101, 113)) ('tumors', 'Phenotype', 'HP:0002664', (76, 82)) ('IDHwt tumors', 'Disease', (70, 82)) ('IDHmt tumors', 'Disease', 'MESH:D009369', (101, 113)) 5692 31435515 Thus, 90% of the primary glioblastomas are IDHwt and carry mutations in the genes involved in molecular pathways involving p53, retinoblastoma 1 (Rb1), and tyrosine kinase receptor (RTK/RAS/PI3K). ('primary glioblastomas', 'Disease', (17, 38)) ('IDH', 'Gene', '3417', (43, 46)) ('retinoblastoma 1', 'Gene', (128, 144)) ('Rb1', 'Gene', (146, 149)) ('glioblastomas', 'Phenotype', 'HP:0012174', (25, 38)) ('retinoblastoma 1', 'Gene', '5925', (128, 144)) ('Rb1', 'Gene', '5925', (146, 149)) ('p53', 'Gene', (123, 126)) ('primary glioblastomas', 'Disease', 'MESH:D005909', (17, 38)) ('mutations', 'Var', (59, 68)) ('retinoblastoma', 'Phenotype', 'HP:0009919', (128, 142)) ('carry', 'Reg', (53, 58)) ('IDH', 'Gene', (43, 46)) ('glioblastoma', 'Phenotype', 'HP:0012174', (25, 37)) ('p53', 'Gene', '7157', (123, 126)) 5693 31435515 Secondary glioblastomas are almost invariably IDHmt and carry TP53 and ATRX mutations, pointing to their most probable source of origin - low-grade astrocytomas. ('TP53', 'Gene', '7157', (62, 66)) ('mutations', 'Var', (76, 85)) ('ATRX', 'Gene', '546', (71, 75)) ('glioblastomas', 'Phenotype', 'HP:0012174', (10, 23)) ('carry', 'Reg', (56, 61)) ('TP53', 'Gene', (62, 66)) ('IDH', 'Gene', (46, 49)) ('IDH', 'Gene', '3417', (46, 49)) ('glioblastomas', 'Disease', 'MESH:D005909', (10, 23)) ('astrocytomas', 'Disease', 'MESH:D001254', (148, 160)) ('astrocytoma', 'Phenotype', 'HP:0009592', (148, 159)) ('glioblastoma', 'Phenotype', 'HP:0012174', (10, 22)) ('astrocytomas', 'Disease', (148, 160)) ('glioblastomas', 'Disease', (10, 23)) ('ATRX', 'Gene', (71, 75)) 5695 31435515 Additionally, several studies have separately investigated some heritable genomic variants that could be utilized for glioma risk prognosis, for instance, the mutation in CCDC26 is associated with the oligodendroglioma and astrocytoma development, CDKN2B mutation is linked with low-grade astrocytomas; VTI1A, ZBTB16, PHLDB1 rs12230172 (noncoding), and ETFA defects could be considered as risk markers for low-grade IDHmt gliomas; while RTEL1 alteration can be common for all gliomas. ('rat', 'Species', '10116', (447, 450)) ('CDKN2B', 'Gene', (248, 254)) ('CCDC26', 'Gene', '137196', (171, 177)) ('IDHmt gliomas', 'Disease', (416, 429)) ('glioma', 'Disease', 'MESH:D005910', (212, 218)) ('ETFA', 'Gene', (353, 357)) ('VTI1A', 'Gene', (303, 308)) ('RTEL1', 'Gene', (437, 442)) ('oligodendroglioma', 'Disease', (201, 218)) ('astrocytomas', 'Disease', 'MESH:D001254', (289, 301)) ('gliomas', 'Phenotype', 'HP:0009733', (476, 483)) ('astrocytoma', 'Phenotype', 'HP:0009592', (289, 300)) ('ZBTB16', 'Gene', (310, 316)) ('glioma', 'Phenotype', 'HP:0009733', (118, 124)) ('CCDC26', 'Gene', (171, 177)) ('variants', 'Var', (82, 90)) ('associated', 'Reg', (181, 191)) ('CDKN2B', 'Gene', '1030', (248, 254)) ('glioma', 'Phenotype', 'HP:0009733', (212, 218)) ('astrocytoma', 'Phenotype', 'HP:0009592', (223, 234)) ('mutation', 'Var', (255, 263)) ('rat', 'Species', '10116', (39, 42)) ('ETFA', 'Gene', '2108', (353, 357)) ('mutation', 'Var', (159, 167)) ('gliomas', 'Disease', (422, 429)) ('glioma', 'Disease', (422, 428)) ('rs12230172', 'Mutation', 'rs12230172', (325, 335)) ('astrocytoma', 'Disease', 'MESH:D001254', (289, 300)) ('RTEL1', 'Gene', '51750', (437, 442)) ('ZBTB16', 'Gene', '7704', (310, 316)) ('glioma', 'Disease', 'MESH:D005910', (422, 428)) ('VTI1A', 'Gene', '143187', (303, 308)) ('gliomas', 'Disease', (476, 483)) ('glioma', 'Disease', (476, 482)) ('astrocytoma', 'Disease', (289, 300)) ('linked', 'Reg', (267, 273)) ('glioma', 'Disease', 'MESH:D005910', (476, 482)) ('astrocytomas', 'Disease', (289, 301)) ('astrocytoma', 'Disease', 'MESH:D001254', (223, 234)) ('gliomas', 'Disease', 'MESH:D005910', (422, 429)) ('rs12230172', 'Var', (325, 335)) ('glioma', 'Phenotype', 'HP:0009733', (422, 428)) ('glioma', 'Disease', (118, 124)) ('astrocytoma', 'Disease', (223, 234)) ('PHLDB1', 'Gene', (318, 324)) ('gliomas', 'Disease', 'MESH:D005910', (476, 483)) ('oligodendroglioma', 'Disease', 'MESH:D009837', (201, 218)) ('PHLDB1', 'Gene', '23187', (318, 324)) ('glioma', 'Disease', 'MESH:D005910', (118, 124)) ('IDHmt gliomas', 'Disease', 'MESH:D005910', (416, 429)) ('glioma', 'Phenotype', 'HP:0009733', (476, 482)) ('gliomas', 'Phenotype', 'HP:0009733', (422, 429)) ('glioma', 'Disease', (212, 218)) 5696 31435515 Meanwhile, the most morbid IDHwt primary glioblastomas, with the poorest prognoses, could also be predicted in advance using such genomic variants as 3q26.2 near TERC, 7p11.2 near EGFR, and 12q23.33 near POLR3B. ('IDH', 'Gene', (27, 30)) ('TERC', 'Gene', '7012', (162, 166)) ('glioblastomas', 'Phenotype', 'HP:0012174', (41, 54)) ('primary glioblastomas', 'Disease', 'MESH:D005909', (33, 54)) ('3q26.2', 'Var', (150, 156)) ('IDH', 'Gene', '3417', (27, 30)) ('POLR3B', 'Gene', '55703', (204, 210)) ('primary glioblastomas', 'Disease', (33, 54)) ('POLR3B', 'Gene', (204, 210)) ('7p11.2', 'Var', (168, 174)) ('EGFR', 'Gene', '1956', (180, 184)) ('EGFR', 'Gene', (180, 184)) ('glioblastoma', 'Phenotype', 'HP:0012174', (41, 53)) ('TERC', 'Gene', (162, 166)) ('12q23.33 near', 'Var', (190, 203)) 5697 31435515 While significant correlations of these genomic variants with the probability of further acquisition of the specific glioma subtypes needs to be addressed in more detail, the aforementioned markers can be clinically assessed in people with family glioma history. ('glioma', 'Disease', 'MESH:D005910', (247, 253)) ('glioma', 'Phenotype', 'HP:0009733', (247, 253)) ('variants', 'Var', (48, 56)) ('people', 'Species', '9606', (228, 234)) ('glioma', 'Disease', 'MESH:D005910', (117, 123)) ('glioma', 'Phenotype', 'HP:0009733', (117, 123)) ('glioma', 'Disease', (247, 253)) ('glioma', 'Disease', (117, 123)) 5698 31435515 While the role of IDH mutation as a diagnostic marker and predictor of glioma development has been investigated, specific mechanisms determining lower disease grade in the case of this mutation remain unclear. ('mutation', 'Var', (22, 30)) ('IDH', 'Gene', (18, 21)) ('glioma', 'Disease', (71, 77)) ('IDH', 'Gene', '3417', (18, 21)) ('glioma', 'Phenotype', 'HP:0009733', (71, 77)) ('glioma', 'Disease', 'MESH:D005910', (71, 77)) 5700 31435515 It was shown that the introduction of mutant IDH1 in human primary astrocytes causes the hypermethylation of histones and DNA sites linked to terminal differentiation, which can lead to locking cell in the embryonic state associated with unlimited self-renewing capacity. ('mutant', 'Var', (38, 44)) ('IDH1', 'Gene', '3417', (45, 49)) ('causes', 'Reg', (78, 84)) ('lead to', 'Reg', (178, 185)) ('histones', 'Protein', (109, 117)) ('hypermethylation', 'MPA', (89, 105)) ('human', 'Species', '9606', (53, 58)) ('introduction', 'Var', (22, 34)) ('IDH1', 'Gene', (45, 49)) 5701 31435515 At the same time, mutations in stem cells are considered to be the most malignant, since they are the alleged progenitors of the whole tumor. ('tumor', 'Phenotype', 'HP:0002664', (135, 140)) ('tumor', 'Disease', (135, 140)) ('tumor', 'Disease', 'MESH:D009369', (135, 140)) ('mutations', 'Var', (18, 27)) 5703 31435515 Possible explanations could be either different glioma-initiating progenitor cells for IDHmt and IDHwt glioma types, or distinct secondary epigenetic perturbations of chromatin blocking the final differentiation and determining different transcriptional cellular profiles. ('glioma', 'Disease', 'MESH:D005910', (48, 54)) ('IDH', 'Gene', (97, 100)) ('glioma', 'Phenotype', 'HP:0009733', (48, 54)) ('epigenetic perturbations', 'Var', (139, 163)) ('IDH', 'Gene', (87, 90)) ('perturbations', 'Var', (150, 163)) ('glioma', 'Disease', 'MESH:D005910', (103, 109)) ('IDH', 'Gene', '3417', (97, 100)) ('glioma', 'Phenotype', 'HP:0009733', (103, 109)) ('IDH', 'Gene', '3417', (87, 90)) ('blocking', 'NegReg', (177, 185)) ('glioma', 'Disease', (103, 109)) ('glioma', 'Disease', (48, 54)) 5704 31435515 In the latter case, glioma CSC molecular phenotyping and tracking their changes in culture should help unravelling the effects of different DNA mutations on tumor fate and delineating factors responsible for the glioma development on case-to-case basis. ('tumor', 'Disease', (157, 162)) ('glioma', 'Phenotype', 'HP:0009733', (20, 26)) ('glioma', 'Disease', 'MESH:D005910', (212, 218)) ('glioma', 'Disease', 'MESH:D005910', (20, 26)) ('glioma', 'Phenotype', 'HP:0009733', (212, 218)) ('tumor', 'Disease', 'MESH:D009369', (157, 162)) ('glioma', 'Disease', (20, 26)) ('tumor', 'Phenotype', 'HP:0002664', (157, 162)) ('mutations', 'Var', (144, 153)) ('glioma', 'Disease', (212, 218)) 5713 31435515 U87 was generated in 1960`s from patient with a glioblastoma, but the recently performed whole genome sequencing revealed a great number of indels and translocations, most of which were acquired over decades of cell cultivation. ('translocations', 'Var', (151, 165)) ('glioblastoma', 'Phenotype', 'HP:0012174', (48, 60)) ('U87', 'Gene', '641648', (0, 3)) ('patient', 'Species', '9606', (33, 40)) ('rat', 'Species', '10116', (12, 15)) ('indels', 'Var', (140, 146)) ('U87', 'Gene', (0, 3)) ('glioblastoma', 'Disease', (48, 60)) ('glioblastoma', 'Disease', 'MESH:D005909', (48, 60)) 5721 31435515 It is widely accepted that primary glioma cells should be passaged as little as possible preventing epigenetic or genetic alteration, while cultured without serum. ('glioma', 'Disease', 'MESH:D005910', (35, 41)) ('glioma', 'Phenotype', 'HP:0009733', (35, 41)) ('rat', 'Species', '10116', (126, 129)) ('genetic alteration', 'Var', (114, 132)) ('epigenetic', 'Var', (100, 110)) ('glioma', 'Disease', (35, 41)) 5741 31435515 This was revealed by the introduction of the same mutations in the OPs and NSCs, that, however, caused the formation of different glioma types, thus indicating the interaction between the activated oncogenic molecular pathway and the epigenetic status of the cell at the certain stage of differentiation. ('caused', 'Reg', (96, 102)) ('mutations', 'Var', (50, 59)) ('glioma', 'Disease', (130, 136)) ('NSCs', 'Gene', (75, 79)) ('oncogenic molecular pathway', 'Pathway', (198, 225)) ('OPs', 'Gene', (67, 70)) ('glioma', 'Disease', 'MESH:D005910', (130, 136)) ('glioma', 'Phenotype', 'HP:0009733', (130, 136)) 5742 31435515 On the other hand, the activation of different mutations in the same progenitor cells led to the formation of histologically different gliomas. ('gliomas', 'Disease', 'MESH:D005910', (135, 142)) ('gliomas', 'Phenotype', 'HP:0009733', (135, 142)) ('mutations', 'Var', (47, 56)) ('gliomas', 'Disease', (135, 142)) ('glioma', 'Phenotype', 'HP:0009733', (135, 141)) 5748 31435515 Predominantly researchers focus on finding mutations causing the development of the malignant processes, yet often missing the effect of concomitant mutations, transcriptional profiles, epigenetic regulators and microenvironment of the tumor cells. ('missing', 'NegReg', (115, 122)) ('tumor', 'Disease', 'MESH:D009369', (236, 241)) ('causing', 'Reg', (53, 60)) ('mutations', 'Var', (43, 52)) ('malignant processes', 'CPA', (84, 103)) ('tumor', 'Phenotype', 'HP:0002664', (236, 241)) ('development', 'CPA', (65, 76)) ('tumor', 'Disease', (236, 241)) 5808 31245283 Molecular mechanistic investigation demonstrated that both LRIG3 and sLRIG3 inhibit the growth and invasion capabilities of GL15, U87, and PriGBM cells and tumor xenografts in nude mice through regulating the MET/phosphatidylinositol 3-kinase/Akt signaling pathway. ('inhibit', 'NegReg', (76, 83)) ('tumor', 'Disease', 'MESH:D009369', (156, 161)) ('sLRIG3', 'Var', (69, 75)) ('tumor', 'Phenotype', 'HP:0002664', (156, 161)) ('U87', 'Gene', (130, 133)) ('tumor', 'Disease', (156, 161)) ('U87', 'Gene', '641648', (130, 133)) ('nude mice', 'Species', '10090', (176, 185)) ('regulating', 'Reg', (194, 204)) 5826 31245283 The amplification and activation of EGFR, platelet derived growth factor receptor alpha (PDGFRalpha), and mesenchymal-epithelial transition factor (MET) promote the proliferation and invasion of glioma cells and are correlated with recurrence and therapeutic resistance. ('glioma', 'Phenotype', 'HP:0009733', (195, 201)) ('PDGFRalpha', 'Gene', (89, 99)) ('platelet derived growth factor receptor alpha', 'Gene', '5156', (42, 87)) ('platelet derived growth factor receptor alpha', 'Gene', (42, 87)) ('EGFR', 'Gene', (36, 40)) ('activation', 'PosReg', (22, 32)) ('EGFR', 'Gene', '1956', (36, 40)) ('amplification', 'Var', (4, 17)) ('glioma', 'Disease', (195, 201)) ('PDGFRalpha', 'Gene', '5156', (89, 99)) ('promote', 'PosReg', (153, 160)) ('invasion', 'CPA', (183, 191)) ('proliferation', 'CPA', (165, 178)) ('glioma', 'Disease', 'MESH:D005910', (195, 201)) 5921 31245283 Although phosphorylation of PDGFRalpha was not affected by the status of LRIG3 in GL15 and PriGBM cells, MET and Akt phosphorylation was inhibited by overexpression of LRIG3 and sLRIG3 compared with that in the control group (Figures 5A,B). ('expression', 'Species', '29278', (154, 164)) ('inhibited', 'NegReg', (137, 146)) ('PDGFRalpha', 'Gene', (28, 38)) ('overexpression', 'PosReg', (150, 164)) ('PDGFRalpha', 'Gene', '5156', (28, 38)) ('Akt', 'Pathway', (113, 116)) ('MET and', 'MPA', (105, 112)) ('LRIG3', 'Var', (168, 173)) ('sLRIG3', 'Var', (178, 184)) 5931 31245283 These findings are consistent with the results that LRIG3 inhibited the phosphorylation of the components of the MET/PI3K/Akt pathway in glioma cell lines. ('glioma', 'Phenotype', 'HP:0009733', (137, 143)) ('LRIG3', 'Var', (52, 57)) ('glioma', 'Disease', 'MESH:D005910', (137, 143)) ('phosphorylation', 'MPA', (72, 87)) ('glioma', 'Disease', (137, 143)) ('MET/PI3K/Akt pathway', 'Pathway', (113, 133)) ('inhibited', 'NegReg', (58, 67)) 5933 31245283 After demonstrating that si-2-LRIG3 and si-3-LRIG3 effectively silenced LRIG3 expression in A172 cell lines (Figure 6A), growth curves and migration assays indicated that knockdown of LRIG3 protein facilitated the proliferation and migration of A172 cells (Figures 6B,C). ('expression', 'MPA', (78, 88)) ('facilitated', 'PosReg', (198, 209)) ('LRIG3', 'Gene', (184, 189)) ('A172 cells', 'CPA', (245, 255)) ('knockdown', 'Var', (171, 180)) ('proliferation', 'CPA', (214, 227)) ('migration', 'CPA', (232, 241)) ('protein', 'Protein', (190, 197)) ('A172', 'CellLine', 'CVCL:0131', (245, 249)) ('A172', 'CellLine', 'CVCL:0131', (92, 96)) ('silenced', 'NegReg', (63, 71)) ('expression', 'Species', '29278', (78, 88)) ('LRIG3', 'Gene', (72, 77)) 5940 31245283 As shown in Figure 7C, the phosphorylation levels of MET and Akt were lower in tumors overexpressing LRIG3 and sLRIG3 than in the control group. ('tumor', 'Phenotype', 'HP:0002664', (79, 84)) ('MET', 'MPA', (53, 56)) ('LRIG3', 'Var', (101, 106)) ('lower', 'NegReg', (70, 75)) ('tumors', 'Disease', (79, 85)) ('tumors', 'Disease', 'MESH:D009369', (79, 85)) ('phosphorylation levels', 'MPA', (27, 49)) ('tumors', 'Phenotype', 'HP:0002664', (79, 85)) ('Akt', 'Pathway', (61, 64)) 5943 31245283 Our aforementioned study demonstrated that sLRIG3 existed in serum samples from glioma patients through western blotting, and overexpression of sLRIG3 inhibited the proliferation and invasion of glioma cells. ('glioma', 'Disease', (80, 86)) ('glioma', 'Phenotype', 'HP:0009733', (195, 201)) ('sLRIG3', 'Gene', (144, 150)) ('glioma', 'Disease', 'MESH:D005910', (80, 86)) ('glioma', 'Phenotype', 'HP:0009733', (80, 86)) ('inhibited', 'NegReg', (151, 160)) ('glioma', 'Disease', (195, 201)) ('patients', 'Species', '9606', (87, 95)) ('expression', 'Species', '29278', (130, 140)) ('overexpression', 'Var', (126, 140)) ('glioma', 'Disease', 'MESH:D005910', (195, 201)) 5953 31245283 Previous studies have shown that growth factor pathways are constitutively activated in malignant gliomas through gene mutations and overexpression or genetic amplification of growth factor receptor genes. ('glioma', 'Phenotype', 'HP:0009733', (98, 104)) ('activated', 'PosReg', (75, 84)) ('gene mutations', 'Var', (114, 128)) ('growth factor pathways', 'Pathway', (33, 55)) ('gliomas', 'Phenotype', 'HP:0009733', (98, 105)) ('overexpression', 'PosReg', (133, 147)) ('malignant gliomas', 'Disease', (88, 105)) ('genetic amplification', 'Var', (151, 172)) ('malignant gliomas', 'Disease', 'MESH:D005910', (88, 105)) ('expression', 'Species', '29278', (137, 147)) 5965 31245283 However, this agent only prolongs progression-free survival and does not affect overall survival, due to aberrant MET expression and activation, which may contribute to bevacizumab resistance. ('bevacizumab', 'Chemical', 'MESH:D000068258', (169, 180)) ('activation', 'MPA', (133, 143)) ('progression-free survival', 'CPA', (34, 59)) ('MET expression', 'MPA', (114, 128)) ('expression', 'Species', '29278', (118, 128)) ('prolongs', 'PosReg', (25, 33)) ('aberrant', 'Var', (105, 113)) ('contribute', 'Reg', (155, 165)) 5967 31245283 Although there are many preclinical and clinical studies about small molecular inhibitors or antibodies against MET in glioblastoma, their usefulness is limited. ('MET', 'Gene', (112, 115)) ('glioblastoma', 'Disease', (119, 131)) ('glioblastoma', 'Disease', 'MESH:D005909', (119, 131)) ('glioblastoma', 'Phenotype', 'HP:0012174', (119, 131)) ('small molecular inhibitors', 'Var', (63, 89)) 5970 31245283 Additionally, coexpression of MET and its ligand HGF occur frequently in cancers, including glioblastoma, and have been associated with increased malignancy and decreased patient survival. ('cancers', 'Disease', (73, 80)) ('glioblastoma', 'Disease', (92, 104)) ('patient survival', 'CPA', (171, 187)) ('decreased', 'NegReg', (161, 170)) ('glioblastoma', 'Disease', 'MESH:D005909', (92, 104)) ('patient', 'Species', '9606', (171, 178)) ('HGF', 'Gene', (49, 52)) ('malignancy', 'Disease', 'MESH:D009369', (146, 156)) ('glioblastoma', 'Phenotype', 'HP:0012174', (92, 104)) ('cancers', 'Phenotype', 'HP:0002664', (73, 80)) ('coexpression', 'Var', (14, 26)) ('expression', 'Species', '29278', (16, 26)) ('increased', 'PosReg', (136, 145)) ('malignancy', 'Disease', (146, 156)) ('HGF', 'Gene', '3082', (49, 52)) ('cancers', 'Disease', 'MESH:D009369', (73, 80)) ('MET', 'Gene', (30, 33)) 5979 31245283 Previous analysis of glioma samples showed that aberrant regulations of RTK/PI3K pathway played important roles in the events of tumor formation, progression and therapeutic resistance. ('RTK', 'Gene', (72, 75)) ('glioma', 'Disease', 'MESH:D005910', (21, 27)) ('glioma', 'Phenotype', 'HP:0009733', (21, 27)) ('aberrant regulations', 'Var', (48, 68)) ('tumor', 'Disease', 'MESH:D009369', (129, 134)) ('tumor', 'Phenotype', 'HP:0002664', (129, 134)) ('RTK', 'Gene', '5979', (72, 75)) ('glioma', 'Disease', (21, 27)) ('tumor', 'Disease', (129, 134)) 6030 29967940 We would likely see such a score as a suggestion that a case may be in some way related to a certain methylation class and would try to find further evidence of such a relation [e.g., sequencing of BRAF in a case with a methylation class (anaplastic) pleomorphic xanthoastrocytoma (PXA) calibrated score of 0.75]. ('related', 'Reg', (80, 87)) ('BRAF', 'Gene', '673', (198, 202)) ('sequencing', 'Var', (184, 194)) ('BRAF', 'Gene', (198, 202)) ('astrocytoma', 'Phenotype', 'HP:0009592', (269, 280)) ('pleomorphic xanthoastrocytoma', 'Disease', 'MESH:D008228', (251, 280)) ('pleomorphic xanthoastrocytoma', 'Disease', (251, 280)) 6033 29967940 1a, e) and homozygous deletions (e.g., CDKN2A/B, Figs. ('CDKN2A/B', 'Gene', '1029;1030', (39, 47)) ('deletions', 'Var', (22, 31)) ('CDKN2A/B', 'Gene', (39, 47)) 6039 29967940 5a) and the high-level amplification of C19MC on Chr.19 in embryonal tumors with multilayered rosettes (ETMR; Fig. ('Chr', 'Gene', (49, 52)) ('rosettes', 'Phenotype', 'HP:0031925', (94, 102)) ('embryonal tumors', 'Phenotype', 'HP:0002898', (59, 75)) ('tumor', 'Phenotype', 'HP:0002664', (69, 74)) ('Chr', 'Gene', '1125', (49, 52)) ('embryonal tumors', 'Disease', (59, 75)) ('embryonal tumors', 'Disease', 'MESH:D009373', (59, 75)) ('rosette', 'Phenotype', 'HP:0031925', (94, 101)) ('tumors', 'Phenotype', 'HP:0002664', (69, 75)) ('embryonal tumor', 'Phenotype', 'HP:0002898', (59, 74)) ('MC', 'Chemical', 'MESH:D008748', (43, 45)) ('C19MC', 'Var', (40, 45)) 6041 29967940 Based on this algorithm which is also underlying the MGMT promoter methylation analysis provided by our webpage for uploaded cases, we receive the readouts "methylated", unmethylated, or "not determinable". ('MGMT', 'Gene', (53, 57)) ('unmethylated', 'Var', (170, 182)) ('MGMT', 'Gene', '4255', (53, 57)) 6058 29967940 Of note, the "A IDH, HG" group also contains most of the IDH mutant glioblastomas. ('IDH', 'Gene', '3417', (57, 60)) ('glioblastomas', 'Phenotype', 'HP:0012174', (68, 81)) ('IDH', 'Gene', (16, 19)) ('glioblastoma', 'Phenotype', 'HP:0012174', (68, 80)) ('glioblastomas', 'Disease', 'MESH:D005909', (68, 81)) ('mutant', 'Var', (61, 67)) ('IDH', 'Gene', '3417', (16, 19)) ('IDH', 'Gene', (57, 60)) ('glioblastomas', 'Disease', (68, 81)) 6060 29967940 However, recent data provide evidence that grading of IDH mutant astrocytoma by assessing copy-number alterations is more powerful than grading by DNA methylation analysis only. ('astrocytoma', 'Disease', 'MESH:D001254', (65, 76)) ('astrocytoma', 'Disease', (65, 76)) ('copy-number alterations', 'Var', (90, 113)) ('astrocytoma', 'Phenotype', 'HP:0009592', (65, 76)) ('IDH', 'Gene', (54, 57)) ('IDH', 'Gene', '3417', (54, 57)) 6065 29967940 We have so far analyzed one case of a dual genotype astrocytoma/oligodendroglioma and, indeed, observed a different methylation class of A IDH and O IDH, respectively, in different macrodissected tumor areas and an exclusive 1p/19q codeletion in the oligodendroglial tumor regions. ('methylation', 'MPA', (116, 127)) ('glioma', 'Phenotype', 'HP:0009733', (75, 81)) ('astrocytoma/oligodendroglioma', 'Disease', 'MESH:D009837', (52, 81)) ('IDH', 'Gene', (149, 152)) ('tumor', 'Disease', (196, 201)) ('tumor', 'Disease', 'MESH:D009369', (267, 272)) ('tumor', 'Phenotype', 'HP:0002664', (196, 201)) ('IDH', 'Gene', '3417', (149, 152)) ('tumor', 'Phenotype', 'HP:0002664', (267, 272)) ('astrocytoma', 'Phenotype', 'HP:0009592', (52, 63)) ('tumor', 'Disease', 'MESH:D009369', (196, 201)) ('tumor', 'Disease', (267, 272)) ('IDH', 'Gene', (139, 142)) ('1p/19q', 'Var', (225, 231)) ('oligodendroglial tumor', 'Disease', 'MESH:D009369', (250, 272)) ('astrocytoma/oligodendroglioma', 'Disease', (52, 81)) ('IDH', 'Gene', '3417', (139, 142)) ('oligodendroglial tumor', 'Disease', (250, 272)) 6068 29967940 Consensus of the critique is the demonstration of mutational profiles in these tumors that closely match those of glioblastoma (or, rarely, a more pediatric-type diffuse glioma). ('glioblastoma', 'Disease', 'MESH:D005909', (114, 126)) ('glioma', 'Disease', (170, 176)) ('tumors', 'Disease', (79, 85)) ('tumors', 'Disease', 'MESH:D009369', (79, 85)) ('mutational', 'Var', (50, 60)) ('tumors', 'Phenotype', 'HP:0002664', (79, 85)) ('glioblastoma', 'Disease', (114, 126)) ('glioma', 'Disease', 'MESH:D005910', (170, 176)) ('glioma', 'Phenotype', 'HP:0009733', (170, 176)) ('tumor', 'Phenotype', 'HP:0002664', (79, 84)) ('glioblastoma', 'Phenotype', 'HP:0012174', (114, 126)) 6080 29967940 In some instances, this may result in a higher score for an astrocytoma despite a 1p/19q codeletion. ('astrocytoma', 'Disease', 'MESH:D001254', (60, 71)) ('astrocytoma', 'Phenotype', 'HP:0009592', (60, 71)) ('astrocytoma', 'Disease', (60, 71)) ('1p/19q codeletion', 'Var', (82, 99)) 6086 29967940 In case the CNV shows prototypic glioblastoma changes (in particular amplification of EGFR or other amplifications, combined gain of Chr.7, and loss of Chr.10), we would consider the case a glioblastoma, IDH wt. ('glioblastoma', 'Disease', 'MESH:D005909', (190, 202)) ('glioblastoma', 'Disease', (33, 45)) ('glioblastoma', 'Disease', 'MESH:D005909', (33, 45)) ('glioblastoma', 'Phenotype', 'HP:0012174', (190, 202)) ('EGFR', 'Gene', '1956', (86, 90)) ('gain', 'PosReg', (125, 129)) ('glioblastoma', 'Phenotype', 'HP:0012174', (33, 45)) ('Chr', 'Gene', '1125', (152, 155)) ('Chr', 'Gene', (152, 155)) ('EGFR', 'Gene', (86, 90)) ('IDH', 'Gene', (204, 207)) ('Chr', 'Gene', (133, 136)) ('IDH', 'Gene', '3417', (204, 207)) ('Chr', 'Gene', '1125', (133, 136)) ('amplification', 'Var', (69, 82)) ('loss', 'NegReg', (144, 148)) ('glioblastoma', 'Disease', (190, 202)) 6107 29967940 In case a BRAF V600 mutation is detected and the CNV shows a focal deletion of CDKN2A/B but no additional complex chromosomal changes we consider the case as PXA (and would grade according to WHO by counting mitotic figures). ('CDKN2A/B', 'Gene', (79, 87)) ('deletion', 'Var', (67, 75)) ('BRAF', 'Gene', (10, 14)) ('BRAF', 'Gene', '673', (10, 14)) ('CDKN2A/B', 'Gene', '1029;1030', (79, 87)) 6118 29967940 Duplication of the BRAF locus is frequent among pilocytic astrocytomas and can be observed as a focal low-level gain indicative for a duplication on Chr.7q (Fig. ('pilocytic astrocytomas', 'Disease', (48, 70)) ('BRAF', 'Gene', '673', (19, 23)) ('Chr', 'Gene', '1125', (149, 152)) ('Chr', 'Gene', (149, 152)) ('pilocytic astrocytomas', 'Disease', 'MESH:D001254', (48, 70)) ('astrocytoma', 'Phenotype', 'HP:0009592', (58, 69)) ('BRAF', 'Gene', (19, 23)) ('Duplication', 'Var', (0, 11)) ('gain', 'PosReg', (112, 116)) ('low-level', 'MPA', (102, 111)) 6120 29967940 The copy-number pattern of these tumors occasionally also demonstrates BRAF duplications but much more frequently harbor CDKN2A/B deletions and further chromosomal changes (Fig. ('CDKN2A/B', 'Gene', '1029;1030', (121, 129)) ('deletions', 'Var', (130, 139)) ('BRAF', 'Gene', '673', (71, 75)) ('CDKN2A/B', 'Gene', (121, 129)) ('BRAF', 'Gene', (71, 75)) ('tumor', 'Phenotype', 'HP:0002664', (33, 38)) ('tumors', 'Disease', 'MESH:D009369', (33, 39)) ('tumors', 'Phenotype', 'HP:0002664', (33, 39)) ('tumors', 'Disease', (33, 39)) ('duplications', 'Var', (76, 88)) 6122 29967940 The presence of a BRAF V600E mutation seen in approximately 70% of pleomorphic xanthoastrocytomas is not a requirement for classification of these tumors into this class. ('tumor', 'Phenotype', 'HP:0002664', (147, 152)) ('pleomorphic xanthoastrocytomas', 'Disease', (67, 97)) ('tumors', 'Disease', (147, 153)) ('V600E', 'Mutation', 'rs113488022', (23, 28)) ('tumors', 'Phenotype', 'HP:0002664', (147, 153)) ('tumors', 'Disease', 'MESH:D009369', (147, 153)) ('V600E', 'Var', (23, 28)) ('BRAF', 'Gene', '673', (18, 22)) ('pleomorphic xanthoastrocytomas', 'Disease', 'MESH:D008228', (67, 97)) ('BRAF', 'Gene', (18, 22)) ('astrocytoma', 'Phenotype', 'HP:0009592', (85, 96)) 6123 29967940 An established but usually underestimated feature of pleomorphic xanthoastrocytoma is homozygous deletion of CDKN2A previously reported in 50%. ('pleomorphic xanthoastrocytoma', 'Disease', 'MESH:D008228', (53, 82)) ('CDKN2A', 'Gene', (109, 115)) ('pleomorphic xanthoastrocytoma', 'Disease', (53, 82)) ('CDKN2A', 'Gene', '1029', (109, 115)) ('astrocytoma', 'Phenotype', 'HP:0009592', (71, 82)) ('deletion', 'Var', (97, 105)) 6124 29967940 Among cases falling into this methylation, class CDKN2A/B deletions are seen in around 70% of cases (Fig. ('CDKN2A/B', 'Gene', (49, 57)) ('falling', 'Phenotype', 'HP:0002527', (12, 19)) ('deletions', 'Var', (58, 67)) ('CDKN2A/B', 'Gene', '1029;1030', (49, 57)) ('fall', 'Phenotype', 'HP:0002527', (12, 16)) 6129 29967940 If the mutation is present and the tumor, additionally, harbors a CDKN2A/B deletion, we would consider the case as a molecular PXA with unusual histological features. ('tumor', 'Disease', 'MESH:D009369', (35, 40)) ('CDKN2A/B', 'Gene', '1029;1030', (66, 74)) ('tumor', 'Phenotype', 'HP:0002664', (35, 40)) ('deletion', 'Var', (75, 83)) ('CDKN2A/B', 'Gene', (66, 74)) ('tumor', 'Disease', (35, 40)) 6132 29967940 In our experience, detection of a BRAF duplication in the form of the typical focal low-level gain on Chr.7q representing a 7q34 tandem duplication (Fig. ('duplication', 'Var', (39, 50)) ('gain', 'PosReg', (94, 98)) ('BRAF', 'Gene', '673', (34, 38)) ('BRAF', 'Gene', (34, 38)) ('Chr', 'Gene', '1125', (102, 105)) ('Chr', 'Gene', (102, 105)) 6139 29967940 If these cases, additionally, harbor a CDKN2A/B deletion and/or immunohistochemical ATRX loss (frequent in "anaplastic astrocytoma with piloid features", likely never present in PA), we would consider the case as "anaplastic astrocytoma with piloid features". ('astrocytoma', 'Phenotype', 'HP:0009592', (119, 130)) ('anaplastic astrocytoma', 'Disease', (108, 130)) ('ATRX', 'Gene', '546', (84, 88)) ('CDKN2A/B', 'Gene', '1029;1030', (39, 47)) ('anaplastic astrocytoma', 'Disease', (214, 236)) ('CDKN2A/B', 'Gene', (39, 47)) ('anaplastic astrocytoma', 'Disease', 'MESH:D001254', (108, 130)) ('astrocytoma', 'Phenotype', 'HP:0009592', (225, 236)) ('deletion', 'Var', (48, 56)) ('ATRX', 'Gene', (84, 88)) ('anaplastic astrocytoma', 'Disease', 'MESH:D001254', (214, 236)) ('loss', 'NegReg', (89, 93)) 6150 29967940 CNV in "ependymoma, spine" are also frequent, with the dominating alteration being chromosome 22 loss (Fig. ('loss', 'NegReg', (97, 101)) ('"ependymoma', 'Disease', (7, 18)) ('"ependymoma', 'Disease', 'MESH:D004806', (7, 18)) ('chromosome 22', 'Var', (83, 96)) ('ependymoma', 'Phenotype', 'HP:0002888', (8, 18)) 6161 29967940 The "ependymoma, YAP1 fusion" tumors on average have fewer alterations, with loss close to the YAP1 locus on Chr.11q and loss of Chr.22 being most frequent (Fig. ('YAP1', 'Gene', (17, 21)) ('tumors', 'Disease', (30, 36)) ('YAP1', 'Gene', (95, 99)) ('YAP1', 'Gene', '10413', (17, 21)) ('YAP1', 'Gene', '10413', (95, 99)) ('tumors', 'Disease', 'MESH:D009369', (30, 36)) ('tumors', 'Phenotype', 'HP:0002664', (30, 36)) ('"ependymoma', 'Disease', (4, 15)) ('loss', 'Var', (121, 125)) ('ependymoma', 'Phenotype', 'HP:0002888', (5, 15)) ('Chr', 'Gene', (109, 112)) ('Chr', 'Gene', (129, 132)) ('tumor', 'Phenotype', 'HP:0002664', (30, 35)) ('loss', 'NegReg', (77, 81)) ('Chr', 'Gene', '1125', (109, 112)) ('Chr', 'Gene', '1125', (129, 132)) ('"ependymoma', 'Disease', 'MESH:D004806', (4, 15)) 6169 29967940 Along the same lines, all so far analyzed subependymoma/ependymoma composition tumors (n = 4) scored as methylation class subependymoma in both tumor areas and we consider the ependymoma parts as a more compact growth pattern of subependymoma. ('tumors', 'Phenotype', 'HP:0002664', (79, 85)) ('subependymoma', 'Disease', 'MESH:D018315', (229, 242)) ('subependymoma', 'Disease', (229, 242)) ('ependymoma', 'Phenotype', 'HP:0002888', (125, 135)) ('subependymoma/ependymoma composition tumors', 'Disease', (42, 85)) ('ependymoma', 'Phenotype', 'HP:0002888', (45, 55)) ('subependymoma/ependymoma composition tumors', 'Disease', 'MESH:D018315', (42, 85)) ('tumor', 'Disease', (144, 149)) ('tumor', 'Disease', (79, 84)) ('ependymoma parts', 'Disease', 'MESH:D004806', (176, 192)) ('tumor', 'Disease', 'MESH:D009369', (144, 149)) ('tumor', 'Disease', 'MESH:D009369', (79, 84)) ('ependymoma parts', 'Disease', (176, 192)) ('ependymoma', 'Phenotype', 'HP:0002888', (176, 186)) ('subependymoma', 'Disease', 'MESH:D018315', (122, 135)) ('subependymoma', 'Disease', 'MESH:D018315', (42, 55)) ('subependymoma', 'Disease', (122, 135)) ('ependymoma', 'Phenotype', 'HP:0002888', (232, 242)) ('subependymoma', 'Disease', (42, 55)) ('methylation', 'Var', (104, 115)) ('tumor', 'Phenotype', 'HP:0002664', (144, 149)) ('ependymoma', 'Phenotype', 'HP:0002888', (56, 66)) ('tumor', 'Phenotype', 'HP:0002664', (79, 84)) 6176 29967940 A more conservative approach might designate these tumors as "ependymoma with methylation profile of myxopapillary ependymoma", although this would neglect the additional and independent data from the copy-number profiles pointing to myxopapillary ependymoma. ('myxopapillary ependymoma', 'Disease', 'MESH:D004806', (234, 258)) ('myxopapillary ependymoma', 'Disease', (234, 258)) ('methylation', 'Var', (78, 89)) ('tumor', 'Phenotype', 'HP:0002664', (51, 56)) ('"ependymoma', 'Disease', 'MESH:D004806', (61, 72)) ('ependymoma', 'Phenotype', 'HP:0002888', (115, 125)) ('tumors', 'Disease', (51, 57)) ('tumors', 'Disease', 'MESH:D009369', (51, 57)) ('myxopapillary ependymoma', 'Disease', 'MESH:D004806', (101, 125)) ('myxopapillary ependymoma', 'Disease', (101, 125)) ('tumors', 'Phenotype', 'HP:0002664', (51, 57)) ('ependymoma', 'Phenotype', 'HP:0002888', (248, 258)) ('"ependymoma', 'Disease', (61, 72)) ('ependymoma', 'Phenotype', 'HP:0002888', (62, 72)) 6183 29967940 All cases investigated also harbored the recently published PRKCA hotspot mutation. ('mutation', 'Var', (74, 82)) ('PRKCA', 'Gene', (60, 65)) ('harbored', 'Reg', (28, 36)) ('PRKCA', 'Gene', '5578', (60, 65)) 6187 29967940 By methylation analysis, a substantial part of astroblastomas are classified as "CNS high-grade neuroepithelial tumor with MN1 alteration". ('MN1', 'Gene', (123, 126)) ('astroblastomas', 'Disease', 'MESH:D018302', (47, 61)) ('MN1', 'Gene', '4330', (123, 126)) ('neuroepithelial tumor', 'Disease', (96, 117)) ('astroblastomas', 'Disease', (47, 61)) ('tumor', 'Phenotype', 'HP:0002664', (112, 117)) ('alteration', 'Var', (127, 137)) ('neuroepithelial tumor', 'Phenotype', 'HP:0030063', (96, 117)) ('neuroepithelial tumor', 'Disease', 'MESH:D018302', (96, 117)) 6188 29967940 Likely, the remaining cases are not a single tumor entity but rather harbor genetic alterations that suggest classification as other tumor entities. ('tumor', 'Phenotype', 'HP:0002664', (45, 50)) ('genetic alterations', 'Var', (76, 95)) ('tumor', 'Disease', 'MESH:D009369', (133, 138)) ('tumor', 'Disease', (45, 50)) ('tumor', 'Phenotype', 'HP:0002664', (133, 138)) ('tumor', 'Disease', (133, 138)) ('tumor', 'Disease', 'MESH:D009369', (45, 50)) 6193 29967940 Here, we would be more cautious to downgrade the tumor and would remain with the diagnosis of a "not further classifiable pediatric glioma with alterations of MYB/MYBL1 and additional complex chromosomal changes". ('tumor', 'Disease', 'MESH:D009369', (49, 54)) ('MYB', 'Gene', '4602', (163, 166)) ('glioma', 'Disease', (132, 138)) ('MYBL1', 'Gene', '4603', (163, 168)) ('tumor', 'Phenotype', 'HP:0002664', (49, 54)) ('MYB', 'Gene', (159, 162)) ('MYB', 'Gene', (163, 166)) ('tumor', 'Disease', (49, 54)) ('glioma', 'Disease', 'MESH:D005910', (132, 138)) ('MYB', 'Gene', '4602', (159, 162)) ('glioma', 'Phenotype', 'HP:0009733', (132, 138)) ('alterations', 'Var', (144, 155)) ('MYBL1', 'Gene', (163, 168)) 6221 29967940 CNV profiles show no recurrent chromosomal imbalances (Supplementary file 1), while initial data suggest that BRAF mutations may be relatively common in this group. ('imbalances', 'Phenotype', 'HP:0002172', (43, 53)) ('BRAF', 'Gene', (110, 114)) ('mutations', 'Var', (115, 124)) ('BRAF', 'Gene', '673', (110, 114)) 6233 29967940 In particular, familial paraganglioma may carry germline SDH mutations associated with a CpG island methylator phenotype (CIMP). ('familial paraganglioma', 'Disease', (15, 37)) ('SDH', 'Gene', (57, 60)) ('paraganglioma', 'Phenotype', 'HP:0002668', (24, 37)) ('familial paraganglioma', 'Disease', 'MESH:D010235', (15, 37)) ('mutations', 'Var', (61, 70)) ('glioma', 'Phenotype', 'HP:0009733', (31, 37)) ('CIMP', 'Chemical', '-', (122, 126)) ('SDH', 'Gene', '10993', (57, 60)) ('associated', 'Reg', (71, 81)) 6234 29967940 Paraganglioma without SDH mutations constitute the vast majority of sporadic tumors form the "paraganglioma, spinal non-CIMP" methylation class. ('tumors', 'Phenotype', 'HP:0002664', (77, 83)) ('Paraganglioma', 'Disease', (0, 13)) ('sporadic tumors', 'Disease', 'MESH:D009369', (68, 83)) ('paraganglioma', 'Disease', 'MESH:D010235', (94, 107)) ('glioma', 'Phenotype', 'HP:0009733', (7, 13)) ('Paraganglioma', 'Phenotype', 'HP:0002668', (0, 13)) ('Paraganglioma', 'Disease', 'MESH:D010235', (0, 13)) ('CIMP', 'Chemical', '-', (120, 124)) ('mutations', 'Var', (26, 35)) ('SDH', 'Gene', '10993', (22, 25)) ('glioma', 'Phenotype', 'HP:0009733', (101, 107)) ('tumor', 'Phenotype', 'HP:0002664', (77, 82)) ('paraganglioma', 'Phenotype', 'HP:0002668', (94, 107)) ('sporadic tumors', 'Disease', (68, 83)) ('SDH', 'Gene', (22, 25)) ('paraganglioma', 'Disease', (94, 107)) 6236 29967940 Repeatedly, we have observed cases with a high score for "low-grade glioma, ganglioglioma" methylation class but without clear histologic evidence for ganglionic differentiation. ('glioma', 'Disease', (83, 89)) ('glioma', 'Disease', 'MESH:D005910', (68, 74)) ('methylation', 'Var', (91, 102)) ('glioma', 'Phenotype', 'HP:0009733', (68, 74)) ('glioma', 'Disease', 'MESH:D005910', (83, 89)) ('glioma', 'Phenotype', 'HP:0009733', (83, 89)) ('glioma', 'Disease', (68, 74)) 6244 29967940 We observe cases scored as methylation class "diffuse leptomeningeal glioneuronal tumor" more frequently than anticipated. ('glioneuronal tumor', 'Phenotype', 'HP:0025170', (69, 87)) ('tumor', 'Disease', 'MESH:D009369', (82, 87)) ('methylation', 'Var', (27, 38)) ('tumor', 'Phenotype', 'HP:0002664', (82, 87)) ('tumor', 'Disease', (82, 87)) 6257 29967940 Typical CNV in "pineoblastoma group A/intracranial retinoblastoma" are gain of Chr.1q, gain of 6p and loss of 16q (Fig. ('pineoblastoma', 'Disease', 'MESH:D010871', (16, 29)) ('intracranial retinoblastoma', 'Disease', (38, 65)) ('Chr', 'Gene', '1125', (79, 82)) ('gain', 'PosReg', (87, 91)) ('pineoblastoma', 'Phenotype', 'HP:0030408', (16, 29)) ('intracranial retinoblastoma', 'Disease', 'MESH:D012175', (38, 65)) ('pineoblastoma', 'Disease', (16, 29)) ('retinoblastoma', 'Phenotype', 'HP:0009919', (51, 65)) ('loss', 'Var', (102, 106)) ('gain', 'PosReg', (71, 75)) ('Chr', 'Gene', (79, 82)) 6260 29967940 "Papillary tumor of the pineal region group A" exhibits a high number of CNV with gains of 4, 5, 11, and 12 and loss of Chr.10 being most frequent (Fig. ('Papillary tumor', 'Disease', 'MESH:D002291', (1, 16)) ('tumor', 'Phenotype', 'HP:0002664', (11, 16)) ('gains', 'PosReg', (82, 87)) ('Papillary tumor', 'Disease', (1, 16)) ('loss', 'Var', (112, 116)) ('Chr', 'Gene', '1125', (120, 123)) ('Chr', 'Gene', (120, 123)) 6272 29967940 Tumors in both methylation classes frequently show an isochromosome 17q, approximately 60% in group 3 and 80% in group 4. ('Tumor', 'Phenotype', 'HP:0002664', (0, 5)) ('Tumors', 'Disease', (0, 6)) ('Tumors', 'Disease', 'MESH:D009369', (0, 6)) ('Tumors', 'Phenotype', 'HP:0002664', (0, 6)) ('isochromosome 17q', 'Var', (54, 71)) 6273 29967940 Group 3 medulloblastoma tend to have a higher number of alterations, most frequently gain of 1q and, 7 and loss of 10q (Fig. ('gain', 'PosReg', (85, 89)) ('medulloblastoma', 'Disease', (8, 23)) ('loss of 10q', 'Var', (107, 118)) ('medulloblastoma', 'Phenotype', 'HP:0002885', (8, 23)) ('medulloblastoma', 'Disease', 'MESH:D008527', (8, 23)) 6274 29967940 Besides isochromosome 17q, most abundant in group 4 medulloblastomas is gain of 7p and loss of 8 (Fig. ('loss', 'Var', (87, 91)) ('medulloblastomas', 'Disease', 'MESH:D008527', (52, 68)) ('gain', 'PosReg', (72, 76)) ('medulloblastomas', 'Disease', (52, 68)) ('medulloblastoma', 'Phenotype', 'HP:0002885', (52, 67)) 6276 29967940 Embryonal tumor with multilayered rosettes, C19MC-altered is another genetically defined WHO entity. ('tumor', 'Phenotype', 'HP:0002664', (10, 15)) ('MC', 'Chemical', 'MESH:D008748', (47, 49)) ('Embryonal tumor', 'Disease', (0, 15)) ('rosette', 'Phenotype', 'HP:0031925', (34, 41)) ('Embryonal tumor', 'Disease', 'MESH:D009373', (0, 15)) ('Embryonal tumor', 'Phenotype', 'HP:0002898', (0, 15)) ('C19MC-altered', 'Var', (44, 57)) ('rosettes', 'Phenotype', 'HP:0031925', (34, 42)) 6279 29967940 The very few cases that we have so far observed of the exceedingly rare non-19q13 amplified embryonal tumors with multilayered rosettes also fall into this group. ('embryonal tumors', 'Disease', 'MESH:D009373', (92, 108)) ('tumors', 'Phenotype', 'HP:0002664', (102, 108)) ('rosettes', 'Phenotype', 'HP:0031925', (127, 135)) ('embryonal tumor', 'Phenotype', 'HP:0002898', (92, 107)) ('non-19q13 amplified', 'Var', (72, 91)) ('fall', 'Phenotype', 'HP:0002527', (141, 145)) ('embryonal tumors', 'Phenotype', 'HP:0002898', (92, 108)) ('embryonal tumors', 'Disease', (92, 108)) ('tumor', 'Phenotype', 'HP:0002664', (102, 107)) ('rosette', 'Phenotype', 'HP:0031925', (127, 134)) 6286 29967940 Besides "CNS neuroblastoma with FOXR2 activation" the three classes of "CNS high-grade neuroepithelial tumor with BCOR alteration", "CNS Ewing sarcoma family tumor with CIC alteration", and the previously mentioned "CNS high-grade neuroepithelial tumor with MN1 alteration" may frequently present with primitive embryonal histology. ('tumor', 'Phenotype', 'HP:0002664', (247, 252)) ('tumor', 'Phenotype', 'HP:0002664', (103, 108)) ('neuroepithelial tumor', 'Disease', 'MESH:D018302', (87, 108)) ('MN1', 'Gene', (258, 261)) ('BCOR', 'Gene', '54880', (114, 118)) ('tumor', 'Phenotype', 'HP:0002664', (158, 163)) ('sarcoma', 'Phenotype', 'HP:0100242', (143, 150)) ('BCOR', 'Gene', (114, 118)) ('FOXR2', 'Gene', (32, 37)) ('MN1', 'Gene', '4330', (258, 261)) ('FOXR2', 'Gene', '139628', (32, 37)) ('neuroepithelial tumor', 'Phenotype', 'HP:0030063', (231, 252)) ('neuroblastoma', 'Disease', (13, 26)) ('neuroepithelial tumor', 'Disease', (231, 252)) ('neuroepithelial tumor', 'Phenotype', 'HP:0030063', (87, 108)) ('Ewing sarcoma family tumor', 'Disease', 'MESH:C563168', (137, 163)) ('neuroblastoma', 'Phenotype', 'HP:0003006', (13, 26)) ('alteration', 'Var', (119, 129)) ('Ewing sarcoma', 'Phenotype', 'HP:0012254', (137, 150)) ('neuroepithelial tumor', 'Disease', 'MESH:D018302', (231, 252)) ('neuroepithelial tumor', 'Disease', (87, 108)) ('neuroblastoma', 'Disease', 'MESH:D009447', (13, 26)) ('Ewing sarcoma family tumor', 'Disease', (137, 163)) 6287 29967940 CNV profiles of "CNS Ewing sarcoma family tumor with CIC alteration" and "CNS high-grade neuroepithelial tumor with BCOR alteration" exhibit no characteristic features, whereas "CNS high-grade neuroepithelial tumor with MN1 alteration" very frequently shows extensive alterations on Chr.X reminiscent of chromothripsis (Chr.X not shown in the summary CNV plots). ('MN1', 'Gene', '4330', (220, 223)) ('Chr', 'Gene', '1125', (283, 286)) ('Ewing sarcoma family tumor', 'Disease', 'MESH:C563168', (21, 47)) ('alterations', 'Reg', (268, 279)) ('Chr', 'Gene', '1125', (320, 323)) ('Ewing sarcoma family tumor', 'Disease', (21, 47)) ('alteration', 'Var', (57, 67)) ('neuroepithelial tumor', 'Phenotype', 'HP:0030063', (193, 214)) ('Chr', 'Gene', (283, 286)) ('neuroepithelial tumor', 'Phenotype', 'HP:0030063', (89, 110)) ('BCOR', 'Gene', '54880', (116, 120)) ('tumor', 'Phenotype', 'HP:0002664', (42, 47)) ('tumor', 'Phenotype', 'HP:0002664', (209, 214)) ('Ewing sarcoma', 'Phenotype', 'HP:0012254', (21, 34)) ('Chr', 'Gene', (320, 323)) ('sarcoma', 'Phenotype', 'HP:0100242', (27, 34)) ('MN1', 'Gene', (220, 223)) ('neuroepithelial tumor', 'Disease', (193, 214)) ('neuroepithelial tumor', 'Disease', (89, 110)) ('neuroepithelial tumor', 'Disease', 'MESH:D018302', (193, 214)) ('BCOR', 'Gene', (116, 120)) ('tumor', 'Phenotype', 'HP:0002664', (105, 110)) ('neuroepithelial tumor', 'Disease', 'MESH:D018302', (89, 110)) 6295 29967940 A constellation that may lower the score of an SHH medulloblastoma below the threshold of 0.9 is the rare case of an IDH1 R132 mutant SHH medulloblastomas (score expected in the range of ~ 0.4 to 0.7), so testing for IDH point mutation may be of help in some instances. ('SHH medulloblastoma', 'Disease', 'MESH:D008527', (47, 66)) ('SHH medulloblastomas', 'Disease', 'MESH:D008527', (134, 154)) ('IDH1', 'Gene', '3417', (117, 121)) ('IDH', 'Gene', (217, 220)) ('IDH', 'Gene', (117, 120)) ('lower', 'NegReg', (25, 30)) ('R132 mutant', 'Var', (122, 133)) ('score', 'MPA', (35, 40)) ('SHH medulloblastoma', 'Disease', (47, 66)) ('IDH', 'Gene', '3417', (217, 220)) ('IDH', 'Gene', '3417', (117, 120)) ('medulloblastoma', 'Phenotype', 'HP:0002885', (51, 66)) ('medulloblastoma', 'Phenotype', 'HP:0002885', (138, 153)) ('SHH medulloblastoma', 'Disease', 'MESH:D008527', (134, 153)) ('SHH medulloblastomas', 'Disease', (134, 154)) ('IDH1', 'Gene', (117, 121)) 6311 29967940 Such tumors may likely represent not yet defined tumor entities, as proposed for one rare tumor class with recurrent amplification of Chr.6q24.2. ('tumor', 'Disease', 'MESH:D009369', (49, 54)) ('tumors', 'Disease', (5, 11)) ('Chr', 'Gene', '1125', (134, 137)) ('tumors', 'Disease', 'MESH:D009369', (5, 11)) ('tumor', 'Phenotype', 'HP:0002664', (49, 54)) ('tumor', 'Disease', 'MESH:D009369', (5, 10)) ('tumor', 'Phenotype', 'HP:0002664', (90, 95)) ('tumor', 'Disease', (90, 95)) ('tumor', 'Disease', (49, 54)) ('tumor', 'Phenotype', 'HP:0002664', (5, 10)) ('tumor', 'Disease', 'MESH:D009369', (90, 95)) ('tumor', 'Disease', (5, 10)) ('tumors', 'Phenotype', 'HP:0002664', (5, 11)) ('amplification', 'Var', (117, 130)) ('Chr', 'Gene', (134, 137)) 6315 29967940 The most frequent CNV in "schwannoma" is loss of 22q seen in approximately 60% of tumors (Fig. ('schwannoma', 'Disease', 'MESH:D009442', (26, 36)) ('tumors', 'Disease', 'MESH:D009369', (82, 88)) ('tumors', 'Disease', (82, 88)) ('tumors', 'Phenotype', 'HP:0002664', (82, 88)) ('loss of 22q', 'Var', (41, 52)) ('schwannoma', 'Phenotype', 'HP:0100008', (26, 36)) ('tumor', 'Phenotype', 'HP:0002664', (82, 87)) ('schwannoma', 'Disease', (26, 36)) 6323 29967940 These epigenetic sub-groups, their mutational characteristics, CNV, and the association with histology and outcome have been previously reported: Cases of MC ben-1 have typically no aberrations besides 22q deletion and NF2 mutation. ('MC ben-1', 'Gene', (155, 163)) ('NF2', 'Gene', (219, 222)) ('22q deletion', 'Var', (202, 214)) ('MC', 'Chemical', 'MESH:D008748', (155, 157)) ('NF2', 'Gene', '4771', (219, 222)) 6324 29967940 MC ben-2 is characterized by flat CNPs and an enrichment for KLF4/TRAF7, AKT1/TRAF7, and SMO mutations. ('KLF4', 'Gene', '9314', (61, 65)) ('mutations', 'Var', (93, 102)) ('KLF4', 'Gene', (61, 65)) ('AKT1', 'Gene', '207', (73, 77)) ('MC', 'Chemical', 'MESH:D008748', (0, 2)) ('TRAF7', 'Gene', (78, 83)) ('TRAF7', 'Gene', '84231', (66, 71)) ('AKT1', 'Gene', (73, 77)) ('SMO', 'Gene', '6608', (89, 92)) ('SMO', 'Gene', (89, 92)) ('TRAF7', 'Gene', '84231', (78, 83)) ('TRAF7', 'Gene', (66, 71)) 6326 29967940 If needed, detection of the exact AKT1 or SMO mutation holds potential for targeted therapy in case of a biologically low grade but not resectable meningioma. ('AKT1', 'Gene', '207', (34, 38)) ('SMO', 'Gene', '6608', (42, 45)) ('SMO', 'Gene', (42, 45)) ('AKT1', 'Gene', (34, 38)) ('meningioma', 'Disease', (147, 157)) ('meningioma', 'Phenotype', 'HP:0002858', (147, 157)) ('mutation', 'Var', (46, 54)) ('meningioma', 'Disease', 'MESH:D008577', (147, 157)) 6327 29967940 MC ben-3 is the only sub-group harboring many gains of chromosomes, with or without 22q loss and NF2 mutation. ('gains', 'PosReg', (46, 51)) ('22q', 'Gene', (84, 87)) ('MC', 'Chemical', 'MESH:D008748', (0, 2)) ('NF2', 'Gene', '4771', (97, 100)) ('NF2', 'Gene', (97, 100)) ('mutation', 'Var', (101, 109)) 6329 29967940 The intermediate and malignant MCs mostly have 22q deletion and NF2 mutations, with the number of losses of whole chromosomes (10, 14) or chromosomal arms (1p) increasing with malignancy. ('malignancy', 'Disease', 'MESH:D009369', (176, 186)) ('22q deletion', 'Var', (47, 59)) ('NF2', 'Gene', '4771', (64, 67)) ('MC', 'Chemical', 'MESH:D008748', (31, 33)) ('malignancy', 'Disease', (176, 186)) ('mutations', 'Var', (68, 77)) ('NF2', 'Gene', (64, 67)) 6330 29967940 These groups, particularly MC mal, can also carry TERT promoter mutations and show CDKN2A deletion. ('deletion', 'Var', (90, 98)) ('CDKN2A', 'Gene', '1029', (83, 89)) ('TERT', 'Gene', '7015', (50, 54)) ('MC', 'Chemical', 'MESH:D008748', (27, 29)) ('TERT', 'Gene', (50, 54)) ('CDKN2A', 'Gene', (83, 89)) 6331 29967940 For example, cases with BAP1 mutations can have no or only focal chromosomal alterations but still be identified as MC mal, in line with their aggressive behavior. ('BAP1', 'Gene', (24, 28)) ('mutations', 'Var', (29, 38)) ('aggressive behavior', 'Phenotype', 'HP:0000718', (143, 162)) ('MC', 'Chemical', 'MESH:D008748', (116, 118)) ('BAP1', 'Gene', '8314', (24, 28)) 6350 29967940 The corresponding CNV profiles are inconspicuous (Supplementary file 1), but these tumors are characterized by either CTNNB1 or BRAF V600E mutations, respectively. ('tumor', 'Phenotype', 'HP:0002664', (83, 88)) ('BRAF', 'Gene', '673', (128, 132)) ('CTNNB1', 'Gene', '1499', (118, 124)) ('V600E', 'Mutation', 'rs113488022', (133, 138)) ('tumors', 'Disease', (83, 89)) ('tumors', 'Phenotype', 'HP:0002664', (83, 89)) ('tumors', 'Disease', 'MESH:D009369', (83, 89)) ('V600E', 'Var', (133, 138)) ('CTNNB1', 'Gene', (118, 124)) ('BRAF', 'Gene', (128, 132)) 6356 29967940 Interestingly, in a recent series of 66 institutionally diagnosed olfactory neuroblastomas/esthesioneuroblastomas, only 42 (64%) of cases were classified as DNA methylation esthesioneuroblastoma, subclass A or B. ('neuroblastoma', 'Phenotype', 'HP:0003006', (181, 194)) ('neuroblastoma', 'Disease', (76, 89)) ('neuroblastoma', 'Phenotype', 'HP:0003006', (76, 89)) ('olfactory neuroblastomas/esthesioneuroblastomas', 'Disease', 'MESH:D018304', (66, 113)) ('olfactory neuroblastomas/esthesioneuroblastomas', 'Disease', (66, 113)) ('neuroblastoma', 'Disease', 'MESH:D009447', (99, 112)) ('neuroblastoma', 'Disease', 'MESH:D009447', (181, 194)) ('neuroblastoma', 'Disease', (99, 112)) ('DNA methylation', 'Var', (157, 172)) ('neuroblastoma', 'Disease', (181, 194)) ('neuroblastoma', 'Phenotype', 'HP:0003006', (99, 112)) ('neuroblastoma', 'Disease', 'MESH:D009447', (76, 89)) 6407 29967940 However, we fully agree that an adamantinous craniopharyngioma with a CTNBB1 mutation is not in need of additional DNA methylation analysis. ('CTNBB1', 'Gene', (70, 76)) ('craniopharyngioma', 'Phenotype', 'HP:0030062', (45, 62)) ('adamantinous craniopharyngioma', 'Disease', 'MESH:D003397', (32, 62)) ('mutation', 'Var', (77, 85)) ('adamantinous craniopharyngioma', 'Disease', (32, 62)) 6411 29967940 The latter group frequently turns out to be oligodendroglioma with evident 1p/19q codeletion. ('1p/19q codeletion', 'Var', (75, 92)) ('oligodendroglioma', 'Disease', 'MESH:D009837', (44, 61)) ('glioma', 'Phenotype', 'HP:0009733', (55, 61)) ('oligodendroglioma', 'Disease', (44, 61)) 6416 29967940 Amplifications such as EGFR or MDM2 and homozygous deletions of CDKN2A are even more robust when present in the tumor. ('CDKN2A', 'Gene', (64, 70)) ('tumor', 'Disease', 'MESH:D009369', (112, 117)) ('tumor', 'Phenotype', 'HP:0002664', (112, 117)) ('EGFR', 'Gene', '1956', (23, 27)) ('CDKN2A', 'Gene', '1029', (64, 70)) ('deletions', 'Var', (51, 60)) ('tumor', 'Disease', (112, 117)) ('MDM2', 'Gene', '4193', (31, 35)) ('EGFR', 'Gene', (23, 27)) ('MDM2', 'Gene', (31, 35)) 6417 29967940 Importantly, we find such tumors to carry multiple chromosomal losses or gains. ('gains', 'PosReg', (73, 78)) ('tumors', 'Disease', (26, 32)) ('chromosomal losses', 'Var', (51, 69)) ('tumors', 'Disease', 'MESH:D009369', (26, 32)) ('tumor', 'Phenotype', 'HP:0002664', (26, 31)) ('tumors', 'Phenotype', 'HP:0002664', (26, 32)) 6423 28710497 The performance of DLR for predicting the mutation status of isocitrate dehydrogenase 1 (IDH1) was validated in a dataset of 151 patients with low-grade glioma. ('glioma', 'Disease', 'MESH:D005910', (153, 159)) ('isocitrate dehydrogenase 1', 'Gene', '3417', (61, 87)) ('glioma', 'Disease', (153, 159)) ('patients', 'Species', '9606', (129, 137)) ('isocitrate dehydrogenase 1', 'Gene', (61, 87)) ('mutation', 'Var', (42, 50)) ('IDH1', 'Gene', (89, 93)) ('glioma', 'Phenotype', 'HP:0009733', (153, 159)) ('IDH1', 'Gene', '3417', (89, 93)) 6447 28710497 IDH1 mutation status accounts for more than 50% of the predictive value in low-grade glioma. ('glioma', 'Disease', 'MESH:D005910', (85, 91)) ('glioma', 'Disease', (85, 91)) ('mutation status', 'Var', (5, 20)) ('IDH1', 'Gene', (0, 4)) ('glioma', 'Phenotype', 'HP:0009733', (85, 91)) ('IDH1', 'Gene', '3417', (0, 4)) 6449 28710497 Therefore, accurate prediction of IDH1 mutation status via noninvasive methods has been widely explored. ('IDH1', 'Gene', '3417', (34, 38)) ('IDH1', 'Gene', (34, 38)) ('mutation', 'Var', (39, 47)) 6450 28710497 Here, we used DLR to determine IDH1 mutation status in a low-grade glioma cohort composed of 151 patients. ('IDH1', 'Gene', '3417', (31, 35)) ('glioma', 'Disease', (67, 73)) ('low-grade', 'Disease', (57, 66)) ('patients', 'Species', '9606', (97, 105)) ('glioma', 'Disease', 'MESH:D005910', (67, 73)) ('glioma', 'Phenotype', 'HP:0009733', (67, 73)) ('mutation', 'Var', (36, 44)) ('IDH1', 'Gene', (31, 35)) 6451 28710497 We demonstrate that DLR is a useful and accurate tool for predicting IDH1 mutation status in low-grade gliomas. ('gliomas', 'Disease', 'MESH:D005910', (103, 110)) ('mutation', 'Var', (74, 82)) ('gliomas', 'Phenotype', 'HP:0009733', (103, 110)) ('IDH1', 'Gene', '3417', (69, 73)) ('gliomas', 'Disease', (103, 110)) ('glioma', 'Phenotype', 'HP:0009733', (103, 109)) ('IDH1', 'Gene', (69, 73)) 6462 28710497 Two typical IDH1 mutation and wild-type cases were used as examples. ('IDH1', 'Gene', '3417', (12, 16)) ('mutation', 'Var', (17, 25)) ('IDH1', 'Gene', (12, 16)) 6468 28710497 The feature maps of IDH1 mutant gliomas showed a more uniform distribution. ('IDH1', 'Gene', '3417', (20, 24)) ('mutant', 'Var', (25, 31)) ('gliomas', 'Phenotype', 'HP:0009733', (32, 39)) ('gliomas', 'Disease', (32, 39)) ('gliomas', 'Disease', 'MESH:D005910', (32, 39)) ('IDH1', 'Gene', (20, 24)) ('glioma', 'Phenotype', 'HP:0009733', (32, 38)) 6489 28710497 Despite the diagnostic significance of glioma according to the new version the WHO criterion, the IDH1 mutation status was used to tailor personalized treatment regimens, including surgical extent and chemo-sensitivity. ('glioma', 'Disease', (39, 45)) ('glioma', 'Disease', 'MESH:D005910', (39, 45)) ('IDH1', 'Gene', (98, 102)) ('glioma', 'Phenotype', 'HP:0009733', (39, 45)) ('mutation', 'Var', (103, 111)) ('IDH1', 'Gene', '3417', (98, 102)) 6490 28710497 Patients with IDH1 mutations tend to have a positive prognosis. ('IDH1', 'Gene', (14, 18)) ('Patients', 'Species', '9606', (0, 8)) ('mutations', 'Var', (19, 28)) ('IDH1', 'Gene', '3417', (14, 18)) 6493 28710497 Several noninvasive methods to predict IDH1 mutation status have been explored and reported during the last few years. ('IDH1', 'Gene', '3417', (39, 43)) ('IDH1', 'Gene', (39, 43)) ('mutation', 'Var', (44, 52)) 6495 28710497 reported that tumor necrosis area and tumor blood flow are useful for predicting IDH1 mutation status. ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('tumor', 'Disease', (38, 43)) ('tumor', 'Disease', (14, 19)) ('tumor necrosis', 'Disease', 'MESH:D009336', (14, 28)) ('tumor necrosis', 'Disease', (14, 28)) ('IDH1', 'Gene', (81, 85)) ('tumor', 'Disease', 'MESH:D009369', (38, 43)) ('tumor', 'Disease', 'MESH:D009369', (14, 19)) ('mutation', 'Var', (86, 94)) ('IDH1', 'Gene', '3417', (81, 85)) ('tumor', 'Phenotype', 'HP:0002664', (14, 19)) 6500 28710497 Our group also examined the possibility of predicting IDH1 mutation status using a radiomics method. ('mutation', 'Var', (59, 67)) ('IDH1', 'Gene', '3417', (54, 58)) ('IDH1', 'Gene', (54, 58)) 6504 28710497 Therefore, DLR outperforms other methods for IDH1 mutation prediction. ('IDH1', 'Gene', '3417', (45, 49)) ('IDH1', 'Gene', (45, 49)) ('mutation', 'Var', (50, 58)) 6505 28710497 Alternatively, the second method involves detecting metabolic changes caused by IDH1 mutation using MRS technology. ('IDH1', 'Gene', (80, 84)) ('MRS', 'Disease', 'MESH:D008556', (100, 103)) ('IDH1', 'Gene', '3417', (80, 84)) ('metabolic changes', 'MPA', (52, 69)) ('mutation', 'Var', (85, 93)) ('MRS', 'Disease', (100, 103)) 6506 28710497 When a tumor harbors an IDH1 mutation, it produces 2-hydroxyglutarate (2-HG), which is reflected in the MRS results. ('mutation', 'Var', (29, 37)) ('IDH1', 'Gene', '3417', (24, 28)) ('tumor', 'Disease', (7, 12)) ('2-hydroxyglutarate', 'Chemical', 'MESH:C019417', (51, 69)) ('MRS', 'Disease', 'MESH:D008556', (104, 107)) ('2-hydroxyglutarate', 'MPA', (51, 69)) ('IDH1', 'Gene', (24, 28)) ('tumor', 'Disease', 'MESH:D009369', (7, 12)) ('MRS', 'Disease', (104, 107)) ('tumor', 'Phenotype', 'HP:0002664', (7, 12)) 6510 28710497 predicted the presence of IDH1 mutations based on 2-HG concentrations in the plasma and urine of 84 patients. ('IDH1', 'Gene', '3417', (26, 30)) ('patients', 'Species', '9606', (100, 108)) ('mutations', 'Var', (31, 40)) ('IDH1', 'Gene', (26, 30)) 6514 28710497 In medical imaging applications, our method is able to noninvasively predict IDH1 mutation status with high accuracy by using routinely collected MR image modalities. ('mutation', 'Var', (82, 90)) ('IDH1', 'Gene', (77, 81)) ('IDH1', 'Gene', '3417', (77, 81)) ('predict', 'Reg', (69, 76)) 6515 28710497 Noninvasive prediction of other important glioma biomarkers, such as 1p19q and TERT, will be considered for future work. ('glioma', 'Disease', 'MESH:D005910', (42, 48)) ('glioma', 'Phenotype', 'HP:0009733', (42, 48)) ('1p19q', 'Var', (69, 74)) ('TERT', 'Gene', (79, 83)) ('TERT', 'Gene', '7015', (79, 83)) ('glioma', 'Disease', (42, 48)) 6549 31959027 The distribution of molecular markers, including alterations in TP53, IDH1, PI3K, ATRX, EGFR, H3F3A TERT, PDGFR, PTEN, distinguishes these tumor types based on their association with recurrent genetic lesions and histology. ('tumor', 'Disease', 'MESH:D009369', (139, 144)) ('PDGFR', 'Gene', '5159', (106, 111)) ('alterations', 'Var', (49, 60)) ('ATRX', 'Gene', (82, 86)) ('IDH1', 'Gene', '15926', (70, 74)) ('H3F3A', 'Gene', '3020', (94, 99)) ('tumor', 'Disease', (139, 144)) ('PTEN', 'Gene', (113, 117)) ('rat', 'Species', '10116', (53, 56)) ('EGFR', 'Gene', '1956', (88, 92)) ('PDGFR', 'Gene', (106, 111)) ('PTEN', 'Gene', '5728', (113, 117)) ('tumor', 'Phenotype', 'HP:0002664', (139, 144)) ('TP53', 'Gene', (64, 68)) ('H3F3A', 'Gene', (94, 99)) ('EGFR', 'Gene', (88, 92)) ('IDH1', 'Gene', (70, 74)) ('PI3K', 'Gene', (76, 80)) 6550 31959027 One of the most distinctive criteria for the molecular classification in gliomas is the mutational status of isocitrate dehydrogenase 1 (IDH1). ('gliomas', 'Disease', 'MESH:D005910', (73, 80)) ('gliomas', 'Phenotype', 'HP:0009733', (73, 80)) ('mutational', 'Var', (88, 98)) ('IDH1', 'Gene', (137, 141)) ('IDH1', 'Gene', '15926', (137, 141)) ('glioma', 'Phenotype', 'HP:0009733', (73, 79)) ('isocitrate', 'Chemical', 'MESH:C034219', (109, 119)) ('gliomas', 'Disease', (73, 80)) 6551 31959027 Almost 50% of adult glioma patients harbor mutations in IDH1, usually at arginine 132 (R132H). ('glioma', 'Phenotype', 'HP:0009733', (20, 26)) ('R132H', 'Mutation', 'rs1034749666', (87, 92)) ('glioma', 'Disease', 'MESH:D005910', (20, 26)) ('IDH1', 'Gene', '15926', (56, 60)) ('patients', 'Species', '9606', (27, 35)) ('mutations', 'Var', (43, 52)) ('glioma', 'Disease', (20, 26)) ('arginine', 'Chemical', 'MESH:D001120', (73, 81)) ('IDH1', 'Gene', (56, 60)) 6553 31959027 In addition, 70% of secondary HGG (WHO grade IV) also have IDH1 mutations. ('IDH1', 'Gene', (59, 63)) ('IDH1', 'Gene', '15926', (59, 63)) ('mutations', 'Var', (64, 73)) 6555 31959027 In LGG, two mutant IDH1 glioma subtypes have been identified according to mutually exclusive genomic alterations: i) ATRX mutation or ii) loss of 1p/19q chromosomal segments (1p/19q-codel)(Table 1). ('IDH1 glioma', 'Disease', (19, 30)) ('glioma', 'Phenotype', 'HP:0009733', (24, 30)) ('loss', 'Var', (138, 142)) ('rat', 'Species', '10116', (105, 108)) ('mutation', 'Var', (122, 130)) ('IDH1 glioma', 'Disease', 'MESH:D005910', (19, 30)) ('ATRX', 'Gene', (117, 121)) 6556 31959027 Mutant IDH1 LGGs with inactivating mutations in ATRX co-expresses TP53 mutation, and are associated with astrocytoma. ('associated', 'Reg', (89, 99)) ('IDH1', 'Gene', '15926', (7, 11)) ('mutation', 'Var', (71, 79)) ('TP53', 'Gene', (66, 70)) ('ATRX', 'Gene', (48, 52)) ('astrocytoma', 'Disease', 'MESH:D001254', (105, 116)) ('inactivating mutations', 'Var', (22, 44)) ('Mutant', 'Var', (0, 6)) ('IDH1', 'Gene', (7, 11)) ('astrocytoma', 'Disease', (105, 116)) ('astrocytoma', 'Phenotype', 'HP:0009592', (105, 116)) 6557 31959027 Mutant IDH1 LGGs with 1p/19q-codel subtype present TERT promoter (TERTp) and CIC mutations are associated with oligodendroglioma) (Table 1). ('CIC', 'Disease', 'None', (77, 80)) ('IDH1', 'Gene', '15926', (7, 11)) ('associated', 'Reg', (95, 105)) ('TERTp', 'Gene', (66, 71)) ('TERT', 'Gene', (51, 55)) ('oligodendroglioma', 'Disease', (111, 128)) ('TERTp', 'Gene', '7015', (66, 71)) ('TERT', 'Gene', (66, 70)) ('TERT', 'Gene', '7015', (51, 55)) ('TERT', 'Gene', '7015', (66, 70)) ('mutations', 'Var', (81, 90)) ('oligodendroglioma', 'Disease', 'MESH:D009837', (111, 128)) ('Mutant', 'Var', (0, 6)) ('CIC', 'Disease', (77, 80)) ('IDH1', 'Gene', (7, 11)) ('glioma', 'Phenotype', 'HP:0009733', (122, 128)) 6559 31959027 In adults, IDH1 wild type glioma patients retain ATRX function and typically express TERTp mutations and alterations in regulators of the RTK-RAS-PI3K signaling cascade (Table 1). ('ATRX', 'MPA', (49, 53)) ('patients', 'Species', '9606', (33, 41)) ('TERTp', 'Gene', '7015', (85, 90)) ('IDH1', 'Gene', '15926', (11, 15)) ('TK', 'Gene', 'None', (139, 141)) ('glioma', 'Disease', (26, 32)) ('alterations', 'Reg', (105, 116)) ('mutations', 'Var', (91, 100)) ('rat', 'Species', '10116', (109, 112)) ('glioma', 'Disease', 'MESH:D005910', (26, 32)) ('TERTp', 'Gene', (85, 90)) ('glioma', 'Phenotype', 'HP:0009733', (26, 32)) ('IDH1', 'Gene', (11, 15)) 6560 31959027 Pediatric gliomas are mostly IDH1 wild type, harboring TP53 and ATRX inactivating mutations, as well as H3F3A mutations which are associated with malignancy and poor prognosis. ('ATRX', 'Gene', (64, 68)) ('gliomas', 'Phenotype', 'HP:0009733', (10, 17)) ('mutations', 'Var', (110, 119)) ('IDH1', 'Gene', (29, 33)) ('inactivating mutations', 'Var', (69, 91)) ('TP53', 'Gene', (55, 59)) ('glioma', 'Phenotype', 'HP:0009733', (10, 16)) ('malignancy', 'Disease', 'MESH:D009369', (146, 156)) ('IDH1', 'Gene', '15926', (29, 33)) ('H3F3A', 'Gene', '3020', (104, 109)) ('H3F3A', 'Gene', (104, 109)) ('malignancy', 'Disease', (146, 156)) ('gliomas', 'Disease', (10, 17)) ('gliomas', 'Disease', 'MESH:D005910', (10, 17)) 6568 31959027 A recent report showed a positive correlation between mutational load and the effectiveness of immune check point inhibition in several cancers, but not in glioma. ('cancers', 'Phenotype', 'HP:0002664', (136, 143)) ('glioma', 'Disease', (156, 162)) ('immune', 'MPA', (95, 101)) ('cancers', 'Disease', (136, 143)) ('cancers', 'Disease', 'MESH:D009369', (136, 143)) ('glioma', 'Disease', 'MESH:D005910', (156, 162)) ('mutational load', 'Var', (54, 69)) ('glioma', 'Phenotype', 'HP:0009733', (156, 162)) ('cancer', 'Phenotype', 'HP:0002664', (136, 142)) 6569 31959027 This suggests that the mutational load is not a valid predictor for the response to immune check point inhibitors in glioma patients. ('glioma', 'Disease', 'MESH:D005910', (117, 123)) ('glioma', 'Phenotype', 'HP:0009733', (117, 123)) ('glioma', 'Disease', (117, 123)) ('patients', 'Species', '9606', (124, 132)) ('mutational load', 'Var', (23, 38)) 6572 31959027 In GBM, preclinical testing suggests that blocking CTLA-4 alone results in enhanced long term survival. ('enhanced', 'PosReg', (75, 83)) ('CTLA-4', 'Gene', (51, 57)) ('blocking', 'Var', (42, 50)) ('long term survival', 'CPA', (84, 102)) ('CTLA-4', 'Gene', '1493', (51, 57)) 6587 31959027 Mutation in the epidermal growth factor receptor (EGFR variant III (EGFRvIII)) is the most common gain of function mutation in high grade glioma. ('glioma', 'Disease', (138, 144)) ('epidermal growth factor receptor', 'Gene', '1956', (16, 48)) ('gain of function', 'PosReg', (98, 114)) ('Mutation', 'Var', (0, 8)) ('EGFR', 'Gene', '1956', (50, 54)) ('glioma', 'Phenotype', 'HP:0009733', (138, 144)) ('EGFR', 'Gene', '1956', (68, 72)) ('glioma', 'Disease', 'MESH:D005910', (138, 144)) ('epidermal growth factor receptor', 'Gene', (16, 48)) ('EGFR', 'Gene', (50, 54)) ('EGFR', 'Gene', (68, 72)) 6595 31959027 MAb806 (now known as ABT-806) inhibited growth of EGFRvIII-positive human glioma xenografts. ('glioma', 'Disease', 'MESH:D005910', (74, 80)) ('human', 'Species', '9606', (68, 73)) ('inhibited', 'NegReg', (30, 39)) ('MAb806', 'Var', (0, 6)) ('EGFR', 'Gene', '1956', (50, 54)) ('glioma', 'Disease', (74, 80)) ('MAb806', 'Chemical', 'MESH:C518939', (0, 6)) ('growth', 'CPA', (40, 46)) ('EGFR', 'Gene', (50, 54)) ('ABT-806', 'Chemical', 'MESH:C000604456', (21, 28)) ('glioma', 'Phenotype', 'HP:0009733', (74, 80)) 6621 31959027 Moreover, other modifications have been tested to increase the proliferation and persistence of CAR T-cells in the tumor microenvironment. ('proliferation', 'CPA', (63, 76)) ('rat', 'Species', '10116', (70, 73)) ('tumor', 'Phenotype', 'HP:0002664', (115, 120)) ('CAR', 'Gene', (96, 99)) ('tumor', 'Disease', (115, 120)) ('increase', 'PosReg', (50, 58)) ('modifications', 'Var', (16, 29)) ('persistence', 'CPA', (81, 92)) ('CAR', 'Gene', '19674', (96, 99)) ('tumor', 'Disease', 'MESH:D009369', (115, 120)) 6648 31959027 This trial also demonstrated that Delta-24-RGD replicates and spreads within the tumor, leading to immunogenic tumor cell death and enhancement of T lymphocyte tumor infiltration (Table 2). ('Delta-24', 'Chemical', '-', (34, 42)) ('tumor', 'Disease', 'MESH:D009369', (111, 116)) ('enhancement', 'PosReg', (132, 143)) ('tumor', 'Phenotype', 'HP:0002664', (111, 116)) ('rat', 'Species', '10116', (23, 26)) ('immunogenic tumor cell death', 'Disease', (99, 127)) ('tumor', 'Disease', 'MESH:D009369', (160, 165)) ('tumor', 'Disease', (111, 116)) ('Delta-24-RGD', 'Var', (34, 46)) ('tumor', 'Disease', 'MESH:D009369', (81, 86)) ('tumor', 'Phenotype', 'HP:0002664', (160, 165)) ('rat', 'Species', '10116', (172, 175)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('tumor', 'Disease', (160, 165)) ('immunogenic tumor cell death', 'Disease', 'MESH:D003643', (99, 127)) ('tumor', 'Disease', (81, 86)) ('T lymphocyte tumor', 'Phenotype', 'HP:0012190', (147, 165)) 6665 31959027 As described, mutation in IDH1 (IDH1-R132H) is a hallmark genetic marker in a subset of gliomas. ('IDH1', 'Gene', (32, 36)) ('IDH1', 'Gene', (26, 30)) ('gliomas', 'Disease', (88, 95)) ('IDH1', 'Gene', '15926', (32, 36)) ('mutation', 'Var', (14, 22)) ('gliomas', 'Disease', 'MESH:D005910', (88, 95)) ('R132H', 'Mutation', 'rs1034749666', (37, 42)) ('gliomas', 'Phenotype', 'HP:0009733', (88, 95)) ('IDH1', 'Gene', '15926', (26, 30)) ('glioma', 'Phenotype', 'HP:0009733', (88, 94)) 6669 31959027 As a consequence, mutant IDH1 glioma cells exhibit metabolic and epigenetic reprogramming that impacts tumor development and cellular signaling. ('IDH1 glioma', 'Disease', 'MESH:D005910', (25, 36)) ('cellular signaling', 'MPA', (125, 143)) ('epigenetic reprogramming', 'CPA', (65, 89)) ('tumor', 'Phenotype', 'HP:0002664', (103, 108)) ('impacts tumor', 'Disease', 'MESH:D014095', (95, 108)) ('impacts tumor', 'Disease', (95, 108)) ('mutant', 'Var', (18, 24)) ('metabolic', 'CPA', (51, 60)) ('IDH1 glioma', 'Disease', (25, 36)) ('glioma', 'Phenotype', 'HP:0009733', (30, 36)) 6673 31959027 The mechanisms are likely closely related to the epigenetic changes in gene expression induced by mutant IDH1 activity. ('IDH1', 'Gene', (105, 109)) ('IDH1', 'Gene', '15926', (105, 109)) ('activity', 'MPA', (110, 118)) ('mutant', 'Var', (98, 104)) 6674 31959027 It has been reported that mutant IDH1 blocks cell differentiation and inhibition of 2-HG production decreases cell proliferation, delaying growth of mutant IDH1 expressing xenografts. ('inhibition', 'NegReg', (70, 80)) ('cell differentiation', 'CPA', (45, 65)) ('IDH1', 'Gene', (156, 160)) ('delaying', 'NegReg', (130, 138)) ('IDH1', 'Gene', (33, 37)) ('blocks', 'NegReg', (38, 44)) ('mutant', 'Var', (149, 155)) ('growth', 'CPA', (139, 145)) ('IDH1', 'Gene', '15926', (156, 160)) ('decreases', 'NegReg', (100, 109)) ('2-HG', 'Chemical', '-', (84, 88)) ('IDH1', 'Gene', '15926', (33, 37)) ('rat', 'Species', '10116', (122, 125)) ('cell proliferation', 'CPA', (110, 128)) ('mutant', 'Var', (26, 32)) ('delaying growth', 'Phenotype', 'HP:0001510', (130, 145)) 6675 31959027 Recently, use of a brain penetrant inhibitor resulted in improved median survival in an intracranial mutant IDH1 glioma model. ('glioma', 'Phenotype', 'HP:0009733', (113, 119)) ('IDH1 glioma', 'Disease', 'MESH:D005910', (108, 119)) ('mutant', 'Var', (101, 107)) ('IDH1 glioma', 'Disease', (108, 119)) ('median survival', 'MPA', (66, 81)) ('improved', 'PosReg', (57, 65)) 6677 31959027 Disruption of mutant IDH1 is a potential therapeutic target for glioma patients that express this molecular alteration. ('glioma', 'Phenotype', 'HP:0009733', (64, 70)) ('IDH1', 'Gene', '15926', (21, 25)) ('mutant', 'Var', (14, 20)) ('patients', 'Species', '9606', (71, 79)) ('rat', 'Species', '10116', (112, 115)) ('IDH1', 'Gene', (21, 25)) ('glioma', 'Disease', (64, 70)) ('glioma', 'Disease', 'MESH:D005910', (64, 70)) ('Disruption', 'Var', (0, 10)) 6678 31959027 A phase I clinical trial demonstrated a 70% of reduction of 2-HG in mutant IDH1 gliomas with an impact on metabolic reprograming and cell density. ('IDH1 gliomas', 'Disease', (75, 87)) ('metabolic reprograming', 'CPA', (106, 128)) ('rat', 'Species', '10116', (32, 35)) ('gliomas', 'Phenotype', 'HP:0009733', (80, 87)) ('reduction', 'NegReg', (47, 56)) ('2-HG', 'Chemical', '-', (60, 64)) ('glioma', 'Phenotype', 'HP:0009733', (80, 86)) ('2-HG', 'MPA', (60, 64)) ('IDH1 gliomas', 'Disease', 'MESH:D005910', (75, 87)) ('mutant', 'Var', (68, 74)) 6681 31959027 Our team recently reported that IDH1-R132H in combination with loss of TP53 and ATRX, increases HR DNA repair and induces radioresistance in glioma, a phenomenon that is reversed by using DDR response inhibitors. ('loss', 'Var', (63, 67)) ('IDH1', 'Gene', (32, 36)) ('increases', 'PosReg', (86, 95)) ('glioma', 'Phenotype', 'HP:0009733', (141, 147)) ('radioresistance', 'CPA', (122, 137)) ('glioma', 'Disease', 'MESH:D005910', (141, 147)) ('IDH1', 'Gene', '15926', (32, 36)) ('R132H', 'Mutation', 'rs1034749666', (37, 42)) ('induces', 'Reg', (114, 121)) ('ATRX', 'Gene', (80, 84)) ('TP53', 'Gene', (71, 75)) ('DDR', 'Chemical', '-', (188, 191)) ('HR DNA repair', 'MPA', (96, 109)) ('glioma', 'Disease', (141, 147)) 6685 31959027 Although mutations in IDH1 are found in 50 to 80% of low-grade glioma, only 12% of GBMs express this mutation. ('mutations', 'Var', (9, 18)) ('glioma', 'Disease', 'MESH:D005910', (63, 69)) ('IDH1', 'Gene', (22, 26)) ('glioma', 'Phenotype', 'HP:0009733', (63, 69)) ('IDH1', 'Gene', '15926', (22, 26)) ('found', 'Reg', (31, 36)) ('glioma', 'Disease', (63, 69)) 6688 31959027 For instance, in a longitudinal analysis of 50 mutant IDH1 patients, six cases had copy number alterations (CNA) at the IDH1 endogenous locus in recurrent tumors samples when compared to the primary mIDH1 glioma. ('IDH1', 'Gene', (200, 204)) ('copy number alterations', 'Var', (83, 106)) ('IDH1', 'Gene', (120, 124)) ('IDH1 glioma', 'Disease', (200, 211)) ('glioma', 'Phenotype', 'HP:0009733', (205, 211)) ('IDH1', 'Gene', (54, 58)) ('tumors', 'Phenotype', 'HP:0002664', (155, 161)) ('patients', 'Species', '9606', (59, 67)) ('mIDH1', 'Gene', '15926', (199, 204)) ('mutant', 'Var', (47, 53)) ('mIDH1', 'Gene', (199, 204)) ('tumor', 'Phenotype', 'HP:0002664', (155, 160)) ('IDH1', 'Gene', '15926', (200, 204)) ('rat', 'Species', '10116', (99, 102)) ('tumors', 'Disease', (155, 161)) ('IDH1', 'Gene', '15926', (120, 124)) ('IDH1 glioma', 'Disease', 'MESH:D005910', (200, 211)) ('IDH1', 'Gene', '15926', (54, 58)) ('tumors', 'Disease', 'MESH:D009369', (155, 161)) 6689 31959027 Deletion or amplification of mutant IDH1 locus led to reduced 2HG and transformation to more aggressive grade IV glioblastoma. ('glioblastoma', 'Disease', (113, 125)) ('2HG', 'CPA', (62, 65)) ('IDH1', 'Gene', (36, 40)) ('transformation', 'Reg', (70, 84)) ('glioblastoma', 'Disease', 'MESH:D005909', (113, 125)) ('glioblastoma', 'Phenotype', 'HP:0012174', (113, 125)) ('mutant', 'Var', (29, 35)) ('amplification', 'Var', (12, 25)) ('IDH1', 'Gene', '15926', (36, 40)) ('reduced', 'NegReg', (54, 61)) ('Deletion', 'Var', (0, 8)) 6690 31959027 These findings indicate that heterogeneity within the primary tumor could lead to resistance to mIDH1 inhibitor treatment, making mutant IDH1 a passenger upon tumor recurrence. ('IDH1', 'Gene', (97, 101)) ('tumor', 'Phenotype', 'HP:0002664', (62, 67)) ('IDH1', 'Gene', '15926', (97, 101)) ('lead to', 'Reg', (74, 81)) ('mIDH1', 'Gene', '15926', (96, 101)) ('tumor', 'Phenotype', 'HP:0002664', (159, 164)) ('mIDH1', 'Gene', (96, 101)) ('tumor', 'Disease', (62, 67)) ('IDH1', 'Gene', (137, 141)) ('tumor', 'Disease', (159, 164)) ('resistance', 'MPA', (82, 92)) ('IDH1', 'Gene', '15926', (137, 141)) ('mutant', 'Var', (130, 136)) ('tumor', 'Disease', 'MESH:D009369', (159, 164)) ('tumor', 'Disease', 'MESH:D009369', (62, 67)) 6691 31959027 In conclusion, IDH1 mutant tumors are unique entities and understanding this biology may lead to novel treatment strategies. ('tumor', 'Phenotype', 'HP:0002664', (27, 32)) ('rat', 'Species', '10116', (115, 118)) ('IDH1', 'Gene', (15, 19)) ('tumors', 'Disease', (27, 33)) ('tumors', 'Disease', 'MESH:D009369', (27, 33)) ('lead', 'Reg', (89, 93)) ('IDH1', 'Gene', '15926', (15, 19)) ('tumors', 'Phenotype', 'HP:0002664', (27, 33)) ('mutant', 'Var', (20, 26)) 6693 31959027 Therefore, subtypes of mutant IDH1 glioma should be studied independently in order to best define potential novel targeted therapies. ('IDH1 glioma', 'Disease', (30, 41)) ('glioma', 'Phenotype', 'HP:0009733', (35, 41)) ('IDH1 glioma', 'Disease', 'MESH:D005910', (30, 41)) ('mutant', 'Var', (23, 29)) 6694 31959027 Inhibition of 2-HG production and modulation of the signal cascade involved in IDH1-R132H activity, including DDR, may serve as effective adjuvant treatment approaches for patients with mutant IDH1 gliomas. ('IDH1', 'Gene', (193, 197)) ('IDH1', 'Gene', '15926', (79, 83)) ('IDH1', 'Gene', '15926', (193, 197)) ('IDH1 gliomas', 'Disease', 'MESH:D005910', (193, 205)) ('mutant', 'Var', (186, 192)) ('DDR', 'Chemical', '-', (110, 113)) ('gliomas', 'Phenotype', 'HP:0009733', (198, 205)) ('R132H', 'Mutation', 'rs1034749666', (84, 89)) ('glioma', 'Phenotype', 'HP:0009733', (198, 204)) ('IDH1 gliomas', 'Disease', (193, 205)) ('patients', 'Species', '9606', (172, 180)) ('2-HG', 'Chemical', '-', (14, 18)) ('IDH1', 'Gene', (79, 83)) ('2-HG', 'MPA', (14, 18)) 6701 31959027 One such modification using the tumor-penetrating peptide, iRGD, has been shown to facilitate the NP transport and CNS penetration for selective delivery of a variety of therapeutics or diagnostic agents to the tumor site. ('rat', 'Species', '10116', (124, 127)) ('CNS penetration', 'CPA', (115, 130)) ('NP transport', 'MPA', (98, 110)) ('tumor', 'Disease', 'MESH:D009369', (211, 216)) ('tumor', 'Disease', 'MESH:D009369', (32, 37)) ('rat', 'Species', '10116', (43, 46)) ('facilitate', 'PosReg', (83, 93)) ('tumor', 'Phenotype', 'HP:0002664', (32, 37)) ('tumor', 'Phenotype', 'HP:0002664', (211, 216)) ('tumor', 'Disease', (211, 216)) ('tumor', 'Disease', (32, 37)) ('modification', 'Var', (9, 21)) 6715 31959027 Thus, a single stereotactic injection of GMX-1778 resulted in the suppression of the intracerebral mutant IDH1 tumor growth when compared to control mice that were injected with blank PLGA microparticles. ('intracerebral', 'Disease', 'MESH:D002543', (85, 98)) ('tumor', 'Disease', 'MESH:D009369', (111, 116)) ('tumor', 'Phenotype', 'HP:0002664', (111, 116)) ('GMX-1778', 'Var', (41, 49)) ('tumor', 'Disease', (111, 116)) ('IDH1', 'Gene', (106, 110)) ('mice', 'Species', '10090', (149, 153)) ('GMX-1778', 'Chemical', 'MESH:C401312', (41, 49)) ('IDH1', 'Gene', '15926', (106, 110)) ('intracerebral', 'Disease', (85, 98)) ('suppression', 'NegReg', (66, 77)) 6735 31959027 Patients receiving TMZ and IR after surgery showed a 2.5-month survival advantage compared with those receiving adjuvant radiotherapy alone. ('Patients', 'Species', '9606', (0, 8)) ('TMZ', 'Var', (19, 22)) ('advantage', 'PosReg', (72, 81)) ('TMZ', 'Chemical', 'MESH:D000077204', (19, 22)) 6753 31959027 These therapies along with targeting known mutations, such as in mutant IDH1, represent exciting avenues for future drug development. ('mutant', 'Var', (65, 71)) ('IDH1', 'Gene', (72, 76)) ('IDH1', 'Gene', '15926', (72, 76)) 6777 31410219 The expression of EGFR in serum EVs can accurately differentiate high-grade and low-grade glioma patients, and EGFR in EVs positively correlates with ki-67 LI in the tumor tissue. ('tumor', 'Disease', 'MESH:D009369', (166, 171)) ('EGFR', 'Var', (111, 115)) ('glioma', 'Disease', (90, 96)) ('tumor', 'Phenotype', 'HP:0002664', (166, 171)) ('glioma', 'Disease', 'MESH:D005910', (90, 96)) ('tumor', 'Disease', (166, 171)) ('EGFR', 'Gene', (18, 22)) ('rat', 'Species', '10116', (44, 47)) ('glioma', 'Phenotype', 'HP:0009733', (90, 96)) ('high-grade', 'Disease', (65, 75)) ('patients', 'Species', '9606', (97, 105)) 6789 31410219 For instance, changes (e.g., mutation and methylation) in the serum DNAs (ctDNAs), such as MGMT, EGFR, and PTEN, have been proven to be effective biomarkers of glioma and may have the potential for the diagnosis of glioma. ('mutation', 'Var', (29, 37)) ('glioma', 'Disease', 'MESH:D005910', (160, 166)) ('PTEN', 'Gene', (107, 111)) ('glioma', 'Disease', 'MESH:D005910', (215, 221)) ('PTEN', 'Gene', '5728', (107, 111)) ('MGMT', 'Gene', (91, 95)) ('glioma', 'Disease', (160, 166)) ('glioma', 'Phenotype', 'HP:0009733', (215, 221)) ('glioma', 'Disease', (215, 221)) ('changes', 'Reg', (14, 21)) ('methylation', 'Var', (42, 53)) ('MGMT', 'Gene', '4255', (91, 95)) ('glioma', 'Phenotype', 'HP:0009733', (160, 166)) 6813 31410219 Some evidence also showed that the expression of EGFR has some relationship with glioma patient prognosis, although this conclusion has been contradicted by other studies, and the prognostic value of EGFR for glioma has not been demonstrated to date. ('patient', 'Species', '9606', (88, 95)) ('glioma', 'Phenotype', 'HP:0009733', (81, 87)) ('glioma', 'Disease', 'MESH:D005910', (209, 215)) ('glioma', 'Phenotype', 'HP:0009733', (209, 215)) ('rat', 'Species', '10116', (236, 239)) ('EGFR', 'Gene', (49, 53)) ('glioma', 'Disease', (81, 87)) ('glioma', 'Disease', (209, 215)) ('relationship', 'Reg', (63, 75)) ('expression', 'Var', (35, 45)) ('glioma', 'Disease', 'MESH:D005910', (81, 87)) 6848 31410219 Then, 100 muL of secondary antibody (anti-rat, ab150157, Abcam, dilution 1/1000 or anti-goat, ab150127, Abcam, dilution 1/1000) was added and incubated for 30 min with steady rotation (rotating speed 220 rpm/min) at room temperature. ('goat', 'Species', '9925', (88, 92)) ('ab150127', 'Var', (94, 102)) ('ab150157', 'Var', (47, 55)) ('steady rotation', 'Disease', 'MESH:D009069', (168, 183)) ('rat', 'Species', '10116', (226, 229)) ('steady rotation', 'Disease', (168, 183)) ('rat', 'Species', '10116', (42, 45)) 6859 31410219 Anti-CD81, CST, sc166029, 1/500. ('CD81', 'Gene', (5, 9)) ('CD81', 'Gene', '975', (5, 9)) ('sc166029', 'Var', (16, 24)) 6864 31410219 Forward primer sequence for NLGN3 mRNAs: F- 5'-GGGAGTCCCCTTTCTGAAGC-3', reverse primer for all NLGN3 mRNAs: R-5'-CCTTCATGGCCACACTGACT-3'. ('NLGN3', 'Gene', (95, 100)) ('NLGN3', 'Gene', '54413', (95, 100)) ('NLGN3', 'Gene', (28, 33)) ('NLGN3', 'Gene', '54413', (28, 33)) ("R-5'-CCTTCATGGCCACACTGACT-3", 'Var', (108, 135)) 6865 31410219 Forward primer sequence for GAPDH mRNAs: F-5'- GAGAAGGCTGGGGCTCATTT-3', reverse primer for all GADPH mRNAs: R-5'-AGTGATGGCATGGACTGTGG-3'. ('GAPDH', 'Gene', '2597', (28, 33)) ("R-5'-AGTGATGGCATGGACTGTGG-3", 'Var', (108, 135)) ('GAPDH', 'Gene', (28, 33)) 6873 31410219 Different quantities of EVs were bound on the beads, and captured EVs were labeled with FMTM4-64FX, a dye to label EV membranes. ('bound', 'Interaction', (33, 38)) ('FMTM4-64FX', 'Chemical', '-', (88, 98)) ('FMTM4-64FX', 'Var', (88, 98)) 6878 31410219 As expected, the expression of EGFR was significantly higher in the glioma cell lines U87MG (unpaired Student's t-test, ***P < 0.0001) and U251 (unpaired Student's t-test, ***P < 0.0001) than in the normal HA cell line (Figure 2A, 2B), which was in line with the previous studies showing that EGFR was highly expressed in glioma cells. ('glioma', 'Disease', 'MESH:D005910', (68, 74)) ('glioma', 'Phenotype', 'HP:0009733', (68, 74)) ('higher', 'PosReg', (54, 60)) ('U251', 'Var', (139, 143)) ('expression', 'MPA', (17, 27)) ('EGFR', 'Gene', (31, 35)) ('glioma', 'Disease', (322, 328)) ('glioma', 'Disease', (68, 74)) ('U87MG', 'CellLine', 'CVCL:0022', (86, 91)) ('glioma', 'Disease', 'MESH:D005910', (322, 328)) ('glioma', 'Phenotype', 'HP:0009733', (322, 328)) ('U87MG', 'Var', (86, 91)) 6879 31410219 Similarly, the expression of EGFR in the cell-derived EVs was significantly higher in the glioma cells U87MG (unpaired Student's t-test, **P < 0.01) and U251 (unpaired Student's t-test, **P < 0.01) than in the normal HA cells (Figure 2C, 2D), in the same tendency as the expression of EGFR in the parental cell lines, indicating that the expression of EGFR in the EVs was associated with the expression in the parental cells. ('U87MG', 'Var', (103, 108)) ('glioma', 'Disease', (90, 96)) ('U251', 'Var', (153, 157)) ('glioma', 'Disease', 'MESH:D005910', (90, 96)) ('glioma', 'Phenotype', 'HP:0009733', (90, 96)) ('expression', 'MPA', (338, 348)) ('EGFR', 'Gene', (29, 33)) ('expression', 'MPA', (15, 25)) ('higher', 'PosReg', (76, 82)) ('U87MG', 'CellLine', 'CVCL:0022', (103, 108)) 6880 31410219 These differences were further verified by Western blot analyses showing a significant band of EGFR in EVs extracted from U87MG and U251 and a negligible band in HA cells (Figure 2E). ('U87MG', 'Var', (122, 127)) ('U251', 'Var', (132, 136)) ('U87MG', 'CellLine', 'CVCL:0022', (122, 127)) ('EGFR', 'Gene', (95, 99)) 6904 31410219 Ki-67 LI, the percentage of ki-67-positive cells examined normally by immunohistochemical (IHC) staining, has been shown to be associated with the high malignancy and poor outcome of tumors. ('Ki-67', 'Var', (0, 5)) ('associated', 'Reg', (127, 137)) ('tumor', 'Phenotype', 'HP:0002664', (183, 188)) ('malignancy', 'Disease', 'MESH:D009369', (152, 162)) ('malignancy', 'Disease', (152, 162)) ('tumors', 'Phenotype', 'HP:0002664', (183, 189)) ('tumors', 'Disease', 'MESH:D009369', (183, 189)) ('tumors', 'Disease', (183, 189)) 6906 31410219 Moreover, a high value of ki-67 LI has also been reported to be correlated with EGFR mutations in NSCL patients and to be a prognostic indicator for NSCLC. ('NSCL', 'Disease', 'None', (149, 153)) ('NSCL', 'Disease', (149, 153)) ('NSCLC', 'Disease', 'MESH:D002289', (149, 154)) ('NSCLC', 'Disease', (149, 154)) ('NSCL', 'Disease', 'None', (98, 102)) ('EGFR', 'Gene', (80, 84)) ('NSCL', 'Disease', (98, 102)) ('mutations', 'Var', (85, 94)) ('correlated', 'Reg', (64, 74)) ('patients', 'Species', '9606', (103, 111)) 6967 31306418 They are slowly growing, infiltrative tumors with isocitrate dehydrogenase 1 or 2 mutations and codeletion of chromosomal arms 1p and 19q. ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('tumors', 'Disease', (38, 44)) ('tumors', 'Phenotype', 'HP:0002664', (38, 44)) ('tumors', 'Disease', 'MESH:D009369', (38, 44)) ('mutations', 'Var', (82, 91)) 7017 31306418 Uniform distributions were taken for the parameters in the most representative region of the parameter space obtained from Table 1: rho [0.5 x 10-3, 2.5 x 10-3] day- 1, alpha1 [0.01, 1.0] cm3/mug day, alpha2 [0.1, 0.75] cm3/mug day, P(0) [20, 200], K [300, 550] cm3. ('alpha1', 'Gene', '146', (171, 177)) ('alpha1', 'Gene', (171, 177)) ('alpha2 [0.1', 'Var', (205, 218)) 7088 31306418 The induction of persisters in glioma cells has been known to be partially reverted by 'drug wash-out' suggesting the contribution of epigenetic mechanisms in drug resistance and supporting the possibility of TMZ rechallenge in glioma patients after prior drug exposure, provided there is a sufficiently long waiting time between treatments. ('glioma', 'Disease', (228, 234)) ('patients', 'Species', '9606', (235, 243)) ('glioma', 'Disease', 'MESH:D005910', (31, 37)) ('drug resistance', 'Phenotype', 'HP:0020174', (159, 174)) ('TMZ', 'Chemical', 'MESH:D000077204', (209, 212)) ('glioma', 'Phenotype', 'HP:0009733', (31, 37)) ('epigenetic', 'Var', (134, 144)) ('glioma', 'Disease', 'MESH:D005910', (228, 234)) ('glioma', 'Phenotype', 'HP:0009733', (228, 234)) ('glioma', 'Disease', (31, 37)) 7164 27229157 Pilocytic astrocytomas were found to have a distinctive signature at 315 CpG sites, of which 312 were hypomethylated and 3 were hypermethylated. ('Pilocytic astrocytomas', 'Disease', (0, 22)) ('hypomethylated', 'Var', (102, 116)) ('astrocytoma', 'Phenotype', 'HP:0009592', (10, 21)) ('Pilocytic astrocytomas', 'Disease', 'MESH:D001254', (0, 22)) 7171 27229157 Pilocytic astrocytomas typically contain a BRAF fusion but occasionally a BRAFV600E mutation, RAF1 fusion, intragenic duplication of FGFR1, or other rarer alterations are present. ('RAF1', 'Gene', (94, 98)) ('fusion', 'Var', (99, 105)) ('Pilocytic astrocytomas', 'Disease', (0, 22)) ('RAF1', 'Gene', '5894', (94, 98)) ('FGFR1', 'Gene', (133, 138)) ('FGFR1', 'Gene', '2260', (133, 138)) ('BRAF', 'Gene', '673', (43, 47)) ('BRAF', 'Gene', (74, 78)) ('BRAF', 'Gene', '673', (74, 78)) ('astrocytoma', 'Phenotype', 'HP:0009592', (10, 21)) ('BRAF', 'Gene', (43, 47)) ('Pilocytic astrocytomas', 'Disease', 'MESH:D001254', (0, 22)) ('BRAFV600E', 'Mutation', 'rs113488022', (74, 83)) ('contain', 'Reg', (33, 40)) ('mutation', 'Var', (84, 92)) 7173 27229157 Various genetic alterations have been identified in diffuse astrocytomas, including BRAFV600E mutations, intragenic duplication of FGFR1, structural alterations of the MYB oncogene and gene fusions involving FGFR1, FGFR3, MYB and MYBL1. ('structural alterations', 'Var', (138, 160)) ('FGFR3', 'Gene', (215, 220)) ('MYB', 'Gene', '4602', (168, 171)) ('FGFR3', 'Gene', '2261', (215, 220)) ('MYB', 'Gene', (168, 171)) ('FGFR1', 'Gene', '2260', (131, 136)) ('MYBL1', 'Gene', (230, 235)) ('BRAFV600E', 'Mutation', 'rs113488022', (84, 93)) ('MYBL1', 'Gene', '4603', (230, 235)) ('MYB', 'Gene', '4602', (230, 233)) ('MYB', 'Gene', (230, 233)) ('astrocytomas', 'Disease', (60, 72)) ('FGFR1', 'Gene', '2260', (208, 213)) ('mutations', 'Var', (94, 103)) ('astrocytoma', 'Phenotype', 'HP:0009592', (60, 71)) ('MYB', 'Gene', '4602', (222, 225)) ('MYB', 'Gene', (222, 225)) ('FGFR1', 'Gene', (131, 136)) ('BRAFV600E', 'Gene', (84, 93)) ('gene fusions', 'Var', (185, 197)) ('astrocytomas', 'Disease', 'MESH:D001254', (60, 72)) ('FGFR1', 'Gene', (208, 213)) 7174 27229157 Virtually all the key genetic alterations in pilocytic and diffuse astrocytomas give rise to constitutive activation of the ERK/MAPK pathway, but these tumour types exhibit significant biological and clinical heterogeneity. ('tumour', 'Disease', 'MESH:D009369', (152, 158)) ('ERK', 'Gene', (124, 127)) ('tumour', 'Disease', (152, 158)) ('astrocytomas give rise', 'Disease', 'MESH:D001254', (67, 89)) ('pilocytic', 'Disease', (45, 54)) ('clinical', 'Species', '191496', (200, 208)) ('genetic alterations', 'Var', (22, 41)) ('alterations', 'Var', (30, 41)) ('tumour', 'Phenotype', 'HP:0002664', (152, 158)) ('astrocytoma', 'Phenotype', 'HP:0009592', (67, 78)) ('activation', 'PosReg', (106, 116)) ('ERK', 'Gene', '2048', (124, 127)) ('astrocytomas give rise', 'Disease', (67, 89)) 7193 27229157 The linear model with the factor of interest (tumour type - pilocytic, diffuse, control) was computed, with other varying factors: bead chip number (1-5), BRAF status (fusion, V600E mutation, WT), sample location (infratentorial/supratentorial), age group (foetal/HNSC, <3 years, > = 3 years, >16 years) and gender included. ('BRAF', 'Gene', (155, 159)) ('tumour', 'Phenotype', 'HP:0002664', (46, 52)) ('tumour', 'Disease', (46, 52)) ('fusion', 'Var', (168, 174)) ('V600E mutation', 'Var', (176, 190)) ('V600E', 'Mutation', 'rs113488022', (176, 181)) ('BRAF', 'Gene', '673', (155, 159)) ('tumour', 'Disease', 'MESH:D009369', (46, 52)) 7214 27229157 Unlike other cancers where changes are mainly identified in the shores, the majority of the differentially methylated CpGs were found to be located in open sea regions. ('cancer', 'Phenotype', 'HP:0002664', (13, 19)) ('CpGs', 'Gene', (118, 122)) ('cancers', 'Disease', 'MESH:D009369', (13, 20)) ('cancers', 'Phenotype', 'HP:0002664', (13, 20)) ('differentially methylated', 'Var', (92, 117)) ('cancers', 'Disease', (13, 20)) 7217 27229157 The majority of these sites are hypomethylated in pilocytic astrocytomas and the distinctive signature was not present in normal brain controls (Fig. ('pilocytic astrocytomas', 'Disease', (50, 72)) ('hypomethylated', 'Var', (32, 46)) ('astrocytoma', 'Phenotype', 'HP:0009592', (60, 71)) ('pilocytic astrocytomas', 'Disease', 'MESH:D001254', (50, 72)) 7226 27229157 The hypomethylation signature was not present in other low-grade astrocytomas (adult gliomas -TCGA), paediatric and adult glioblastomas (GSE36278), medulloblastomas or ependymomas (GSE45353; Additional file 3: Figures S9 and S10; Additional file 9: Table S8). ('medulloblastomas or ependymomas', 'Disease', (148, 179)) ('glioblastomas', 'Phenotype', 'HP:0012174', (122, 135)) ('astrocytomas', 'Disease', 'MESH:D001254', (65, 77)) ('GSE45353', 'Var', (181, 189)) ('gliomas', 'Disease', (85, 92)) ('adult glioblastomas', 'Disease', 'MESH:D005909', (116, 135)) ('astrocytoma', 'Phenotype', 'HP:0009592', (65, 76)) ('S10', 'Gene', '9861', (225, 228)) ('gliomas', 'Disease', 'MESH:D005910', (85, 92)) ('GSE36278', 'Var', (137, 145)) ('adult glioblastomas', 'Disease', (116, 135)) ('S10', 'Gene', (225, 228)) ('astrocytomas', 'Disease', (65, 77)) ('gliomas', 'Phenotype', 'HP:0009733', (85, 92)) ('glioma', 'Phenotype', 'HP:0009733', (85, 91)) ('medulloblastomas or ependymomas', 'Disease', 'MESH:D008527', (148, 179)) ('medulloblastoma', 'Phenotype', 'HP:0002885', (148, 163)) 7238 27229157 Interestingly, the SNP rs9344 (G870A), which is located within a CpG site at the splice site at exon 4 - intron 4, is abolished in the presence of the A-allele and has been reported to be associated with expression of CCND1b (Fig. ('associated', 'Reg', (188, 198)) ('CCND1', 'Gene', (218, 223)) ('G870A', 'Mutation', 'rs9344', (31, 36)) ('rs9344', 'Mutation', 'rs9344', (23, 29)) ('rs9344 (G870A', 'Var', (23, 36)) ('abolished', 'NegReg', (118, 127)) ('expression', 'MPA', (204, 214)) ('CCND1', 'Gene', '595', (218, 223)) 7240 27229157 Differential methylation was identified at the adjacent CpG site to the SNP showing hypomethylation in pilocytic astrocytomas. ('astrocytoma', 'Phenotype', 'HP:0009592', (113, 124)) ('pilocytic astrocytomas', 'Disease', 'MESH:D001254', (103, 125)) ('pilocytic astrocytomas', 'Disease', (103, 125)) ('hypomethylation', 'Var', (84, 99)) 7253 27229157 Of the genes that have differential methylation, expression of the down-regulated genes in the pilocytic astrocytomas are involved in neuronal differentiation and brain function, with the up-regulated genes involved in the inflammatory response, apoptosis, metabolic processes and MAPK pathway (Additional file 19: Table S18). ('pilocytic astrocytomas', 'Disease', 'MESH:D001254', (95, 117)) ('S18', 'Gene', (321, 324)) ('pilocytic astrocytomas', 'Disease', (95, 117)) ('S18', 'Gene', '6222', (321, 324)) ('neuronal differentiation', 'CPA', (134, 158)) ('up-regulated', 'PosReg', (188, 200)) ('brain function', 'CPA', (163, 177)) ('down-regulated', 'NegReg', (67, 81)) ('methylation', 'Var', (36, 47)) ('astrocytoma', 'Phenotype', 'HP:0009592', (105, 116)) 7255 27229157 All 72 CpG sites were also hypomethylated in the infratentorial pilocytic astrocytomas compared to the diffuse astrocytomas. ('pilocytic astrocytomas', 'Disease', 'MESH:D001254', (64, 86)) ('astrocytomas', 'Disease', (74, 86)) ('astrocytoma', 'Phenotype', 'HP:0009592', (74, 85)) ('astrocytomas', 'Disease', (111, 123)) ('astrocytomas', 'Disease', 'MESH:D001254', (111, 123)) ('astrocytoma', 'Phenotype', 'HP:0009592', (111, 122)) ('pilocytic astrocytomas', 'Disease', (64, 86)) ('astrocytomas', 'Disease', 'MESH:D001254', (74, 86)) ('hypomethylated', 'Var', (27, 41)) 7267 27229157 High expression of the oncogenic variant CCND1b may therefore be critical for tumorigenesis in diffuse astrocytomas, and suggests that defective splicing mechanisms may be present in these tumours, as shown for other malignancies. ('astrocytomas', 'Disease', (103, 115)) ('tumours', 'Disease', (189, 196)) ('tumorigenesis', 'CPA', (78, 91)) ('CCND1', 'Gene', '595', (41, 46)) ('tumour', 'Phenotype', 'HP:0002664', (189, 195)) ('astrocytomas', 'Disease', 'MESH:D001254', (103, 115)) ('variant', 'Var', (33, 40)) ('tumours', 'Disease', 'MESH:D009369', (189, 196)) ('malignancies', 'Disease', 'MESH:D009369', (217, 229)) ('astrocytoma', 'Phenotype', 'HP:0009592', (103, 114)) ('tumours', 'Phenotype', 'HP:0002664', (189, 196)) ('malignancies', 'Disease', (217, 229)) ('CCND1', 'Gene', (41, 46)) 7275 27229157 Distinct outputs of the MAPK pathway have been identified in melanoma and other malignancies with BRAFV600E and receptor tyrosine kinase mutations. ('MAPK pathway', 'Pathway', (24, 36)) ('melanoma', 'Phenotype', 'HP:0002861', (61, 69)) ('melanoma', 'Disease', (61, 69)) ('BRAFV600E', 'Var', (98, 107)) ('receptor tyrosine kinase', 'MPA', (112, 136)) ('malignancies', 'Disease', 'MESH:D009369', (80, 92)) ('melanoma', 'Disease', 'MESH:D008545', (61, 69)) ('BRAFV600E', 'Mutation', 'rs113488022', (98, 107)) ('malignancies', 'Disease', (80, 92)) 7276 27229157 Additionally, genetic alterations in mouse models of brain tumours often interfere with normal differentiation processes and give rise to tumours in a manner that is dependent on the tumour cell of origin, as reviewed recently. ('tumours', 'Phenotype', 'HP:0002664', (59, 66)) ('tumours', 'Phenotype', 'HP:0002664', (138, 145)) ('brain tumours', 'Disease', (53, 66)) ('rise to tumours', 'Disease', (130, 145)) ('tumour', 'Phenotype', 'HP:0002664', (59, 65)) ('tumour', 'Phenotype', 'HP:0002664', (138, 144)) ('mouse', 'Species', '10090', (37, 42)) ('tumour', 'Disease', 'MESH:D009369', (59, 65)) ('tumour', 'Disease', 'MESH:D009369', (138, 144)) ('tumour', 'Disease', (59, 65)) ('tumour', 'Disease', (138, 144)) ('brain tumours', 'Disease', 'MESH:D001932', (53, 66)) ('brain tumours', 'Phenotype', 'HP:0030692', (53, 66)) ('interfere', 'NegReg', (73, 82)) ('tumour', 'Phenotype', 'HP:0002664', (183, 189)) ('tumour', 'Disease', 'MESH:D009369', (183, 189)) ('genetic alterations', 'Var', (14, 33)) ('tumour', 'Disease', (183, 189)) ('normal differentiation processes', 'CPA', (88, 120)) ('rise to tumours', 'Disease', 'MESH:D009369', (130, 145)) 7283 27229157 Our findings highlight epigenetic differences between pilocytic and diffuse astrocytoma, in addition to the well-documented genomic alterations. ('astrocytoma', 'Disease', 'MESH:D001254', (76, 87)) ('epigenetic differences', 'Var', (23, 45)) ('astrocytoma', 'Disease', (76, 87)) ('astrocytoma', 'Phenotype', 'HP:0009592', (76, 87)) ('pilocytic', 'Disease', (54, 63)) 7307 32635409 In BraTS2015, there are four MRI sequences available for every patient: FLAIR, T1-weighted (T1), T2-weighted (T2), and T1-weighted (T1c). ('T2-weighted', 'Var', (97, 108)) ('T1-weighted', 'Var', (79, 90)) ('BraTS2015', 'Gene', (3, 12)) ('patient', 'Species', '9606', (63, 70)) ('T1-weighted', 'Var', (119, 130)) 7350 31786124 Patients with non-metastatic >5 cm, high-grade or unresectable tumor of any grade or size have an approximately 50% survival rate and constituted the intermediaterisk group, whereas patients with metastatic disease have a less than 20% survival rate and comprised the high-risk group. ('tumor', 'Disease', (63, 68)) ('Patients', 'Species', '9606', (0, 8)) ('high-grade', 'Var', (36, 46)) ('tumor', 'Disease', 'MESH:D009369', (63, 68)) ('patients', 'Species', '9606', (182, 190)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) 7401 31786124 Initiation of each chemotherapy cycle required an absolute neutrophil count >= 750/microliter, platelet count >= 75,000/microliter, total bilirubin <= 1 5x the upper limit of normal, and for doxorubicin-containing cycles except at week 4, a shortening fraction 24% or ejection fraction 50% on echocardiogram or multigated acquisition scan. ('total bilirubin', 'MPA', (132, 147)) ('doxorubicin', 'Chemical', 'MESH:D004317', (191, 202)) ('ejection fraction', 'MPA', (268, 285)) ('bilirubin', 'Chemical', 'MESH:D001663', (138, 147)) ('platelet', 'MPA', (95, 103)) ('shortening fraction 24%', 'Var', (241, 264)) 7437 31786124 Since intermediate-risk patients could undergo tumor resection prior to study entry or in a delayed fashion, we also evaluated whether the timing of surgery and the extent of resection (R0/R1 vs. R2/no resection, R0 vs. R1) influenced EFS/OS. ('influenced', 'Reg', (224, 234)) ('R0/R1', 'Var', (186, 191)) ('patients', 'Species', '9606', (24, 32)) ('tumor', 'Disease', 'MESH:D009369', (47, 52)) ('tumor', 'Phenotype', 'HP:0002664', (47, 52)) ('EFS/OS', 'MPA', (235, 241)) ('R0 vs. R1', 'Var', (213, 222)) ('tumor', 'Disease', (47, 52)) ('EFS/OS', 'CellLine', 'CVCL:5I29', (235, 241)) 7473 31786124 Isolated local recurrence/progression occurred in 4 of 103 low-grade R0 tumors (4%), 4 of 22 low-grade R1 tumors (18%), 5 of 80 <=5 cm high-grade R0 tumors (9%), and 2 of 17 <=5 cm high-grade R1 tumors (18%). ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('tumors', 'Disease', (195, 201)) ('tumors', 'Disease', 'MESH:D009369', (195, 201)) ('tumors', 'Phenotype', 'HP:0002664', (195, 201)) ('tumors', 'Phenotype', 'HP:0002664', (106, 112)) ('tumor', 'Phenotype', 'HP:0002664', (195, 200)) ('tumors', 'Disease', (106, 112)) ('tumors', 'Disease', 'MESH:D009369', (106, 112)) ('tumor', 'Phenotype', 'HP:0002664', (149, 154)) ('tumors', 'Disease', (72, 78)) ('tumors', 'Disease', 'MESH:D009369', (72, 78)) ('tumors', 'Phenotype', 'HP:0002664', (72, 78)) ('local recurrence/progression', 'CPA', (9, 37)) ('tumors', 'Disease', (149, 155)) ('tumors', 'Disease', 'MESH:D009369', (149, 155)) ('tumors', 'Phenotype', 'HP:0002664', (149, 155)) ('tumor', 'Phenotype', 'HP:0002664', (106, 111)) ('low-grade R0', 'Var', (59, 71)) 7479 31786124 As shown in Table 3, unresectable disease in intermediate-risk patients predicted poor EFS [29 6% (95% CI 9 7-49 5%) for R2/no resection vs. 70 5% (95% CI 63 5-77 4%) for R0/R1 resection, p<0 0001] and OS [58 0% (95% CI 37 6-78 5%) for R2/no resection vs. 82 5% (95% CI 76 7-88 2%) for R0/R1 resection, p<0 0001]. ('R2/no', 'Var', (121, 126)) ('EFS', 'MPA', (87, 90)) ('patients', 'Species', '9606', (63, 71)) 7565 30392137 Molecular markers like 1p/19q co-deletion, MGMT promoter methylation and mutation in IDH1 gene are strong predictors of survival for gliomas. ('glioma', 'Phenotype', 'HP:0009733', (133, 139)) ('gliomas', 'Disease', 'MESH:D005910', (133, 140)) ('MGMT', 'Gene', '4255', (43, 47)) ('IDH1', 'Gene', (85, 89)) ('MGMT', 'Gene', (43, 47)) ('gliomas', 'Disease', (133, 140)) ('gliomas', 'Phenotype', 'HP:0009733', (133, 140)) ('mutation', 'Var', (73, 81)) ('IDH1', 'Gene', '3417', (85, 89)) 7602 30392137 Cox multivariate regression was carried out in the training set on 1289 lncRNA controlling for effects from other covariates like age, gender, tumor grade and IDH1 mutation status. ('IDH1', 'Gene', (159, 163)) ('tumor', 'Disease', (143, 148)) ('IDH1', 'Gene', '3417', (159, 163)) ('mutation', 'Var', (164, 172)) ('tumor', 'Disease', 'MESH:D009369', (143, 148)) ('tumor', 'Phenotype', 'HP:0002664', (143, 148)) 7611 30392137 Despite its high variance, we tested whether including AF131216.5 in the final model will improve the performance of UVA9 on our training (TCGA) and testing dataset (CGGA). ('tested', 'Reg', (30, 36)) ('improve', 'PosReg', (90, 97)) ('AF131216.5', 'Var', (55, 65)) ('performance', 'MPA', (102, 113)) ('AF131216', 'Chemical', '-', (55, 63)) 7624 30392137 Interestingly, the risk score derived from UVA8 is higher in patients older than 40 years, patients in grade III vs grade II and patients harboring wild-type IDH1 gene (Figure S6). ('patients', 'Species', '9606', (91, 99)) ('patients', 'Species', '9606', (129, 137)) ('patients', 'Species', '9606', (61, 69)) ('IDH1', 'Gene', (158, 162)) ('higher', 'PosReg', (51, 57)) ('UVA8', 'Var', (43, 47)) ('IDH1', 'Gene', '3417', (158, 162)) 7641 30392137 As expected, prognostic signatures that were specific to GBMs (Zhang6_2013 and Zhou6_2017) show poor concordance index when used to predict survival of lower-grade glioma patients. ('glioma', 'Disease', 'MESH:D005910', (164, 170)) ('glioma', 'Phenotype', 'HP:0009733', (164, 170)) ('Zhou6_2017', 'Var', (79, 89)) ('patients', 'Species', '9606', (171, 179)) ('Zhang6_2013', 'Var', (63, 74)) ('poor', 'NegReg', (96, 100)) ('concordance', 'MPA', (101, 112)) ('glioma', 'Disease', (164, 170)) 7649 30392137 Out of 8, 6 lncRNAs (RP11-266K4.14, FLJ37035, RP11-118K6.3, RP11-142A22.3, LINC00641 and RP11-96H19.1) are clustered together because they are more negatively correlated with genes of interferon gamma response pathway (Figure 6C). ('RP11', 'Gene', '26121', (89, 93)) ('LINC00641', 'Gene', (75, 84)) ('RP11', 'Gene', '26121', (21, 25)) ('interferon gamma', 'Gene', '3458', (184, 200)) ('RP11', 'Gene', (46, 50)) ('negatively', 'NegReg', (148, 158)) ('RP11', 'Gene', '26121', (46, 50)) ('RP11', 'Gene', (60, 64)) ('H19.1', 'CellLine', 'CVCL:H782', (96, 101)) ('interferon gamma', 'Gene', (184, 200)) ('RP11', 'Gene', '26121', (60, 64)) ('RP11', 'Gene', (21, 25)) ('LINC00641', 'Gene', '283624', (75, 84)) ('RP11', 'Gene', (89, 93)) ('FLJ37035', 'Var', (36, 44)) 7654 30392137 Based on this dataset, there seems to be somatic mutations in these lncRNAs in other cancers (most prominently DGCR9) but no somatic mutations were found in the 8 lncRNAs in the TCGA lower grade glioma patients. ('DGCR9', 'Gene', '25787', (111, 116)) ('glioma', 'Phenotype', 'HP:0009733', (195, 201)) ('mutations', 'Var', (49, 58)) ('DGCR9', 'Gene', (111, 116)) ('cancers', 'Disease', 'MESH:D009369', (85, 92)) ('cancers', 'Phenotype', 'HP:0002664', (85, 92)) ('cancers', 'Disease', (85, 92)) ('patients', 'Species', '9606', (202, 210)) ('glioma', 'Disease', (195, 201)) ('cancer', 'Phenotype', 'HP:0002664', (85, 91)) ('glioma', 'Disease', 'MESH:D005910', (195, 201)) 7655 30392137 Thus, copy number variation by itself may be predictive for two of the lncRNAs (FLJ37035 and LINC01561), but oddly for the second, there is no correlation between the CNV and level of expression. ('LINC01561', 'Gene', '404216', (93, 102)) ('copy number variation', 'Var', (6, 27)) ('FLJ37035', 'Var', (80, 88)) ('LINC01561', 'Gene', (93, 102)) 7669 30392137 Except LINC01561, all 7 lncRNAs (RP11-266K4.14, FLJ37035, RP11-118K6.3, DGCR9, RP11-142A22.3, LINC00641 and RP11-96H19.1) are negatively correlated to most of the protein-coding genes which are up-regulated in response to interferon gamma/alpha, genes regulated by NF-kB in response to TNF, inflammatory response, and genes up-regulated by IL6 via STAT3. ('RP11', 'Gene', (108, 112)) ('interferon gamma/alpha', 'Gene', (222, 244)) ('RP11', 'Gene', '26121', (58, 62)) ('RP11', 'Gene', '26121', (33, 37)) ('interferon gamma/alpha', 'Gene', '3458', (222, 244)) ('DGCR9', 'Gene', '25787', (72, 77)) ('NF-kB', 'Gene', (265, 270)) ('up-regulated', 'PosReg', (324, 336)) ('RP11', 'Gene', '26121', (79, 83)) ('STAT3', 'Gene', (348, 353)) ('LINC00641', 'Gene', '283624', (94, 103)) ('LINC01561', 'Gene', (7, 16)) ('LINC01561', 'Gene', '404216', (7, 16)) ('H19.1', 'CellLine', 'CVCL:H782', (115, 120)) ('RP11', 'Gene', (58, 62)) ('STAT3', 'Gene', '6774', (348, 353)) ('IL6', 'Gene', '3569', (340, 343)) ('DGCR9', 'Gene', (72, 77)) ('TNF', 'Gene', (286, 289)) ('RP11', 'Gene', '26121', (108, 112)) ('RP11', 'Gene', (33, 37)) ('up-regulated', 'PosReg', (194, 206)) ('LINC00641', 'Gene', (94, 103)) ('RP11', 'Gene', (79, 83)) ('IL6', 'Gene', (340, 343)) ('FLJ37035', 'Var', (48, 56)) ('TNF', 'Gene', '7124', (286, 289)) 7676 30392137 For example, DRAIC expression predicts good outcome in gliomas, melanomas, and cancers of the prostate, stomach, liver, kidney and lung. ('gliomas', 'Disease', 'MESH:D005910', (55, 62)) ('DRAIC', 'Gene', '145837', (13, 18)) ('gliomas', 'Phenotype', 'HP:0009733', (55, 62)) ('gliomas', 'Disease', (55, 62)) ('melanomas', 'Disease', (64, 73)) ('DRAIC', 'Gene', (13, 18)) ('stomach', 'Disease', (104, 111)) ('kidney', 'Disease', (120, 126)) ('cancer', 'Phenotype', 'HP:0002664', (79, 85)) ('liver', 'Disease', (113, 118)) ('expression', 'Var', (19, 29)) ('melanomas', 'Phenotype', 'HP:0002861', (64, 73)) ('glioma', 'Phenotype', 'HP:0009733', (55, 61)) ('cancers of the prostate', 'Disease', (79, 102)) ('cancers of the prostate', 'Disease', 'MESH:D011471', (79, 102)) ('cancers', 'Phenotype', 'HP:0002664', (79, 86)) ('melanomas', 'Disease', 'MESH:D008545', (64, 73)) 7677 30392137 In contrast, expression of LINC00152/CYTOR is predictive of poor outcome in gliomas, and cancers of the head & neck, lung, kidney, liver and pancreas (our unpublished work). ('CYTOR', 'Gene', (37, 42)) ('LINC00152', 'Gene', '112597', (27, 36)) ('gliomas', 'Disease', (76, 83)) ('cancers', 'Phenotype', 'HP:0002664', (89, 96)) ('gliomas', 'Disease', 'MESH:D005910', (76, 83)) ('gliomas', 'Phenotype', 'HP:0009733', (76, 83)) ('cancers', 'Disease', 'MESH:D009369', (89, 96)) ('LINC00152', 'Gene', (27, 36)) ('and', 'Disease', (137, 140)) ('expression', 'Var', (13, 23)) ('CYTOR', 'Gene', '112597', (37, 42)) ('cancers', 'Disease', (89, 96)) ('glioma', 'Phenotype', 'HP:0009733', (76, 82)) ('cancer', 'Phenotype', 'HP:0002664', (89, 95)) 7743 30577835 The study that concluded this gene set observed the aberration in NSCLC with oncogenic form of KRAS and inactivated PTEN, in which condition resulted in shorter survival. ('KRAS', 'Gene', '3845', (95, 99)) ('NSCLC', 'Disease', (66, 71)) ('aberration', 'Var', (52, 62)) ('NSCLC', 'Disease', 'MESH:D002289', (66, 71)) ('shorter', 'NegReg', (153, 160)) ('KRAS', 'Gene', (95, 99)) ('PTEN', 'Gene', (116, 120)) ('survival', 'MPA', (161, 169)) 7911 27744512 Since it is not always possible to predict which patients will suffer from progressive neurocognitive deficits, or when, it is advisable to build proxy assessments into study designs from the start of brain tumor clinical trials as is currently the case in EORTC studies 26101 (NCT01290939) and 26091 (NCT01164189). ('cognitive deficits', 'Phenotype', 'HP:0100543', (92, 110)) ('NCT01290939', 'Var', (278, 289)) ('brain tumor', 'Phenotype', 'HP:0030692', (201, 212)) ('neurocognitive deficits', 'Disease', 'MESH:D019965', (87, 110)) ('brain tumor', 'Disease', 'MESH:D001932', (201, 212)) ('neurocognitive deficits', 'Phenotype', 'HP:0100543', (87, 110)) ('neurocognitive deficits', 'Disease', (87, 110)) ('tumor', 'Phenotype', 'HP:0002664', (207, 212)) ('patients', 'Species', '9606', (49, 57)) ('brain tumor', 'Disease', (201, 212)) ('men', 'Species', '9606', (158, 161)) 7991 32536040 The variable association between expression and methylation of estrogen receptors and the survival of patients with different tumors Estrogen receptor (ER) is essential in reproductive development and is also the primary driver of breast cancers. ('breast cancers', 'Disease', 'MESH:D001943', (231, 245)) ('tumors', 'Disease', (126, 132)) ('breast cancers', 'Disease', (231, 245)) ('tumors', 'Disease', 'MESH:D009369', (126, 132)) ('tumors', 'Phenotype', 'HP:0002664', (126, 132)) ('patients', 'Species', '9606', (102, 110)) ('cancer', 'Phenotype', 'HP:0002664', (238, 244)) ('ER', 'Gene', '2099', (152, 154)) ('breast cancer', 'Phenotype', 'HP:0003002', (231, 244)) ('tumor', 'Phenotype', 'HP:0002664', (126, 131)) ('breast cancers', 'Phenotype', 'HP:0003002', (231, 245)) ('methylation', 'Var', (48, 59)) ('cancers', 'Phenotype', 'HP:0002664', (238, 245)) 7992 32536040 Deregulation of ER may also be involved in tumorigenesis of other organs. ('Deregulation', 'Var', (0, 12)) ('involved', 'Reg', (31, 39)) ('tumor', 'Disease', 'MESH:D009369', (43, 48)) ('tumor', 'Phenotype', 'HP:0002664', (43, 48)) ('ER', 'Gene', '2099', (16, 18)) ('tumor', 'Disease', (43, 48)) 8001 32536040 Deregulation of ERs are involved in tumorigenesis of different organs. ('Deregulation', 'Var', (0, 12)) ('involved', 'Reg', (24, 32)) ('tumor', 'Disease', 'MESH:D009369', (36, 41)) ('ER', 'Gene', '2099', (16, 18)) ('tumor', 'Phenotype', 'HP:0002664', (36, 41)) ('tumor', 'Disease', (36, 41)) 8003 32536040 The expression/methylation of ESR1/2 were associated with survival of patients. ('ESR1/2', 'Gene', (30, 36)) ('patients', 'Species', '9606', (70, 78)) ('associated', 'Reg', (42, 52)) ('expression/methylation', 'MPA', (4, 26)) ('expression/methylation', 'Var', (4, 26)) ('ESR1/2', 'Gene', '2099;2100', (30, 36)) 8015 32536040 16 ESR1 mutations are frequently detected in ER+ metastatic breast cancer and may be associated with endocrine therapy resistance. ('detected', 'Reg', (34, 42)) ('cancer', 'Phenotype', 'HP:0002664', (68, 74)) ('breast cancer', 'Disease', (61, 74)) ('ESR1', 'Gene', (4, 8)) ('breast cancer', 'Phenotype', 'HP:0003002', (61, 74)) ('mutations', 'Var', (9, 18)) ('associated', 'Reg', (86, 96)) ('ER', 'Gene', '2099', (46, 48)) ('ESR1', 'Gene', '2099', (4, 8)) ('breast cancer', 'Disease', 'MESH:D001943', (61, 74)) 8032 32536040 We downloaded eight microarrays set from four different cancers, including GSE63514 and GSE63678 of cervical cancer; GSE73360 and GSE74602 of colorectal cancer; GSE76297 of cholangiocarcinoma; GSE87630, GSE112790, and GSE121248 of hepatocellular cancer. ('hepatocellular cancer', 'Disease', (231, 252)) ('cancers', 'Disease', 'MESH:D009369', (56, 63)) ('cancer', 'Disease', (153, 159)) ('cancer', 'Disease', 'MESH:D009369', (109, 115)) ('hepatocellular cancer', 'Phenotype', 'HP:0001402', (231, 252)) ('cancer', 'Phenotype', 'HP:0002664', (153, 159)) ('cancer', 'Disease', (56, 62)) ('hepatocellular cancer', 'Disease', 'MESH:D006528', (231, 252)) ('colorectal cancer', 'Disease', 'MESH:D015179', (142, 159)) ('GSE74602', 'Var', (130, 138)) ('cancer', 'Disease', (246, 252)) ('GSE63678', 'Var', (88, 96)) ('cancer', 'Phenotype', 'HP:0002664', (56, 62)) ('colorectal cancer', 'Disease', (142, 159)) ('cancer', 'Phenotype', 'HP:0002664', (246, 252)) ('GSE76297', 'Var', (161, 169)) ('carcinoma', 'Phenotype', 'HP:0030731', (182, 191)) ('cancers', 'Phenotype', 'HP:0002664', (56, 63)) ('cancers', 'Disease', (56, 63)) ('cancer', 'Disease', 'MESH:D009369', (153, 159)) ('cancer', 'Disease', (109, 115)) ('GSE112790', 'Var', (203, 212)) ('GSE121248', 'Var', (218, 227)) ('cancer', 'Phenotype', 'HP:0002664', (109, 115)) ('cancer', 'Disease', 'MESH:D009369', (56, 62)) ('cholangiocarcinoma', 'Phenotype', 'HP:0030153', (173, 191)) ('cancer', 'Disease', 'MESH:D009369', (246, 252)) ('GSE73360', 'Var', (117, 125)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (142, 159)) ('GSE63514', 'Var', (75, 83)) ('GSE87630', 'Var', (193, 201)) ('cholangiocarcinoma', 'Disease', (173, 191)) ('cholangiocarcinoma', 'Disease', 'MESH:D018281', (173, 191)) 8042 32536040 Methylation is a crucial epigenetic regulation mechanism; the DNA methylation in promoter regions is strongly associated with gene expression and could be a predictor of patients' prognosis. ('patients', 'Species', '9606', (170, 178)) ('methylation', 'Var', (66, 77)) ('associated', 'Reg', (110, 120)) ('gene expression', 'MPA', (126, 141)) ('DNA methylation', 'Var', (62, 77)) 8061 32536040 We compared the expression of estrogen receptor gene in eight microarray expression datasets of four tumors (Cervical cancer: GSE63514 and GSE63678; Colorectal cancer: GSE73360 and GSE74602; Cholangiocarcinoma: GSE76297; Hepatocellular cancer: GSE87630, GSE112790 and GSE121248). ('cancer', 'Disease', 'MESH:D009369', (236, 242)) ('GSE63678', 'Var', (139, 147)) ('GSE76297', 'Var', (211, 219)) ('carcinoma', 'Phenotype', 'HP:0030731', (200, 209)) ('Hepatocellular cancer', 'Disease', 'MESH:D006528', (221, 242)) ('GSE112790', 'Var', (254, 263)) ('GSE121248', 'Var', (268, 277)) ('cancer', 'Disease', (160, 166)) ('Colorectal cancer', 'Phenotype', 'HP:0003003', (149, 166)) ('tumor', 'Phenotype', 'HP:0002664', (101, 106)) ('GSE63514', 'Var', (126, 134)) ('cancer', 'Phenotype', 'HP:0002664', (160, 166)) ('tumors', 'Phenotype', 'HP:0002664', (101, 107)) ('GSE73360', 'Var', (168, 176)) ('cancer', 'Disease', (118, 124)) ('cancer', 'Disease', (236, 242)) ('GSE87630', 'Var', (244, 252)) ('Colorectal cancer', 'Disease', 'MESH:D015179', (149, 166)) ('cancer', 'Phenotype', 'HP:0002664', (118, 124)) ('Cholangiocarcinoma', 'Phenotype', 'HP:0030153', (191, 209)) ('Hepatocellular cancer', 'Disease', (221, 242)) ('cancer', 'Phenotype', 'HP:0002664', (236, 242)) ('tumors', 'Disease', (101, 107)) ('cancer', 'Disease', 'MESH:D009369', (160, 166)) ('Colorectal cancer', 'Disease', (149, 166)) ('GSE74602', 'Var', (181, 189)) ('Cholangiocarcinoma', 'Disease', 'MESH:D018281', (191, 209)) ('Cholangiocarcinoma', 'Disease', (191, 209)) ('Hepatocellular cancer', 'Phenotype', 'HP:0001402', (221, 242)) ('cancer', 'Disease', 'MESH:D009369', (118, 124)) ('tumors', 'Disease', 'MESH:D009369', (101, 107)) 8071 32536040 We also noticed that IDH-mutant or IDH-like LIHC and PRAD samples belonged to subtypes with low ESR1 expression, while high ESR1 subtype was exclusively IDH-wild-type in glioma (GBM and LGG), and the expression of ESR1 was lower in IDH1 mutated samples (Figure S6). ('IDH1', 'Gene', (232, 236)) ('ESR1', 'Gene', (124, 128)) ('IDH', 'Gene', '3417', (35, 38)) ('IDH', 'Gene', (153, 156)) ('IDH', 'Gene', '3417', (232, 235)) ('glioma', 'Disease', (170, 176)) ('IDH1', 'Gene', '3417', (232, 236)) ('glioma', 'Disease', 'MESH:D005910', (170, 176)) ('ESR1', 'Gene', '2099', (96, 100)) ('IDH', 'Gene', '3417', (153, 156)) ('IDH', 'Gene', (21, 24)) ('ESR1', 'Gene', (96, 100)) ('lower', 'NegReg', (223, 228)) ('glioma', 'Phenotype', 'HP:0009733', (170, 176)) ('IDH', 'Gene', (35, 38)) ('IDH', 'Gene', '3417', (21, 24)) ('low', 'NegReg', (92, 95)) ('ESR1', 'Gene', '2099', (214, 218)) ('IDH', 'Gene', (232, 235)) ('expression', 'MPA', (101, 111)) ('ESR1', 'Gene', (214, 218)) ('mutated', 'Var', (237, 244)) ('ESR1', 'Gene', '2099', (124, 128)) 8078 32536040 Besides, compared with low ESR2 mRNA level, high mRNA level ESR2 was ascertained worse prognosis in KIRC and STAD (Figure 7C,D). ('high', 'Var', (44, 48)) ('ESR2', 'Gene', '2100', (27, 31)) ('ESR2', 'Gene', (60, 64)) ('STAD', 'Disease', (109, 113)) ('KIRC', 'Disease', (100, 104)) ('ESR2', 'Gene', (27, 31)) ('ESR2', 'Gene', '2100', (60, 64)) 8081 32536040 Survival differences between high- and low-methylation of ESR1/2 group patients were compared. ('patients', 'Species', '9606', (71, 79)) ('low-methylation', 'Var', (39, 54)) ('ESR1/2', 'Gene', '2099;2100', (58, 64)) ('ESR1/2', 'Gene', (58, 64)) 8082 32536040 Moreover, we found that the overall and progression-free survival was longer in the high ESR1 methylation group in BLCA, BRCA, LAML, LGG, and STAD, but shorter in KIRC and KIRP (Figure S9A-G). ('ESR1', 'Gene', (89, 93)) ('high', 'Var', (84, 88)) ('BRCA', 'Gene', '672', (121, 125)) ('BRCA', 'Gene', (121, 125)) ('longer', 'PosReg', (70, 76)) ('shorter', 'NegReg', (152, 159)) ('progression-free survival', 'CPA', (40, 65)) ('ESR1', 'Gene', '2099', (89, 93)) ('methylation', 'Var', (94, 105)) 8083 32536040 In the ESR2 high-methylation group, the overall and progression-free survival was significantly longer in LGG and STAD (Figure S9H,I). ('LGG', 'Disease', (106, 109)) ('ESR2', 'Gene', '2100', (7, 11)) ('progression-free survival', 'CPA', (52, 77)) ('STAD', 'Disease', (114, 118)) ('high-methylation', 'Var', (12, 28)) ('longer', 'PosReg', (96, 102)) ('ESR2', 'Gene', (7, 11)) 8088 32536040 Overall, these data demonstrated that higher expression of ERalpha or over-phosphorylation of ERalpha in the S118 site should protect and prolong tumor patient life, except for a little particular type. ('over-phosphorylation', 'Var', (70, 90)) ('prolong', 'PosReg', (138, 145)) ('tumor', 'Phenotype', 'HP:0002664', (146, 151)) ('ERalpha', 'Gene', (59, 66)) ('tumor', 'Disease', (146, 151)) ('ERalpha', 'Gene', '2099', (59, 66)) ('ERalpha', 'Gene', '2099', (94, 101)) ('expression', 'MPA', (45, 55)) ('ERalpha', 'Gene', (94, 101)) ('higher', 'PosReg', (38, 44)) ('patient', 'Species', '9606', (152, 159)) ('tumor', 'Disease', 'MESH:D009369', (146, 151)) 8101 32536040 The cellular biological processes suggest a negative correlation between DNA methylation and mRNA expression, a positive correlation between mRNA and protein expression, as we observed in most cancers. ('mRNA expression', 'MPA', (93, 108)) ('methylation', 'Var', (77, 88)) ('cancers', 'Disease', 'MESH:D009369', (193, 200)) ('cancers', 'Phenotype', 'HP:0002664', (193, 200)) ('cancers', 'Disease', (193, 200)) ('cancer', 'Phenotype', 'HP:0002664', (193, 199)) ('DNA', 'MPA', (73, 76)) ('negative', 'NegReg', (44, 52)) 8105 32536040 Recent studies have verified tissues ESR1 mutations in most tumor patients, especially with metastatic breast cancer, and some of them to activate the estrogen-independent receptor, 18 , 39 , 40 whereas ESR1 and ESR2 expression not only express in breast cancer but also have been shown in other cancer types. ('ESR2', 'Gene', (215, 219)) ('ESR1', 'Gene', '2099', (37, 41)) ('breast cancer', 'Disease', 'MESH:D001943', (103, 116)) ('breast cancer', 'Disease', (103, 116)) ('cancer', 'Disease', 'MESH:D009369', (258, 264)) ('ESR1', 'Gene', (37, 41)) ('tumor', 'Disease', (60, 65)) ('cancer', 'Disease', 'MESH:D009369', (299, 305)) ('tumor', 'Disease', 'MESH:D009369', (60, 65)) ('activate', 'PosReg', (138, 146)) ('breast cancer', 'Phenotype', 'HP:0003002', (251, 264)) ('cancer', 'Disease', (110, 116)) ('estrogen-independent receptor', 'MPA', (151, 180)) ('breast cancer', 'Disease', 'MESH:D001943', (251, 264)) ('cancer', 'Phenotype', 'HP:0002664', (110, 116)) ('breast cancer', 'Disease', (251, 264)) ('tumor', 'Phenotype', 'HP:0002664', (60, 65)) ('ESR1', 'Gene', '2099', (206, 210)) ('cancer', 'Disease', (258, 264)) ('cancer', 'Disease', (299, 305)) ('patients', 'Species', '9606', (66, 74)) ('cancer', 'Phenotype', 'HP:0002664', (258, 264)) ('ESR1', 'Gene', (206, 210)) ('cancer', 'Phenotype', 'HP:0002664', (299, 305)) ('breast cancer', 'Phenotype', 'HP:0003002', (103, 116)) ('ESR2', 'Gene', '2100', (215, 219)) ('mutations', 'Var', (42, 51)) ('cancer', 'Disease', 'MESH:D009369', (110, 116)) 8113 32536040 6 , 7 Moreover, the low ESR1 expression subtypes enriched IDH1 mutations in glioma, liver cancer, and prostate adenocarcinoma. ('glioma', 'Phenotype', 'HP:0009733', (78, 84)) ('prostate adenocarcinoma', 'Disease', (104, 127)) ('IDH1', 'Gene', (60, 64)) ('prostate adenocarcinoma', 'Disease', 'MESH:D011471', (104, 127)) ('glioma', 'Disease', 'MESH:D005910', (78, 84)) ('carcinoma', 'Phenotype', 'HP:0030731', (118, 127)) ('liver cancer', 'Disease', 'MESH:D006528', (86, 98)) ('liver cancer', 'Phenotype', 'HP:0002896', (86, 98)) ('ESR1', 'Gene', '2099', (26, 30)) ('liver cancer', 'Disease', (86, 98)) ('glioma', 'Disease', (78, 84)) ('IDH1', 'Gene', '3417', (60, 64)) ('cancer', 'Phenotype', 'HP:0002664', (92, 98)) ('mutations', 'Var', (65, 74)) ('ESR1', 'Gene', (26, 30)) 8116 32536040 ER methylation has previously been reported to be associated with the progression and prognosis of female tumors. ('ER', 'Gene', '2099', (0, 2)) ('tumors', 'Phenotype', 'HP:0002664', (106, 112)) ('tumors', 'Disease', (106, 112)) ('tumors', 'Disease', 'MESH:D009369', (106, 112)) ('methylation', 'Var', (3, 14)) ('tumor', 'Phenotype', 'HP:0002664', (106, 111)) ('associated', 'Reg', (50, 60)) 8117 32536040 Promoter methylation of ESR1 in breast cancer was related to worse overall survival and associated with a lack of response to endocrine treatment. ('breast cancer', 'Disease', (32, 45)) ('breast cancer', 'Phenotype', 'HP:0003002', (32, 45)) ('ESR1', 'Gene', (24, 28)) ('cancer', 'Phenotype', 'HP:0002664', (39, 45)) ('Promoter methylation', 'Var', (0, 20)) ('overall', 'MPA', (67, 74)) ('breast cancer', 'Disease', 'MESH:D001943', (32, 45)) ('ESR1', 'Gene', '2099', (24, 28)) ('worse', 'NegReg', (61, 66)) 8118 32536040 26 , 33 Both primary tumors and paired ctDNA detected methylated ESR1 and the presence of ESR1 methylation correlated with better clinical outcome in ovarian cancer. ('tumors', 'Disease', (23, 29)) ('ovarian cancer', 'Disease', (152, 166)) ('tumors', 'Disease', 'MESH:D009369', (23, 29)) ('ovarian cancer', 'Disease', 'MESH:D010051', (152, 166)) ('methylated', 'Var', (56, 66)) ('presence', 'Var', (80, 88)) ('better', 'PosReg', (125, 131)) ('ESR1', 'Gene', '2099', (92, 96)) ('ESR1', 'Gene', (67, 71)) ('ESR1', 'Gene', '2099', (67, 71)) ('cancer', 'Phenotype', 'HP:0002664', (160, 166)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (152, 166)) ('tumor', 'Phenotype', 'HP:0002664', (23, 28)) ('tumors', 'Phenotype', 'HP:0002664', (23, 29)) ('ESR1', 'Gene', (92, 96)) ('methylation', 'Var', (97, 108)) 8119 32536040 14 Methylation of the ESR1 promoter correlated with tumor grade, while unmethylated ESR1 predicted for chemoradiation resistance in cervical carcinoma. ('ESR1', 'Gene', (85, 89)) ('Methylation', 'Var', (4, 15)) ('cervical carcinoma', 'Disease', (133, 151)) ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('ESR1', 'Gene', '2099', (23, 27)) ('correlated', 'Reg', (37, 47)) ('unmethylated', 'Var', (72, 84)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('predicted', 'Reg', (90, 99)) ('ESR1', 'Gene', '2099', (85, 89)) ('cervical carcinoma', 'Disease', 'MESH:D002583', (133, 151)) ('tumor', 'Disease', (53, 58)) ('chemoradiation', 'MPA', (104, 118)) ('carcinoma', 'Phenotype', 'HP:0030731', (142, 151)) ('ESR1', 'Gene', (23, 27)) 8120 32536040 21 , 36 Our study showed the ESR1 methylation difference and its association with survival in BLCA, BRCA, and KIRC. ('methylation difference', 'Var', (36, 58)) ('BRCA', 'Gene', (102, 106)) ('ESR1', 'Gene', (31, 35)) ('BLCA', 'Disease', (96, 100)) ('association', 'Interaction', (67, 78)) ('ESR1', 'Gene', '2099', (31, 35)) ('BRCA', 'Gene', '672', (102, 106)) 8121 32536040 Both ESR1 and ESR2 showed the correlation between promoter methylation and survival in LGG and STAD. ('STAD', 'Disease', (95, 99)) ('survival', 'CPA', (75, 83)) ('ESR1', 'Gene', '2099', (5, 9)) ('promoter methylation', 'Var', (50, 70)) ('ESR2', 'Gene', '2100', (14, 18)) ('LGG', 'Disease', (87, 90)) ('correlation', 'Reg', (30, 41)) ('ESR1', 'Gene', (5, 9)) ('ESR2', 'Gene', (14, 18)) 8123 32536040 3 The phosphorylation of ERalpha further activates the hormone signal pathway and then unique coactivator complexes to specific genes. ('ERalpha', 'Gene', '2099', (26, 33)) ('activates', 'PosReg', (42, 51)) ('phosphorylation', 'Var', (7, 22)) ('hormone signal pathway', 'Pathway', (56, 78)) ('ERalpha', 'Gene', (26, 33)) 8125 32536040 Shrivastav et al showed that the p-S118, p-S167, and p-S282 of the ERalpha were positively correlated with breast cancer. ('ERalpha', 'Gene', '2099', (67, 74)) ('p-S118', 'Var', (33, 39)) ('p-S167', 'Var', (41, 47)) ('correlated', 'Reg', (91, 101)) ('breast cancer', 'Disease', 'MESH:D001943', (107, 120)) ('cancer', 'Phenotype', 'HP:0002664', (114, 120)) ('breast cancer', 'Disease', (107, 120)) ('breast cancer', 'Phenotype', 'HP:0003002', (107, 120)) ('p-S282', 'Var', (53, 59)) ('ERalpha', 'Gene', (67, 74)) 8135 32536040 As the prognostic significance of ESR1 in an eight genes assessment model in liver cancer, and ER-beta expression in colorectal cancer and ESR2 polymorphisms in advanced gastric cancer. ('liver cancer', 'Disease', 'MESH:D006528', (77, 89)) ('cancer', 'Phenotype', 'HP:0002664', (178, 184)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (117, 134)) ('cancer', 'Phenotype', 'HP:0002664', (83, 89)) ('gastric cancer', 'Phenotype', 'HP:0012126', (170, 184)) ('liver cancer', 'Phenotype', 'HP:0002896', (77, 89)) ('liver cancer', 'Disease', (77, 89)) ('polymorphisms', 'Var', (144, 157)) ('cancer', 'Phenotype', 'HP:0002664', (128, 134)) ('ESR1', 'Gene', '2099', (34, 38)) ('gastric cancer', 'Disease', (170, 184)) ('colorectal cancer', 'Disease', 'MESH:D015179', (117, 134)) ('ESR1', 'Gene', (34, 38)) ('ER-beta', 'Gene', (95, 102)) ('colorectal cancer', 'Disease', (117, 134)) ('ESR2', 'Gene', '2100', (139, 143)) ('gastric cancer', 'Disease', 'MESH:D013274', (170, 184)) ('ER-beta', 'Gene', '2099', (95, 102)) ('ESR2', 'Gene', (139, 143)) 8140 32536040 32 Estrogen receptor knockout enhanced immune cell infiltration and liver tumorigenesis in the mouse tumor model. ('enhanced', 'PosReg', (31, 39)) ('mouse', 'Species', '10090', (96, 101)) ('immune cell infiltration', 'CPA', (40, 64)) ('tumor', 'Disease', 'MESH:D009369', (102, 107)) ('knockout', 'Var', (22, 30)) ('tumor', 'Disease', 'MESH:D009369', (75, 80)) ('tumor', 'Phenotype', 'HP:0002664', (75, 80)) ('liver tumorigenesis', 'Disease', (69, 88)) ('liver tumorigenesis', 'Disease', 'MESH:D063646', (69, 88)) ('tumor', 'Disease', (102, 107)) ('tumor', 'Disease', (75, 80)) ('tumor', 'Phenotype', 'HP:0002664', (102, 107)) 8141 32536040 41 While our study found the correlation between estrogen receptors and immune cell differentiation, immune cell signaling, and inflammation pathways in multiple tumors, target estrogen receptor in combination with immunotherapy may potentially benefit patients. ('tumor', 'Phenotype', 'HP:0002664', (163, 168)) ('target', 'Var', (171, 177)) ('inflammation', 'Disease', (129, 141)) ('inflammation', 'Disease', 'MESH:D007249', (129, 141)) ('tumors', 'Disease', 'MESH:D009369', (163, 169)) ('tumors', 'Disease', (163, 169)) ('tumors', 'Phenotype', 'HP:0002664', (163, 169)) ('benefit', 'PosReg', (246, 253)) ('patients', 'Species', '9606', (254, 262)) 8142 32536040 Overall, our findings revealed DNA methylation and mRNA expression of ESR1 and ESR2, proteins expression of ESR1 in different tumor tissues, and ESR1 and ESR2 participated in some critical cancer development and progression as they associated with tumor subtypes, pathological features, and patients' survival. ('ESR1', 'Gene', '2099', (108, 112)) ('ESR1', 'Gene', '2099', (70, 74)) ('ESR2', 'Gene', '2100', (79, 83)) ('ESR1', 'Gene', (108, 112)) ('ESR1', 'Gene', (70, 74)) ('tumor', 'Phenotype', 'HP:0002664', (126, 131)) ('mRNA expression', 'MPA', (51, 66)) ('cancer', 'Disease', 'MESH:D009369', (189, 195)) ('ESR2', 'Gene', (79, 83)) ('tumor', 'Disease', (248, 253)) ('participated', 'Reg', (159, 171)) ('patients', 'Species', '9606', (291, 299)) ('tumor', 'Disease', 'MESH:D009369', (248, 253)) ('ESR1', 'Gene', '2099', (145, 149)) ('methylation', 'Var', (35, 46)) ('ESR1', 'Gene', (145, 149)) ('tumor', 'Phenotype', 'HP:0002664', (248, 253)) ('tumor', 'Disease', (126, 131)) ('cancer', 'Disease', (189, 195)) ('ESR2', 'Gene', '2100', (154, 158)) ('cancer', 'Phenotype', 'HP:0002664', (189, 195)) ('tumor', 'Disease', 'MESH:D009369', (126, 131)) ('ESR2', 'Gene', (154, 158)) ('associated', 'Reg', (232, 242)) 8143 32536040 This pan-cancer analysis work showed that the expression and methylation of ESR genes are significantly associated with overall survival or progression-free survival of some tumor types, which may suggest that ESR genes are potential prognosis markers of these tumors. ('tumor', 'Disease', (174, 179)) ('progression-free survival', 'CPA', (140, 165)) ('cancer', 'Disease', (9, 15)) ('expression', 'MPA', (46, 56)) ('methylation', 'Var', (61, 72)) ('tumor', 'Phenotype', 'HP:0002664', (261, 266)) ('tumor', 'Disease', (261, 266)) ('tumors', 'Disease', (261, 267)) ('tumors', 'Disease', 'MESH:D009369', (261, 267)) ('tumors', 'Phenotype', 'HP:0002664', (261, 267)) ('associated', 'Reg', (104, 114)) ('cancer', 'Phenotype', 'HP:0002664', (9, 15)) ('tumor', 'Disease', 'MESH:D009369', (174, 179)) ('tumor', 'Phenotype', 'HP:0002664', (174, 179)) ('overall survival', 'CPA', (120, 136)) ('ESR genes', 'Gene', (76, 85)) ('cancer', 'Disease', 'MESH:D009369', (9, 15)) ('tumor', 'Disease', 'MESH:D009369', (261, 266)) 8153 30429891 Results: Overexpressing HOXC10 enhanced the capacity of glioma cells to induce tube formation, migration and proliferation of HUVECs, and neovascularization in CAMs, while silencing HOXC10 had the opposite result. ('tube formation', 'CPA', (79, 93)) ('glioma', 'Disease', (56, 62)) ('enhanced', 'PosReg', (31, 39)) ('HOXC10', 'Gene', (24, 30)) ('neovascularization', 'CPA', (138, 156)) ('glioma', 'Disease', 'MESH:D005910', (56, 62)) ('glioma', 'Phenotype', 'HP:0009733', (56, 62)) ('migration', 'CPA', (95, 104)) ('induce', 'PosReg', (72, 78)) ('proliferation', 'CPA', (109, 122)) ('silencing', 'Var', (172, 181)) 8154 30429891 We observed that CD31 staining was significantly increased in tumors formed by HOXC10-overexpressing U251MG cells but reduced in HOXC10-silenced tumors. ('U251MG', 'Var', (101, 107)) ('HOXC10-silenced tumors', 'Disease', 'MESH:D009369', (129, 151)) ('tumor', 'Phenotype', 'HP:0002664', (62, 67)) ('staining', 'MPA', (22, 30)) ('tumor', 'Phenotype', 'HP:0002664', (145, 150)) ('tumors', 'Disease', (62, 68)) ('CD31', 'Gene', (17, 21)) ('increased', 'PosReg', (49, 58)) ('tumors', 'Disease', 'MESH:D009369', (62, 68)) ('tumors', 'Phenotype', 'HP:0002664', (62, 68)) ('tumors', 'Disease', (145, 151)) ('tumors', 'Phenotype', 'HP:0002664', (145, 151)) ('HOXC10-overexpressing', 'Var', (79, 100)) ('HOXC10-silenced tumors', 'Disease', (129, 151)) ('tumors', 'Disease', 'MESH:D009369', (145, 151)) ('CD31', 'Gene', '5175', (17, 21)) ('U251MG', 'CellLine', 'CVCL:0021', (101, 107)) 8158 30429891 Conclusions: This study suggests that HOXC10 induces glioma angiogenesis by transcriptionally upregulating VEGFA expression, and may represent a potential target for antiangiogenic therapy in gliomas. ('VEGFA', 'Protein', (107, 112)) ('expression', 'MPA', (113, 123)) ('HOXC10', 'Var', (38, 44)) ('glioma', 'Disease', 'MESH:D005910', (192, 198)) ('glioma', 'Phenotype', 'HP:0009733', (192, 198)) ('induces', 'PosReg', (45, 52)) ('glioma', 'Disease', (53, 59)) ('gliomas', 'Disease', (192, 199)) ('gliomas', 'Disease', 'MESH:D005910', (192, 199)) ('gliomas', 'Phenotype', 'HP:0009733', (192, 199)) ('upregulating', 'PosReg', (94, 106)) ('glioma', 'Disease', 'MESH:D005910', (53, 59)) ('glioma', 'Phenotype', 'HP:0009733', (53, 59)) ('glioma', 'Disease', (192, 198)) 8174 30429891 Zhai and colleagues reported that elevated HOXC10 is associated with increased invasiveness of cervical cancer-derived cell lines and that knockdown of HOXC10 markedly impaired cervical cancer cell invasiveness. ('impaired cervical cancer cell invasiveness', 'Disease', 'MESH:D002583', (168, 210)) ('increased', 'PosReg', (69, 78)) ('HOXC10', 'MPA', (43, 49)) ('cancer', 'Phenotype', 'HP:0002664', (104, 110)) ('knockdown', 'Var', (139, 148)) ('cancer', 'Phenotype', 'HP:0002664', (186, 192)) ('invasiveness of cervical cancer', 'Disease', (79, 110)) ('invasiveness of cervical cancer', 'Disease', 'MESH:D002583', (79, 110)) ('elevated', 'PosReg', (34, 42)) ('impaired cervical cancer cell invasiveness', 'Disease', (168, 210)) ('HOXC10', 'Gene', (152, 158)) 8180 30429891 Furthermore, we demonstrated that HOXC10 upregulated VEGFA expression via directly binding to the VEGFA promoter, eventually promoting angiogenesis in glioma. ('glioma', 'Disease', 'MESH:D005910', (151, 157)) ('glioma', 'Phenotype', 'HP:0009733', (151, 157)) ('binding', 'Interaction', (83, 90)) ('promoting', 'PosReg', (125, 134)) ('upregulated', 'PosReg', (41, 52)) ('VEGFA', 'Gene', (53, 58)) ('expression', 'MPA', (59, 69)) ('HOXC10', 'Var', (34, 40)) ('glioma', 'Disease', (151, 157)) ('angiogenesis', 'CPA', (135, 147)) 8189 30429891 Western blotting (WB) was performed as previously described, using anti-HOXC10, anti-Flag, anti-protein arginine methyltransferase 5 (PRMT5), anti-glutathione-s-transferase (GST), anti-hemagluttinin (HA), anti-VEGFA and anti-WD repeat domain 5 (WDR5) antibodies (Abcam, Cambridge, MA, USA). ('anti-protein arginine methyltransferase 5', 'Gene', '10419', (91, 132)) ('WD repeat domain 5', 'Gene', (225, 243)) ('WDR5', 'Gene', (245, 249)) ('WD repeat domain 5', 'Gene', '11091', (225, 243)) ('anti-protein arginine methyltransferase 5', 'Gene', (91, 132)) ('WDR5', 'Gene', '11091', (245, 249)) ('anti-HOXC10', 'Var', (67, 78)) 8220 30429891 Therefore, we verified whether HOXC10 was upregulated in gliomas via analyzing public glioma datasets from The Cancer Genome Atlas (TCGA) and the Gene Expression Omnibus (GEO; GSE13276 and GSE4290). ('Cancer Genome Atlas', 'Disease', (111, 130)) ('Cancer Genome Atlas', 'Disease', 'MESH:D009369', (111, 130)) ('GSE4290', 'Var', (189, 196)) ('public glioma', 'Disease', 'MESH:D005910', (79, 92)) ('glioma', 'Phenotype', 'HP:0009733', (86, 92)) ('HOXC10', 'Gene', (31, 37)) ('gliomas', 'Disease', 'MESH:D005910', (57, 64)) ('gliomas', 'Phenotype', 'HP:0009733', (57, 64)) ('gliomas', 'Disease', (57, 64)) ('Cancer', 'Phenotype', 'HP:0002664', (111, 117)) ('upregulated', 'PosReg', (42, 53)) ('glioma', 'Phenotype', 'HP:0009733', (57, 63)) ('public glioma', 'Disease', (79, 92)) 8222 30429891 Furthermore, Kaplan-Meier analysis of data from the TCGA and HG-UG133A dataset indicated that GBM or low-grade gliomas (LGG) patients with higher HOXC10 expression presented shorter overall survival than those with lower HOXC10 expression (Figure S1D-F). ('patients', 'Species', '9606', (125, 133)) ('gliomas', 'Disease', (111, 118)) ('UG133A', 'Mutation', 'c.133UG>A', (64, 70)) ('gliomas', 'Disease', 'MESH:D005910', (111, 118)) ('gliomas', 'Phenotype', 'HP:0009733', (111, 118)) ('glioma', 'Phenotype', 'HP:0009733', (111, 117)) ('HOXC10', 'Var', (146, 152)) ('higher HOXC10', 'Var', (139, 152)) ('overall survival', 'MPA', (182, 198)) ('shorter', 'NegReg', (174, 181)) 8226 30429891 We also performed western blotting analysis and real-time PCR analysis in NHAs and multiple glioma cell lines, including A-172, U87, LN229, T98G, LN-18, and U251MG. ('U251MG', 'CellLine', 'CVCL:0021', (157, 163)) ('U251MG', 'Var', (157, 163)) ('glioma', 'Disease', (92, 98)) ('LN229', 'CellLine', 'CVCL:0393', (133, 138)) ('glioma', 'Disease', 'MESH:D005910', (92, 98)) ('glioma', 'Phenotype', 'HP:0009733', (92, 98)) 8233 30429891 Importantly, univariate and multivariate analysis indicated that HOXC10 might serve as a prognostic factor in gliomas (Table S3). ('gliomas', 'Phenotype', 'HP:0009733', (110, 117)) ('gliomas', 'Disease', (110, 117)) ('gliomas', 'Disease', 'MESH:D005910', (110, 117)) ('HOXC10', 'Var', (65, 71)) ('glioma', 'Phenotype', 'HP:0009733', (110, 116)) 8238 30429891 Tumors formed by HOXC10-overexpressing U251MG cells were significantly larger than those formed by the control cells, as indicated by luminescence and H&E staining (Figure 1A-C). ('U251MG', 'Var', (39, 45)) ('H&E', 'Chemical', '-', (151, 154)) ('larger', 'PosReg', (71, 77)) ('Tumors', 'Disease', (0, 6)) ('Tumors', 'Disease', 'MESH:D009369', (0, 6)) ('Tumors', 'Phenotype', 'HP:0002664', (0, 6)) ('U251MG', 'CellLine', 'CVCL:0021', (39, 45)) 8239 30429891 Conversely, silencing HOXC10 yielded smaller tumors than the control shRNA vector (Figure 1A-C). ('smaller', 'NegReg', (37, 44)) ('tumor', 'Phenotype', 'HP:0002664', (45, 50)) ('tumors', 'Disease', (45, 51)) ('tumors', 'Phenotype', 'HP:0002664', (45, 51)) ('tumors', 'Disease', 'MESH:D009369', (45, 51)) ('HOXC10', 'Var', (22, 28)) ('silencing HOXC10', 'Var', (12, 28)) 8240 30429891 Furthermore, overexpression of HOXC10 shortened, while silencing HOXC10 prolonged the survival of tumor-bearing mice compared to the control shRNA group (Figure 1D). ('tumor', 'Disease', 'MESH:D009369', (98, 103)) ('silencing', 'Var', (55, 64)) ('tumor', 'Phenotype', 'HP:0002664', (98, 103)) ('prolonged', 'PosReg', (72, 81)) ('HOXC10', 'Gene', (65, 71)) ('survival', 'CPA', (86, 94)) ('tumor', 'Disease', (98, 103)) ('mice', 'Species', '10090', (112, 116)) 8242 30429891 Consistent with the in vivo results, overexpressing HOXC10 significantly promoted, but silencing HOXC10 prominently inhibited, the capability of tube formation, migration ability, and proliferation of HUVECs (Figure S3B-E and Figure S4A-D) and the formation of second- and third-order vessels in the chicken CAM assay (Figure 1G). ('silencing', 'Var', (87, 96)) ('migration ability', 'CPA', (161, 178)) ('inhibited', 'NegReg', (116, 125)) ('proliferation', 'CPA', (184, 197)) ('tube formation', 'CPA', (145, 159)) ('chicken', 'Species', '9031', (300, 307)) ('HOXC10', 'Gene', (97, 103)) ('promoted', 'PosReg', (73, 81)) 8243 30429891 Gene set enrichment analysis (GSEA) results also revealed that angiogenesis gene signatures (LU_TUMOR_ ANGIOGENESIS_UP, ANGIOGENESIS, HALLMARK_ANGIOGENESIS, GO_ ANGIOGENESIS) were significantly elevated in the higher HOXC10 expression group compared to the lower HOXC10 expression group (Figure 1H). ('elevated', 'PosReg', (194, 202)) ('higher HOXC10 expression', 'Var', (210, 234)) ('ANGIOGENESIS', 'CPA', (120, 132)) ('GSEA', 'Chemical', '-', (30, 34)) ('angiogenesis', 'MPA', (63, 75)) 8246 30429891 As expected, the expression of VEGFA, at both mRNA and protein levels, was consistently upregulated in HOXC10-overexpressing glioma cells, and downregulated in HOXC10-silenced glioma cells compared to control cells (Figure S5B-D). ('glioma', 'Disease', (125, 131)) ('glioma', 'Disease', (176, 182)) ('VEGFA', 'Gene', (31, 36)) ('upregulated', 'PosReg', (88, 99)) ('downregulated', 'NegReg', (143, 156)) ('glioma', 'Disease', 'MESH:D005910', (125, 131)) ('expression', 'MPA', (17, 27)) ('glioma', 'Disease', 'MESH:D005910', (176, 182)) ('HOXC10-silenced glioma', 'Disease', 'MESH:D005910', (160, 182)) ('glioma', 'Phenotype', 'HP:0009733', (176, 182)) ('glioma', 'Phenotype', 'HP:0009733', (125, 131)) ('HOXC10-overexpressing', 'Var', (103, 124)) ('HOXC10-silenced glioma', 'Disease', (160, 182)) 8247 30429891 Importantly, silencing VEGFA or treatment with bevacizumab, a monoclonal antibody against VEGFA, could reverse the effects of HOXC10 overexpression-mediated tube formation, migration, and proliferation of HUVECs (Figure S5E-M). ('tube formation', 'CPA', (157, 171)) ('VEGFA', 'Protein', (23, 28)) ('migration', 'CPA', (173, 182)) ('bevacizumab', 'Chemical', 'MESH:D000068258', (47, 58)) ('proliferation', 'CPA', (188, 201)) ('silencing', 'Var', (13, 22)) 8249 30429891 Mice bearing VEGFA-silenced U251MG/HOXC10 cells had longer survival than those bearing control-shRNA-transduced cells (Figure 2C). ('U251MG/HOXC10', 'CellLine', 'CVCL:0021', (28, 41)) ('longer', 'PosReg', (52, 58)) ('survival', 'CPA', (59, 67)) ('U251MG/HOXC10 cells', 'Var', (28, 47)) ('Mice', 'Species', '10090', (0, 4)) 8253 30429891 To identify the site that HOXC10 binds to in the VEGFA promoter, fragments of the VEGFA promoter, namely P1(nucleotides -2056 to +176), P2 (nucleotides -1751 to +176), P3 (nucleotides -931 to +176), P4 (nucleotides -226 to +176), P5 (nucleotides -2056 to -907) and P6 (nucleotides -732 to -208), were inserted into the luciferase reporter pGL3 vector, respectively (Figure 3B). ('nucleotides -2056 to -907', 'Var', (234, 259)) ('nucleotides -2056 to +176', 'Var', (108, 133)) ('nucleotides -1751 to +176', 'Var', (140, 165)) ('pGL3', 'Gene', '6391', (339, 343)) ('nucleotides -931 to +176', 'Var', (172, 196)) ('nucleotides -226 to +176', 'Var', (203, 227)) ('pGL3', 'Gene', (339, 343)) 8255 30429891 Moreover, a chromatin immunoprecipitation (CHIP) assay showed that HOXC10 bound to region 3 within the VEGFA promoter region (Figure 3G), which agreed with the luciferase assay results and suggested that HOXC10 upregulates VEGFA expression by binding to the VEGFA promoter. ('binding', 'Interaction', (243, 250)) ('VEGFA', 'Gene', (223, 228)) ('CHIP', 'Disease', 'None', (43, 47)) ('upregulates', 'PosReg', (211, 222)) ('HOXC10', 'Var', (204, 210)) ('expression', 'MPA', (229, 239)) ('CHIP', 'Disease', (43, 47)) 8256 30429891 Furthermore, we found that recruitment of PRMT5 to the VEGFA promoter was significantly enhanced in HOXC10-overexpressing glioma cells, but markedly suppressed in HOXC10-silenced glioma cells (Figure 4B). ('recruitment', 'MPA', (27, 38)) ('HOXC10-silenced glioma', 'Disease', 'MESH:D005910', (163, 185)) ('glioma', 'Disease', 'MESH:D005910', (122, 128)) ('glioma', 'Disease', (122, 128)) ('glioma', 'Disease', 'MESH:D005910', (179, 185)) ('glioma', 'Phenotype', 'HP:0009733', (179, 185)) ('HOXC10-silenced glioma', 'Disease', (163, 185)) ('PRMT5', 'Gene', (42, 47)) ('suppressed', 'NegReg', (149, 159)) ('glioma', 'Disease', (179, 185)) ('enhanced', 'PosReg', (88, 96)) ('HOXC10-overexpressing', 'Var', (100, 121)) ('glioma', 'Phenotype', 'HP:0009733', (122, 128)) 8259 30429891 Overexpressing HOXC10-FL and HOXC10-F1 markedly promoted the luciferase activity of VEGFA, while overexpressing HOXC10-F2, HOXC10-F3, HOXC10-F4, all of which lacked the PRMT5 binding site or homeobox, could not activate the VEGFA promoter-dependent luciferase activity (Figure 4I). ('promoted', 'PosReg', (48, 56)) ('HOXC10-F1', 'CellLine', 'CVCL:9089', (29, 38)) ('luciferase', 'Enzyme', (61, 71)) ('HOXC10-F1', 'Var', (29, 38)) ('HOXC10-FL', 'Var', (15, 24)) 8260 30429891 Consistently, VEGFA expression, at both mRNA and protein levels, was significantly increased in the HOXC10-FL- and HOXC10-F1-overexpressing cells but decreased in the cells transfected with HOXC10-F2, or HOXC10-F3 (Figure S6A-B). ('HOXC10-FL-', 'Var', (100, 110)) ('increased', 'PosReg', (83, 92)) ('expression', 'MPA', (20, 30)) ('HOXC10-F1', 'CellLine', 'CVCL:9089', (115, 124)) ('VEGFA', 'Protein', (14, 19)) ('decreased', 'NegReg', (150, 159)) 8261 30429891 As shown in Figure S7A-B and Figure 5A-B, knockdown of PRMT5 significantly reduced VEGFA expression and inhibited the occupancy of H3R2me1 and H3R2me2s on VEGFA in HOXC10-overexpressing glioma cells, with no change in control marker H3. ('glioma', 'Disease', (186, 192)) ('PRMT5', 'Gene', (55, 60)) ('expression', 'MPA', (89, 99)) ('H3R2me1', 'Protein', (131, 138)) ('reduced', 'NegReg', (75, 82)) ('glioma', 'Disease', 'MESH:D005910', (186, 192)) ('occupancy', 'MPA', (118, 127)) ('glioma', 'Phenotype', 'HP:0009733', (186, 192)) ('H3R2me2s', 'Protein', (143, 151)) ('inhibited', 'NegReg', (104, 113)) ('VEGFA', 'Protein', (83, 88)) ('knockdown', 'Var', (42, 51)) 8262 30429891 PRMT5-methylated H3R2me1 may lead to WDR5-induced H3K4 methylation and transcriptional activation of target genes. ('H3K4', 'Protein', (50, 54)) ('PRMT5-methylated', 'Var', (0, 16)) ('lead to', 'Reg', (29, 36)) ('H3R2me1', 'Var', (17, 24)) ('WDR5', 'Gene', (37, 41)) ('transcriptional', 'MPA', (71, 86)) ('methylation', 'MPA', (55, 66)) ('WDR5', 'Gene', '11091', (37, 41)) 8264 30429891 As expected, overexpressing HOXC10 strongly increased, while silencing HOXC10 prominently decreased, the abundance of H3K4me3, Polymerase II, and WDR5 on the VEGFA promoter in U251MG and LN229 cells (Figure 5C-D). ('abundance', 'MPA', (105, 114)) ('H3K4me3', 'Protein', (118, 125)) ('decreased', 'NegReg', (90, 99)) ('LN229', 'CellLine', 'CVCL:0393', (187, 192)) ('U251MG', 'CellLine', 'CVCL:0021', (176, 182)) ('WDR5', 'Gene', '11091', (146, 150)) ('silencing', 'Var', (61, 70)) ('increased', 'PosReg', (44, 53)) ('HOXC10', 'Gene', (71, 77)) ('WDR5', 'Gene', (146, 150)) 8266 30429891 Furthermore, silencing WDR5 profoundly impaired the stimulatory effect of overexpressing HOXC10 (Figure S7D-F). ('WDR5', 'Gene', '11091', (23, 27)) ('stimulatory effect', 'MPA', (52, 70)) ('WDR5', 'Gene', (23, 27)) ('impaired', 'NegReg', (39, 47)) ('overexpressing', 'PosReg', (74, 88)) ('silencing', 'Var', (13, 22)) 8267 30429891 Importantly, OICR-9429, an inhibitor of WDR5 interaction with the H3 tail, markedly decreased the expression of VEGFA and the occupancy of H3K4me3 and Polymerase II on the VEGFA promoter (Figure 5F-G). ('WDR5', 'Gene', (40, 44)) ('WDR5', 'Gene', '11091', (40, 44)) ('occupancy', 'MPA', (126, 135)) ('OICR-9429', 'Var', (13, 22)) ('VEGFA', 'Protein', (112, 117)) ('H3K4me3', 'Protein', (139, 146)) ('decreased', 'NegReg', (84, 93)) ('expression', 'MPA', (98, 108)) 8268 30429891 These results suggested that HOXC10 interacts with PRMT5, which promotes H3R2me1 and H3R2me2s enrichment on the VEGFA promoter and recruits WDR5 for subsequent methylation of H3K4 at the VEGFA promoter, eventually resulting in VEGFA transcription. ('resulting in', 'Reg', (214, 226)) ('promotes', 'PosReg', (64, 72)) ('H3R2me2s', 'Var', (85, 93)) ('WDR5', 'Gene', '11091', (140, 144)) ('H3K4', 'Protein', (175, 179)) ('H3R2me1', 'Var', (73, 80)) ('WDR5', 'Gene', (140, 144)) ('methylation', 'MPA', (160, 171)) ('VEGFA transcription', 'MPA', (227, 246)) 8275 30429891 Therefore, inhibiting the angiogenic process might be used as a potential therapy to prevent tumor growth and metastasis. ('inhibiting', 'Var', (11, 21)) ('tumor', 'Phenotype', 'HP:0002664', (93, 98)) ('tumor', 'Disease', (93, 98)) ('angiogenic process', 'CPA', (26, 44)) ('tumor', 'Disease', 'MESH:D009369', (93, 98)) 8282 30429891 reported that HOXB7 is overexpressed in more than 40% myeloma cell lines compared to normal plasma cells, and knockdown of HOXB7 expression in multiple myeloma cells represses the production of angiogenic factors and impairs their pro-angiogenic properties. ('knockdown', 'Var', (110, 119)) ('myeloma', 'Disease', (152, 159)) ('HOXB7', 'Gene', (14, 19)) ('HOXB7', 'Gene', (123, 128)) ('myeloma', 'Disease', (54, 61)) ('impairs', 'NegReg', (217, 224)) ('represses', 'NegReg', (166, 175)) ('myeloma', 'Disease', 'MESH:D009101', (152, 159)) ('production of angiogenic factors', 'MPA', (180, 212)) ('HOXB7', 'Gene', '3217', (123, 128)) ('multiple myeloma', 'Phenotype', 'HP:0006775', (143, 159)) ('myeloma', 'Disease', 'MESH:D009101', (54, 61)) ('pro-angiogenic properties', 'CPA', (231, 256)) ('HOXB7', 'Gene', '3217', (14, 19)) 8300 30429891 Furthermore, PRMT5 is recruited through interaction with Sp1 and activates the androgen receptor by symmetrically dimethylating H4R3, which significantly enhanced the growth of prostate xenograft tumors in mice. ('H4R3', 'Protein', (128, 132)) ('tumors', 'Phenotype', 'HP:0002664', (196, 202)) ('enhanced', 'PosReg', (154, 162)) ('mice', 'Species', '10090', (206, 210)) ('prostate xenograft tumors', 'Disease', (177, 202)) ('growth', 'CPA', (167, 173)) ('PRMT5', 'Gene', (13, 18)) ('androgen receptor', 'Gene', '11835', (79, 96)) ('interaction', 'Interaction', (40, 51)) ('tumor', 'Phenotype', 'HP:0002664', (196, 201)) ('androgen receptor', 'Gene', (79, 96)) ('prostate xenograft tumors', 'Disease', 'MESH:D011471', (177, 202)) ('activates', 'PosReg', (65, 74)) ('dimethylating', 'Var', (114, 127)) 8301 30429891 Our results showed that HOXC10 interacted with PRMT5, leading to enrichment of H3R2me1, H3R2me2s, and H3K4me3 on the VEGFA promoter, which eventually resulted in increased VEGFA expression and enhances growth of gliomas. ('growth', 'CPA', (202, 208)) ('increased', 'PosReg', (162, 171)) ('glioma', 'Phenotype', 'HP:0009733', (212, 218)) ('expression', 'MPA', (178, 188)) ('H3K4me3', 'Var', (102, 109)) ('gliomas', 'Disease', 'MESH:D005910', (212, 219)) ('H3R2me1', 'Var', (79, 86)) ('gliomas', 'Phenotype', 'HP:0009733', (212, 219)) ('gliomas', 'Disease', (212, 219)) ('H3R2me2s', 'Var', (88, 96)) ('VEGFA', 'Protein', (172, 177)) ('enhances', 'PosReg', (193, 201)) 8306 30429891 Herein, we demonstrated that HOXC10 transcriptionally upregulates VEGFA expression by binding to its promoter and silencing HOXC10, which significantly decreased VEGFA expression and angiogenesis, implicating that HOXC10 may regulate expression of various splicing VEGF isoforms, which needs to be further investigated in future studies. ('VEGF', 'Gene', (66, 70)) ('angiogenesis', 'CPA', (183, 195)) ('VEGF', 'Gene', (265, 269)) ('VEGF', 'Gene', (162, 166)) ('expression', 'MPA', (168, 178)) ('binding', 'Interaction', (86, 93)) ('silencing', 'Var', (114, 123)) ('upregulates', 'PosReg', (54, 65)) ('VEGF', 'Gene', '7422', (66, 70)) ('expression', 'MPA', (72, 82)) ('decreased', 'NegReg', (152, 161)) ('VEGF', 'Gene', '7422', (162, 166)) ('HOXC10', 'Gene', (124, 130)) ('VEGF', 'Gene', '7422', (265, 269)) 8319 29371935 And knockdown of UCH-L5 expression improved both mRNA expression and protein level of SNRPF. ('protein level', 'MPA', (69, 82)) ('improved', 'PosReg', (35, 43)) ('knockdown', 'Var', (4, 13)) ('SNRPF', 'Gene', '6636', (86, 91)) ('UCH-L5', 'Gene', '51377', (17, 23)) ('mRNA expression', 'MPA', (49, 64)) ('SNRPF', 'Gene', (86, 91)) ('UCH-L5', 'Gene', (17, 23)) 8353 29371935 These results indicated that low UCH-L5 expression was positively correlated with the occurrence of gliomas, but there was no difference between low-grade gliomas and high-grade gliomas (Figure 1C). ('expression', 'MPA', (40, 50)) ('gliomas', 'Disease', 'MESH:D005910', (100, 107)) ('correlated', 'Reg', (66, 76)) ('gliomas', 'Phenotype', 'HP:0009733', (100, 107)) ('gliomas', 'Phenotype', 'HP:0009733', (155, 162)) ('UCH-L5', 'Gene', '51377', (33, 39)) ('glioma', 'Phenotype', 'HP:0009733', (178, 184)) ('low', 'Var', (29, 32)) ('glioma', 'Phenotype', 'HP:0009733', (100, 106)) ('UCH-L5', 'Gene', (33, 39)) ('glioma', 'Phenotype', 'HP:0009733', (155, 161)) ('gliomas', 'Disease', 'MESH:D005910', (178, 185)) ('gliomas', 'Phenotype', 'HP:0009733', (178, 185)) ('gliomas', 'Disease', (178, 185)) ('gliomas', 'Disease', (155, 162)) ('gliomas', 'Disease', (100, 107)) ('gliomas', 'Disease', 'MESH:D005910', (155, 162)) 8361 29371935 We found that knockdown of UCH-L5 promoted the cell capability to migrate and invade in both U87MG and U251 cells. ('UCH-L5', 'Gene', (27, 33)) ('U251', 'CellLine', 'CVCL:0021', (103, 107)) ('UCH-L5', 'Gene', '51377', (27, 33)) ('promoted', 'PosReg', (34, 42)) ('knockdown', 'Var', (14, 23)) ('cell capability', 'CPA', (47, 62)) ('U87MG', 'CellLine', 'CVCL:0022', (93, 98)) 8375 29371935 These data indicated that knockdown of SNRPF, SNRPN and CKLF inhibits migration and invasion of U87MG cell in vitro. ('SNRPF', 'Gene', (39, 44)) ('CKLF', 'Gene', (56, 60)) ('SNRPN', 'Gene', (46, 51)) ('knockdown', 'Var', (26, 35)) ('CKLF', 'Gene', '51192', (56, 60)) ('SNRPF', 'Gene', '6636', (39, 44)) ('SNRPN', 'Gene', '6638', (46, 51)) ('U87MG', 'CellLine', 'CVCL:0022', (96, 101)) ('inhibits', 'NegReg', (61, 69)) 8376 29371935 To find the targeting gene of UCH-L5, firstly, we found that mRNA level of SNRPF was higher in U87MG cells treated with UCH-L5-siRNA than the control treated with scramble-siRNA, but mRNA level of SNRPN or CKLF do not change significantly (Figure 6A), *P < 0.05. ('UCH-L5', 'Gene', (30, 36)) ('UCH-L5', 'Gene', '51377', (30, 36)) ('CKLF', 'Gene', (206, 210)) ('UCH-L5', 'Gene', '51377', (120, 126)) ('SNRPN', 'Gene', '6638', (197, 202)) ('SNRPF', 'Gene', (75, 80)) ('higher', 'PosReg', (85, 91)) ('CKLF', 'Gene', '51192', (206, 210)) ('U87MG', 'CellLine', 'CVCL:0022', (95, 100)) ('U87MG', 'Var', (95, 100)) ('SNRPF', 'Gene', '6636', (75, 80)) ('SNRPN', 'Gene', (197, 202)) ('UCH-L5', 'Gene', (120, 126)) ('mRNA level', 'MPA', (61, 71)) 8380 29371935 And after transfecting Flag-UCH-L5, we also found endogenous protein level of SNRPF decreased in 293T cells (Figure 6D). ('transfecting', 'Var', (10, 22)) ('SNRPF', 'Gene', (78, 83)) ('UCH-L5', 'Gene', '51377', (28, 34)) ('293T', 'CellLine', 'CVCL:0063', (97, 101)) ('SNRPF', 'Gene', '6636', (78, 83)) ('decreased', 'NegReg', (84, 93)) ('endogenous protein level', 'MPA', (50, 74)) ('UCH-L5', 'Gene', (28, 34)) 8387 29371935 In stable UCH-L5 knockdown and stable UCH-L5 overexpressing U87MG cells, we found that knockdown UCH-L5 expression upregulated mRNA level of Sm genes except for SNRPN (Supplementary Figure 1A), while UCH-L5 overexpression downregulates mRNA level of Sm genes in U87MG cells (Supplementary Figure 1B). ('mRNA level', 'MPA', (127, 137)) ('UCH-L5', 'Gene', (10, 16)) ('UCH-L5', 'Gene', (38, 44)) ('SNRPN', 'Gene', (161, 166)) ('UCH-L5', 'Gene', '51377', (38, 44)) ('UCH-L5', 'Gene', (200, 206)) ('SNRPN', 'Gene', '6638', (161, 166)) ('U87MG', 'CellLine', 'CVCL:0022', (60, 65)) ('UCH-L5', 'Gene', '51377', (10, 16)) ('UCH-L5', 'Gene', (97, 103)) ('UCH-L5', 'Gene', '51377', (200, 206)) ('UCH-L5', 'Gene', '51377', (97, 103)) ('U87MG', 'CellLine', 'CVCL:0022', (262, 267)) ('upregulated', 'PosReg', (115, 126)) ('knockdown', 'Var', (87, 96)) 8413 29371935 Furthermore, we found that knockdown of UCH-L5 expression promotes the migration and invasion of U87MG and U251 cells. ('UCH-L5', 'Gene', '51377', (40, 46)) ('U87MG', 'CellLine', 'CVCL:0022', (97, 102)) ('knockdown', 'Var', (27, 36)) ('promotes', 'PosReg', (58, 66)) ('migration', 'CPA', (71, 80)) ('U251', 'CellLine', 'CVCL:0021', (107, 111)) ('invasion', 'CPA', (85, 93)) ('UCH-L5', 'Gene', (40, 46)) 8419 29371935 It has been reported that the disruption of components and the formation steps of spliceosome will increase the occurrence of cancers and other diseases. ('cancer', 'Phenotype', 'HP:0002664', (126, 132)) ('disruption', 'Var', (30, 40)) ('cancers', 'Phenotype', 'HP:0002664', (126, 133)) ('cancers', 'Disease', (126, 133)) ('cancers', 'Disease', 'MESH:D009369', (126, 133)) ('increase', 'PosReg', (99, 107)) 8425 29371935 In our study, the scratch and invasion assay results showed that SNRPF, SNRPN, and CKLF could inhibit the migration and invasion of U87MG cells, and knockdown of UCH-L5 expression only unregulated the gene level of SNRPF but not mRNA expression of SNRPN or CKLF in U87MG cells. ('SNRPF', 'Gene', (215, 220)) ('U87MG', 'CellLine', 'CVCL:0022', (132, 137)) ('SNRPF', 'Gene', '6636', (65, 70)) ('SNRPN', 'Gene', (248, 253)) ('knockdown', 'Var', (149, 158)) ('CKLF', 'Gene', '51192', (257, 261)) ('CKLF', 'Gene', (83, 87)) ('UCH-L5', 'Gene', '51377', (162, 168)) ('SNRPN', 'Gene', (72, 77)) ('CKLF', 'Gene', '51192', (83, 87)) ('U87MG', 'CellLine', 'CVCL:0022', (265, 270)) ('SNRPF', 'Gene', (65, 70)) ('UCH-L5', 'Gene', (162, 168)) ('SNRPN', 'Gene', '6638', (248, 253)) ('SNRPF', 'Gene', '6636', (215, 220)) ('SNRPN', 'Gene', '6638', (72, 77)) ('inhibit', 'NegReg', (94, 101)) ('CKLF', 'Gene', (257, 261)) 8426 29371935 We also found that knockdown of UCH-L5 could upregulate the mRNA and protein level of SNRPF, while overexpression of UCH-L5 downregulated the mRNA and protein level of SNRPF in U87MG cells infected by Lentivirus. ('UCH-L5', 'Gene', (117, 123)) ('SNRPF', 'Gene', '6636', (168, 173)) ('SNRPF', 'Gene', '6636', (86, 91)) ('knockdown', 'Var', (19, 28)) ('UCH-L5', 'Gene', '51377', (32, 38)) ('U87MG', 'CellLine', 'CVCL:0022', (177, 182)) ('downregulated', 'NegReg', (124, 137)) ('SNRPF', 'Gene', (168, 173)) ('UCH-L5', 'Gene', '51377', (117, 123)) ('UCH-L5', 'Gene', (32, 38)) ('SNRPF', 'Gene', (86, 91)) ('upregulate', 'PosReg', (45, 55)) 8428 29371935 Considering the function of UCH-L5 regulates DNA transcription and mRNA expression of the spliceosome components, the possible reason is that knockdown of UCH-L5 expression upregulates mRNA level of SNRPF which promots the splicing of downstream oncogenes, causing a promotion of oncogenic genes and tumorigenesis. ('tumor', 'Phenotype', 'HP:0002664', (300, 305)) ('upregulates', 'PosReg', (173, 184)) ('tumor', 'Disease', (300, 305)) ('UCH-L5', 'Gene', (155, 161)) ('UCH-L5', 'Gene', '51377', (28, 34)) ('SNRPF', 'Gene', '6636', (199, 204)) ('oncogenic genes', 'Gene', (280, 295)) ('SNRPF', 'Gene', (199, 204)) ('splicing', 'MPA', (223, 231)) ('UCH-L5', 'Gene', '51377', (155, 161)) ('promotion', 'PosReg', (267, 276)) ('tumor', 'Disease', 'MESH:D009369', (300, 305)) ('mRNA', 'MPA', (185, 189)) ('knockdown', 'Var', (142, 151)) ('UCH-L5', 'Gene', (28, 34)) 8443 29371935 Endogenous catalase activity was inactivated by H2O2. ('inactivated', 'NegReg', (33, 44)) ('H2O2', 'Chemical', 'MESH:D006861', (48, 52)) ('H2O2', 'Var', (48, 52)) ('Endogenous catalase activity', 'MPA', (0, 28)) 8520 28446876 According to, the lack of sensitivity in skin tests could be explained by the fact that the molecular weight of carboplatin (373.272 g/mol) is low and it is not immunogenic in the native form. ('molecular weight', 'MPA', (92, 108)) ('carboplatin', 'Chemical', 'MESH:D016190', (112, 123)) ('low', 'NegReg', (143, 146)) ('373.272 g/mol', 'Var', (125, 138)) 8543 28446876 Despite its effectiveness, however, cisplatin is more ototoxic and nephrotoxic than carboplatin. ('ototoxic', 'Disease', (54, 62)) ('nephrotoxic', 'Disease', 'MESH:D007674', (67, 78)) ('carboplatin', 'Chemical', 'MESH:D016190', (84, 95)) ('cisplatin', 'Var', (36, 45)) ('ototoxic', 'Disease', 'MESH:D006311', (54, 62)) ('nephrotoxic', 'Disease', (67, 78)) ('cisplatin', 'Chemical', 'MESH:D002945', (36, 45)) 8545 28446876 In patients receiving cumulative cisplatin doses of <=200 mg/m2, 200-400 mg/m2, and >=400 mg/m2, the incidence increases to 59, 68, and 65%, respectively. ('>=400 mg/m2', 'Var', (84, 95)) ('cisplatin', 'Chemical', 'MESH:D002945', (33, 42)) ('patients', 'Species', '9606', (3, 11)) ('<=200 mg/m2', 'Var', (52, 63)) 8633 20708548 By combining both MRSI and perfusion MRI, a sensitivity of 72.2% and specificity of 91.7% in differentiating tumors from nonneoplastic lesions was achieved with cutoff points of NAA/Cho <=0.61 and rCBV >=1.50 corresponding to tumor diagnosis. ('NAA', 'Chemical', 'MESH:C000179', (178, 181)) ('tumors', 'Disease', 'MESH:D009369', (109, 115)) ('rCBV', 'Chemical', '-', (197, 201)) ('tumor', 'Disease', (109, 114)) ('tumors', 'Phenotype', 'HP:0002664', (109, 115)) ('Cho', 'Chemical', 'MESH:D002794', (182, 185)) ('nonneoplastic lesions', 'Disease', 'MESH:D004194', (121, 142)) ('NAA/Cho', 'Var', (178, 185)) ('tumor', 'Disease', 'MESH:D009369', (226, 231)) ('tumor', 'Disease', 'MESH:D009369', (109, 114)) ('neoplastic lesions', 'Phenotype', 'HP:0002664', (124, 142)) ('MRSI', 'Disease', (18, 22)) ('MRSI', 'Disease', 'None', (18, 22)) ('nonneoplastic lesions', 'Disease', (121, 142)) ('tumor', 'Phenotype', 'HP:0002664', (226, 231)) ('tumor', 'Phenotype', 'HP:0002664', (109, 114)) ('tumors', 'Disease', (109, 115)) ('tumor', 'Disease', (226, 231)) 8663 20708548 In another study of children with recurrent gliomas, a high Cho/NAA ratio was associated with decreased survival. ('NAA', 'Chemical', 'MESH:C000179', (64, 67)) ('survival', 'MPA', (104, 112)) ('Cho', 'Chemical', 'MESH:D002794', (60, 63)) ('gliomas', 'Disease', 'MESH:D005910', (44, 51)) ('gliomas', 'Phenotype', 'HP:0009733', (44, 51)) ('gliomas', 'Disease', (44, 51)) ('decreased', 'NegReg', (94, 103)) ('high', 'Var', (55, 59)) ('children', 'Species', '9606', (20, 28)) ('glioma', 'Phenotype', 'HP:0009733', (44, 50)) 8693 20708548 In nine patients with T2-hyperintense lesions without contrast enhancement suggestive of low-grade glioma on conventional MRI, 1H MRSI was performed presurgically and the area of the highest Cho intensity (or, if not apparent, area from the center of the lesion) was chosen as a biopsy target using a frameless stereotactic system. ('MRSI', 'Disease', (130, 134)) ('Cho', 'Chemical', 'MESH:D002794', (191, 194)) ('1H', 'Chemical', '-', (127, 129)) ('MRSI', 'Disease', 'None', (130, 134)) ('glioma', 'Disease', (99, 105)) ('glioma', 'Disease', 'MESH:D005910', (99, 105)) ('T2-hyperintense lesions', 'Var', (22, 45)) ('glioma', 'Phenotype', 'HP:0009733', (99, 105)) ('patients', 'Species', '9606', (8, 16)) 8746 20708548 At relapse, 82% of the 17 voxels with Cho/NAA>=2 at baseline exhibited either continuing or new contrast enhancement (as compared to 15% of 323 voxels with normal Cho/NAA ratio). ('NAA', 'Chemical', 'MESH:C000179', (167, 170)) ('enhancement', 'PosReg', (105, 116)) ('NAA', 'Chemical', 'MESH:C000179', (42, 45)) ('Cho', 'Chemical', 'MESH:D002794', (38, 41)) ('Cho/NAA', 'Var', (38, 45)) ('Cho', 'Chemical', 'MESH:D002794', (163, 166)) ('contrast', 'MPA', (96, 104)) 8778 32894165 Bioinformatics analysis, qPCR, western blotting, and immunohistochemistry were used to detect the expression levels of ISL2, miR-342-3p, circRNA ARF1 (cARF1), U2AF2, and VEGFA. ('miR-342-3p', 'Var', (125, 135)) ('miR-342-3p', 'Chemical', '-', (125, 135)) ('VEGFA', 'Gene', (170, 175)) ('ISL2', 'Gene', (119, 123)) ('VEGFA', 'Gene', '7422', (170, 175)) 8785 32894165 Furthermore, U2AF2 bound to and promoted the stability and expression of cARF1, while ISL2 induced the expression of U2AF2, which formed a feedback loop in GSCs. ('promoted', 'PosReg', (32, 40)) ('expression', 'MPA', (103, 113)) ('stability', 'MPA', (45, 54)) ('GSCs', 'Chemical', '-', (156, 160)) ('expression', 'MPA', (59, 69)) ('bound', 'Interaction', (19, 24)) ('U2AF2', 'Var', (117, 122)) ('cARF1', 'Gene', (73, 78)) 8787 32894165 Our study identified a novel feedback loop among U2AF2, cARF1, miR-342-3p, and ISL2 in GSCs. ('miR-342-3p', 'Var', (63, 73)) ('U2AF2', 'Gene', (49, 54)) ('miR-342-3p', 'Chemical', '-', (63, 73)) ('GSCs', 'Chemical', '-', (87, 91)) ('cARF1', 'Gene', (56, 61)) ('GSCs', 'Disease', (87, 91)) 8795 32894165 It has been reported that ISL2 is essential for acquisition of motor neuron identity, and it contributes to the restriction of motor neurons within the neural tube via slit and semaphorin signaling, while ISL2 inhibition impairs peripheral axonal outgrowth in embryonic zebrafish. ('ISL2', 'Gene', (205, 209)) ('restriction', 'MPA', (112, 123)) ('peripheral axonal outgrowth', 'CPA', (229, 256)) ('semaphorin signaling', 'MPA', (177, 197)) ('inhibition', 'Var', (210, 220)) ('zebrafish', 'Species', '7955', (270, 279)) ('impairs', 'NegReg', (221, 228)) 8806 32894165 MiR-342-3p is reported to exert tumor inhibiting effects in several cancers. ('cancer', 'Phenotype', 'HP:0002664', (68, 74)) ('cancers', 'Phenotype', 'HP:0002664', (68, 75)) ('tumor', 'Disease', 'MESH:D009369', (32, 37)) ('MiR-342-3p', 'Var', (0, 10)) ('cancers', 'Disease', (68, 75)) ('cancers', 'Disease', 'MESH:D009369', (68, 75)) ('tumor', 'Phenotype', 'HP:0002664', (32, 37)) ('tumor', 'Disease', (32, 37)) ('MiR-342-3p', 'Chemical', '-', (0, 10)) 8815 32894165 Six patient-derived primary glioma stem cells from WHO grade II to IV (grade II: GSC205 and GSC207; grade III: GSC306 and GSC307; grade IV: GSC406 and GSC408) were isolated, and neurosphere cultures were obtained as previously described. ('GSC307', 'Var', (122, 128)) ('glioma', 'Disease', 'MESH:D005910', (28, 34)) ('glioma', 'Phenotype', 'HP:0009733', (28, 34)) ('glioma', 'Disease', (28, 34)) ('patient', 'Species', '9606', (4, 11)) ('GSC306', 'Var', (111, 117)) ('GSC406', 'Var', (140, 146)) ('GSC205', 'Chemical', '-', (81, 87)) ('GSC408', 'Var', (151, 157)) ('GSC207', 'Var', (92, 98)) 8854 32894165 Gene set enrichment analysis (GSEA, http://www.broadinstitute.org/gsea/index.jsp) was used to analyze enrichment of a biological process or signal pathway with high versus low ISL2 expressions. ('high', 'Var', (160, 164)) ('expressions', 'MPA', (181, 192)) ('low', 'NegReg', (172, 175)) ('GSEA', 'Chemical', '-', (30, 34)) ('ISL2', 'Gene', (176, 180)) 8857 32894165 ISL2 was also highly enriched in the IDH wildtype glioma, and was associated with decreased survival rates among different WHO grade glioma in the CGGA datasets (Fig. ('glioma', 'Disease', 'MESH:D005910', (133, 139)) ('glioma', 'Phenotype', 'HP:0009733', (133, 139)) ('glioma', 'Disease', (50, 56)) ('survival rates', 'CPA', (92, 106)) ('glioma', 'Disease', (133, 139)) ('glioma', 'Disease', 'MESH:D005910', (50, 56)) ('IDH', 'Gene', (37, 40)) ('glioma', 'Phenotype', 'HP:0009733', (50, 56)) ('ISL2', 'Var', (0, 4)) ('decreased', 'NegReg', (82, 91)) ('IDH', 'Gene', '3417', (37, 40)) 8866 32894165 Both qPCR and western blotting showed that ISL2 was expressed highest in WHO grade IV GSCs (GSC406 and GSC408), followed with WHO grade III GSCs (GSC306 and GSC307), and lowest in WHO grade II GSCs (GSC205 and GSC207) (Figure S2d, e). ('GSC408', 'Var', (103, 109)) ('GSC205', 'Chemical', '-', (199, 205)) ('GSCs', 'Chemical', '-', (140, 144)) ('GSC406', 'Var', (92, 98)) ('GSCs', 'Chemical', '-', (86, 90)) ('GSC306', 'Var', (146, 152)) ('GSCs', 'Chemical', '-', (193, 197)) 8870 32894165 The results showed there was a positive association with "GO_POSITIVE_REGULATION_OF_VASCULAR_ENDOTHELIAL_ GROWTH_FACTOR_PRODUCTION" signatures in ISL2 high expression glioma. ('ISL2', 'Gene', (146, 150)) ('glioma', 'Disease', (167, 173)) ('high expression', 'Var', (151, 166)) ('glioma', 'Phenotype', 'HP:0009733', (167, 173)) ('glioma', 'Disease', 'MESH:D005910', (167, 173)) 8872 32894165 All qPCR, western blotting, and ELISA assays showed that the expression and secretion of VEGFA decreased after ISL2 silencing of GSC406, while it increased in ISL2 overexpressing GSC205 (Fig. ('decreased', 'NegReg', (95, 104)) ('VEGFA', 'Gene', (89, 94)) ('GSC205', 'Chemical', '-', (179, 185)) ('GSC406', 'Gene', (129, 135)) ('VEGFA', 'Gene', '7422', (89, 94)) ('silencing', 'Var', (116, 125)) ('secretion', 'MPA', (76, 85)) ('expression', 'MPA', (61, 71)) 8874 32894165 A luciferase plasmid with the top 2000 nucleotides of the promoter domain of the VEGFA gene (pGl3-wt) and a luciferase plasmid with mutant sequences in both binding sites of the promoter domain (pGL3-mt) were generated (Fig. ('pGl3', 'Gene', '6391', (93, 97)) ('VEGFA', 'Gene', '7422', (81, 86)) ('pGL3', 'Gene', '6391', (195, 199)) ('mutant', 'Var', (132, 138)) ('pGl3', 'Gene', (93, 97)) ('VEGFA', 'Gene', (81, 86)) ('pGL3', 'Gene', (195, 199)) 8876 32894165 ChIP assays also revealed that the enrichment of VEGFA was decreased in ISL2 silencing GSC406 and increased in ISL2 overexpressing GSC205 (Fig. ('GSC406', 'Var', (87, 93)) ('ISL2', 'Gene', (72, 76)) ('decreased', 'NegReg', (59, 68)) ('VEGFA', 'Gene', (49, 54)) ('silencing', 'NegReg', (77, 86)) ('GSC205', 'Chemical', '-', (131, 137)) ('increased', 'PosReg', (98, 107)) ('enrichment', 'MPA', (35, 45)) ('VEGFA', 'Gene', '7422', (49, 54)) 8879 32894165 The results showed that treatment with the conditioned medium from ISL2-silenced GSC406 decreased cell viability and the rates of EDU-positive hBMECs, while ISL2-overexpressed GSC205-GCM increased the cell viability and the rates of EDU-positive hBMECs (Figure S4a-d). ('EDU', 'Chemical', '-', (233, 236)) ('EDU', 'Chemical', '-', (130, 133)) ('GSC205-GCM', 'Var', (176, 186)) ('GSC406', 'Gene', (81, 87)) ('rates', 'MPA', (121, 126)) ('GSC205', 'Chemical', '-', (176, 182)) ('cell viability', 'CPA', (201, 215)) ('increased', 'PosReg', (187, 196)) ('decreased', 'NegReg', (88, 97)) ('cell viability', 'CPA', (98, 112)) 8880 32894165 Transwell assays showed that treatment with ISL2-silenced GSC406-GCM decreased the invading cell numbers of hBMECs, whereas treatment with ISL2-overexpressed GSC205-GCM increased its invasive cell numbers (Figure S4e, f). ('increased', 'PosReg', (169, 178)) ('invasive cell numbers', 'CPA', (183, 204)) ('decreased', 'NegReg', (69, 78)) ('GSC205', 'Chemical', '-', (158, 164)) ('invading cell numbers of hBMECs', 'CPA', (83, 114)) ('GSC406-GCM', 'Var', (58, 68)) 8881 32894165 Moreover, tube formation assays showed that ISL2-silenced GSC406-GCM treatment decreased the number of branches and tubule lengths of hBMECs, while the opposite results were obtained after treatment with ISL2-overexpressed GSC205-GCM (Figure S4g-i). ('decreased', 'NegReg', (79, 88)) ('GSC205', 'Chemical', '-', (223, 229)) ('GSC406-GCM', 'Var', (58, 68)) 8883 32894165 Therefore, human recombinant VEGFA or VEGFA-neutralizing antibody were combined with treatment of ISL2-silenced GSC406-GCM or ISL2-overexpressed GSC205-GCM, respectively. ('VEGFA', 'Gene', (38, 43)) ('VEGFA', 'Gene', '7422', (29, 34)) ('human', 'Species', '9606', (11, 16)) ('VEGFA', 'Gene', (29, 34)) ('GSC205', 'Chemical', '-', (145, 151)) ('GSC406-GCM', 'Var', (112, 122)) ('VEGFA', 'Gene', '7422', (38, 43)) 8889 32894165 The results showed that miR-342-3p was the only intersection among these four datasets that bound to the 3'-UTR of ISL2 (Fig. ('miR-342-3p', 'Var', (24, 34)) ('bound', 'Reg', (92, 97)) ('miR-342-3p', 'Chemical', '-', (24, 34)) ('ISL2', 'Gene', (115, 119)) 8891 32894165 We therefore designed luciferase reporter assays and found that miR-342-3p mimic treatment decreased the luciferase activity of the luciferase reporter plasmid with the wildtype ISL2 mRNA 3'-UTR in GSC406 (Fig. ('luciferase', 'Enzyme', (105, 115)) ('activity', 'MPA', (116, 124)) ('miR-342-3p', 'Var', (64, 74)) ('miR-342-3p', 'Chemical', '-', (64, 74)) ('decreased', 'NegReg', (91, 100)) 8892 32894165 3d), while the luciferase activity of wildtype ISL2 mRNA 3'-UTR was increased after miR-342-3p inhibitor treatment in GSC205 (Fig. ('luciferase', 'Enzyme', (15, 25)) ('miR-342-3p', 'Var', (84, 94)) ('miR-342-3p', 'Chemical', '-', (84, 94)) ('GSC205', 'Chemical', '-', (118, 124)) ('activity', 'MPA', (26, 34)) ('increased', 'PosReg', (68, 77)) 8893 32894165 We then detected the expression of miR-342-3p in our clinical glioma specimens and found its expression was negatively correlated with ISL2 expression in each WHO grade of glioma (Fig. ('miR-342-3p', 'Var', (35, 45)) ('miR-342-3p', 'Chemical', '-', (35, 45)) ('expression', 'MPA', (140, 150)) ('glioma', 'Disease', 'MESH:D005910', (62, 68)) ('ISL2', 'Gene', (135, 139)) ('glioma', 'Phenotype', 'HP:0009733', (62, 68)) ('negatively', 'NegReg', (108, 118)) ('glioma', 'Disease', 'MESH:D005910', (172, 178)) ('glioma', 'Phenotype', 'HP:0009733', (172, 178)) ('expression', 'MPA', (93, 103)) ('glioma', 'Disease', (172, 178)) ('glioma', 'Disease', (62, 68)) 8894 32894165 Both qPCR and western blotting showed the expression of ISL2 was significantly decreased after miR-342-3p mimic treatment in GSC406, while it was upregulated after miR-342-3p inhibitor treatment in GSC205 (Fig. ('miR-342-3p', 'Chemical', '-', (164, 174)) ('miR-342-3p mimic', 'Var', (95, 111)) ('decreased', 'NegReg', (79, 88)) ('expression', 'MPA', (42, 52)) ('GSC205', 'Chemical', '-', (198, 204)) ('miR-342-3p', 'Chemical', '-', (95, 105)) ('upregulated', 'PosReg', (146, 157)) ('ISL2', 'Gene', (56, 60)) 8895 32894165 Based on these results, miR-342-3p was a possible upstream regulatory factor, which negatively regulated ISL2 expression by binding with the ISL2 3'-UTR. ('ISL2', 'Gene', (105, 109)) ('binding', 'Interaction', (124, 131)) ('negatively regulated', 'NegReg', (84, 104)) ('expression', 'MPA', (110, 120)) ('miR-342-3p', 'Var', (24, 34)) ('miR-342-3p', 'Chemical', '-', (24, 34)) 8896 32894165 We detected the possible functions of miR-342-3p expression of GSCs in hBMECs. ('hBMECs', 'Disease', (71, 77)) ('GSCs', 'Chemical', '-', (63, 67)) ('GSCs', 'Gene', (63, 67)) ('miR-342-3p', 'Var', (38, 48)) ('miR-342-3p', 'Chemical', '-', (38, 48)) 8897 32894165 The MTS, EDU, Transwell, and tube formation assay results showed the proliferation, invasion, and angiogenesis of hBMECs were decreased after miR-342-3p mimic-transfected GSC406-GCM treatment (Fig. ('decreased', 'NegReg', (126, 135)) ('invasion', 'CPA', (84, 92)) ('angiogenesis of hBMECs', 'CPA', (98, 120)) ('miR-342-3p', 'Chemical', '-', (142, 152)) ('EDU', 'Chemical', '-', (9, 12)) ('GSC406-GCM', 'Var', (171, 181)) ('miR-342-3p mimic-transfected GSC406-GCM', 'Var', (142, 181)) 8898 32894165 The qPCR and ELISA assays also showed that the expression and secretion of VEGFA were decreased in GSC406 after transfection with the miR-342-3p mimic (Fig. ('VEGFA', 'Gene', '7422', (75, 80)) ('GSC406', 'Var', (99, 105)) ('decreased', 'NegReg', (86, 95)) ('secretion', 'MPA', (62, 71)) ('miR-342-3p', 'Chemical', '-', (134, 144)) ('VEGFA', 'Gene', (75, 80)) ('expression', 'MPA', (47, 57)) 8900 32894165 To further determine whether miR-342-3p inhibited these biological functions by downregulating ISL2 expression, rescued experiments were performed with additional transfection with ISL2 overexpression or knockdown on the basis of the miR-342-3p mimic or inhibitor treatment, respectively. ('overexpression', 'PosReg', (186, 200)) ('miR-342-3p', 'Chemical', '-', (234, 244)) ('knockdown', 'Var', (204, 213)) ('inhibited', 'NegReg', (40, 49)) ('downregulating', 'NegReg', (80, 94)) ('miR-342-3p', 'Var', (29, 39)) ('expression', 'MPA', (100, 110)) ('miR-342-3p', 'Chemical', '-', (29, 39)) ('ISL2', 'Gene', (95, 99)) 8901 32894165 Compared with miR-342-3p mimic-transfected GSC406-GCM treatment alone, additional ISL2 overexpression-transfected GSC406-GCM increased the cell viability and the rates of EDU-positive hBMECs, the invading cell numbers of hBMECs, and the number of branches and tubule lengths of hBMECs as measured by MTS, EDU, Transwell, and tube formation assays, respectively (Fig. ('EDU', 'Chemical', '-', (171, 174)) ('increased', 'PosReg', (125, 134)) ('GSC406-GCM', 'Var', (114, 124)) ('EDU-positive hBMECs', 'CPA', (171, 190)) ('miR-342-3p', 'Chemical', '-', (14, 24)) ('invading cell numbers of hBMECs', 'CPA', (196, 227)) ('ISL2', 'Gene', (82, 86)) ('cell viability', 'CPA', (139, 153)) ('EDU', 'Chemical', '-', (305, 308)) ('tube formation', 'CPA', (325, 339)) 8902 32894165 The qPCR and ELISA also showed VEGFA expression in GSC406 was increased after additional transfection with ISL2 overexpression (Fig. ('increased', 'PosReg', (62, 71)) ('VEGFA', 'Gene', '7422', (31, 36)) ('VEGFA', 'Gene', (31, 36)) ('GSC406', 'Var', (51, 57)) 8904 32894165 Together, these data suggested that miR-342-3p suppressed the proliferation, invasion, and angiogenesis of hBMECs by inhibiting ISL2 and VEGFA expression in GSCs. ('suppressed', 'NegReg', (47, 57)) ('expression', 'MPA', (143, 153)) ('angiogenesis', 'CPA', (91, 103)) ('proliferation', 'CPA', (62, 75)) ('GSCs', 'Chemical', '-', (157, 161)) ('invasion', 'CPA', (77, 85)) ('VEGFA', 'Gene', '7422', (137, 142)) ('inhibiting', 'NegReg', (117, 127)) ('miR-342-3p', 'Var', (36, 46)) ('miR-342-3p', 'Chemical', '-', (36, 46)) ('ISL2', 'Protein', (128, 132)) ('VEGFA', 'Gene', (137, 142)) 8906 32894165 To confirm the possibility that miR-342-3p directly bound to cARF1, we constructed full-length cARF1 sequences (cARF1-wt) and cARF1 sequences with mutant binding sites (cARF1-mt) (Fig. ('mutant', 'Var', (147, 153)) ('binding', 'Interaction', (154, 161)) ('cARF1', 'Gene', (95, 100)) ('cARF1', 'Gene', (126, 131)) ('miR-342-3p', 'Chemical', '-', (32, 42)) 8907 32894165 The results showed that the miR-342-3p mimic significantly decreased the activity of cARF1-wt vector and miR-342-3p inhibitor increased the activity of the cARF1-wt vector, while there was no change in the activity of the cARF1-mt vector group (Fig. ('miR-342-3p', 'Chemical', '-', (28, 38)) ('activity', 'MPA', (73, 81)) ('decreased', 'NegReg', (59, 68)) ('cARF1-wt vector', 'MPA', (85, 100)) ('miR-342-3p', 'Var', (105, 115)) ('miR-342-3p', 'Chemical', '-', (105, 115)) ('activity', 'MPA', (140, 148)) ('increased', 'PosReg', (126, 135)) 8911 32894165 The qPCR also showed that the expression of cARF1 was decreased after miR-342-3p mimic treatment in GSC406, while it increased after miR-342-3p inhibitor treatment in GSC205 (Fig. ('miR-342-3p', 'Chemical', '-', (70, 80)) ('expression', 'MPA', (30, 40)) ('cARF1', 'Gene', (44, 49)) ('increased', 'PosReg', (117, 126)) ('decreased', 'NegReg', (54, 63)) ('miR-342-3p mimic', 'Var', (70, 86)) ('miR-342-3p', 'Chemical', '-', (133, 143)) ('GSC205', 'Chemical', '-', (167, 173)) 8912 32894165 Overexpression or knockdown of cARF1 led to downregulation or upregulation of miR-342-3p, respectively (Fig. ('knockdown', 'Var', (18, 27)) ('miR-342-3p', 'MPA', (78, 88)) ('downregulation', 'NegReg', (44, 58)) ('cARF1', 'Gene', (31, 36)) ('miR-342-3p', 'Chemical', '-', (78, 88)) ('upregulation', 'PosReg', (62, 74)) 8918 32894165 MTS, EDU, Transwell, and tube formation assays results showed that the proliferation, invasion, and angiogenesis of hBMECs were decreased after cARF1-silenced GSC406-GCM treatment (Fig. ('cARF1-silenced', 'Gene', (144, 158)) ('GSC406-GCM', 'Var', (159, 169)) ('decreased', 'NegReg', (128, 137)) ('angiogenesis of hBMECs', 'CPA', (100, 122)) ('EDU', 'Chemical', '-', (5, 8)) ('invasion', 'CPA', (86, 94)) 8919 32894165 The qPCR and ELISA assays showed that the expression and secretion of VEGFA were also decreased in GSC406 after cARF1 knockdown (Fig. ('secretion', 'MPA', (57, 66)) ('cARF1', 'Gene', (112, 117)) ('VEGFA', 'Gene', (70, 75)) ('knockdown', 'Var', (118, 127)) ('expression', 'MPA', (42, 52)) ('GSC406', 'Var', (99, 105)) ('decreased', 'NegReg', (86, 95)) ('VEGFA', 'Gene', '7422', (70, 75)) 8922 32894165 Comparing cARF1-silenced GSC406-GCM treatment alone, additional treatment of the miR-342-3p inhibitor promoted the proliferation, invasion, and angiogenesis of hBMECs, and expression and secretion of VEGFA of GSC406 (Fig. ('promoted', 'PosReg', (102, 110)) ('invasion', 'CPA', (130, 138)) ('angiogenesis of hBMECs', 'CPA', (144, 166)) ('expression', 'MPA', (172, 182)) ('VEGFA', 'Gene', (200, 205)) ('proliferation', 'CPA', (115, 128)) ('GSC406', 'Var', (209, 215)) ('miR-342-3p', 'Chemical', '-', (81, 91)) ('secretion', 'MPA', (187, 196)) ('VEGFA', 'Gene', '7422', (200, 205)) 8925 32894165 Since miR-342-3p can inhibit ISL2 expression via binding to its 3'-UTR and cARF1 acts as a sponge of miR-342-3p, we further determined whether cARF1 regulated the expression of ISL2 via the miR-342-3p-mediated ceRNA mechanism in GSCs. ('miR-342-3p', 'Chemical', '-', (6, 16)) ('expression', 'MPA', (34, 44)) ('ISL2', 'Gene', (29, 33)) ('ISL2', 'Gene', (177, 181)) ('miR-342-3p', 'Chemical', '-', (190, 200)) ('binding', 'Interaction', (49, 56)) ('miR-342-3p', 'Chemical', '-', (101, 111)) ('inhibit', 'NegReg', (21, 28)) ('expression', 'MPA', (163, 173)) ('GSCs', 'Chemical', '-', (229, 233)) ('miR-342-3p', 'Var', (6, 16)) 8926 32894165 Both western blotting and qPCR showed that ISL2 expression was overexpressed after cARF1 overexpression in GSC205 and decreased after cARF1 knockdown in GSC406 (Fig. ('overexpressed', 'PosReg', (63, 76)) ('GSC205', 'Chemical', '-', (107, 113)) ('expression', 'MPA', (48, 58)) ('ISL2', 'Gene', (43, 47)) ('cARF1', 'Gene', (83, 88)) ('decreased', 'NegReg', (118, 127)) ('knockdown', 'Var', (140, 149)) ('overexpression', 'Var', (89, 103)) 8931 32894165 The qPCR and ELISA assays also showed that VEGFA expression and secretion were increased in GSC406 after cARF1 knockdown combined with ISL2 overexpression (Fig. ('increased', 'PosReg', (79, 88)) ('knockdown', 'Var', (111, 120)) ('cARF1', 'Gene', (105, 110)) ('VEGFA', 'Gene', '7422', (43, 48)) ('secretion', 'MPA', (64, 73)) ('expression', 'MPA', (49, 59)) ('VEGFA', 'Gene', (43, 48)) 8932 32894165 However, the opposite results were also obtained after ISL2 knockdown combined with cARF1 overexpression in GSC205 (Fig. ('cARF1', 'Gene', (84, 89)) ('GSC205', 'Chemical', '-', (108, 114)) ('knockdown', 'Var', (60, 69)) ('overexpression', 'PosReg', (90, 104)) 8935 32894165 We searched Starbase and found that U2AF2 was the most probable RBP with the highest "Clip Exp Num" which could interact with cARF1. ('RBP', 'Gene', '27303', (64, 67)) ('U2AF2', 'Var', (36, 41)) ('RBP', 'Gene', (64, 67)) 8937 32894165 U2AF2 knockdown decreased the enrichment of cARF1 in GSC406, while U2AF2 overexpression further increased the enrichment of cARF1 in GSC205 (Fig. ('increased', 'PosReg', (96, 105)) ('enrichment', 'MPA', (30, 40)) ('cARF1', 'Gene', (44, 49)) ('enrichment', 'MPA', (110, 120)) ('U2AF2', 'Gene', (67, 72)) ('knockdown', 'Var', (6, 15)) ('U2AF2', 'Gene', (0, 5)) ('decreased', 'NegReg', (16, 25)) ('GSC205', 'Chemical', '-', (133, 139)) 8938 32894165 Together, these results suggested that as a type of RBP, U2AF2 directly promoted the stability and expression of cARF1. ('expression', 'MPA', (99, 109)) ('stability', 'MPA', (85, 94)) ('cARF1', 'Gene', (113, 118)) ('RBP', 'Gene', '27303', (52, 55)) ('U2AF2', 'Var', (57, 62)) ('RBP', 'Gene', (52, 55)) ('promoted', 'PosReg', (72, 80)) 8941 32894165 U2AF2 was also highly enriched in IDH wildtype gliomas, and was associated with decreased survival rates in both TCGA and CGGA datasets (Fig. ('glioma', 'Phenotype', 'HP:0009733', (47, 53)) ('IDH', 'Gene', (34, 37)) ('IDH', 'Gene', '3417', (34, 37)) ('survival rates', 'CPA', (90, 104)) ('gliomas', 'Disease', (47, 54)) ('decreased', 'NegReg', (80, 89)) ('U2AF2', 'Var', (0, 5)) ('gliomas', 'Disease', 'MESH:D005910', (47, 54)) ('gliomas', 'Phenotype', 'HP:0009733', (47, 54)) 8944 32894165 Kaplan-Meier survival analyses also showed that the median survival time of higher U2AF2 expression patients was shorter than those patients with lower U2AF2 expression levels (Fig. ('U2AF2', 'Gene', (83, 88)) ('survival time', 'CPA', (59, 72)) ('patients', 'Species', '9606', (100, 108)) ('higher', 'Var', (76, 82)) ('shorter', 'NegReg', (113, 120)) ('patients', 'Species', '9606', (132, 140)) 8946 32894165 To determine whether U2AF2 promotes glioma angiogenesis, we performed MTS, EDU, Transwell, and tube formation assays and found that the proliferation, invasion, and angiogenesis of hBMECs were decreased after U2AF2-knockdown GSC406-GCM treatment (Fig. ('U2AF2-knockdown', 'Gene', (209, 224)) ('glioma', 'Disease', (36, 42)) ('glioma', 'Phenotype', 'HP:0009733', (36, 42)) ('invasion', 'CPA', (151, 159)) ('GSC406-GCM', 'Var', (225, 235)) ('glioma', 'Disease', 'MESH:D005910', (36, 42)) ('angiogenesis of hBMECs', 'CPA', (165, 187)) ('EDU', 'Chemical', '-', (75, 78)) ('decreased', 'NegReg', (193, 202)) ('proliferation', 'CPA', (136, 149)) 8947 32894165 The qPCR and ELISA assay results showed the expression and secretion of VEGFA were also decreased in GSC406 after U2AF2 knockdown (Fig. ('expression', 'MPA', (44, 54)) ('GSC406', 'Var', (101, 107)) ('VEGFA', 'Gene', (72, 77)) ('secretion', 'MPA', (59, 68)) ('U2AF2', 'Gene', (114, 119)) ('knockdown', 'Var', (120, 129)) ('decreased', 'NegReg', (88, 97)) ('VEGFA', 'Gene', '7422', (72, 77)) 8949 32894165 The qPCR and ELISA assays also showed that VEGFA expression and secretion were increased in GSC406 after U2AF2 knockdown when combined with cARF1 overexpression (Fig. ('increased', 'PosReg', (79, 88)) ('knockdown', 'Var', (111, 120)) ('VEGFA', 'Gene', '7422', (43, 48)) ('secretion', 'MPA', (64, 73)) ('GSC406', 'Var', (92, 98)) ('expression', 'MPA', (49, 59)) ('VEGFA', 'Gene', (43, 48)) ('U2AF2', 'Gene', (105, 110)) 8950 32894165 However, U2AF2 overexpression combined with cARF1 knockdown in GSC205 showed the opposite results (Fig. ('overexpression', 'PosReg', (15, 29)) ('cARF1', 'Gene', (44, 49)) ('knockdown', 'Var', (50, 59)) ('GSC205', 'Chemical', '-', (63, 69)) ('U2AF2', 'Protein', (9, 14)) 8951 32894165 Taken together, these results suggested that U2AF2 promoted glioma angiogenesis via upregulating cARF1 expression in GSCs. ('glioma', 'Disease', 'MESH:D005910', (60, 66)) ('expression', 'MPA', (103, 113)) ('glioma', 'Disease', (60, 66)) ('promoted', 'PosReg', (51, 59)) ('cARF1', 'Gene', (97, 102)) ('GSCs', 'Chemical', '-', (117, 121)) ('upregulating', 'PosReg', (84, 96)) ('U2AF2', 'Var', (45, 50)) ('glioma', 'Phenotype', 'HP:0009733', (60, 66)) 8953 32894165 Luciferase reporter assays were then performed to show that ISL2 overexpression enhanced the luciferase activity of pGL3-U2AF2-wt, and ISL2 knockdown decreased the luciferase activity of pGL3-U2AF2-wt, but not that of pGL3-U2AF2-mt (Fig. ('luciferase', 'Enzyme', (93, 103)) ('pGL3', 'Gene', (187, 191)) ('activity', 'MPA', (104, 112)) ('ISL2', 'Gene', (135, 139)) ('enhanced', 'PosReg', (80, 88)) ('pGL3', 'Gene', (218, 222)) ('luciferase', 'Enzyme', (164, 174)) ('activity', 'MPA', (175, 183)) ('pGL3', 'Gene', '6391', (187, 191)) ('pGL3', 'Gene', (116, 120)) ('knockdown', 'Var', (140, 149)) ('pGL3', 'Gene', '6391', (218, 222)) ('decreased', 'NegReg', (150, 159)) ('pGL3', 'Gene', '6391', (116, 120)) 8954 32894165 ChIP assays also showed that the enrichment of U2AF2 was decreased in ISL2-knockdown GSC406 and increased in ISL2-overexpressed GSC205 (Fig. ('increased', 'PosReg', (96, 105)) ('ISL2-knockdown', 'Gene', (70, 84)) ('ISL2-knockdown', 'Var', (70, 84)) ('GSC205', 'Chemical', '-', (128, 134)) ('decreased', 'NegReg', (57, 66)) ('U2AF2', 'Protein', (47, 52)) ('enrichment', 'MPA', (33, 43)) 8957 32894165 Compared to the control group, the tumor volumes were enlarged in the ISL2 overexpression and U2AF2 overexpression groups, and decreased in the miR-342-3p-mimic and cARF1-knockdown groups (Fig. ('miR-342-3p', 'Chemical', '-', (144, 154)) ('tumor', 'Disease', 'MESH:D009369', (35, 40)) ('decreased', 'NegReg', (127, 136)) ('tumor', 'Phenotype', 'HP:0002664', (35, 40)) ('tumor', 'Disease', (35, 40)) ('miR-342-3p-mimic', 'Var', (144, 160)) ('enlarged', 'PosReg', (54, 62)) 8958 32894165 Moreover, ISL2 overexpression combined with the miR-342-3p mimic group also showed enlarged tumor volumes, while it was decreased in the U2AF2-overexpression combined with the cARF1-knockdown group (Fig. ('miR-342-3p', 'Chemical', '-', (48, 58)) ('tumor', 'Disease', 'MESH:D009369', (92, 97)) ('enlarged', 'PosReg', (83, 91)) ('tumor', 'Disease', (92, 97)) ('tumor', 'Phenotype', 'HP:0002664', (92, 97)) ('miR-342-3p mimic', 'Var', (48, 64)) 8964 32894165 A schematic diagram showing that the U2AF2/cARF1/miR-342-3p/ISL2 feedback loop promotes glioma tumorigenesis and angiogenesis through VEGFA-mediated ERK signaling pathway is presented in Fig. ('ERK', 'Gene', (149, 152)) ('miR-342-3p', 'Chemical', '-', (49, 59)) ('glioma tumorigenesis', 'Disease', (88, 108)) ('VEGFA', 'Gene', '7422', (134, 139)) ('glioma', 'Phenotype', 'HP:0009733', (88, 94)) ('ERK', 'Gene', '5594', (149, 152)) ('angiogenesis', 'CPA', (113, 125)) ('glioma tumorigenesis', 'Disease', 'MESH:D063646', (88, 108)) ('promotes', 'PosReg', (79, 87)) ('tumor', 'Phenotype', 'HP:0002664', (95, 100)) ('VEGFA', 'Gene', (134, 139)) ('U2AF2/cARF1/miR-342-3p/ISL2', 'Var', (37, 64)) 8972 32894165 Our study revealed that ISL2 transcriptionally regulated VEGFA expression and promoted VEGFA secretion in GSCs, and that ISL2-mediated GCM promoted the proliferation, invasion, and angiogenesis of hBMECs via ERK signaling. ('VEGFA', 'Gene', '7422', (57, 62)) ('promoted', 'PosReg', (139, 147)) ('VEGFA', 'Gene', (87, 92)) ('ISL2-mediated', 'Var', (121, 134)) ('GSCs', 'Chemical', '-', (106, 110)) ('ERK', 'Gene', '5594', (208, 211)) ('ERK', 'Gene', (208, 211)) ('promoted', 'PosReg', (78, 86)) ('proliferation', 'CPA', (152, 165)) ('expression', 'MPA', (63, 73)) ('invasion', 'CPA', (167, 175)) ('VEGFA', 'Gene', (57, 62)) ('VEGFA', 'Gene', '7422', (87, 92)) ('angiogenesis', 'CPA', (181, 193)) 8975 32894165 Accumulating evidence has recently indicated that there are numerous circRNAs expressed in neuronal tissues, and that dysregulation of circRNAs can lead to diseases of the nervous system, including glioma. ('diseases', 'Disease', (156, 164)) ('glioma', 'Disease', (198, 204)) ('glioma', 'Phenotype', 'HP:0009733', (198, 204)) ('glioma', 'Disease', 'MESH:D005910', (198, 204)) ('dysregulation', 'Var', (118, 131)) ('lead to', 'Reg', (148, 155)) 8978 32894165 Circular RNA MAPK4 (circ-MAPK4) inhibits glioma cell apoptosis via the MAPK signaling pathway by sponging miR-125a-3p in glioma. ('MAPK signaling pathway', 'Pathway', (71, 93)) ('MAPK4', 'Gene', (25, 30)) ('circ-MAPK4', 'Gene', '5596', (20, 30)) ('MAPK4', 'Gene', '5596', (25, 30)) ('circ-MAPK4', 'Gene', (20, 30)) ('glioma', 'Disease', 'MESH:D005910', (41, 47)) ('glioma', 'Phenotype', 'HP:0009733', (41, 47)) ('sponging', 'Var', (97, 105)) ('glioma', 'Disease', 'MESH:D005910', (121, 127)) ('glioma', 'Phenotype', 'HP:0009733', (121, 127)) ('-3p', 'Chemical', '-', (114, 117)) ('MAPK4', 'Gene', (13, 18)) ('inhibits', 'NegReg', (32, 40)) ('glioma', 'Disease', (41, 47)) ('MAPK4', 'Gene', '5596', (13, 18)) ('glioma', 'Disease', (121, 127)) 8979 32894165 Circ_002136 can bind to a RBP, FUS, and this regulates angiogenesis via the miR-138-5p/SOX13 axis in glioma. ('RBP', 'Gene', (26, 29)) ('FUS', 'Gene', '2521', (31, 34)) ('SOX13', 'Gene', (87, 92)) ('glioma', 'Disease', (101, 107)) ('SOX13', 'Gene', '9580', (87, 92)) ('bind', 'Interaction', (16, 20)) ('regulates', 'Reg', (45, 54)) ('Circ_002136', 'Var', (0, 11)) ('RBP', 'Gene', '27303', (26, 29)) ('glioma', 'Disease', 'MESH:D005910', (101, 107)) ('angiogenesis', 'CPA', (55, 67)) ('glioma', 'Phenotype', 'HP:0009733', (101, 107)) ('FUS', 'Gene', (31, 34)) 8982 32894165 MiR-342-3p was the only candidate miRNA that we predicted could target the 3'-UTR of ISL2, based on four datasets including microRNA, miRDB, TargetScan, and Starbase. ('MiR-342-3p', 'Chemical', '-', (0, 10)) ('ISL2', 'Gene', (85, 89)) ('MiR-342-3p', 'Var', (0, 10)) 8983 32894165 Although there has been no previous study on the regulation between miR-342-3p and ISL2, miR-342-3p has been reported to play an anti-tumor role in several cancers including glioma. ('glioma', 'Disease', 'MESH:D005910', (174, 180)) ('cancers', 'Phenotype', 'HP:0002664', (156, 163)) ('glioma', 'Phenotype', 'HP:0009733', (174, 180)) ('cancers', 'Disease', (156, 163)) ('cancers', 'Disease', 'MESH:D009369', (156, 163)) ('miR-342-3p', 'Chemical', '-', (68, 78)) ('tumor', 'Disease', 'MESH:D009369', (134, 139)) ('glioma', 'Disease', (174, 180)) ('cancer', 'Phenotype', 'HP:0002664', (156, 162)) ('tumor', 'Phenotype', 'HP:0002664', (134, 139)) ('miR-342-3p', 'Var', (89, 99)) ('miR-342-3p', 'Chemical', '-', (89, 99)) ('tumor', 'Disease', (134, 139)) 8984 32894165 For example, miR-342-3p expression levels have been negatively correlated with advanced WHO grades and inhibit the progression of glioma by directly targeting PAK4. ('PAK4', 'Gene', (159, 163)) ('negatively', 'NegReg', (52, 62)) ('progression', 'CPA', (115, 126)) ('glioma', 'Disease', 'MESH:D005910', (130, 136)) ('glioma', 'Disease', (130, 136)) ('miR-342-3p', 'Var', (13, 23)) ('targeting', 'Reg', (149, 158)) ('PAK4', 'Gene', '10298', (159, 163)) ('inhibit', 'NegReg', (103, 110)) ('glioma', 'Phenotype', 'HP:0009733', (130, 136)) ('miR-342-3p', 'Chemical', '-', (13, 23)) 8985 32894165 MiR-342-3p can also inhibit the malignant biological behaviors of glioblastoma cells via Zic4. ('MiR-342-3p', 'Var', (0, 10)) ('glioblastoma', 'Disease', (66, 78)) ('Zic4', 'Gene', '84107', (89, 93)) ('glioblastoma', 'Disease', 'MESH:D005909', (66, 78)) ('inhibit', 'NegReg', (20, 27)) ('MiR-342-3p', 'Chemical', '-', (0, 10)) ('Zic4', 'Gene', (89, 93)) ('glioblastoma', 'Phenotype', 'HP:0012174', (66, 78)) 8986 32894165 Our study further showed that miR-342-3p exerted anti-glioma effects by inhibiting GSC-GCM-mediated angiogenesis in hBMECs. ('glioma', 'Disease', 'MESH:D005910', (54, 60)) ('inhibiting', 'NegReg', (72, 82)) ('miR-342-3p', 'Var', (30, 40)) ('glioma', 'Disease', (54, 60)) ('miR-342-3p', 'Chemical', '-', (30, 40)) ('glioma', 'Phenotype', 'HP:0009733', (54, 60)) 8987 32894165 Moreover, we also showed that miR-342-3p downregulated ISL2 expression in GSCs and inhibited the angiogenesis mediated by ISL2. ('expression', 'MPA', (60, 70)) ('angiogenesis', 'CPA', (97, 109)) ('downregulated', 'NegReg', (41, 54)) ('inhibited', 'NegReg', (83, 92)) ('miR-342-3p', 'Var', (30, 40)) ('GSCs', 'Chemical', '-', (74, 78)) ('miR-342-3p', 'Chemical', '-', (30, 40)) ('ISL2', 'Gene', (55, 59)) 8989 32894165 It was reported that ARF1 gene promoter methylation is associated with EGFR gene amplification and can promote the distinct tumor infiltration in glioblastoma. ('glioblastoma', 'Disease', 'MESH:D005909', (146, 158)) ('methylation', 'Var', (40, 51)) ('glioblastoma', 'Phenotype', 'HP:0012174', (146, 158)) ('tumor', 'Phenotype', 'HP:0002664', (124, 129)) ('associated', 'Reg', (55, 65)) ('tumor', 'Disease', (124, 129)) ('ARF1', 'Gene', (21, 25)) ('EGFR', 'Gene', '1956', (71, 75)) ('promote', 'PosReg', (103, 110)) ('glioblastoma', 'Disease', (146, 158)) ('EGFR', 'Gene', (71, 75)) ('tumor', 'Disease', 'MESH:D009369', (124, 129)) 8990 32894165 ARF1 promotes cancer stem cell viability via lipid metabolism, and its ablation induces anti-tumor immune responses in mice. ('cancer', 'Disease', (14, 20)) ('mice', 'Species', '10090', (119, 123)) ('tumor', 'Phenotype', 'HP:0002664', (93, 98)) ('cancer', 'Phenotype', 'HP:0002664', (14, 20)) ('ablation', 'Var', (71, 79)) ('tumor', 'Disease', (93, 98)) ('lipid', 'Chemical', 'MESH:D008055', (45, 50)) ('ARF1', 'Gene', (0, 4)) ('lipid metabolism', 'MPA', (45, 61)) ('cancer', 'Disease', 'MESH:D009369', (14, 20)) ('promotes', 'PosReg', (5, 13)) ('induces', 'Reg', (80, 87)) ('tumor', 'Disease', 'MESH:D009369', (93, 98)) 9000 32894165 Our study showed that U2AF2 binds to and promotes the stability and expression of cARF1 in GSCs, while there was no effect on the expression of its ARF1 linear form. ('binds', 'Interaction', (28, 33)) ('cARF1', 'Gene', (82, 87)) ('GSCs', 'Chemical', '-', (91, 95)) ('U2AF2', 'Var', (22, 27)) ('expression', 'MPA', (68, 78)) ('promotes', 'PosReg', (41, 49)) ('stability', 'MPA', (54, 63)) 9006 32894165 Furthermore, U2AF2 can also lead to the proliferation, invasion, and angiogenesis of hBMECs via upregulating cARF1 in GSCs. ('cARF1', 'Gene', (109, 114)) ('upregulating', 'PosReg', (96, 108)) ('U2AF2', 'Var', (13, 18)) ('GSCs', 'Chemical', '-', (118, 122)) ('invasion', 'CPA', (55, 63)) ('lead to', 'Reg', (28, 35)) ('angiogenesis', 'CPA', (69, 81)) ('proliferation', 'CPA', (40, 53)) 9010 32894165 Mechanistically, cARF1 upregulated ISL2 expression in GSCs via miR-342-3p sponging. ('expression', 'MPA', (40, 50)) ('ISL2', 'Gene', (35, 39)) ('miR-342-3p', 'Var', (63, 73)) ('upregulated', 'PosReg', (23, 34)) ('miR-342-3p', 'Chemical', '-', (63, 73)) ('cARF1', 'Gene', (17, 22)) ('GSCs', 'Chemical', '-', (54, 58)) 9018 29765148 As cancer tissues are now frequently screened for specific sets of mutations, a large amount of samples has become available for analysis. ('cancer', 'Phenotype', 'HP:0002664', (3, 9)) ('cancer', 'Disease', (3, 9)) ('cancer', 'Disease', 'MESH:D009369', (3, 9)) ('mutations', 'Var', (67, 76)) 9021 29765148 We show that, for most cancer types, de-sparsified mutation data associate with phenotypic data. ('de-sparsified mutation', 'Var', (37, 59)) ('cancer', 'Phenotype', 'HP:0002664', (23, 29)) ('cancer', 'Disease', (23, 29)) ('cancer', 'Disease', 'MESH:D009369', (23, 29)) 9022 29765148 We identify poor prognostic subtypes in three cancer types, which are associated with mutations in signal transduction pathways for which targeted treatment options are available. ('mutations', 'Var', (86, 95)) ('cancer', 'Disease', 'MESH:D009369', (46, 52)) ('signal transduction pathways', 'Pathway', (99, 127)) ('cancer', 'Disease', (46, 52)) ('cancer', 'Phenotype', 'HP:0002664', (46, 52)) 9023 29765148 Finally, we perform a pan-cancer subtyping analysis and identify nine pan-cancer subtypes, which associate with mutations in four overarching sets of biological pathways. ('cancer', 'Disease', (26, 32)) ('cancer', 'Disease', 'MESH:D009369', (26, 32)) ('cancer', 'Disease', 'MESH:D009369', (74, 80)) ('mutations', 'Var', (112, 121)) ('cancer', 'Disease', (74, 80)) ('cancer', 'Phenotype', 'HP:0002664', (26, 32)) ('cancer', 'Phenotype', 'HP:0002664', (74, 80)) 9030 29765148 Since the onset of large-scale genomic experiments, cancer subtypes have been identified in multiple cancers, using mRNA and microRNA expression levels, methylation data, copy number alterations and combinations of different 'omics data types, but few studies have subtyped patients based on somatic mutations. ('cancer', 'Disease', 'MESH:D009369', (101, 107)) ('cancers', 'Phenotype', 'HP:0002664', (101, 108)) ('cancer', 'Phenotype', 'HP:0002664', (52, 58)) ('multiple cancers', 'Disease', 'MESH:D009369', (92, 108)) ('cancer', 'Disease', (101, 107)) ('patients', 'Species', '9606', (274, 282)) ('copy', 'Var', (171, 175)) ('multiple cancers', 'Disease', (92, 108)) ('cancer', 'Phenotype', 'HP:0002664', (101, 107)) ('cancer', 'Disease', (52, 58)) ('cancer', 'Disease', 'MESH:D009369', (52, 58)) 9033 29765148 However, subtype classification using somatic mutations in cancer is challenging, mainly because the data are very sparse: many tumours only have a handful of mutations in coding regions yet the total number of mutations within a population is typically substantial. ('tumours', 'Disease', 'MESH:D009369', (128, 135)) ('tumours', 'Disease', (128, 135)) ('mutations', 'Var', (159, 168)) ('cancer', 'Phenotype', 'HP:0002664', (59, 65)) ('tumour', 'Phenotype', 'HP:0002664', (128, 134)) ('tumours', 'Phenotype', 'HP:0002664', (128, 135)) ('cancer', 'Disease', (59, 65)) ('cancer', 'Disease', 'MESH:D009369', (59, 65)) 9034 29765148 Often, frequent cancer drivers:such as TP53:are mutated, as well as so-called "passenger" events that are considered mutational noise yet which may still influence tumour properties. ('tumour', 'Phenotype', 'HP:0002664', (164, 170)) ('mutated', 'Var', (48, 55)) ('cancer', 'Disease', 'MESH:D009369', (16, 22)) ('cancer', 'Disease', (16, 22)) ('influence', 'Reg', (154, 163)) ('tumour', 'Disease', 'MESH:D009369', (164, 170)) ('tumour', 'Disease', (164, 170)) ('TP53', 'Gene', '7157', (39, 43)) ('cancer', 'Phenotype', 'HP:0002664', (16, 22)) ('TP53', 'Gene', (39, 43)) 9044 29765148 While these studies have improved our understanding of the genes and pathways that are recurrently mutated in cancer, data are now available for many more samples and cancer types, increasing the power to detect new mutational patterns and cancer subtypes. ('cancer', 'Disease', 'MESH:D009369', (110, 116)) ('cancer', 'Disease', (110, 116)) ('cancer', 'Disease', 'MESH:D009369', (167, 173)) ('cancer', 'Phenotype', 'HP:0002664', (240, 246)) ('increasing', 'PosReg', (181, 191)) ('cancer', 'Disease', (167, 173)) ('cancer', 'Phenotype', 'HP:0002664', (110, 116)) ('cancer', 'Disease', 'MESH:D009369', (240, 246)) ('cancer', 'Phenotype', 'HP:0002664', (167, 173)) ('cancer', 'Disease', (240, 246)) ('mutational', 'Var', (216, 226)) 9065 29765148 For each cancer type, we clustered the pathway mutation scores using hierarchical clustering with binomial distance. ('cancer', 'Disease', (9, 15)) ('cancer', 'Disease', 'MESH:D009369', (9, 15)) ('mutation', 'Var', (47, 55)) ('cancer', 'Phenotype', 'HP:0002664', (9, 15)) 9080 29765148 We divided the cell lines into two groups: those that had mutations in all 94 "Set 1" pathways (n = 156), and those that did not (n = 845), and performed a t-test to identify significant differences in response to drugs targeting phosphoinositide-3 kinase/mammalian target of rapamycin (PI3K/MTOR) signalling (Benjamini-Hochberg adjusted p-values <0.05). ('mutations', 'Var', (58, 67)) ('MTOR', 'Gene', '2475', (292, 296)) ('Set 1"', 'Gene', '9739', (79, 85)) ('Set 1"', 'Gene', (79, 85)) ('mammalian', 'Species', '9606', (256, 265)) ('MTOR', 'Gene', (292, 296)) 9082 29765148 We repeated this analysis on cell lines that had mutations in all 38 "Set 2" pathways (n = 681) and those that did not (n = 320) and drugs targeting DNA replication. ('Set 2"', 'Gene', (70, 76)) ('Set 2"', 'Gene', '29072', (70, 76)) ('mutations', 'Var', (49, 58)) 9083 29765148 We note that we identified a relatively high number of cell lines with mutations in all "Set 2" pathways compared to the number we identified in primary tumours. ('Set 2"', 'Gene', (89, 95)) ('primary tumours', 'Disease', 'MESH:D009369', (145, 160)) ('Set 2"', 'Gene', '29072', (89, 95)) ('tumour', 'Phenotype', 'HP:0002664', (153, 159)) ('mutations', 'Var', (71, 80)) ('tumours', 'Phenotype', 'HP:0002664', (153, 160)) ('primary tumours', 'Disease', (145, 160)) 9094 29765148 As expected, we observed a larger number of mutated pathways than of mutated cancer-associated genes across all samples (median = 103). ('cancer', 'Disease', (77, 83)) ('cancer', 'Disease', 'MESH:D009369', (77, 83)) ('cancer', 'Phenotype', 'HP:0002664', (77, 83)) ('mutated', 'Var', (44, 51)) 9098 29765148 These percentages were lower for mutations in cancer-associated genes, with an average of 54.8% of all cancer-associated genes being mutated in a cancer type (minimum of 6.1% for KICH, maximum of 95.1% for UCEC). ('cancer', 'Disease', (146, 152)) ('cancer', 'Disease', 'MESH:D009369', (46, 52)) ('cancer', 'Disease', 'MESH:D009369', (146, 152)) ('cancer', 'Phenotype', 'HP:0002664', (103, 109)) ('cancer', 'Disease', (46, 52)) ('UCEC', 'Disease', (206, 210)) ('mutated', 'Var', (133, 140)) ('cancer', 'Phenotype', 'HP:0002664', (46, 52)) ('cancer', 'Phenotype', 'HP:0002664', (146, 152)) ('cancer', 'Disease', (103, 109)) ('cancer', 'Disease', 'MESH:D009369', (103, 109)) 9109 29765148 Additionally, technical variability (batch number) appears to associate with pathway mutation scores in a number of cancers. ('associate', 'Reg', (62, 71)) ('cancers', 'Disease', 'MESH:D009369', (116, 123)) ('cancers', 'Phenotype', 'HP:0002664', (116, 123)) ('cancer', 'Phenotype', 'HP:0002664', (116, 122)) ('cancers', 'Disease', (116, 123)) ('pathway', 'PosReg', (77, 84)) ('mutation scores', 'Var', (85, 100)) 9118 29765148 In addition to these known cancer-driver pathways, we identified mutations in neurotrophin signalling, which plays a role in neuron development and differentiation, in the poor prognosis subtype. ('cancer', 'Phenotype', 'HP:0002664', (27, 33)) ('neurotrophin signalling', 'Gene', (78, 101)) ('cancer', 'Disease', (27, 33)) ('cancer', 'Disease', 'MESH:D009369', (27, 33)) ('mutations', 'Var', (65, 74)) 9122 29765148 In addition to these pathways, DNA damage response pathways, which included p53 and ATM signalling, were mutated in the poor prognostic subtype of LAML. ('ATM', 'Gene', (84, 87)) ('p53', 'Gene', (76, 79)) ('p53', 'Gene', '7157', (76, 79)) ('ATM', 'Gene', '472', (84, 87)) ('mutated', 'Var', (105, 112)) ('DNA damage response pathways', 'Pathway', (31, 59)) 9124 29765148 Tumours assigned to this subtype had higher mutation scores in multiple epidermal growth factor receptor (EGFR) family pathways, in cell-cell contact and cellular structure ("adherens junction", "gap junction"), the immune system ("cytokine-cytokine receptor interaction") and in brain tissue-associated pathways (including "gonadotropin-releasing hormone signalling"). ('mutation', 'Var', (44, 52)) ('higher', 'PosReg', (37, 43)) ('epidermal growth factor receptor', 'Gene', (72, 104)) ('EGFR', 'Gene', '1956', (106, 110)) ('gonadotropin-releasing hormone', 'Gene', (325, 355)) ('epidermal growth factor receptor', 'Gene', '1956', (72, 104)) ('gonadotropin-releasing hormone', 'Gene', '2796', (325, 355)) ('Tumours', 'Phenotype', 'HP:0002664', (0, 7)) ('EGFR', 'Gene', (106, 110)) 9125 29765148 Mutations in cell-cell contact genes could be important for metastasis, and immune cells are known to play a critical role into transforming low-grade glioma into glioblastoma. ('glioma', 'Disease', 'MESH:D005910', (151, 157)) ('glioma', 'Phenotype', 'HP:0009733', (151, 157)) ('glioblastoma', 'Phenotype', 'HP:0012174', (163, 175)) ('Mutations', 'Var', (0, 9)) ('glioblastoma', 'Disease', (163, 175)) ('glioblastoma', 'Disease', 'MESH:D005909', (163, 175)) ('glioma', 'Disease', (151, 157)) 9127 29765148 However, while this gene was mutated in 15/17 patients, other genes belonging to EGFR family pathways, including EGF, GNAS and PTRB, were also mutated in tumours belonging to this subtype and might not have been detected if we had focussed on EGFR alone. ('tumour', 'Phenotype', 'HP:0002664', (154, 160)) ('patients', 'Species', '9606', (46, 54)) ('tumours', 'Phenotype', 'HP:0002664', (154, 161)) ('PTRB', 'Gene', (127, 131)) ('EGF', 'Gene', (113, 116)) ('tumours belonging', 'Disease', 'MESH:D009369', (154, 171)) ('EGFR', 'Gene', '1956', (81, 85)) ('GNAS', 'Gene', '2778', (118, 122)) ('mutated', 'Var', (143, 150)) ('EGFR', 'Gene', '1956', (243, 247)) ('tumours belonging', 'Disease', (154, 171)) ('EGFR', 'Gene', (243, 247)) ('GNAS', 'Gene', (118, 122)) ('EGFR', 'Gene', (81, 85)) 9129 29765148 For each of the significant cancer types, we performed 10,000 sample label permutations and found that the original log-rank tests were more significant than those on the permuted null background (Benjamini-Hochberg adjusted p-values p < 0.01), indicating that the poor prognostic subtypes were not identified by chance but were detected based on mutations in specific biological pathways (see Supplemental Fig. ('cancer', 'Disease', (28, 34)) ('cancer', 'Disease', 'MESH:D009369', (28, 34)) ('cancer', 'Phenotype', 'HP:0002664', (28, 34)) ('mutations', 'Var', (347, 356)) 9136 29765148 This was not unexpected, as we found specific mutations in p53 pathways in this subtype. ('p53', 'Gene', (59, 62)) ('p53', 'Gene', '7157', (59, 62)) ('mutations', 'Var', (46, 55)) 9143 29765148 In total, the subtypes that were enriched for mutations in drug targets from CMap account for 12% (689/5805) of all primary tumours from TCGA. ('mutations', 'Var', (46, 55)) ('primary tumours', 'Disease', 'MESH:D009369', (116, 131)) ('primary tumours', 'Disease', (116, 131)) ('tumour', 'Phenotype', 'HP:0002664', (124, 130)) ('tumours', 'Phenotype', 'HP:0002664', (124, 131)) ('CMap', 'Gene', (77, 81)) 9159 29765148 All of the subtypes, except S5, which had no subtype-specific pathway mutations, had frequent mutations in Kyoto Encyclopedia of Genes and Genomes "pathways in cancer". ('cancer', 'Disease', 'MESH:D009369', (160, 166)) ('mutations', 'Var', (94, 103)) ('cancer', 'Disease', (160, 166)) ('Kyoto Encyclopedia of Genes', 'Gene', (107, 134)) ('Genomes "pathways', 'Pathway', (139, 156)) ('cancer', 'Phenotype', 'HP:0002664', (160, 166)) 9161 29765148 Using hierarchical clustering (binomial distance) on average mutation scores in these 202 pathways, we identified four overarching "sets" of pathways that were differentially mutated in the pan-cancer subtypes (see Fig. ('cancer', 'Phenotype', 'HP:0002664', (194, 200)) ('mutation', 'Var', (61, 69)) ('cancer', 'Disease', (194, 200)) ('cancer', 'Disease', 'MESH:D009369', (194, 200)) 9167 29765148 Most of the sets are either mutated alone (such as Set 2 in pan-cancer subtypes S4 and S6) or in combination with other sets (for example, Sets 2-4 in pan-cancer subtype S8). ('mutated', 'Var', (28, 35)) ('cancer', 'Phenotype', 'HP:0002664', (155, 161)) ('cancer', 'Disease', (64, 70)) ('cancer', 'Disease', 'MESH:D009369', (64, 70)) ('Set 2', 'Gene', (51, 56)) ('Set 2', 'Gene', '29072', (51, 56)) ('cancer', 'Disease', (155, 161)) ('cancer', 'Disease', 'MESH:D009369', (155, 161)) ('cancer', 'Phenotype', 'HP:0002664', (64, 70)) 9174 29765148 We identified significantly higher protein activation scores in tumours from patients belonging to the subtypes that had higher levels of mutations in these pathways. ('tumours', 'Phenotype', 'HP:0002664', (64, 71)) ('protein activation scores', 'MPA', (35, 60)) ('tumours', 'Disease', 'MESH:D009369', (64, 71)) ('tumours', 'Disease', (64, 71)) ('higher', 'PosReg', (28, 34)) ('patients', 'Species', '9606', (77, 85)) ('tumour', 'Phenotype', 'HP:0002664', (64, 70)) ('mutations', 'Var', (138, 147)) 9176 29765148 This indicates that the pan-cancer subtypes we had identified based on pathway mutation scores also corresponded to higher protein levels in these pathways. ('cancer', 'Phenotype', 'HP:0002664', (28, 34)) ('higher', 'PosReg', (116, 122)) ('mutation scores', 'Var', (79, 94)) ('cancer', 'Disease', 'MESH:D009369', (28, 34)) ('cancer', 'Disease', (28, 34)) ('protein levels', 'MPA', (123, 137)) 9177 29765148 Second, we wanted to determine whether cell lines with mutations in the overarching sets of pathways we had identified in the pan-cancer subtypes were more sensitive to drugs targeting those pathways. ('sensitive', 'MPA', (156, 165)) ('cancer', 'Disease', 'MESH:D009369', (130, 136)) ('mutations', 'Var', (55, 64)) ('cancer', 'Disease', (130, 136)) ('cancer', 'Phenotype', 'HP:0002664', (130, 136)) 9178 29765148 We identified which cell lines had mutations in all "Set 1" pathways and compared how these cells responded to PI3K/MTOR inhibitors compared to other cell lines (Methods). ('MTOR', 'Gene', (116, 120)) ('Set 1"', 'Gene', '9739', (53, 59)) ('Set 1"', 'Gene', (53, 59)) ('MTOR', 'Gene', '2475', (116, 120)) ('mutations', 'Var', (35, 44)) 9181 29765148 We repeated this analysis for cell lines with mutations in all "Set 2" pathways and compared how these cell lines responded to drugs interfering with DNA replication. ('Set 2"', 'Gene', '29072', (64, 70)) ('Set 2"', 'Gene', (64, 70)) ('mutations', 'Var', (46, 55)) 9187 29765148 We showed that SAMBAR helps identifying mutational patterns associated with clinical phenotypes and prognosis and potential targeted treatment options for cancer-specific subtypes, as well as mutational patterns that are manifested across multiple cancer types. ('cancer', 'Disease', (248, 254)) ('SAMBAR', 'Species', '662561', (15, 21)) ('multiple cancer', 'Disease', (239, 254)) ('cancer', 'Phenotype', 'HP:0002664', (155, 161)) ('cancer', 'Phenotype', 'HP:0002664', (248, 254)) ('multiple cancer', 'Disease', 'MESH:D009369', (239, 254)) ('mutational', 'Var', (40, 50)) ('cancer', 'Disease', 'MESH:D009369', (248, 254)) ('cancer', 'Disease', (155, 161)) ('associated', 'Reg', (60, 70)) ('cancer', 'Disease', 'MESH:D009369', (155, 161)) 9190 29765148 For example, we identified MDM2 inhibitors as potential targets for treatment of the poor prognosis subtype in ACC by integrating subtype-specific mutations with a drug-targeting database. ('mutations', 'Var', (147, 156)) ('ACC', 'Phenotype', 'HP:0006744', (111, 114)) ('ACC', 'Disease', (111, 114)) ('MDM2', 'Gene', '4193', (27, 31)) ('MDM2', 'Gene', (27, 31)) 9194 29765148 By generating patient-specific "pathway mutation profiles", we may not only identify patients who could benefit from specific targeted therapeutics but we will also obtain a clearer picture of the cellular processes that are altered through mutation in a specific tumour. ('tumour', 'Disease', (264, 270)) ('mutation', 'Var', (40, 48)) ('patient', 'Species', '9606', (85, 92)) ('patients', 'Species', '9606', (85, 93)) ('patient', 'Species', '9606', (14, 21)) ('tumour', 'Phenotype', 'HP:0002664', (264, 270)) ('tumour', 'Disease', 'MESH:D009369', (264, 270)) ('mutation', 'Var', (241, 249)) 9199 29765148 In addition, one of the pan-cancer mutational patterns we identified was enriched for several growth factor pathways, including EGF receptor family genes, and FGFR and nerve growth factor signalling. ('mutational', 'Var', (35, 45)) ('cancer', 'Phenotype', 'HP:0002664', (28, 34)) ('growth factor pathways', 'Pathway', (94, 116)) ('EGF receptor family genes', 'Gene', (128, 153)) ('cancer', 'Disease', 'MESH:D009369', (28, 34)) ('FGFR', 'Gene', (159, 163)) ('cancer', 'Disease', (28, 34)) ('nerve growth factor signalling', 'Pathway', (168, 198)) 9200 29765148 Because these pathways are mutated in a large set of the primary tumours we analysed, we believe that these treatment options are worthy of further investigation and may lead to better treatment options for a large numbers of patients. ('mutated', 'Var', (27, 34)) ('tumour', 'Phenotype', 'HP:0002664', (65, 71)) ('tumours', 'Phenotype', 'HP:0002664', (65, 72)) ('patients', 'Species', '9606', (226, 234)) ('primary tumours', 'Disease', 'MESH:D009369', (57, 72)) ('primary tumours', 'Disease', (57, 72)) 9202 29765148 Our framework to classify cancers based on mutational patterns in biological pathways could help expand precision medicine applications both by identifying groups of patients who may or may not respond to particular therapies and by identifying pathways that might be useful targets for therapeutic intervention. ('cancers', 'Phenotype', 'HP:0002664', (26, 33)) ('cancers', 'Disease', 'MESH:D009369', (26, 33)) ('cancers', 'Disease', (26, 33)) ('mutational', 'Var', (43, 53)) ('cancer', 'Phenotype', 'HP:0002664', (26, 32)) ('patients', 'Species', '9606', (166, 174)) 9227 26948360 In one study of 222 patients with meningiomas, seizures were the presenting symptoms in 26% of cases, were more frequently seen with convexity-based lesion than with tumors in other regions, and were common with lesions associated with marked peritumoral edema. ('tumor', 'Phenotype', 'HP:0002664', (247, 252)) ('tumor', 'Phenotype', 'HP:0002664', (166, 171)) ('edema', 'Disease', (255, 260)) ('meningioma', 'Phenotype', 'HP:0002858', (34, 44)) ('convexity-based', 'Var', (133, 148)) ('meningiomas', 'Disease', 'MESH:D008577', (34, 45)) ('tumors', 'Phenotype', 'HP:0002664', (166, 172)) ('meningiomas', 'Phenotype', 'HP:0002858', (34, 45)) ('patients', 'Species', '9606', (20, 28)) ('meningiomas', 'Disease', (34, 45)) ('tumors', 'Disease', (166, 172)) ('tumor', 'Disease', (247, 252)) ('seizures', 'Disease', (47, 55)) ('tumor', 'Disease', (166, 171)) ('seizure', 'Phenotype', 'HP:0001250', (47, 54)) ('tumors', 'Disease', 'MESH:D009369', (166, 172)) ('tumor', 'Disease', 'MESH:D009369', (247, 252)) ('tumor', 'Disease', 'MESH:D009369', (166, 171)) ('seizures', 'Disease', 'MESH:D012640', (47, 55)) ('edema', 'Phenotype', 'HP:0000969', (255, 260)) ('seizures', 'Phenotype', 'HP:0001250', (47, 55)) ('edema', 'Disease', 'MESH:D004487', (255, 260)) 9240 26948360 Mutation of the isocitrate dehydrogenase 1 (IDH1) enzyme, which takes part in the Krebs cycle, causes conversion of isocitrate into 2-hydroxyglutarate. ('isocitrate into 2-hydroxyglutarate', 'MPA', (116, 150)) ('causes', 'Reg', (95, 101)) ('isocitrate dehydrogenase 1', 'Gene', (16, 42)) ('Krebs', 'Chemical', '-', (82, 87)) ('isocitrate dehydrogenase 1', 'Gene', '3417', (16, 42)) ('IDH1', 'Gene', (44, 48)) ('Mutation', 'Var', (0, 8)) ('2-hydroxyglutarate', 'Chemical', 'MESH:C019417', (132, 150)) ('IDH1', 'Gene', '3417', (44, 48)) ('conversion', 'MPA', (102, 112)) ('isocitrate', 'Chemical', 'MESH:C034219', (16, 26)) ('isocitrate', 'Chemical', 'MESH:C034219', (116, 126)) 9242 26948360 In low-grade gliomas, the presence of IDH1 mutations shows a strong association with seizures as initial clinical symptom, frontal-lobe tumor location, and longer survival. ('IDH1', 'Gene', '3417', (38, 42)) ('glioma', 'Phenotype', 'HP:0009733', (13, 19)) ('frontal-lobe tumor', 'Disease', 'MESH:D001932', (123, 141)) ('seizures', 'Disease', 'MESH:D012640', (85, 93)) ('seizures', 'Disease', (85, 93)) ('seizure', 'Phenotype', 'HP:0001250', (85, 92)) ('seizures', 'Phenotype', 'HP:0001250', (85, 93)) ('mutations', 'Var', (43, 52)) ('tumor', 'Phenotype', 'HP:0002664', (136, 141)) ('IDH1', 'Gene', (38, 42)) ('gliomas', 'Disease', (13, 20)) ('frontal-lobe tumor', 'Disease', (123, 141)) ('presence', 'Var', (26, 34)) ('gliomas', 'Disease', 'MESH:D005910', (13, 20)) ('gliomas', 'Phenotype', 'HP:0009733', (13, 20)) 9245 26948360 Disturbances in chloride balance may play a role as well, secondary to changes in chloride co-transporters, suggesting accompanying changes in GABA metabolism and chloride transport. ('changes', 'Reg', (132, 139)) ('changes', 'Reg', (71, 78)) ('chloride', 'Chemical', 'MESH:D002712', (163, 171)) ('GABA', 'Chemical', 'MESH:D005680', (143, 147)) ('Disturbances', 'Var', (0, 12)) ('chloride co-transporters', 'MPA', (82, 106)) ('chloride transport', 'MPA', (163, 181)) ('chloride', 'Chemical', 'MESH:D002712', (82, 90)) ('chloride', 'Chemical', 'MESH:D002712', (16, 24)) ('GABA metabolism', 'MPA', (143, 158)) ('chloride balance', 'MPA', (16, 32)) 9266 26948360 Seizure freedom was observed in 96% of patients with gross total lesionectomy, but in only 54% of those with subtotal resection. ('gross total lesionectomy', 'Var', (53, 77)) ('patients', 'Species', '9606', (39, 47)) ('Seizure', 'Disease', 'MESH:D012640', (0, 7)) ('Seizure', 'Disease', (0, 7)) ('Seizure', 'Phenotype', 'HP:0001250', (0, 7)) 9267 26948360 While tumor progression was noted in 38% of cases involving subtotal resection, this occurred in only 8% of patients who received gross total resection. ('subtotal resection', 'Var', (60, 78)) ('tumor', 'Disease', 'MESH:D009369', (6, 11)) ('patients', 'Species', '9606', (108, 116)) ('tumor', 'Phenotype', 'HP:0002664', (6, 11)) ('tumor', 'Disease', (6, 11)) 9269 26948360 As with gangliogliomas, seizure freedom was significantly more common with gross total resection, which was achieved in about 80% of surgeries, and seizure freedom remained resilient at a median follow-up of more than 5 years. ('gangliogliomas', 'Disease', (8, 22)) ('seizure', 'Phenotype', 'HP:0001250', (148, 155)) ('gangliogliomas', 'Disease', 'MESH:D018303', (8, 22)) ('gliomas', 'Phenotype', 'HP:0009733', (15, 22)) ('seizure', 'Disease', (24, 31)) ('seizure', 'Disease', (148, 155)) ('seizure', 'Disease', 'MESH:D012640', (24, 31)) ('seizure', 'Disease', 'MESH:D012640', (148, 155)) ('gross total', 'Var', (75, 86)) ('glioma', 'Phenotype', 'HP:0009733', (15, 21)) ('seizure', 'Phenotype', 'HP:0001250', (24, 31)) 9271 26948360 In this study, seizure freedom was approximately 30% more likely with gross total resection than after subtotal excision, and was predicted by early surgical therapy and an absence of generalized seizures. ('seizure', 'Disease', (196, 203)) ('seizure', 'Phenotype', 'HP:0001250', (15, 22)) ('seizure', 'Disease', 'MESH:D012640', (196, 203)) ('seizures', 'Phenotype', 'HP:0001250', (196, 204)) ('seizures', 'Disease', (196, 204)) ('gross total', 'Var', (70, 81)) ('seizure', 'Phenotype', 'HP:0001250', (196, 203)) ('generalized seizure', 'Phenotype', 'HP:0002197', (184, 203)) ('seizure', 'Disease', (15, 22)) ('generalized seizures', 'Phenotype', 'HP:0002197', (184, 204)) ('seizure', 'Disease', 'MESH:D012640', (15, 22)) ('seizures', 'Disease', 'MESH:D012640', (196, 204)) 9279 26948360 Therefore, similar to glioneuronal tumors, gross total resection and early surgery are associated with improved seizure outcomes in epilepsy caused by low-grade gliomas, with other positive predictors described in the literature, including localized electroencephalogram and less severe seizure profile . ('epilepsy', 'Phenotype', 'HP:0001250', (132, 140)) ('glioneuronal tumor', 'Phenotype', 'HP:0025170', (22, 40)) ('glioneuronal tumors', 'Phenotype', 'HP:0025170', (22, 41)) ('epilepsy', 'Disease', (132, 140)) ('glioneuronal tumors', 'Disease', (22, 41)) ('seizure', 'Disease', 'MESH:D012640', (287, 294)) ('seizure', 'Disease', 'MESH:D012640', (112, 119)) ('seizure', 'Phenotype', 'HP:0001250', (287, 294)) ('improved', 'PosReg', (103, 111)) ('seizure', 'Phenotype', 'HP:0001250', (112, 119)) ('gliomas', 'Disease', (161, 168)) ('seizure', 'Disease', (112, 119)) ('seizure', 'Disease', (287, 294)) ('tumors', 'Phenotype', 'HP:0002664', (35, 41)) ('gliomas', 'Disease', 'MESH:D005910', (161, 168)) ('low-grade', 'Var', (151, 160)) ('tumor', 'Phenotype', 'HP:0002664', (35, 40)) ('epilepsy', 'Disease', 'MESH:D004827', (132, 140)) ('glioma', 'Phenotype', 'HP:0009733', (161, 167)) ('gliomas', 'Phenotype', 'HP:0009733', (161, 168)) ('glioneuronal tumors', 'Disease', 'MESH:D009369', (22, 41)) 9324 26948360 Across all tumor pathologies and patient populations, the most consistent finding in surgical studies of brain tumor-related epilepsy is that gross total resection is associated with dramatically improved seizure outcomes compared to subtotal resection. ('brain tumor', 'Disease', 'MESH:D001932', (105, 116)) ('brain tumor', 'Disease', (105, 116)) ('tumor', 'Disease', 'MESH:D009369', (111, 116)) ('patient', 'Species', '9606', (33, 40)) ('tumor', 'Phenotype', 'HP:0002664', (11, 16)) ('seizure', 'Phenotype', 'HP:0001250', (205, 212)) ('tumor', 'Phenotype', 'HP:0002664', (111, 116)) ('tumor', 'Disease', (11, 16)) ('epilepsy', 'Disease', 'MESH:D004827', (125, 133)) ('brain tumor', 'Phenotype', 'HP:0030692', (105, 116)) ('epilepsy', 'Phenotype', 'HP:0001250', (125, 133)) ('tumor', 'Disease', (111, 116)) ('gross total resection', 'Var', (142, 163)) ('seizure', 'Disease', (205, 212)) ('tumor', 'Disease', 'MESH:D009369', (11, 16)) ('seizure', 'Disease', 'MESH:D012640', (205, 212)) ('epilepsy', 'Disease', (125, 133)) ('improved', 'PosReg', (196, 204)) 9375 26948360 Carbamazepine-induced Stevens-Johnson syndrome occurs in almost all patients carrying the human leukocyte antigen (HLA) 1 allele B*1502 with a prevalence of 8.6% of the population at large. ('Stevens-Johnson syndrome', 'Disease', 'MESH:D013262', (22, 46)) ('patients', 'Species', '9606', (68, 76)) ('human', 'Species', '9606', (90, 95)) ('Stevens-Johnson syndrome', 'Disease', (22, 46)) ('B*1502', 'Var', (129, 135)) ('Carbamazepine', 'Chemical', 'MESH:D002220', (0, 13)) 9376 26948360 Presence of the HLA-A*3101 allele increases the risk of developing carbamazepine-induced hypersensitivity from 5% to 26%. ('HLA-A', 'Gene', '3105', (16, 21)) ('HLA-A', 'Gene', (16, 21)) ('hypersensitivity', 'Disease', 'MESH:D004342', (89, 105)) ('carbamazepine', 'Chemical', 'MESH:D002220', (67, 80)) ('Presence', 'Var', (0, 8)) ('hypersensitivity', 'Disease', (89, 105)) 9377 26948360 Lacosamide undergoes moderate hepatic metabolism through 2C19, 40% is excreted unchanged in urine, and it does not invoke drug interactions. ('Lacosamide', 'Chemical', 'MESH:D000078334', (0, 10)) ('2C19', 'Var', (57, 61)) ('hepatic metabolism', 'MPA', (30, 48)) 9393 26948360 In a prospective study, switching from phenytoin to levetiracetam monotherapy during the perioperative period, ataxia was seen in more than half of the phenytoin group, though not in patients on levetiracetam. ('levetiracetam', 'Chemical', 'MESH:D000077287', (195, 208)) ('phenytoin', 'Chemical', 'MESH:D010672', (39, 48)) ('levetiracetam', 'Chemical', 'MESH:D000077287', (52, 65)) ('ataxia', 'Phenotype', 'HP:0001251', (111, 117)) ('phenytoin', 'Chemical', 'MESH:D010672', (152, 161)) ('ataxia', 'Disease', 'MESH:D001259', (111, 117)) ('phenytoin', 'Var', (152, 161)) ('ataxia', 'Disease', (111, 117)) ('patients', 'Species', '9606', (183, 191)) 9433 22331519 Evidence accumulates that loss of optimal neural network architecture negatively impacts complex cerebral functioning and also decreases the threshold to develop epileptic seizures. ('decreases', 'NegReg', (127, 136)) ('negatively', 'NegReg', (70, 80)) ('epileptic seizures', 'Disease', (162, 180)) ('impacts', 'Reg', (81, 88)) ('seizure', 'Phenotype', 'HP:0001250', (172, 179)) ('epileptic seizures', 'Disease', 'MESH:D004827', (162, 180)) ('loss', 'Var', (26, 30)) ('seizures', 'Phenotype', 'HP:0001250', (172, 180)) ('complex cerebral functioning', 'MPA', (89, 117)) 9518 21844184 Loss of cdk4 blocked tumor development, but loss of cyclin D1 did not prevent gliomas from developing. ('glioma', 'Phenotype', 'HP:0009733', (78, 84)) ('tumor', 'Disease', 'MESH:D009369', (21, 26)) ('tumor', 'Disease', (21, 26)) ('gliomas', 'Phenotype', 'HP:0009733', (78, 85)) ('gliomas', 'Disease', (78, 85)) ('cdk4', 'Gene', (8, 12)) ('blocked', 'NegReg', (13, 20)) ('gliomas', 'Disease', 'MESH:D005910', (78, 85)) ('cdk4', 'Gene', '12567', (8, 12)) ('Loss', 'Var', (0, 4)) ('tumor', 'Phenotype', 'HP:0002664', (21, 26)) 9519 21844184 Instead, loss of cyclin D1 impeded progression to higher stages of malignancy. ('cyclin D1', 'Protein', (17, 26)) ('loss', 'Var', (9, 13)) ('malignancy', 'Disease', 'MESH:D009369', (67, 77)) ('impeded', 'NegReg', (27, 34)) ('malignancy', 'Disease', (67, 77)) 9521 21844184 In contrast, restoration of cdk4 in the cdk4 deficient animals restored cell proliferation and tumor formation, although at lower tumor grades. ('cdk4', 'Gene', (28, 32)) ('restored', 'PosReg', (63, 71)) ('cdk4', 'Gene', '12567', (28, 32)) ('tumor', 'Disease', 'MESH:D009369', (130, 135)) ('tumor', 'Disease', 'MESH:D009369', (95, 100)) ('cell proliferation', 'CPA', (72, 90)) ('lower', 'NegReg', (124, 129)) ('deficient', 'Var', (45, 54)) ('tumor', 'Phenotype', 'HP:0002664', (130, 135)) ('cdk4', 'Gene', (40, 44)) ('cdk4', 'Gene', '12567', (40, 44)) ('tumor', 'Phenotype', 'HP:0002664', (95, 100)) ('tumor', 'Disease', (130, 135)) ('tumor', 'Disease', (95, 100)) 9522 21844184 Notably, the failure of tumors in the cyclin D1 and cdk4 deficient animals to progress to higher grades was correlated with a failure to fully activate microglia in the tumor microenvironment. ('tumor', 'Phenotype', 'HP:0002664', (24, 29)) ('deficient', 'Var', (57, 66)) ('cyclin D1', 'Protein', (38, 47)) ('tumors', 'Disease', (24, 30)) ('tumor', 'Disease', 'MESH:D009369', (169, 174)) ('tumor', 'Disease', (24, 29)) ('tumors', 'Disease', 'MESH:D009369', (24, 30)) ('tumors', 'Phenotype', 'HP:0002664', (24, 30)) ('cdk4', 'Gene', (52, 56)) ('microglia', 'CPA', (152, 161)) ('tumor', 'Phenotype', 'HP:0002664', (169, 174)) ('cdk4', 'Gene', '12567', (52, 56)) ('tumor', 'Disease', (169, 174)) ('tumor', 'Disease', 'MESH:D009369', (24, 29)) 9536 21844184 We show that deletion of cdk4 abolishes glioma-associated morbidity and tumor formation, whereas ablation of cyclin D1 impedes tumor progression to higher grades. ('cdk4', 'Gene', (25, 29)) ('glioma', 'Disease', 'MESH:D005910', (40, 46)) ('tumor', 'Phenotype', 'HP:0002664', (127, 132)) ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('impedes', 'NegReg', (119, 126)) ('tumor', 'Disease', (127, 132)) ('tumor', 'Disease', (72, 77)) ('cdk4', 'Gene', '12567', (25, 29)) ('abolishes', 'NegReg', (30, 39)) ('deletion', 'Var', (13, 21)) ('glioma', 'Disease', (40, 46)) ('tumor', 'Disease', 'MESH:D009369', (127, 132)) ('tumor', 'Disease', 'MESH:D009369', (72, 77)) ('glioma', 'Phenotype', 'HP:0009733', (40, 46)) 9539 21844184 Histological examination pointed to a defect in the activation of tumor associated microglia (TAMs) in both cyclin D1 and cdk4 deficient mice as well as when tumor cells were transplanted into cyclin D1 knockout mice. ('tumor', 'Phenotype', 'HP:0002664', (66, 71)) ('cdk4', 'Gene', (122, 126)) ('tumor', 'Disease', (158, 163)) ('mice', 'Species', '10090', (212, 216)) ('cyclin', 'Gene', (108, 114)) ('cdk4', 'Gene', '12567', (122, 126)) ('tumor', 'Phenotype', 'HP:0002664', (158, 163)) ('tumor', 'Disease', (66, 71)) ('deficient', 'Var', (127, 136)) ('tumor', 'Disease', 'MESH:D009369', (158, 163)) ('TAMs', 'Chemical', '-', (94, 98)) ('tumor', 'Disease', 'MESH:D009369', (66, 71)) ('mice', 'Species', '10090', (137, 141)) ('activation', 'PosReg', (52, 62)) 9555 21844184 The absence of cyclin D1 reduced the onset of glioma-associated morbidity in a dose-dependent manner (Fig. ('reduced', 'NegReg', (25, 32)) ('glioma', 'Disease', (46, 52)) ('cyclin D1', 'Protein', (15, 24)) ('absence', 'Var', (4, 11)) ('glioma', 'Disease', 'MESH:D005910', (46, 52)) ('glioma', 'Phenotype', 'HP:0009733', (46, 52)) 9562 21844184 The difference in proliferation remained apparent even when comparing the low-grade gliomas arising in cyclin D1 knockout animals to the few low-grade gliomas observed in wild-type animals (data not shown). ('glioma', 'Phenotype', 'HP:0009733', (151, 157)) ('gliomas', 'Disease', (84, 91)) ('knockout', 'Var', (113, 121)) ('gliomas', 'Disease', 'MESH:D005910', (84, 91)) ('gliomas', 'Phenotype', 'HP:0009733', (84, 91)) ('glioma', 'Phenotype', 'HP:0009733', (84, 90)) ('gliomas', 'Disease', (151, 158)) ('gliomas', 'Disease', 'MESH:D005910', (151, 158)) ('cyclin D1', 'Gene', (103, 112)) ('gliomas', 'Phenotype', 'HP:0009733', (151, 158)) 9565 21844184 To assess if cdk4 contributes to glioma formation, we challenged nestin-tvA wild type and cdk4 knockout animals with RCAS-PDGF and monitored them for symptoms of glial tumors. ('tumors', 'Phenotype', 'HP:0002664', (168, 174)) ('cdk4', 'Gene', '12567', (13, 17)) ('glioma', 'Disease', (33, 39)) ('knockout', 'Var', (95, 103)) ('tumor', 'Phenotype', 'HP:0002664', (168, 173)) ('cdk4', 'Gene', (90, 94)) ('cdk4', 'Gene', (13, 17)) ('RCAS', 'Chemical', '-', (117, 121)) ('glial tumors', 'Disease', 'MESH:D005910', (162, 174)) ('cdk4', 'Gene', '12567', (90, 94)) ('glioma', 'Disease', 'MESH:D005910', (33, 39)) ('glioma', 'Phenotype', 'HP:0009733', (33, 39)) ('glial tumors', 'Disease', (162, 174)) 9566 21844184 Strikingly, removal of cdk4 abolished glioma-associated morbidity (Fig. ('cdk4', 'Gene', '12567', (23, 27)) ('abolished', 'NegReg', (28, 37)) ('glioma', 'Disease', 'MESH:D005910', (38, 44)) ('glioma', 'Phenotype', 'HP:0009733', (38, 44)) ('removal', 'Var', (12, 19)) ('glioma', 'Disease', (38, 44)) ('cdk4', 'Gene', (23, 27)) 9583 21844184 One of the mechanisms by which cyclin D1-cdk4 facilitates proliferation is through sequestration of the cell-cycle inhibitor, p27. ('proliferation', 'CPA', (58, 71)) ('cdk4', 'Gene', (41, 45)) ('sequestration', 'MPA', (83, 96)) ('cdk4', 'Gene', '12567', (41, 45)) ('p27', 'Gene', (126, 129)) ('p27', 'Gene', '12576', (126, 129)) ('facilitates', 'PosReg', (46, 57)) ('cyclin', 'Var', (31, 37)) 9584 21844184 Thus, we asked whether removal of p27 in cdk4 knockout mice would similarly re-establish PDGF-driven gliomagenesis. ('cdk4', 'Gene', (41, 45)) ('cdk4', 'Gene', '12567', (41, 45)) ('p27', 'Gene', (34, 37)) ('glioma', 'Disease', (101, 107)) ('mice', 'Species', '10090', (55, 59)) ('p27', 'Gene', '12576', (34, 37)) ('removal', 'Var', (23, 30)) ('glioma', 'Disease', 'MESH:D005910', (101, 107)) ('glioma', 'Phenotype', 'HP:0009733', (101, 107)) 9585 21844184 Whereas p27 deficiency enhanced glioma formation and associated morbidity in this model, ablation of one or both alleles of p27 in a cdk4 knockout background does not restore gliomagenesis, and no readily identifiable tumors were found in any mouse in this cohort (data not shown). ('p27', 'Gene', '12576', (8, 11)) ('p27', 'Gene', (124, 127)) ('glioma', 'Disease', (175, 181)) ('tumors', 'Phenotype', 'HP:0002664', (218, 224)) ('deficiency', 'Var', (12, 22)) ('glioma', 'Disease', 'MESH:D005910', (175, 181)) ('enhanced', 'PosReg', (23, 31)) ('glioma', 'Disease', (32, 38)) ('tumor', 'Phenotype', 'HP:0002664', (218, 223)) ('glioma', 'Disease', 'MESH:D005910', (32, 38)) ('tumors', 'Disease', (218, 224)) ('glioma', 'Phenotype', 'HP:0009733', (175, 181)) ('mouse', 'Species', '10090', (243, 248)) ('p27', 'Gene', '12576', (124, 127)) ('p27', 'Gene', (8, 11)) ('cdk4', 'Gene', (133, 137)) ('glioma', 'Phenotype', 'HP:0009733', (32, 38)) ('tumors', 'Disease', 'MESH:D009369', (218, 224)) ('cdk4', 'Gene', '12567', (133, 137)) 9588 21844184 However, deletion of cdk2 did not profoundly affect morbidity, glial tumor formation or grade (Supplemental Fig. ('cdk2', 'Gene', '12566', (21, 25)) ('tumor', 'Phenotype', 'HP:0002664', (69, 74)) ('glial tumor', 'Disease', (63, 74)) ('deletion', 'Var', (9, 17)) ('glial tumor', 'Disease', 'MESH:D005910', (63, 74)) ('cdk2', 'Gene', (21, 25)) 9591 21844184 For these experiments, we made use of a nuclear-stabilized and activated mutant of cyclin D1, D1T286A, in which mutation of threonine 286 to alanine prevents its phosphorylation and nuclear export by GSK3beta. ('prevents', 'NegReg', (149, 157)) ('nuclear export', 'MPA', (182, 196)) ('threonine 286', 'Var', (124, 137)) ('mutation', 'Var', (112, 120)) ('GSK3beta', 'Gene', (200, 208)) ('phosphorylation', 'MPA', (162, 177)) ('GSK3beta', 'Gene', '56637', (200, 208)) ('threonine 286 to alanine', 'Mutation', 'p.T286A', (124, 148)) 9603 21844184 Collectively, this further enforces the notion that tumor cell specific expression of either cyclin D1 or cdk4 was insufficient to correct the defects in morbidity and malignancy in the respective knockout animals, leading us to consider the possibility that the absence of these genes might perturb some aspect of the microenvironment in which glioma arise. ('malignancy', 'Disease', 'MESH:D009369', (168, 178)) ('glioma', 'Disease', (345, 351)) ('cdk4', 'Gene', '12567', (106, 110)) ('tumor', 'Phenotype', 'HP:0002664', (52, 57)) ('malignancy', 'Disease', (168, 178)) ('perturb', 'Reg', (292, 299)) ('tumor', 'Disease', (52, 57)) ('absence', 'Var', (263, 270)) ('tumor', 'Disease', 'MESH:D009369', (52, 57)) ('glioma', 'Disease', 'MESH:D005910', (345, 351)) ('glioma', 'Phenotype', 'HP:0009733', (345, 351)) ('insufficient', 'Disease', 'MESH:D000309', (115, 127)) ('cdk4', 'Gene', (106, 110)) ('insufficient', 'Disease', (115, 127)) 9604 21844184 The development of cancer relies on the dynamic interplay between the mutant tumor cell and other normal cells in the microenvironment. ('cancer', 'Disease', 'MESH:D009369', (19, 25)) ('mutant', 'Var', (70, 76)) ('cancer', 'Disease', (19, 25)) ('tumor', 'Disease', 'MESH:D009369', (77, 82)) ('tumor', 'Phenotype', 'HP:0002664', (77, 82)) ('cancer', 'Phenotype', 'HP:0002664', (19, 25)) ('tumor', 'Disease', (77, 82)) 9605 21844184 Since glial cell-specific expression of either cyclin D1 or cdk4 was insufficient to correct the defects in morbidity and malignancy in the respective knockout animals, it was possible that the absence of these genes affected recruitment or activation of another cell type in the tumor microenvironment. ('malignancy', 'Disease', (122, 132)) ('absence', 'Var', (194, 201)) ('tumor', 'Disease', 'MESH:D009369', (280, 285)) ('insufficient', 'Disease', (69, 81)) ('affected', 'Reg', (217, 225)) ('insufficient', 'Disease', 'MESH:D000309', (69, 81)) ('tumor', 'Phenotype', 'HP:0002664', (280, 285)) ('cdk4', 'Gene', (60, 64)) ('tumor', 'Disease', (280, 285)) ('malignancy', 'Disease', 'MESH:D009369', (122, 132)) ('cdk4', 'Gene', '12567', (60, 64)) 9607 21844184 Angio- and vasculogenesis are critical determinants for the transition of tumors, including glioma, to higher grade, and the loss of cell-cycle regulators in endothelial cells and stem cell progenitors will impair tumor neoangiogenesis and haematopoietic cell proliferation. ('haematopoietic cell proliferation', 'CPA', (240, 273)) ('tumor', 'Disease', 'MESH:D009369', (74, 79)) ('loss', 'Var', (125, 129)) ('tumor', 'Disease', 'MESH:D009369', (214, 219)) ('glioma', 'Phenotype', 'HP:0009733', (92, 98)) ('tumor', 'Phenotype', 'HP:0002664', (74, 79)) ('tumor', 'Phenotype', 'HP:0002664', (214, 219)) ('glioma', 'Disease', (92, 98)) ('tumors', 'Phenotype', 'HP:0002664', (74, 80)) ('tumor', 'Disease', (74, 79)) ('tumor', 'Disease', (214, 219)) ('glioma', 'Disease', 'MESH:D005910', (92, 98)) ('impair', 'NegReg', (207, 213)) ('tumors', 'Disease', 'MESH:D009369', (74, 80)) ('tumors', 'Disease', (74, 80)) 9609 21844184 4C), indicating that the absence of cyclin D1 did not prevent the establishment of a coherent tumor vasculature. ('tumor', 'Disease', 'MESH:D009369', (94, 99)) ('tumor', 'Phenotype', 'HP:0002664', (94, 99)) ('absence', 'Var', (25, 32)) ('tumor', 'Disease', (94, 99)) 9612 21844184 However, whereas the number and intensity of the GFAP- and NeuN- positive cells in tumors was comparable between wild type and mutant mice, the morphology and intensity of the Iba1 stained cells was very different. ('mutant', 'Var', (127, 133)) ('tumor', 'Phenotype', 'HP:0002664', (83, 88)) ('mice', 'Species', '10090', (134, 138)) ('tumors', 'Disease', (83, 89)) ('tumors', 'Phenotype', 'HP:0002664', (83, 89)) ('GFAP', 'Gene', '14580', (49, 53)) ('GFAP', 'Gene', (49, 53)) ('tumors', 'Disease', 'MESH:D009369', (83, 89)) 9616 21844184 The intensity of each of these markers was reduced in the tumors arising in cyclin D1 knockout mice compared to that seen in wild type mice (Fig. ('knockout', 'Var', (86, 94)) ('tumor', 'Phenotype', 'HP:0002664', (58, 63)) ('mice', 'Species', '10090', (95, 99)) ('cyclin D1', 'Gene', (76, 85)) ('tumors', 'Disease', (58, 64)) ('intensity', 'MPA', (4, 13)) ('tumors', 'Phenotype', 'HP:0002664', (58, 64)) ('tumors', 'Disease', 'MESH:D009369', (58, 64)) ('mice', 'Species', '10090', (135, 139)) ('reduced', 'NegReg', (43, 50)) 9631 21844184 Whereas cdk4 knockout mice were completely refractory to glioma, tumors formed in cyclin D1 knockout animals. ('knockout', 'Var', (92, 100)) ('glioma', 'Disease', (57, 63)) ('cyclin D1', 'Gene', (82, 91)) ('tumors', 'Disease', (65, 71)) ('cdk4', 'Gene', (8, 12)) ('tumors', 'Disease', 'MESH:D009369', (65, 71)) ('tumors', 'Phenotype', 'HP:0002664', (65, 71)) ('cdk4', 'Gene', '12567', (8, 12)) ('glioma', 'Disease', 'MESH:D005910', (57, 63)) ('mice', 'Species', '10090', (22, 26)) ('glioma', 'Phenotype', 'HP:0009733', (57, 63)) ('tumor', 'Phenotype', 'HP:0002664', (65, 70)) 9633 21844184 Likewise, the stroma of cyclin D1 deficient mice was unable to support progression of transplanted tumor cells. ('tumor', 'Disease', (99, 104)) ('deficient', 'Var', (34, 43)) ('tumor', 'Disease', 'MESH:D009369', (99, 104)) ('unable', 'NegReg', (53, 59)) ('tumor', 'Phenotype', 'HP:0002664', (99, 104)) ('mice', 'Species', '10090', (44, 48)) 9636 21844184 The traditional view of cancer as an autonomously growing aggregation of mutant cells has been superseded by one in which the tumor acts more insidiously, actively subverting the surrounding tissue to support its growth and proliferation. ('subverting', 'NegReg', (164, 174)) ('cancer', 'Phenotype', 'HP:0002664', (24, 30)) ('cancer', 'Disease', (24, 30)) ('mutant', 'Var', (73, 79)) ('cancer', 'Disease', 'MESH:D009369', (24, 30)) ('tumor', 'Disease', 'MESH:D009369', (126, 131)) ('tumor', 'Phenotype', 'HP:0002664', (126, 131)) ('growth', 'CPA', (213, 219)) ('tumor', 'Disease', (126, 131)) 9646 21844184 Furthermore, other markers of TAM activation, including cathepsin X, H and S and CSF1R expression were reduced in knockout tumors relative to wild-type gliomas. ('cathepsin X', 'Gene', (56, 67)) ('CSF1R', 'Gene', '12978', (81, 86)) ('tumors', 'Disease', (123, 129)) ('tumors', 'Disease', 'MESH:D009369', (123, 129)) ('gliomas', 'Disease', 'MESH:D005910', (152, 159)) ('tumors', 'Phenotype', 'HP:0002664', (123, 129)) ('gliomas', 'Phenotype', 'HP:0009733', (152, 159)) ('gliomas', 'Disease', (152, 159)) ('reduced', 'NegReg', (103, 110)) ('CSF1R', 'Gene', (81, 86)) ('TAM', 'Chemical', 'MESH:D013629', (30, 33)) ('expression', 'MPA', (87, 97)) ('glioma', 'Phenotype', 'HP:0009733', (152, 158)) ('cathepsin X', 'Gene', '64138', (56, 67)) ('knockout', 'Var', (114, 122)) ('tumor', 'Phenotype', 'HP:0002664', (123, 128)) 9650 21844184 Toogood, Chin, and Waldman independently demosntrated that the cdk4 inhibitor drug, PD0332991, currently in phase II clinical trials, may be effective in halting the progression of glioma cell lines and xenografts. ('cdk4', 'Gene', (63, 67)) ('glioma', 'Phenotype', 'HP:0009733', (181, 187)) ('PD0332991', 'Chemical', 'MESH:C500026', (84, 93)) ('cdk4', 'Gene', '12567', (63, 67)) ('glioma', 'Disease', 'MESH:D005910', (181, 187)) ('halting', 'NegReg', (154, 161)) ('PD0332991', 'Var', (84, 93)) ('glioma', 'Disease', (181, 187)) ('progression', 'CPA', (166, 177)) 9651 21844184 We are in the process of addressing whether PD0332991 can inhibit disease progression or reduce tumor burden in mice that have developed oligodendroglioma in situ and whether this is due to effects in the tumor cell, the microglia, or both. ('tumor', 'Phenotype', 'HP:0002664', (96, 101)) ('tumor', 'Disease', 'MESH:D009369', (205, 210)) ('tumor', 'Disease', (96, 101)) ('disease progression', 'CPA', (66, 85)) ('reduce', 'NegReg', (89, 95)) ('tumor', 'Phenotype', 'HP:0002664', (205, 210)) ('tumor', 'Disease', (205, 210)) ('glioma', 'Phenotype', 'HP:0009733', (148, 154)) ('inhibit', 'NegReg', (58, 65)) ('PD0332991', 'Chemical', 'MESH:C500026', (44, 53)) ('tumor', 'Disease', 'MESH:D009369', (96, 101)) ('oligodendroglioma', 'Disease', (137, 154)) ('oligodendroglioma', 'Disease', 'MESH:D009837', (137, 154)) ('PD0332991', 'Var', (44, 53)) ('mice', 'Species', '10090', (112, 116)) 9652 21844184 Current therapeutic strategies typically focus on direct inhibition of glial tumor proliferation and growth, even though compromising macrophage activity can also enhance chemotherapeutic efficiencies in other systems (reviewed in Nature 272: 303-4, 2011). ('glial tumor', 'Disease', 'MESH:D005910', (71, 82)) ('macrophage activity', 'CPA', (134, 153)) ('compromising', 'Var', (121, 133)) ('inhibition', 'NegReg', (57, 67)) ('glial tumor', 'Disease', (71, 82)) ('enhance', 'PosReg', (163, 170)) ('tumor', 'Phenotype', 'HP:0002664', (77, 82)) ('growth', 'CPA', (101, 107)) 9658 33576304 More intriguingly, CD155 expression had a significant interaction with immune function in several tumors by analyzing Tumor mutational burden and microsatellite in stability, immune score and stromal score. ('tumors', 'Disease', (98, 104)) ('CD155', 'Gene', '5817', (19, 24)) ('tumors', 'Phenotype', 'HP:0002664', (98, 104)) ('microsatellite', 'Var', (146, 160)) ('tumors', 'Disease', 'MESH:D009369', (98, 104)) ('CD155', 'Gene', (19, 24)) ('tumor', 'Phenotype', 'HP:0002664', (98, 103)) ('Tumor', 'Phenotype', 'HP:0002664', (118, 123)) ('interaction', 'Reg', (54, 65)) 9720 33576304 There is also evidence that CD155/CD226 interaction can attenuate the generation of CD8+ T cells by regulating NK T-cell differentiation. ('CD8', 'Gene', '925', (84, 87)) ('attenuate', 'NegReg', (56, 65)) ('CD226', 'Gene', '10666', (34, 39)) ('CD155', 'Gene', '5817', (28, 33)) ('interaction', 'Var', (40, 51)) ('regulating', 'Reg', (100, 110)) ('NK T-cell differentiation', 'CPA', (111, 136)) ('CD155', 'Gene', (28, 33)) ('CD8', 'Gene', (84, 87)) ('CD226', 'Gene', (34, 39)) 9731 33576304 ACC Adrenocortical carcinoma BLCA Bladder Urothelial Carcinoma BRCA Breast invasive carcinoma CESC Cervical squamous cell carcinoma and endocervical adenocarcinoma CHOL Cholangio carcinoma COAD Colon adenocarcinoma DLBC Lymphoid Neoplasm Diffuse Large B-cell Lymphoma ESCA Esophageal carcinoma GBM Glioblastoma multiforme HNSC Head and Neck squamous cell carcinoma KICH Kidney Chromophobe KIRC Kidney renal clear cell carcinoma KIRP Kidney renal papillary cell carcinoma LAML Acute Myeloid Leukemia LGG Brain Lower Grade Glioma LIHC Liver hepatocellular carcinoma LUAD Lung adenocarcinoma TME tumor microenvironment OS overall survival DSS Disease-specific survival LUSC Lung squamous cell carcinoma MESO Mesothelioma OV Ovarian serous cystadenocarcinoma PAAD Pancreatic adenocarcinoma PCPG Pheochromocytoma and Paraganglioma PRAD Prostate adenocarcinoma READ Rectum adenocarcinoma SARC Sarcoma SKCM Skin Cutaneous Melanoma STAD Stomach adenocarcinoma TGCT Testicular Germ Cell Tumors THCA Thyroid carcinoma THYM Thymoma UCEC Uterine Corpus Endometrial Carcinoma UCS Uterine Carcinosarcoma UVM Uveal Melanoma TMB Tumor mutational burden MSI microsatellite in stability DFI Disease-free interval PFI Progression-free interval ('Tumor', 'Phenotype', 'HP:0002664', (978, 983)) ('carcinoma', 'Disease', 'MESH:D009369', (179, 188)) ('carcinoma', 'Disease', (845, 854)) ('Kidney renal clear cell carcinoma', 'Disease', 'MESH:C538614', (394, 427)) ('Kidney renal papillary cell carcinoma', 'Disease', (433, 470)) ('KICH', 'Disease', (365, 369)) ('Thyroid carcinoma', 'Phenotype', 'HP:0002890', (990, 1007)) ('tumor', 'Phenotype', 'HP:0002664', (593, 598)) ('Adrenocortical carcinoma', 'Disease', (4, 28)) ('Sarcoma', 'Disease', (887, 894)) ('Kidney Chromophobe', 'Disease', (370, 388)) ('serous cystadenocarcinoma', 'Disease', (729, 754)) ('Corpus Endometrial Carcinoma', 'Disease', 'MESH:D016889', (1034, 1062)) ('Breast invasive carcinoma', 'Disease', 'MESH:D001943', (68, 93)) ('Paraganglioma', 'Phenotype', 'HP:0002668', (812, 825)) ('carcinoma', 'Disease', (998, 1007)) ('carcinoma', 'Disease', (776, 785)) ('carcinoma', 'Disease', (579, 588)) ('CHOL', 'Disease', 'None', (164, 168)) ('Breast invasive carcinoma', 'Phenotype', 'HP:0003002', (68, 93)) ('Urothelial Carcinoma', 'Disease', (42, 62)) ('carcinoma', 'Disease', (554, 563)) ('Acute Myeloid Leukemia', 'Disease', (476, 498)) ('Neck squamous cell carcinoma', 'Disease', (336, 364)) ('Melanoma', 'Disease', 'MESH:D008545', (915, 923)) ('carcinoma', 'Disease', 'MESH:D009369', (461, 470)) ('Pheochromocytoma and Paraganglioma', 'Disease', 'MESH:D010673', (791, 825)) ('Melanoma', 'Disease', (1100, 1108)) ('Pancreatic adenocarcinoma', 'Disease', 'MESH:D000230', (760, 785)) ('carcinoma', 'Disease', 'MESH:D009369', (284, 293)) ('carcinoma', 'Disease', (179, 188)) ('Thyroid carcinoma', 'Disease', 'MESH:D013964', (990, 1007)) ('Cholangio carcinoma', 'Phenotype', 'HP:0030153', (169, 188)) ('Pancreatic adenocarcinoma', 'Phenotype', 'HP:0006725', (760, 785)) ('Pancreatic adenocarcinoma', 'Disease', (760, 785)) ('Colon adenocarcinoma', 'Disease', 'MESH:D003110', (194, 214)) ('Rectum adenocarcinoma', 'Disease', 'MESH:D012004', (860, 881)) ('Prostate adenocarcinoma', 'Disease', 'MESH:D011471', (831, 854)) ('CHOL', 'Disease', (164, 168)) ('carcinoma', 'Disease', 'MESH:D009369', (872, 881)) ('carcinoma', 'Phenotype', 'HP:0030731', (122, 131)) ('carcinoma', 'Disease', 'MESH:D009369', (418, 427)) ('Melanoma', 'Phenotype', 'HP:0002861', (915, 923)) ('Head and Neck squamous cell carcinoma', 'Phenotype', 'HP:0012288', (327, 364)) ('squamous cell carcinoma', 'Disease', (108, 131)) ('Cholangio carcinoma', 'Disease', (169, 188)) ('Lung squamous cell carcinoma', 'Disease', 'MESH:D002294', (671, 699)) ('Carcinoma', 'Phenotype', 'HP:0030731', (53, 62)) ('Breast invasive carcinoma', 'Disease', (68, 93)) ('Kidney Chromophobe', 'Disease', 'MESH:D000238', (370, 388)) ('carcinoma', 'Disease', (461, 470)) ('endocervical adenocarcinoma', 'Disease', 'MESH:D000230', (136, 163)) ('Lung adenocarcinoma', 'Phenotype', 'HP:0030078', (569, 588)) ('Myeloid Leukemia', 'Phenotype', 'HP:0012324', (482, 498)) ('carcinoma', 'Disease', (872, 881)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (108, 131)) ('Mesothelioma', 'Disease', (705, 717)) ('Kidney renal clear cell carcinoma', 'Disease', (394, 427)) ('Thymoma', 'Disease', (1013, 1020)) ('Corpus Endometrial Carcinoma', 'Disease', (1034, 1062)) ('ACC', 'Gene', '31', (0, 3)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (539, 563)) ('Liver hepatocellular carcinoma', 'Disease', (533, 563)) ('Liver hepatocellular carcinoma', 'Disease', 'MESH:D006528', (533, 563)) ('carcinoma', 'Phenotype', 'HP:0030731', (179, 188)) ('Rectum adenocarcinoma', 'Disease', (860, 881)) ('tumor', 'Disease', (593, 598)) ('Neck squamous cell carcinoma', 'Disease', 'MESH:D000077195', (336, 364)) ('carcinoma', 'Disease', (418, 427)) ('KICH', 'Disease', 'None', (365, 369)) ('TME', 'Chemical', '-', (589, 592)) ('Stomach adenocarcinoma', 'Disease', (929, 951)) ('DSS', 'Gene', '5376', (636, 639)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (108, 131)) ('tumor', 'Disease', 'MESH:D009369', (593, 598)) ('clear cell carcinoma KIRP Kidney', 'Phenotype', 'HP:0006770', (407, 439)) ('Adrenocortical carcinoma', 'Phenotype', 'HP:0006744', (4, 28)) ('Prostate adenocarcinoma', 'Disease', (831, 854)) ('Lymphoma', 'Phenotype', 'HP:0002665', (259, 267)) ('Skin Cutaneous Melanoma', 'Disease', (900, 923)) ('carcinoma', 'Disease', 'MESH:D009369', (355, 364)) ('carcinoma', 'Disease', 'MESH:D009369', (942, 951)) ('serous cystadenocarcinoma', 'Disease', 'MESH:D018284', (729, 754)) ('carcinoma', 'Disease', 'MESH:D009369', (690, 699)) ('Thymoma', 'Disease', 'MESH:D013945', (1013, 1020)) ('Leukemia', 'Phenotype', 'HP:0001909', (490, 498)) ('carcinoma', 'Disease', 'MESH:D009369', (745, 754)) ('carcinoma', 'Disease', 'MESH:D009369', (84, 93)) ('TMB', 'Chemical', '-', (1109, 1112)) ('Pheochromocytoma', 'Phenotype', 'HP:0002666', (791, 807)) ('Stomach adenocarcinoma', 'Disease', 'MESH:D000230', (929, 951)) ('carcinoma', 'Disease', (19, 28)) ('Carcinoma', 'Phenotype', 'HP:0030731', (1053, 1062)) ('COAD', 'Disease', 'MESH:D029424', (189, 193)) ('carcinoma', 'Disease', 'MESH:D009369', (19, 28)) ('Glioma', 'Disease', (521, 527)) ('MESO Mesothelioma', 'Phenotype', 'HP:0100001', (700, 717)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (341, 364)) ('B-cell Lymphoma', 'Phenotype', 'HP:0012191', (252, 267)) ('Tumors', 'Disease', 'MESH:D009369', (978, 984)) ('Cholangio carcinoma', 'Disease', 'MESH:D009369', (169, 188)) ('carcinoma', 'Disease', 'MESH:D009369', (154, 163)) ('Glioblastoma', 'Phenotype', 'HP:0012174', (298, 310)) ('Melanoma', 'Disease', 'MESH:D008545', (1100, 1108)) ('Lung squamous cell carcinoma', 'Disease', (671, 699)) ('carcinoma', 'Disease', (284, 293)) ('Ovarian serous cystadenocarcinoma', 'Phenotype', 'HP:0012887', (721, 754)) ('Acute Myeloid Leukemia', 'Disease', 'MESH:D015470', (476, 498)) ('DSS', 'Gene', (636, 639)) ('Skin Cutaneous Melanoma', 'Disease', 'MESH:C562393', (900, 923)) ('carcinoma', 'Disease', (942, 951)) ('Carcinosarcoma', 'Disease', 'MESH:D002296', (1075, 1089)) ('carcinoma', 'Disease', (745, 754)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (341, 364)) ('Colon adenocarcinoma', 'Disease', (194, 214)) ('Uterine Carcinosarcoma', 'Phenotype', 'HP:0002891', (1067, 1089)) ('Neoplasm', 'Phenotype', 'HP:0002664', (229, 237)) ('Glioblastoma multiforme', 'Disease', 'MESH:D005909', (298, 321)) ('carcinoma', 'Disease', 'MESH:D009369', (998, 1007)) ('ACC', 'Gene', (0, 3)) ('Tumors', 'Phenotype', 'HP:0002664', (978, 984)) ('Thyroid carcinoma', 'Disease', (990, 1007)) ('Melanoma', 'Phenotype', 'HP:0002861', (1100, 1108)) ('Germ Cell Tumors', 'Phenotype', 'HP:0100728', (968, 984)) ('carcinoma', 'Disease', 'MESH:D009369', (554, 563)) ('THCA', 'Chemical', '-', (985, 989)) ('endocervical adenocarcinoma', 'Disease', (136, 163)) ('Melanoma', 'Disease', (915, 923)) ('Lymphoid Neoplasm Diffuse Large B-cell Lymphoma', 'Disease', 'MESH:D016403', (220, 267)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (676, 699)) ('carcinoma', 'Disease', (154, 163)) ('Glioma', 'Phenotype', 'HP:0009733', (521, 527)) ('carcinoma', 'Disease', 'MESH:D009369', (205, 214)) ('Cutaneous Melanoma', 'Phenotype', 'HP:0012056', (905, 923)) ('BRCA', 'Gene', (63, 67)) ('Tumors', 'Disease', (978, 984)) ('Endometrial Carcinoma', 'Phenotype', 'HP:0012114', (1041, 1062)) ('Esophageal carcinoma', 'Phenotype', 'HP:0011459', (273, 293)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (676, 699)) ('Thymoma', 'Phenotype', 'HP:0100522', (1013, 1020)) ('carcinoma', 'Disease', 'MESH:D009369', (122, 131)) ('Sarcoma', 'Phenotype', 'HP:0100242', (887, 894)) ('Glioblastoma multiforme', 'Disease', (298, 321)) ('Lung adenocarcinoma', 'Disease', 'MESH:D000077192', (569, 588)) ('mutational', 'Var', (1119, 1129)) ('Kidney renal papillary cell carcinoma', 'Disease', 'MESH:C538614', (433, 470)) ('carcinoma', 'Disease', 'MESH:D009369', (845, 854)) ('Urothelial Carcinoma', 'Disease', 'MESH:D014523', (42, 62)) ('Uveal Melanoma', 'Phenotype', 'HP:0007716', (1094, 1108)) ('Mesothelioma', 'Disease', 'MESH:D008654', (705, 717)) ('COAD', 'Disease', (189, 193)) ('carcinoma', 'Phenotype', 'HP:0030731', (84, 93)) ('Adrenocortical carcinoma', 'Disease', 'MESH:D018268', (4, 28)) ('carcinoma', 'Disease', (355, 364)) ('Acute Myeloid Leukemia', 'Phenotype', 'HP:0004808', (476, 498)) ('carcinoma', 'Disease', (690, 699)) ('carcinoma', 'Disease', (205, 214)) ('carcinoma', 'Disease', (84, 93)) ('Glioma', 'Disease', 'MESH:D005910', (521, 527)) ('UCEC Uterine Corpus', 'Phenotype', 'HP:0000139', (1021, 1040)) ('BRCA', 'Gene', '672', (63, 67)) ('Lung squamous cell carcinoma', 'Phenotype', 'HP:0030359', (671, 699)) ('Tumor', 'Phenotype', 'HP:0002664', (1113, 1118)) ('Lymphoid Neoplasm Diffuse Large B-cell Lymphoma', 'Disease', (220, 267)) ('carcinoma', 'Disease', 'MESH:D009369', (776, 785)) ('carcinoma', 'Phenotype', 'HP:0030731', (19, 28)) ('renal papillary cell carcinoma', 'Phenotype', 'HP:0006766', (440, 470)) ('carcinoma', 'Disease', 'MESH:D009369', (579, 588)) ('Lung adenocarcinoma', 'Disease', (569, 588)) ('Carcinosarcoma', 'Disease', (1075, 1089)) ('carcinoma', 'Phenotype', 'HP:0030731', (154, 163)) ('carcinoma', 'Disease', (122, 131)) ('Sarcoma', 'Disease', 'MESH:D012509', (887, 894)) 9775 30066053 Correlation for VT in the tumour regions as derived from 2T4kVb and 1T2kVb was very high (r = 0.99); however, agreement analysis showed a significant difference for estimated VT of 0.08 (9%), as shown in the Bland Altman plot in Additional file 1: Figure S2. ('1T2kVb', 'Var', (68, 74)) ('tumour', 'Disease', 'MESH:D009369', (26, 32)) ('tumour', 'Disease', (26, 32)) ('VT', 'Disease', 'MESH:D017180', (16, 18)) ('tumour', 'Phenotype', 'HP:0002664', (26, 32)) ('VT', 'Disease', 'MESH:D017180', (175, 177)) 9777 30066053 There was no correlation between K1 values of [18F]FET and CBF in the tumour regions (r = - 0.018, p = 0.93), Additional file 1: Figure S4. ('tumour', 'Disease', 'MESH:D009369', (70, 76)) ('tumour', 'Disease', (70, 76)) ('tumour', 'Phenotype', 'HP:0002664', (70, 76)) ('[18F]', 'Var', (46, 51)) 9821 28600641 Predicting Deletion of Chromosomal Arms 1p/19q in Low-Grade Gliomas from MR Images Using Machine Intelligence Several studies have linked codeletion of chromosome arms 1p/19q in low-grade gliomas (LGG) with positive response to treatment and longer progression-free survival. ('arms 1p', 'Gene', '3075', (163, 170)) ('Deletion', 'Var', (11, 19)) ('Gliomas', 'Disease', 'MESH:D005910', (60, 67)) ('arms 1p', 'Gene', (163, 170)) ('Gliomas', 'Phenotype', 'HP:0009733', (60, 67)) ('Arms 1p', 'Gene', '3075', (35, 42)) ('Gliomas', 'Disease', (60, 67)) ('gliomas', 'Disease', 'MESH:D005910', (188, 195)) ('gliomas', 'Phenotype', 'HP:0009733', (188, 195)) ('gliomas', 'Disease', (188, 195)) ('Arms 1p', 'Gene', (35, 42)) 9822 28600641 Our method consists of three main steps: image registration, tumor segmentation, and classification of 1p/19q status using CNN. ('tumor', 'Phenotype', 'HP:0002664', (61, 66)) ('1p/19q', 'Var', (103, 109)) ('tumor', 'Disease', (61, 66)) ('tumor', 'Disease', 'MESH:D009369', (61, 66)) 9824 28600641 Multi-scale CNN with their self-learning capability provides promising results for predicting 1p/19q status non-invasively based on T1C and T2 images. ('T1C', 'Mutation', 'c.1T>C', (132, 135)) ('1p/19q status', 'Var', (94, 107)) ('predicting', 'Reg', (83, 93)) 9833 28600641 Several studies have shown that codeletion of 1p/19q chromosome arms is a strong prognostic molecular marker for positive tumor response to chemotherapy and radiotherapy in LGG and associated with longer survival. ('associated', 'Reg', (181, 191)) ('longer', 'PosReg', (197, 203)) ('tumor', 'Disease', 'MESH:D009369', (122, 127)) ('LGG', 'Disease', (173, 176)) ('tumor', 'Phenotype', 'HP:0002664', (122, 127)) ('codeletion', 'Var', (32, 42)) ('1p/19q chromosome arms', 'Var', (46, 68)) ('tumor', 'Disease', (122, 127)) 9835 28600641 presented detection of 1p/19q status from [18F] fluoroethyltyrosine-PET (FET-PET) images. ('detection', 'Reg', (10, 19)) ('fluoroethyltyrosine', 'Chemical', '-', (48, 67)) ('1p/19q status', 'Var', (23, 36)) 9837 28600641 studied detection of 1p/19q codeletion from 11C-methionine PET images and concluded that 11C-methionine PET might help discriminate tumors with and without 1p/19q codeletion preoperatively. ('1p/19q codeletion', 'Var', (21, 38)) ('tumor', 'Phenotype', 'HP:0002664', (132, 137)) ('11C-methionine', 'Chemical', '-', (44, 58)) ('11C-methionine', 'Chemical', '-', (89, 103)) ('tumors', 'Phenotype', 'HP:0002664', (132, 138)) ('tumors', 'Disease', (132, 138)) ('tumors', 'Disease', 'MESH:D009369', (132, 138)) 9842 28600641 One hundred fifty nine (n = 159) consecutive (01 October 2002-01 August 2011) pre-operative LGG patients, with stereotactic MRI images, who had biopsy proven 1p/19q status consisting either no deletion or co-deletion, were identified from our brain tumor patient database at Mayo Clinic for this study. ('deletion', 'Var', (193, 201)) ('Mayo', 'Species', '162683', (275, 279)) ('brain tumor', 'Disease', (243, 254)) ('brain tumor', 'Disease', 'MESH:D001932', (243, 254)) ('co-deletion', 'Var', (205, 216)) ('patient', 'Species', '9606', (96, 103)) ('patient', 'Species', '9606', (255, 262)) ('tumor', 'Phenotype', 'HP:0002664', (249, 254)) ('brain tumor', 'Phenotype', 'HP:0030692', (243, 254)) ('patients', 'Species', '9606', (96, 104)) 9914 28197403 Considering glioma surgery as "brain networks surgery" has led not only to a dramatic decrease of permanent neurologic impairment (<2% in series using intraoperative cortico-subcortical mapping) but also to improvement of higher order functions such as working memory, neurocognitive functions, and emotions and behavior, as evidenced by postoperative neuropsychological assessments following surgery. ('neurologic impairment', 'Disease', 'MESH:D009422', (108, 129)) ('glioma', 'Phenotype', 'HP:0009733', (12, 18)) ('behavior', 'CPA', (312, 320)) ('glioma', 'Disease', (12, 18)) ('improvement', 'PosReg', (207, 218)) ('working memory', 'CPA', (253, 267)) ('neurologic impairment', 'Disease', (108, 129)) ('surgery', 'Var', (46, 53)) ('higher order functions', 'MPA', (222, 244)) ('decrease', 'NegReg', (86, 94)) ('glioma', 'Disease', 'MESH:D005910', (12, 18)) ('permanent neurologic impairment', 'Phenotype', 'HP:0002344', (98, 129)) ('neurocognitive functions', 'CPA', (269, 293)) 9928 25040262 Chromosome band 7q34 deletions resulting in KIAA1549-BRAF and FAM131B-BRAF fusions in pediatric low grade gliomas The majority of pediatric low grade gliomas (LGGs) are characterized by constitutive activation of the mitogen activated protein kinase (MAPK) pathway through various mechanisms including BRAF mutations, inactivation of NF1, and KIAA1549-BRAF and FAM131B-BRAF fusions. ('KIAA1549-BRAF', 'Disease', (343, 356)) ('BRAF', 'Gene', '673', (352, 356)) ('BRAF', 'Gene', (352, 356)) ('deletions', 'Var', (21, 30)) ('KIAA1549-BRAF', 'Disease', 'None', (44, 57)) ('gliomas', 'Phenotype', 'HP:0009733', (150, 157)) ('FAM131B', 'Gene', (361, 368)) ('BRAF', 'Gene', '673', (302, 306)) ('FAM131B', 'Gene', '9715', (361, 368)) ('BRAF', 'Gene', (302, 306)) ('activation', 'PosReg', (199, 209)) ('KIAA1549-BRAF', 'Disease', 'None', (343, 356)) ('BRAF', 'Gene', '673', (70, 74)) ('gliomas', 'Disease', (106, 113)) ('BRAF', 'Gene', (70, 74)) ('mutations', 'Var', (307, 316)) ('BRAF', 'Gene', '673', (53, 57)) ('FAM131B', 'Gene', (62, 69)) ('BRAF', 'Gene', (53, 57)) ('gliomas', 'Disease', (150, 157)) ('FAM131B', 'Gene', '9715', (62, 69)) ('gliomas', 'Disease', 'MESH:D005910', (106, 113)) ('inactivation', 'Var', (318, 330)) ('KIAA1549-BRAF', 'Disease', (44, 57)) ('BRAF', 'Gene', '673', (369, 373)) ('NF1', 'Gene', '4763', (334, 337)) ('glioma', 'Phenotype', 'HP:0009733', (106, 112)) ('BRAF', 'Gene', (369, 373)) ('gliomas', 'Disease', 'MESH:D005910', (150, 157)) ('gliomas', 'Phenotype', 'HP:0009733', (106, 113)) ('NF1', 'Gene', (334, 337)) ('glioma', 'Phenotype', 'HP:0009733', (150, 156)) 9929 25040262 The KIAA1549-BRAF fusion typically results from a 2.0 Mb tandem duplication in chromosome band 7q34. ('results from', 'Reg', (35, 47)) ('KIAA1549-BRAF', 'Disease', 'None', (4, 17)) ('tandem duplication', 'Var', (57, 75)) ('KIAA1549-BRAF', 'Disease', (4, 17)) 9930 25040262 In the present study, single nucleotide polymorphism (SNP)-based array analysis of three LGGs demonstrated deletions in 7q34 that resulted in a BRAF fusion. ('resulted in', 'Reg', (130, 141)) ('BRAF', 'Gene', '673', (144, 148)) ('deletions', 'Var', (107, 116)) ('7q34', 'Gene', (120, 124)) ('BRAF', 'Gene', (144, 148)) 9931 25040262 Case 1 was likely a pilocytic astrocytoma (PA) with three deletions in 7q33q34 and an exon15-9 KIAA1549-BRAF fusion. ('astrocytoma', 'Phenotype', 'HP:0009592', (30, 41)) ('KIAA1549-BRAF', 'Disease', (95, 108)) ('pilocytic astrocytoma', 'Disease', (20, 41)) ('deletions', 'Var', (58, 67)) ('7q33q34', 'Gene', (71, 78)) ('KIAA1549-BRAF', 'Disease', 'None', (95, 108)) ('pilocytic astrocytoma', 'Disease', 'MESH:D001254', (20, 41)) 9934 25040262 BRAF fusions can result from multiple non-overlapping deletions suggesting various complex mechanisms of formation. ('result from', 'Reg', (17, 28)) ('BRAF', 'Gene', '673', (0, 4)) ('BRAF', 'Gene', (0, 4)) ('deletions', 'Var', (54, 63)) ('fusions', 'Disease', (5, 12)) 9939 25040262 A recent whole genome sequencing (WGS) study of 96 PAs identified molecular alterations leading to MAPK activation in 100% of cases. ('alterations', 'Var', (76, 87)) ('activation', 'PosReg', (104, 114)) ('MAPK', 'Gene', (99, 103)) ('PAs', 'Disease', (51, 54)) ('PAs', 'Disease', 'MESH:D011471', (51, 54)) 9941 25040262 To date, the most common mechanism of MAPK pathway activation in sporadic LGGs is a 2.0 Mb tandem duplication in 7q34 that results in production of a KIAA1549-BRAF fusion transcript. ('KIAA1549-BRAF', 'Disease', (150, 163)) ('tandem duplication', 'Var', (91, 109)) ('results in', 'Reg', (123, 133)) ('KIAA1549-BRAF', 'Disease', 'None', (150, 163)) ('7q34', 'Gene', (113, 117)) ('LGGs', 'Disease', (74, 78)) ('activation', 'PosReg', (51, 61)) ('MAPK pathway', 'Pathway', (38, 50)) 9944 25040262 Fusion of BRAF to another gene, FAM131B has also been identified in at least five tumors to date, including four PAs and one DA. ('Fusion', 'Var', (0, 6)) ('PAs', 'Disease', (113, 116)) ('tumors', 'Disease', (82, 88)) ('tumors', 'Disease', 'MESH:D009369', (82, 88)) ('tumors', 'Phenotype', 'HP:0002664', (82, 88)) ('PAs', 'Disease', 'MESH:D011471', (113, 116)) ('tumor', 'Phenotype', 'HP:0002664', (82, 87)) ('BRAF', 'Gene', (10, 14)) ('FAM131B', 'Gene', (32, 39)) ('identified', 'Reg', (54, 64)) ('BRAF', 'Gene', '673', (10, 14)) ('FAM131B', 'Gene', '9715', (32, 39)) 9945 25040262 This fusion results from a deletion in 7q34, fusing the first several exons of FAM131B to the activation domain of BRAF. ('BRAF', 'Gene', '673', (115, 119)) ('BRAF', 'Gene', (115, 119)) ('FAM131B', 'Gene', (79, 86)) ('deletion', 'Var', (27, 35)) ('FAM131B', 'Gene', '9715', (79, 86)) ('results from', 'Reg', (12, 24)) 9949 25040262 BRAF mutations have also been implicated in pediatric LGG, specifically p.V600E, and are most frequently found in the PXA, DA and GG subtypes. ('LGG', 'Disease', (54, 57)) ('mutations', 'Var', (5, 14)) ('p.V600E', 'Mutation', 'rs113488022', (72, 79)) ('BRAF', 'Gene', '673', (0, 4)) ('implicated', 'Reg', (30, 40)) ('BRAF', 'Gene', (0, 4)) ('p.V600E', 'Var', (72, 79)) 9950 25040262 Notably there are mechanisms in addition to BRAF alterations that lead to MAPK activation in LGG including RAF1 and NTRK2 gene fusions, MYB deletions, KRAS mutations and FGFR1 alterations which include both mutations and internal tandem duplications. ('deletions', 'Var', (140, 149)) ('RAF1', 'Gene', '5894', (107, 111)) ('MAPK', 'Gene', (74, 78)) ('FGFR1', 'Gene', '2260', (170, 175)) ('internal tandem duplications', 'Var', (221, 249)) ('NTRK2', 'Gene', (116, 121)) ('activation', 'PosReg', (79, 89)) ('MYB', 'Gene', '4602', (136, 139)) ('RAF1', 'Gene', (107, 111)) ('MYB', 'Gene', (136, 139)) ('KRAS', 'Gene', '3845', (151, 155)) ('BRAF', 'Gene', '673', (44, 48)) ('alterations', 'Var', (49, 60)) ('mutations', 'Var', (156, 165)) ('BRAF', 'Gene', (44, 48)) ('alterations', 'Var', (176, 187)) ('FGFR1', 'Gene', (170, 175)) ('KRAS', 'Gene', (151, 155)) ('LGG', 'Gene', (93, 96)) ('fusions', 'Var', (127, 134)) ('NTRK2', 'Gene', '4915', (116, 121)) 9951 25040262 For the most part, these MAPK alterations are mutually exclusive, with only a few reports of multiple hits in this pathway occurring within the same tumor. ('tumor', 'Disease', 'MESH:D009369', (149, 154)) ('MAPK', 'Gene', (25, 29)) ('tumor', 'Phenotype', 'HP:0002664', (149, 154)) ('alterations', 'Var', (30, 41)) ('tumor', 'Disease', (149, 154)) 9954 25040262 We herein describe three LGGs in which SNP array studies showed deletions in 7q34 that were suggestive of the rare FAM131B-BRAF fusion, or of a KIAA1549-BRAF fusion. ('BRAF', 'Gene', (153, 157)) ('KIAA1549-BRAF', 'Disease', (144, 157)) ('deletions', 'Var', (64, 73)) ('BRAF', 'Gene', (123, 127)) ('BRAF', 'Gene', '673', (123, 127)) ('7q34', 'Gene', (77, 81)) ('FAM131B', 'Gene', (115, 122)) ('KIAA1549-BRAF', 'Disease', 'None', (144, 157)) ('BRAF', 'Gene', '673', (153, 157)) ('FAM131B', 'Gene', '9715', (115, 122)) 9958 25040262 Screening for mutations in BRAF exons 11 and 15 was performed using PCR and Sanger sequencing as previously described. ('mutations', 'Var', (14, 23)) ('BRAF', 'Gene', (27, 31)) ('BRAF', 'Gene', '673', (27, 31)) 9960 25040262 FAM131B-BRAF fusions were detected using a FAM131B forward primer as described in Cin et al and a reverse primer located in exons 11/12 of BRAF (5'-TTTCACTGCCACATCACCAT-3'). ('FAM131B', 'Gene', (43, 50)) ('BRAF', 'Gene', '673', (8, 12)) ('BRAF', 'Gene', (139, 143)) ('FAM131B', 'Gene', (0, 7)) ('BRAF', 'Gene', (8, 12)) ('Cin', 'Gene', '57026', (82, 85)) ('FAM131B', 'Gene', '9715', (43, 50)) ('FAM131B', 'Gene', '9715', (0, 7)) ('fusions', 'Var', (13, 20)) ('Cin', 'Gene', (82, 85)) ('BRAF', 'Gene', '673', (139, 143)) 9981 25040262 The B-allele frequency (BAF) of rs10229557 was close to 1 (BAF = 0.99), indicating homozygosity at this locus, and was therefore uninformative regarding copy number. ('BAF', 'Gene', '8815', (24, 27)) ('BAF', 'Gene', '8815', (59, 62)) ('BAF', 'Gene', (59, 62)) ('rs10229557', 'Var', (32, 42)) ('BAF', 'Gene', (24, 27)) ('rs10229557', 'Mutation', 'rs10229557', (32, 42)) 9985 25040262 An additional SNP located in intron 1 (rs1267621) was potentially deleted (LogR = -0.172), and would thus result in inclusion of BRAF exon 2 in the deletion (Figure 3E). ('BRAF', 'Gene', (129, 133)) ('BRAF', 'Gene', '673', (129, 133)) ('rs1267621', 'Var', (39, 48)) ('rs1267621', 'Mutation', 'rs1267621', (39, 48)) ('result in inclusion', 'Reg', (106, 125)) 9988 25040262 RT-PCR and sequencing analyses demonstrated the presence of a fusion transcript between exon 15 of KIAA1549 and exon 9 of BRAF (Figure 4A). ('KIAA1549', 'Gene', '57670', (99, 107)) ('BRAF', 'Gene', '673', (122, 126)) ('KIAA1549', 'Gene', (99, 107)) ('fusion', 'Var', (62, 68)) ('BRAF', 'Gene', (122, 126)) 10002 25040262 The distal end of the 2.6 Mb deletion resulted in deletion of exons 1-20 of the CLCN1 gene. ('CLCN1', 'Gene', '1180', (80, 85)) ('resulted in', 'Reg', (38, 49)) ('CLCN1', 'Gene', (80, 85)) ('deletion', 'Var', (50, 58)) 10003 25040262 If the deletion included the next two SNP probes, rs7802536 and rs4236482, it would result in deletion of a portion of or the entire FAM131B gene (Figure 3E). ('rs7802536', 'Var', (50, 59)) ('FAM131B', 'Gene', (133, 140)) ('deletion', 'Var', (94, 102)) ('FAM131B', 'Gene', '9715', (133, 140)) ('rs4236482', 'Mutation', 'rs4236482', (64, 73)) ('result in', 'Reg', (84, 93)) ('rs4236482', 'Var', (64, 73)) ('rs7802536', 'Mutation', 'rs7802536', (50, 59)) 10007 25040262 The BAF of rs4236482 was equal to 0.99, indicating homozygosity at this SNP, which was uninformative in determining copy number. ('rs4236482', 'Var', (11, 20)) ('BAF', 'Gene', (4, 7)) ('rs4236482', 'Mutation', 'rs4236482', (11, 20)) ('BAF', 'Gene', '8815', (4, 7)) 10008 25040262 RT-PCR yielded an approximately 500 bp product (data not shown) and sequence analysis demonstrated a fusion between exon 2 of FAM131B and exon 9 of BRAF (Figure 4B). ('fusion', 'Var', (101, 107)) ('FAM131B', 'Gene', (126, 133)) ('FAM131B', 'Gene', '9715', (126, 133)) ('BRAF', 'Gene', '673', (148, 152)) ('BRAF', 'Gene', (148, 152)) 10018 25040262 Considering the radiographic findings together with the pathology of both the initial and recurrent lesions, the final diagnosis of 3A/B/C was consistent with monophasic PA. ('monophasic', 'Disease', (159, 169)) ('3A/B', 'SUBSTITUTION', 'None', (132, 136)) ('3A/B', 'Var', (132, 136)) 10026 25040262 SNP array analysis of the recurrent tumor (3C) displayed 4 deletions in chromosome band 7q34 (Table 1 and Figure 3D). ('deletions', 'Var', (59, 68)) ('tumor', 'Disease', (36, 41)) ('tumor', 'Phenotype', 'HP:0002664', (36, 41)) ('tumor', 'Disease', 'MESH:D009369', (36, 41)) 10029 25040262 The proximal end of this deletion may also have included BRAF exons 8-10 because two probes within intron 7 (rs1733826 and rs17161714) had LogR values less than zero (-0.17 and -0.06 respectively) (Figure 3E). ('rs17161714', 'Var', (123, 133)) ('BRAF', 'Gene', '673', (57, 61)) ('BRAF', 'Gene', (57, 61)) ('rs1733826', 'Mutation', 'rs1733826', (109, 118)) ('rs17161714', 'Mutation', 'rs17161714', (123, 133)) ('rs1733826', 'Var', (109, 118)) 10030 25040262 The BAF values of these probes were non-contributory to the copy number analysis due to the fact that they were homozygous (rs1733826, BAF = 1; rs17161714, BAF = 0.002). ('rs1733826', 'Mutation', 'rs1733826', (124, 133)) ('BAF', 'Gene', '8815', (156, 159)) ('BAF', 'Gene', (4, 7)) ('BAF', 'Gene', '8815', (135, 138)) ('rs1733826', 'Var', (124, 133)) ('BAF', 'Gene', (156, 159)) ('rs17161714', 'Mutation', 'rs17161714', (144, 154)) ('BAF', 'Gene', (135, 138)) ('BAF', 'Gene', '8815', (4, 7)) 10033 25040262 It was difficult to determine if a SNP (rs13244040) located in intron 1 of FAM131B was included in the deletion. ('FAM131B', 'Gene', (75, 82)) ('FAM131B', 'Gene', '9715', (75, 82)) ('rs13244040', 'Var', (40, 50)) ('rs13244040', 'Mutation', 'rs13244040', (40, 50)) 10034 25040262 The LogR value of rs13244040 was very close to zero (LogR = -0.097) and the BAF was equal to 0.50 indicating two alleles present in fairly equal copy number at this locus. ('rs13244040', 'Var', (18, 28)) ('rs13244040', 'Mutation', 'rs13244040', (18, 28)) ('BAF', 'Gene', '8815', (76, 79)) ('BAF', 'Gene', (76, 79)) 10036 25040262 If rs13244040 was included, the entire FAM131B gene could have been deleted (Figure 3E). ('rs13244040', 'Mutation', 'rs13244040', (3, 13)) ('FAM131B', 'Gene', (39, 46)) ('FAM131B', 'Gene', '9715', (39, 46)) ('rs13244040', 'Var', (3, 13)) 10039 25040262 Given that the SNP array results for cases 3B and 3C indicated a deletion involving at least part of the FAM131B gene, we performed RT-PCR and sequence analyses on case 3B (there was not sufficient material to perform these studies in the recurrent tumor). ('tumor', 'Disease', 'MESH:D009369', (249, 254)) ('FAM131B', 'Gene', '9715', (105, 112)) ('tumor', 'Phenotype', 'HP:0002664', (249, 254)) ('indicated', 'Reg', (53, 62)) ('tumor', 'Disease', (249, 254)) ('deletion', 'Var', (65, 73)) ('FAM131B', 'Gene', (105, 112)) 10041 25040262 Finally, the recurrent tumor (3C) did not demonstrate a mutation in BRAF exon 15. ('BRAF', 'Gene', '673', (68, 72)) ('tumor', 'Disease', 'MESH:D009369', (23, 28)) ('tumor', 'Disease', (23, 28)) ('BRAF', 'Gene', (68, 72)) ('tumor', 'Phenotype', 'HP:0002664', (23, 28)) ('mutation', 'Var', (56, 64)) 10054 25040262 The KIAA1549-BRAF fusion protein is typically the result of a 2.0 Mb tandem duplication in 7q34. ('tandem duplication', 'Var', (69, 87)) ('KIAA1549-BRAF', 'Disease', 'None', (4, 17)) ('KIAA1549-BRAF', 'Disease', (4, 17)) ('result', 'Reg', (50, 56)) 10055 25040262 In contrast to the typical 7q34 duplication, case 1 had three non-overlapping 7q33q34 deletions detected by SNP array analysis that resulted in formation of a KIAA1549-BRAF fusion. ('KIAA1549-BRAF', 'Disease', 'None', (159, 172)) ('7q33q34', 'Gene', (78, 85)) ('KIAA1549-BRAF', 'Disease', (159, 172)) ('deletions', 'Var', (86, 95)) ('resulted in', 'Reg', (132, 143)) 10056 25040262 Given that KIAA1549 and BRAF are both transcribed from the lagging strand, creation of the fusion product could result from an insertion into one of the adjacent deletions, as shown in model 1 and model 2 in Figure 5. ('result from', 'Reg', (112, 123)) ('KIAA1549', 'Gene', '57670', (11, 19)) ('insertion', 'Var', (127, 136)) ('KIAA1549', 'Gene', (11, 19)) ('BRAF', 'Gene', (24, 28)) ('BRAF', 'Gene', '673', (24, 28)) 10061 25040262 Repair of the single interstitial deletion would result in this fusion given the genomic order and direction of transcription of the BRAF and FAM131B genes, as shown in Figure 5C. ('result in', 'Reg', (49, 58)) ('BRAF', 'Gene', '673', (133, 137)) ('BRAF', 'Gene', (133, 137)) ('FAM131B', 'Gene', (142, 149)) ('deletion', 'Var', (34, 42)) ('FAM131B', 'Gene', '9715', (142, 149)) 10062 25040262 Case 3B and the recurrent tumor from the same patient (3C) both demonstrated multiple non-overlapping deletions in 7q34 by SNP array analysis. ('patient', 'Species', '9606', (46, 53)) ('deletions', 'Var', (102, 111)) ('7q34', 'Gene', (115, 119)) ('tumor', 'Disease', 'MESH:D009369', (26, 31)) ('tumor', 'Phenotype', 'HP:0002664', (26, 31)) ('tumor', 'Disease', (26, 31)) 10064 25040262 Given the orientation of BRAF and FAM131B, fusion formation in case 3B would result from juxtaposing the two outer segments of chromosome 7 that remained after the deletions (Figure 5D). ('result from', 'Reg', (77, 88)) ('deletions', 'Var', (164, 173)) ('FAM131B', 'Gene', (34, 41)) ('FAM131B', 'Gene', '9715', (34, 41)) ('BRAF', 'Gene', '673', (25, 29)) ('BRAF', 'Gene', (25, 29)) 10067 25040262 Both FAM131B-BRAF fusions identified in this series resulted from fusion of FAM131B exon 2 to BRAF exon 9 similar to what has been previously reported in PA. ('BRAF', 'Gene', (94, 98)) ('fusions', 'Var', (18, 25)) ('resulted from', 'Reg', (52, 65)) ('BRAF', 'Gene', '673', (13, 17)) ('FAM131B', 'Gene', '9715', (5, 12)) ('fusion', 'Var', (66, 72)) ('BRAF', 'Gene', (13, 17)) ('FAM131B', 'Gene', '9715', (76, 83)) ('FAM131B', 'Gene', (76, 83)) ('BRAF', 'Gene', '673', (94, 98)) ('FAM131B', 'Gene', (5, 12)) 10069 25040262 The KIAA1549-BRAF and SRGAP3-RAF1 fusions typically result from tandem duplications in chromosomes 7 and 3, respectively. ('RAF1', 'Gene', (29, 33)) ('KIAA1549-BRAF', 'Disease', (4, 17)) ('RAF1', 'Gene', '5894', (29, 33)) ('SRGAP3', 'Gene', (22, 28)) ('SRGAP3', 'Gene', '9901', (22, 28)) ('tandem duplications', 'Var', (64, 83)) ('KIAA1549-BRAF', 'Disease', 'None', (4, 17)) ('result from', 'Reg', (52, 63)) ('fusions', 'Var', (34, 41)) 10071 25040262 Translocations between chromosomes 1 and 7 or between chromosomes 5 and 7 lead to CLCN6-BRAF and RNF130-BRAF fusions, respectively. ('CLCN6', 'Gene', (82, 87)) ('RNF130', 'Gene', (97, 103)) ('Translocations', 'Var', (0, 14)) ('BRAF', 'Gene', (88, 92)) ('lead to', 'Reg', (74, 81)) ('BRAF', 'Gene', '673', (88, 92)) ('CLCN6', 'Gene', '1185', (82, 87)) ('BRAF', 'Gene', '673', (104, 108)) ('BRAF', 'Gene', (104, 108)) ('RNF130', 'Gene', '55819', (97, 103)) 10072 25040262 The BRAF-AKAP9 fusion in thyroid cancer is the result of a pericentric inversion on chromosome 7. ('fusion', 'Var', (15, 21)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (25, 39)) ('thyroid cancer', 'Disease', 'MESH:D013964', (25, 39)) ('AKAP9', 'Gene', '10142', (9, 14)) ('cancer', 'Phenotype', 'HP:0002664', (33, 39)) ('BRAF', 'Gene', (4, 8)) ('BRAF', 'Gene', '673', (4, 8)) ('AKAP9', 'Gene', (9, 14)) ('thyroid cancer', 'Disease', (25, 39)) 10077 25040262 Case 2 had a larger deletion, and thus would demonstrate one fusion and one signal for the 3' end of BRAF. ('BRAF', 'Gene', (101, 105)) ('BRAF', 'Gene', '673', (101, 105)) ('deletion', 'Var', (20, 28)) ('fusion', 'MPA', (61, 67)) 10079 25040262 The BRAF fusions identified in this study were detected due to deletions in 7q33q34. ('deletions in', 'Var', (63, 75)) ('7q33q34', 'Gene', (76, 83)) ('BRAF', 'Gene', '673', (4, 8)) ('BRAF', 'Gene', (4, 8)) 10080 25040262 A MKRN1-BRAF fusion which is the result of a tandem duplication in 7q34 would also be detected with this platform, as would fusions involving RAF1 and MYB, which have also been associated with copy number alterations. ('BRAF', 'Gene', '673', (8, 12)) ('fusion', 'Var', (13, 19)) ('BRAF', 'Gene', (8, 12)) ('MKRN1', 'Gene', (2, 7)) ('MKRN1', 'Gene', '23608', (2, 7)) ('7q34', 'Gene', (67, 71)) ('MYB', 'Gene', (151, 154)) ('MYB', 'Gene', '4602', (151, 154)) ('RAF1', 'Gene', (142, 146)) ('fusions', 'Var', (124, 131)) ('RAF1', 'Gene', '5894', (142, 146)) 10081 25040262 In contrast, BRAF fusions involving RNF130, CLCN6, GNAI1, FXR1, and MACF1 were not noted to have associated copy number alterations and thus may best be identified by whole genome sequencing or RNA-sequencing strategies. ('RNF130', 'Gene', '55819', (36, 42)) ('CLCN6', 'Gene', '1185', (44, 49)) ('fusions', 'Var', (18, 25)) ('RNF130', 'Gene', (36, 42)) ('BRAF', 'Gene', '673', (13, 17)) ('CLCN6', 'Gene', (44, 49)) ('FXR1', 'Gene', (58, 62)) ('BRAF', 'Gene', (13, 17)) ('GNAI1', 'Gene', (51, 56)) ('GNAI1', 'Gene', '2770', (51, 56)) ('MACF1', 'Gene', (68, 73)) ('MACF1', 'Gene', '23499', (68, 73)) ('FXR1', 'Gene', '8087', (58, 62)) 10090 25040262 Inhibitors of MEK (U0126) or general tyrosine kinases (TKs) (Sorafenib) were shown to block oncogenic phenotypes that are mediated by BRAF or RAF fusions in an in vitro model of prostate cancer cells. ('oncogenic phenotypes', 'CPA', (92, 112)) ('prostate cancer', 'Phenotype', 'HP:0012125', (178, 193)) ('block', 'NegReg', (86, 91)) ('RAF', 'Gene', '22882', (142, 145)) ('RAF', 'Gene', (142, 145)) ('BRAF', 'Gene', '673', (134, 138)) ('Inhibitors', 'Var', (0, 10)) ('RAF', 'Gene', (135, 138)) ('MEK', 'Gene', (14, 17)) ('prostate cancer', 'Disease', (178, 193)) ('BRAF', 'Gene', (134, 138)) ('RAF', 'Gene', '22882', (135, 138)) ('Sorafenib', 'Chemical', 'MESH:D000077157', (61, 70)) ('U0126', 'Chemical', 'MESH:C113580', (19, 24)) ('MEK', 'Gene', '5609', (14, 17)) ('cancer', 'Phenotype', 'HP:0002664', (187, 193)) ('prostate cancer', 'Disease', 'MESH:D011471', (178, 193)) 10092 25040262 demonstrate that cells expressing KIAA1549-BRAF are resistant to the research analog of vemurafenib (PLX4720; Plexxikon/Genentech), an inhibitor of the BRAF V600E mutation. ('vemurafenib', 'Chemical', 'MESH:D000077484', (88, 99)) ('BRAF', 'Gene', (152, 156)) ('resistant', 'MPA', (52, 61)) ('BRAF', 'Gene', '673', (43, 47)) ('KIAA1549-BRAF', 'Disease', (34, 47)) ('BRAF', 'Gene', (43, 47)) ('V600E', 'Mutation', 'rs113488022', (157, 162)) ('KIAA1549-BRAF', 'Disease', 'None', (34, 47)) ('V600E', 'Var', (157, 162)) ('BRAF', 'Gene', '673', (152, 156)) 10096 25040262 Identification of KIAA1549-BRAF or FAM131B-BRAF fusions in low grade glial tumors as well as PA suggests that molecular classification of pediatric LGGs, perhaps independent of pathologic subtype, will ultimately be useful for selecting therapies based on MAPK activation in these patients. ('low', 'Disease', (59, 62)) ('fusions', 'Var', (48, 55)) ('LGGs', 'Disease', (148, 152)) ('BRAF', 'Gene', '673', (43, 47)) ('KIAA1549-BRAF', 'Disease', (18, 31)) ('patients', 'Species', '9606', (281, 289)) ('BRAF', 'Gene', (43, 47)) ('glial tumors', 'Disease', 'MESH:D005910', (69, 81)) ('FAM131B', 'Gene', (35, 42)) ('BRAF', 'Gene', '673', (27, 31)) ('FAM131B', 'Gene', '9715', (35, 42)) ('glial tumors', 'Disease', (69, 81)) ('BRAF', 'Gene', (27, 31)) ('tumors', 'Phenotype', 'HP:0002664', (75, 81)) ('tumor', 'Phenotype', 'HP:0002664', (75, 80)) ('KIAA1549-BRAF', 'Disease', 'None', (18, 31)) 10120 31395879 compared gene expression, copy number alterations, mutations, and protein expression between cell lines and primary tumor samples. ('al', 'Chemical', 'MESH:D000535', (38, 40)) ('mutations', 'Var', (51, 60)) ('primary tumor', 'Disease', (108, 121)) ('tumor', 'Phenotype', 'HP:0002664', (116, 121)) ('primary tumor', 'Disease', 'MESH:D009369', (108, 121)) ('copy number alterations', 'Var', (26, 49)) 10121 31395879 They created another cell line suitability score by summing the correlations across all four molecular profiles, although it is notable that only gene expression and copy number alterations had a substantial effect on their score as mutations and protein expression had extremely low correlations across all cell lines (R < 0.1). ('low', 'NegReg', (280, 283)) ('correlations', 'Interaction', (284, 296)) ('al', 'Chemical', 'MESH:D000535', (205, 207)) ('al', 'Chemical', 'MESH:D000535', (84, 86)) ('copy number alterations', 'Var', (166, 189)) ('al', 'Chemical', 'MESH:D000535', (304, 306)) ('al', 'Chemical', 'MESH:D000535', (113, 115)) ('al', 'Chemical', 'MESH:D000535', (178, 180)) 10158 31395879 which evaluated high-grade ovarian cancer cell lines based on copy number alterations and selected mutations (Supplementary Data 5). ('ovarian cancer', 'Disease', (27, 41)) ('copy number alterations', 'Var', (62, 85)) ('cancer', 'Phenotype', 'HP:0002664', (35, 41)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (27, 41)) ('ovarian cancer', 'Disease', 'MESH:D010051', (27, 41)) ('al', 'Chemical', 'MESH:D000535', (8, 10)) ('al', 'Chemical', 'MESH:D000535', (74, 76)) 10363 25279461 Because of the functional role of miRNAs in a wide array of biological processes, including cell proliferation, differentiation and apoptosis, deregulation of miRNA expression represents a hallmark of cancer, where they can act either as oncogenes or tumour suppressors contributing to initiation and progression of cancer. ('apoptosis', 'CPA', (132, 141)) ('deregulation', 'Var', (143, 155)) ('cancer', 'Disease', 'MESH:D009369', (201, 207)) ('tumour', 'Phenotype', 'HP:0002664', (251, 257)) ('cancer', 'Disease', (201, 207)) ('cancer', 'Phenotype', 'HP:0002664', (316, 322)) ('miR', 'Gene', '220972', (34, 37)) ('tumour', 'Disease', 'MESH:D009369', (251, 257)) ('miR', 'Gene', (34, 37)) ('cancer', 'Phenotype', 'HP:0002664', (201, 207)) ('tumour', 'Disease', (251, 257)) ('cancer', 'Disease', 'MESH:D009369', (316, 322)) ('miR', 'Gene', (159, 162)) ('miR', 'Gene', '220972', (159, 162)) ('cancer', 'Disease', (316, 322)) ('differentiation', 'CPA', (112, 127)) 10379 25279461 Single-stranded cDNA was synthesized from 5.5 ng of total RNA using 50 nM specific stem-loop RT primers for selected miRNAs (Life Technologies, Foster City, CA) and endogenous control RNU48 (P/N 4373383, Life Technologies, Foster City, CA), according to manufacturer's instructions (Table S1). ('P/N 4373383', 'Var', (191, 202)) ('RNU48', 'Gene', (184, 189)) ('RNU48', 'Gene', '26801', (184, 189)) ('P/N 4373383', 'SUBSTITUTION', 'None', (191, 202)) ('miR', 'Gene', '220972', (117, 120)) ('miR', 'Gene', (117, 120)) 10405 25279461 IDH1-R132H/C mutations were found in 7 out of 8 WHO II grade tumours (88%, R132H in six samples and R132C in one sample), 1 out of the 2 anaplastic astrocytomas (50%, R132C), and as expected by the low frequencies reported in literature in none of the GBMs (0%). ('R132C', 'Var', (167, 172)) ('R132C', 'Mutation', 'rs121913499', (167, 172)) ('tumours', 'Phenotype', 'HP:0002664', (61, 68)) ('tumours', 'Disease', 'MESH:D009369', (61, 68)) ('R132H', 'Var', (5, 10)) ('IDH1', 'Gene', (0, 4)) ('anaplastic astrocytomas', 'Disease', 'MESH:D001254', (137, 160)) ('R132H', 'Var', (75, 80)) ('R132H', 'SUBSTITUTION', 'None', (5, 10)) ('IDH1', 'Gene', '3417', (0, 4)) ('anaplastic astrocytomas', 'Disease', (137, 160)) ('R132C', 'Var', (100, 105)) ('R132C', 'Mutation', 'rs121913499', (100, 105)) ('R132H', 'Mutation', 'rs121913500', (5, 10)) ('R132H', 'SUBSTITUTION', 'None', (75, 80)) ('tumours', 'Disease', (61, 68)) ('found', 'Reg', (28, 33)) ('astrocytoma', 'Phenotype', 'HP:0009592', (148, 159)) ('R132H', 'Mutation', 'rs121913500', (75, 80)) ('tumour', 'Phenotype', 'HP:0002664', (61, 67)) 10408 25279461 MGMT status was previously determined by using Quantitative Methylation Specific PCR (QMSP): aberrant promoter methylation was found in the 68.75% of the 32 glioma patients. ('MGMT', 'Gene', (0, 4)) ('glioma', 'Disease', 'MESH:D005910', (157, 163)) ('glioma', 'Phenotype', 'HP:0009733', (157, 163)) ('aberrant', 'Var', (93, 101)) ('patients', 'Species', '9606', (164, 172)) ('glioma', 'Disease', (157, 163)) ('found', 'Reg', (127, 132)) ('promoter methylation', 'MPA', (102, 122)) ('MGMT', 'Gene', '4255', (0, 4)) 10418 25279461 The remaining miRNAs (miR-519d, miR-326, miR-139-3p, miR-767-5p, let7d-star, miR-342-3p, and miR-383) were differentially expressed only in grade II gliomas as compared with NBT (Mann Whitney Test). ('miR-139-3p', 'Gene', (41, 51)) ('miR', 'Gene', (77, 80)) ('miR', 'Gene', '220972', (53, 56)) ('II gliomas', 'Disease', 'MESH:D005910', (146, 156)) ('miR-326', 'Gene', (32, 39)) ('miR-139-3p', 'Gene', '406931', (41, 51)) ('glioma', 'Phenotype', 'HP:0009733', (149, 155)) ('miR-326', 'Gene', '442900', (32, 39)) ('miR-342', 'Gene', (77, 84)) ('miR', 'Gene', (14, 17)) ('miR', 'Gene', (93, 96)) ('miR', 'Gene', (53, 56)) ('gliomas', 'Phenotype', 'HP:0009733', (149, 156)) ('miR', 'Gene', '220972', (41, 44)) ('NBT', 'Chemical', '-', (174, 177)) ('miR', 'Gene', '220972', (32, 35)) ('miR-342', 'Gene', '442909', (77, 84)) ('miR', 'Gene', (41, 44)) ('let7d-star', 'Var', (65, 75)) ('II gliomas', 'Disease', (146, 156)) ('miR', 'Gene', '220972', (77, 80)) ('miR', 'Gene', (32, 35)) ('miR', 'Gene', '220972', (22, 25)) ('miR-383', 'Gene', '494332', (93, 100)) ('miR-519d', 'Gene', '574480', (22, 30)) ('miR-383', 'Gene', (93, 100)) ('miR-519d', 'Gene', (22, 30)) ('miR', 'Gene', '220972', (14, 17)) ('miR', 'Gene', '220972', (93, 96)) ('miR', 'Gene', (22, 25)) 10426 25279461 Multivariable Cox regression analysis was performed by stratifying patients according to age and using MGMT methylation status, IDH1 mutations, pre-treatment, recurrence, and TCGA prognostic classification as covariates (n = 185). ('MGMT', 'Gene', '4255', (103, 107)) ('IDH1', 'Gene', '3417', (128, 132)) ('patients', 'Species', '9606', (67, 75)) ('Cox', 'Gene', '1351', (14, 17)) ('Cox', 'Gene', (14, 17)) ('mutations', 'Var', (133, 142)) ('IDH1', 'Gene', (128, 132)) ('MGMT', 'Gene', (103, 107)) 10432 25279461 Multivariable Cox regression analysis was performed including the three miRNAs, age and IDH1 mutational status. ('IDH1', 'Gene', (88, 92)) ('mutational', 'Var', (93, 103)) ('Cox', 'Gene', '1351', (14, 17)) ('Cox', 'Gene', (14, 17)) ('IDH1', 'Gene', '3417', (88, 92)) ('miR', 'Gene', '220972', (72, 75)) ('miR', 'Gene', (72, 75)) 10433 25279461 This analysis demonstrated an association between age (HR 1.072; 95%CI 1.015-1.13, p = 0.013) and worse OS, while IDH1 mutations were associated with better survival (HR 0.014; 0.001-0.216, p = 0.002). ('better', 'PosReg', (150, 156)) ('IDH1', 'Gene', (114, 118)) ('IDH1', 'Gene', '3417', (114, 118)) ('mutations', 'Var', (119, 128)) ('worse OS', 'Disease', (98, 106)) 10497 29098169 Comparisons included high-grade versus low-grade with noncancer (G4+ versus G3 and NC), high-grade versus low-grade (G4+ versus G3), G4CG versus NC, G4CG versus G3 and NC, and G4CG versus G3, limited to the PZ. ('G4CG', 'Var', (133, 137)) ('cancer', 'Disease', 'MESH:D009369', (57, 63)) ('cancer', 'Disease', (57, 63)) ('G4+', 'Var', (117, 120)) ('cancer', 'Phenotype', 'HP:0002664', (57, 63)) ('G4CG', 'Var', (176, 180)) ('G4CG', 'Var', (149, 153)) 10498 29098169 Comparisons of annotated lesions within the entire prostate included G5 versus G3 cancer versus noncancer (G3+ versus NC), G4FG versus NCG5 versus NC, G4FG versus G3 and NC, G5 versus G3 and NC, and G4FG versus G3. ('G4FG', 'Chemical', '-', (151, 155)) ('cancer', 'Phenotype', 'HP:0002664', (82, 88)) ('cancer', 'Disease', 'MESH:D009369', (99, 105)) ('G4FG', 'Chemical', '-', (199, 203)) ('G4FG', 'Var', (123, 127)) ('cancer', 'Disease', (82, 88)) ('cancer', 'Disease', (99, 105)) ('cancer', 'Disease', 'MESH:D009369', (82, 88)) ('G4FG', 'Var', (151, 155)) ('G4FG', 'Var', (199, 203)) ('G4FG', 'Chemical', '-', (123, 127)) ('cancer', 'Phenotype', 'HP:0002664', (99, 105)) 10500 29098169 This included 210 regions considered normal prostate tissue, 25 of seminal vesicles, 692 atrophies, 77 HGPIN, 252 G3, 81 G4FG, 24 G4CG, and 8 G5. ('G4FG', 'Chemical', '-', (121, 125)) ('G4FG', 'Var', (121, 125)) ('atrophies', 'Disease', (89, 98)) ('atrophies', 'Disease', 'MESH:D001284', (89, 98)) 10501 29098169 When limited to the PZ, a total of 802 annotated pathological regions including 207 regions considered normal prostate tissue, 9 of seminal vesicles, 376 atrophies, 23 HGPIN, 127 G3, 38 G4FG, 16 G4CG, and 6 G5. ('atrophies', 'Disease', 'MESH:D001284', (154, 163)) ('G4FG', 'Chemical', '-', (186, 190)) ('G4FG', 'Var', (186, 190)) ('atrophies', 'Disease', (154, 163)) 10507 29098169 6 and Table 3, G5 versus G3 cancer versus noncancer (G3+ versus NC), G4FG versus NCG5 versus NC, G4FG versus G3 and NC, G5 versus G3 and NC, and G4FG versus G3. ('cancer', 'Phenotype', 'HP:0002664', (28, 34)) ('cancer', 'Phenotype', 'HP:0002664', (45, 51)) ('G4FG', 'Chemical', '-', (69, 73)) ('cancer', 'Disease', (28, 34)) ('G4FG', 'Chemical', '-', (97, 101)) ('cancer', 'Disease', 'MESH:D009369', (28, 34)) ('cancer', 'Disease', 'MESH:D009369', (45, 51)) ('G4FG', 'Var', (69, 73)) ('G4FG', 'Chemical', '-', (145, 149)) ('cancer', 'Disease', (45, 51)) ('G4FG', 'Var', (97, 101)) ('G4FG', 'Var', (145, 149)) 10513 29098169 We found that mean ADC values for G4FG, G4CG, and G5 are not significantly different from one another although all three were significantly different from low-grade cancer in the higher performing -value combinations (Fig. ('different', 'Reg', (140, 149)) ('G4CG', 'Var', (40, 44)) ('cancer', 'Phenotype', 'HP:0002664', (165, 171)) ('G4FG', 'Chemical', '-', (34, 38)) ('G4FG', 'Var', (34, 38)) ('cancer', 'Disease', (165, 171)) ('cancer', 'Disease', 'MESH:D009369', (165, 171)) 10526 27716027 Identification of gene-drug interactions that impact patient survival in TCGA With the advent of large scale biological data collection for various diseases, data analysis pipelines and workflows need to be established to build frameworks for integrative analysis. ('impact', 'Reg', (46, 52)) ('drug interaction', 'Phenotype', 'HP:0020172', (23, 39)) ('interactions', 'Var', (28, 40)) ('TCGA', 'Disease', (73, 77)) ('patient', 'Species', '9606', (53, 60)) 10530 27716027 Several gene-drug interactions are identified, where the copy number of a gene is associated to survival of a patient exposed to a certain drug. ('copy number', 'Var', (57, 68)) ('patient', 'Species', '9606', (110, 117)) ('drug interaction', 'Phenotype', 'HP:0020172', (13, 29)) ('associated to', 'Reg', (82, 95)) 10535 27716027 Here a pipeline is implemented for integrative analysis of CNV data, drug treatment and survival data, for the purpose of identifying beneficial gene-drug interactions, where the copy number of a gene is associated to survival of patients exposed to a certain drug. ('patients', 'Species', '9606', (230, 238)) ('drug interaction', 'Phenotype', 'HP:0020172', (150, 166)) ('copy number', 'Var', (179, 190)) ('associated to', 'Reg', (204, 217)) 10538 27716027 Variation in levels of gene expression between patient profiles and obtaining the necessary number of patients for sufficient statistical power are just a few of the hurdles that need to be addressed with any study of this nature. ('patient', 'Species', '9606', (47, 54)) ('patient', 'Species', '9606', (102, 109)) ('patients', 'Species', '9606', (102, 110)) ('levels', 'MPA', (13, 19)) ('Variation', 'Var', (0, 9)) 10569 27716027 CNV data was used to place patients into three categories of CNV based on full or partial deletion, no change in copy number, or increased copy number. ('partial deletion', 'Var', (82, 98)) ('patients', 'Species', '9606', (27, 35)) ('copy', 'MPA', (139, 143)) ('increased', 'PosReg', (129, 138)) 10577 27716027 Following one identified gene-drug interaction, HAS2 and Irinotecan, shows that among patients treated with Irinotecan, normal or elevated copy number of HAS2 correlates with increased survival. ('copy number', 'Var', (139, 150)) ('Irinotecan', 'Chemical', 'MESH:D000077146', (108, 118)) ('HAS2', 'Gene', '3037', (154, 158)) ('drug interaction', 'Phenotype', 'HP:0020172', (30, 46)) ('HAS2', 'Gene', (154, 158)) ('elevated', 'PosReg', (130, 138)) ('Irinotecan', 'Chemical', 'MESH:D000077146', (57, 67)) ('HAS2', 'Gene', (48, 52)) ('increased', 'PosReg', (175, 184)) ('HAS2', 'Gene', '3037', (48, 52)) ('survival', 'MPA', (185, 193)) ('patients', 'Species', '9606', (86, 94)) 10578 27716027 Looking at all LGG and GBM patients, the Kaplan-Meier curves show no difference between patients with normal and elevated copy number of HAS2, and a marked decrease in survival in patients with low copy number of HAS2 (Fig. ('low copy number', 'Var', (194, 209)) ('HAS2', 'Gene', (137, 141)) ('patients', 'Species', '9606', (88, 96)) ('HAS2', 'Gene', '3037', (137, 141)) ('copy number', 'Var', (122, 133)) ('patients', 'Species', '9606', (27, 35)) ('HAS2', 'Gene', (213, 217)) ('HAS2', 'Gene', '3037', (213, 217)) ('decrease', 'NegReg', (156, 164)) ('survival', 'MPA', (168, 176)) ('patients', 'Species', '9606', (180, 188)) 10583 27716027 2b where no expression difference was observed among patients with different copy number of HAS2, when focusing on patients exposed to Irinotecan in Fig. ('patients', 'Species', '9606', (115, 123)) ('HAS2', 'Gene', '3037', (92, 96)) ('Irinotecan', 'Chemical', 'MESH:D000077146', (135, 145)) ('patients', 'Species', '9606', (53, 61)) ('HAS2', 'Gene', (92, 96)) ('copy number', 'Var', (77, 88)) 10584 27716027 2d, we observed a significant (p = .045) expression difference between the low and normal/increased copy number patients. ('expression', 'MPA', (41, 51)) ('patients', 'Species', '9606', (112, 120)) ('low', 'Var', (75, 78)) 10585 27716027 This shows that the HAS2-Irinotecan interaction identified based on copy number also manifests at the gene expression level. ('HAS2', 'Gene', (20, 24)) ('Irinotecan', 'Chemical', 'MESH:D000077146', (25, 35)) ('HAS2', 'Gene', '3037', (20, 24)) ('copy', 'Var', (68, 72)) 10595 27716027 This interaction was explored in cell lines and the loss of PGAM1 was shown to decrease the effects of hypoxia on the tumor by inhibiting the ability of the cell to regulate balance between glycolysis and biosynthesis allowing tumor growth that would be inhibited in a hypoxic state. ('effects', 'MPA', (92, 99)) ('tumor', 'Disease', 'MESH:D009369', (118, 123)) ('tumor', 'Phenotype', 'HP:0002664', (227, 232)) ('tumor', 'Disease', (227, 232)) ('loss', 'Var', (52, 56)) ('tumor', 'Phenotype', 'HP:0002664', (118, 123)) ('inhibiting', 'NegReg', (127, 137)) ('decrease', 'NegReg', (79, 87)) ('PGAM1', 'Gene', (60, 65)) ('tumor', 'Disease', (118, 123)) ('tumor', 'Disease', 'MESH:D009369', (227, 232)) ('hypoxia', 'Disease', (103, 110)) ('ability', 'MPA', (142, 149)) ('hypoxia', 'Disease', 'MESH:D000860', (103, 110)) ('PGAM1', 'Gene', '5223', (60, 65)) 10597 27716027 While loss of COL22A1 copy number can be linked to lowered survival over the entire pool of patients (Fig. ('loss', 'NegReg', (6, 10)) ('copy number', 'Var', (22, 33)) ('COL22A1', 'Gene', '169044', (14, 21)) ('patients', 'Species', '9606', (92, 100)) ('lowered', 'NegReg', (51, 58)) ('survival', 'MPA', (59, 67)) ('COL22A1', 'Gene', (14, 21)) 10611 27716027 Therefore, for patients with increased copy number or expression of a target gene, the drug is more likely to show an effect. ('expression', 'MPA', (54, 64)) ('patients', 'Species', '9606', (15, 23)) ('copy number', 'Var', (39, 50)) ('increased', 'PosReg', (29, 38)) 10647 32065482 The risk score for each patient was calculated as follows: risk score = (0.1052 x expression level of DIRAS3) + (0.2152 x expression level of LGALS8) + (-0.3603 x expression level of MAPK8) + (-0.2851 x expression level of STAM). ('STAM', 'Gene', '8027', (223, 227)) ('expression', 'MPA', (122, 132)) ('DIRAS3', 'Gene', '9077', (102, 108)) ('STAM', 'Gene', (223, 227)) ('MAPK8', 'Gene', '5599', (183, 188)) ('MAPK8', 'Gene', (183, 188)) ('patient', 'Species', '9606', (24, 31)) ('0.1052', 'Var', (73, 79)) ('LGALS8', 'Gene', '3964', (142, 148)) ('LGALS8', 'Gene', (142, 148)) ('DIRAS3', 'Gene', (102, 108)) 10651 32065482 As shown in the ROC curves, the area under curves (AUCs) of the risk signature for predicting the 1-, 3- and 5-year survival were 0.644 (Figure 2C), 0.727 (Figure 2D) and 0.877 (Figure 2E), respectively, which were larger than those of IDH1, MGMT promoter and G-CIMP status. ('0.727', 'Var', (149, 154)) ('MGMT', 'Gene', '4255', (242, 246)) ('IDH1', 'Gene', (236, 240)) ('0.877', 'Var', (171, 176)) ('MGMT', 'Gene', (242, 246)) ('G-CIMP', 'Chemical', '-', (260, 266)) ('IDH1', 'Gene', '3417', (236, 240)) 10659 32065482 As shown in Figure 4A, high-risk group inclined to contain more elder patients, whereas samples with IDH1 mutant were all in low-risk group. ('IDH1', 'Gene', (101, 105)) ('patients', 'Species', '9606', (70, 78)) ('mutant', 'Var', (106, 112)) ('IDH1', 'Gene', '3417', (101, 105)) 10819 29625055 In the LGG marker paper, analysis of OS showed that patients diagnosed with an IDH1 and IDH2 (two very similar genes, hereafter referred to collectively as IDH) mutation with or without 1p/19q codeletion had substantially longer OS than did patients who had wild-type IDH, proving that IDH-1p/19q status represents a more robust survival predictor than LGG histologic subtype. ('IDH-1p', 'Gene', (286, 292)) ('IDH', 'Gene', (88, 91)) ('IDH1', 'Gene', (79, 83)) ('IDH', 'Gene', (79, 82)) ('mutation', 'Var', (161, 169)) ('IDH', 'Gene', (286, 289)) ('IDH', 'Gene', '3417', (88, 91)) ('patients', 'Species', '9606', (52, 60)) ('IDH1', 'Gene', '3417', (79, 83)) ('IDH', 'Gene', (268, 271)) ('IDH', 'Gene', '3417', (79, 82)) ('IDH', 'Gene', (156, 159)) ('OS', 'Chemical', '-', (229, 231)) ('OS', 'Chemical', '-', (37, 39)) ('IDH', 'Gene', '3417', (286, 289)) ('patients', 'Species', '9606', (241, 249)) ('longer', 'PosReg', (222, 228)) ('IDH2', 'Gene', (88, 92)) ('IDH-1p', 'Gene', '3417', (286, 292)) ('IDH2', 'Gene', '3418', (88, 92)) ('IDH', 'Gene', '3417', (268, 271)) ('IDH', 'Gene', '3417', (156, 159)) 11013 27899997 The frequency of hypermethylation of CpG dinucleotides varies significantly between different malignancy grades of gliomas. ('gliomas', 'Disease', (115, 122)) ('malignancy', 'Disease', 'MESH:D009369', (94, 104)) ('gliomas', 'Disease', 'MESH:D005910', (115, 122)) ('gliomas', 'Phenotype', 'HP:0009733', (115, 122)) ('glioma', 'Phenotype', 'HP:0009733', (115, 121)) ('CpG', 'Gene', (37, 40)) ('malignancy', 'Disease', (94, 104)) ('CpG dinucleotides', 'Chemical', 'MESH:C015772', (37, 54)) ('hypermethylation', 'Var', (17, 33)) 11020 27899997 Promoter methylation is closely associated with the loss of TES expression in glioblastoma cell lines. ('glioblastoma', 'Disease', (78, 90)) ('expression', 'MPA', (64, 74)) ('loss', 'NegReg', (52, 56)) ('glioblastoma', 'Disease', 'MESH:D005909', (78, 90)) ('TES', 'Gene', (60, 63)) ('glioblastoma', 'Phenotype', 'HP:0012174', (78, 90)) ('TES', 'Gene', '26136', (60, 63)) ('Promoter methylation', 'Var', (0, 20)) 11059 27899997 Promoter hypermethylation was detected in 57.25% (79/138) of all analysed astrocytoma tumours, but not in normal brain tissue. ('astrocytoma tumours', 'Disease', (74, 93)) ('tumour', 'Phenotype', 'HP:0002664', (86, 92)) ('tumours', 'Phenotype', 'HP:0002664', (86, 93)) ('detected', 'Reg', (30, 38)) ('Promoter hypermethylation', 'Var', (0, 25)) ('astrocytoma', 'Phenotype', 'HP:0009592', (74, 85)) ('astrocytoma tumours', 'Disease', 'MESH:D001254', (74, 93)) 11060 27899997 The results revealed that the TES gene methylation frequency increases with the degree of malignancy of the tumour (Fig. ('malignancy of the tumour', 'Disease', 'MESH:D009369', (90, 114)) ('methylation', 'Var', (39, 50)) ('TES', 'Gene', (30, 33)) ('tumour', 'Phenotype', 'HP:0002664', (108, 114)) ('TES', 'Gene', '26136', (30, 33)) ('increases', 'PosReg', (61, 70)) ('malignancy of the tumour', 'Disease', (90, 114)) 11062 27899997 Grade III astrocytoma TES promoter methylation was detected in 65.52% (19/29) of samples, and the highest methylation degree of the TES gene was observed in glioblastoma samples [79.59% (39/49)]. ('detected', 'Reg', (51, 59)) ('astrocytoma', 'Disease', 'MESH:D001254', (10, 21)) ('TES', 'Gene', (132, 135)) ('glioblastoma', 'Disease', (157, 169)) ('astrocytoma', 'Disease', (10, 21)) ('TES', 'Gene', (22, 25)) ('TES', 'Gene', '26136', (132, 135)) ('TES', 'Gene', '26136', (22, 25)) ('astrocytoma', 'Phenotype', 'HP:0009592', (10, 21)) ('glioblastoma', 'Disease', 'MESH:D005909', (157, 169)) ('glioblastoma', 'Phenotype', 'HP:0012174', (157, 169)) ('methylation', 'Var', (35, 46)) 11064 27899997 The TES gene methylation status differed significantly between astrocytomas of different malignancy grades (P<0.001). ('malignancy', 'Disease', (89, 99)) ('methylation', 'Var', (13, 24)) ('astrocytomas', 'Disease', 'MESH:D001254', (63, 75)) ('astrocytoma', 'Phenotype', 'HP:0009592', (63, 74)) ('astrocytomas', 'Disease', (63, 75)) ('TES', 'Gene', (4, 7)) ('differed', 'Reg', (32, 40)) ('TES', 'Gene', '26136', (4, 7)) ('malignancy', 'Disease', 'MESH:D009369', (89, 99)) 11067 27899997 In addition, methylation of TES was significantly associated with patient survival. ('TES', 'Gene', (28, 31)) ('methylation', 'Var', (13, 24)) ('patient survival', 'CPA', (66, 82)) ('patient', 'Species', '9606', (66, 73)) ('associated', 'Reg', (50, 60)) ('TES', 'Gene', '26136', (28, 31)) 11068 27899997 Patients who survived <24 months after resection tended to have a methylated TES allele (P=0.001). ('TES', 'Gene', '26136', (77, 80)) ('Patients', 'Species', '9606', (0, 8)) ('methylated', 'Var', (66, 76)) ('TES', 'Gene', (77, 80)) 11071 27899997 Promoter methylation of TES was noticed to be closely associated with shorter survival (long-rank test, P<0.001). ('TES', 'Gene', (24, 27)) ('shorter', 'NegReg', (70, 77)) ('Promoter methylation', 'Var', (0, 20)) ('TES', 'Gene', '26136', (24, 27)) 11087 27899997 Furthermore, in addition to methylation, TES down-regulation could be caused by other molecular mechanisms, including mutation, loss of heterozygosity and microRNA regulation, which may affect the correlation between gene expression and methylation. ('methylation', 'MPA', (237, 248)) ('affect', 'Reg', (186, 192)) ('microRNA regulation', 'MPA', (155, 174)) ('loss of heterozygosity', 'Var', (128, 150)) ('mutation', 'Var', (118, 126)) ('correlation', 'Interaction', (197, 208)) ('TES', 'Gene', (41, 44)) ('down-regulation', 'NegReg', (45, 60)) ('TES', 'Gene', '26136', (41, 44)) 11093 27899997 Epigenetic changes, including aberrant DNA methylation, are important in the pathogenesis of glial tumours. ('glial tumours', 'Disease', 'MESH:D009369', (93, 106)) ('tumours', 'Phenotype', 'HP:0002664', (99, 106)) ('aberrant', 'Var', (30, 38)) ('glial tumours', 'Disease', (93, 106)) ('tumour', 'Phenotype', 'HP:0002664', (99, 105)) 11108 27899997 Aggressive and invasive astrocytomas (WHO grades IV and III) exhibited a higher frequency of methylated TES promoter compared with low-grade tumours. ('tumours', 'Disease', (141, 148)) ('TES', 'Gene', '26136', (104, 107)) ('tumour', 'Phenotype', 'HP:0002664', (141, 147)) ('astrocytoma', 'Phenotype', 'HP:0009592', (24, 35)) ('Aggressive and invasive astrocytomas', 'Disease', 'MESH:D001254', (0, 36)) ('methylated', 'Var', (93, 103)) ('tumours', 'Phenotype', 'HP:0002664', (141, 148)) ('tumours', 'Disease', 'MESH:D009369', (141, 148)) ('TES', 'Gene', (104, 107)) 11115 27899997 Using western blotting, a decreased protein level of TES in glioblastomas was detected, compared with lower grade astrocytomas, thus indicating that aberrant expression of TES may be associated with malignant progression of astrocytomas. ('astrocytomas', 'Disease', 'MESH:D001254', (114, 126)) ('astrocytoma', 'Phenotype', 'HP:0009592', (114, 125)) ('decreased', 'NegReg', (26, 35)) ('TES', 'Gene', '26136', (172, 175)) ('glioblastoma', 'Phenotype', 'HP:0012174', (60, 72)) ('astrocytomas', 'Disease', 'MESH:D001254', (224, 236)) ('astrocytoma', 'Phenotype', 'HP:0009592', (224, 235)) ('glioblastomas', 'Disease', (60, 73)) ('TES', 'Gene', '26136', (53, 56)) ('associated with', 'Reg', (183, 198)) ('TES', 'Gene', (172, 175)) ('glioblastomas', 'Disease', 'MESH:D005909', (60, 73)) ('expression', 'MPA', (158, 168)) ('TES', 'Gene', (53, 56)) ('protein level', 'MPA', (36, 49)) ('aberrant', 'Var', (149, 157)) ('astrocytomas', 'Disease', (114, 126)) ('astrocytomas', 'Disease', (224, 236)) ('glioblastomas', 'Phenotype', 'HP:0012174', (60, 73)) 11118 31563982 Isomorphic diffuse glioma is a morphologically and molecularly distinct tumour entity with recurrent gene fusions of MYBL1 or MYB and a benign disease course The "isomorphic subtype of diffuse astrocytoma" was identified histologically in 2004 as a supratentorial, highly differentiated glioma with low cellularity, low proliferation and focal diffuse brain infiltration. ('astrocytoma', 'Phenotype', 'HP:0009592', (193, 204)) ('glioma', 'Disease', (287, 293)) ('glioma', 'Disease', (19, 25)) ('gene fusions', 'Var', (101, 113)) ('glioma', 'Disease', 'MESH:D005910', (287, 293)) ('glioma', 'Disease', 'MESH:D005910', (19, 25)) ('tumour', 'Phenotype', 'HP:0002664', (72, 78)) ('astrocytoma', 'Disease', 'MESH:D001254', (193, 204)) ('astrocytoma', 'Disease', (193, 204)) ('MYBL1', 'Gene', (117, 122)) ('tumour', 'Disease', 'MESH:D009369', (72, 78)) ('MYB', 'Gene', '4602', (126, 129)) ('MYBL1', 'Gene', '4603', (117, 122)) ('tumour', 'Disease', (72, 78)) ('glioma', 'Phenotype', 'HP:0009733', (287, 293)) ('glioma', 'Phenotype', 'HP:0009733', (19, 25)) ('MYB', 'Gene', (126, 129)) ('MYB', 'Gene', '4602', (117, 120)) ('MYB', 'Gene', (117, 120)) ('diffuse brain infiltration', 'Phenotype', 'HP:0002283', (344, 370)) 11124 31563982 Half of the isomorphic diffuse gliomas had copy number alterations of MYBL1 or MYB (13/25, 52%). ('copy number alterations', 'Var', (43, 66)) ('MYB', 'Gene', (79, 82)) ('MYBL1', 'Gene', '4603', (70, 75)) ('MYB', 'Gene', '4602', (70, 73)) ('MYB', 'Gene', (70, 73)) ('glioma', 'Phenotype', 'HP:0009733', (31, 37)) ('MYBL1', 'Gene', (70, 75)) ('MYB', 'Gene', '4602', (79, 82)) ('gliomas', 'Disease', 'MESH:D005910', (31, 38)) ('gliomas', 'Phenotype', 'HP:0009733', (31, 38)) ('gliomas', 'Disease', (31, 38)) 11138 31563982 In a more recent analysis of the same tumours, then termed "isomorphic neuroepithelial tumours" (INET), all isomorphic diffuse gliomas were IDH1 R132H-negative, suggesting that they differ from diffuse astrocytoma, IDH-mutant. ('IDH1', 'Gene', '3417', (140, 144)) ('neuroepithelial tumours', 'Disease', (71, 94)) ('IDH', 'Gene', '3417', (140, 143)) ('glioma', 'Phenotype', 'HP:0009733', (127, 133)) ('astrocytoma', 'Phenotype', 'HP:0009592', (202, 213)) ('R132H', 'Mutation', 'rs121913500', (145, 150)) ('IDH', 'Gene', (215, 218)) ('gliomas', 'Phenotype', 'HP:0009733', (127, 134)) ('R132H-negative', 'Var', (145, 159)) ('IDH', 'Gene', '3417', (215, 218)) ('astrocytoma', 'Disease', 'MESH:D001254', (202, 213)) ('astrocytoma', 'Disease', (202, 213)) ('tumours', 'Disease', (87, 94)) ('neuroepithelial tumour', 'Phenotype', 'HP:0030063', (71, 93)) ('neuroepithelial tumours', 'Disease', 'MESH:D018302', (71, 94)) ('IDH1', 'Gene', (140, 144)) ('gliomas', 'Disease', (127, 134)) ('tumours', 'Phenotype', 'HP:0002664', (87, 94)) ('tumours', 'Disease', 'MESH:D009369', (87, 94)) ('IDH', 'Gene', (140, 143)) ('tumours', 'Disease', (38, 45)) ('tumour', 'Phenotype', 'HP:0002664', (38, 44)) ('tumours', 'Phenotype', 'HP:0002664', (38, 45)) ('tumour', 'Phenotype', 'HP:0002664', (87, 93)) ('tumours', 'Disease', 'MESH:D009369', (38, 45)) ('gliomas', 'Disease', 'MESH:D005910', (127, 134)) 11144 31563982 Some recurrent genomic alterations in glioma subgroups and glio-neuronal tumours are well established such as IDH-mutations and BRAF mutations and fusions. ('glio-neuronal tumours', 'Disease', (59, 80)) ('IDH', 'Gene', (110, 113)) ('glioma', 'Disease', 'MESH:D005910', (38, 44)) ('glioma', 'Phenotype', 'HP:0009733', (38, 44)) ('IDH', 'Gene', '3417', (110, 113)) ('tumours', 'Phenotype', 'HP:0002664', (73, 80)) ('fusions', 'Var', (147, 154)) ('glio-neuronal tumours', 'Disease', 'MESH:D009369', (59, 80)) ('mutations', 'Var', (133, 142)) ('tumour', 'Phenotype', 'HP:0002664', (73, 79)) ('BRAF', 'Gene', '673', (128, 132)) ('glioma', 'Disease', (38, 44)) ('BRAF', 'Gene', (128, 132)) 11146 31563982 These include gene fusions of FGFR1-3, NTRK2, PRKCA and MYB/MYBL1 with different fusion partners, or different rearrangements and mutations of these genes. ('NTRK2', 'Gene', (39, 44)) ('MYB', 'Gene', '4602', (56, 59)) ('PRKCA', 'Gene', (46, 51)) ('gene fusions', 'Reg', (14, 26)) ('FGFR1-3', 'Gene', (30, 37)) ('rearrangements', 'Var', (111, 125)) ('MYBL1', 'Gene', (60, 65)) ('FGFR1-3', 'Gene', '2260;2263;2261', (30, 37)) ('MYB', 'Gene', (56, 59)) ('MYB', 'Gene', '4602', (60, 63)) ('MYBL1', 'Gene', '4603', (60, 65)) ('NTRK2', 'Gene', '4915', (39, 44)) ('mutations', 'Var', (130, 139)) ('MYB', 'Gene', (60, 63)) ('PRKCA', 'Gene', '5578', (46, 51)) 11164 31563982 Reference cases for an unsupervised hierarchical cluster analysis and a t-SNE-analysis included well-characterized cases belonging to the following methylation classes of the DNA methylation-based brain tumour classifier [ and www.molecularneuropathology.org/mnp/classifier/2]: hemispheric cortex (n = 9); white matter (n = 9); low grade glioma, dysembryoplastic neuroepithelial tumour (n = 13); low grade glioma, ganglioglioma (n = 15); low grade glioma, subclass hemispheric pilocytic astrocytoma and ganglioglioma (n = 10); low grade glioma, subclass midline pilocytic astrocytoma (n = 15); low grade glioma, subclass posterior fossa pilocytic astrocytoma (n = 11); (anaplastic) pleomorphic xanthoastrocytoma (n = 15); anaplastic astrocytoma with piloid features (n = 15); diffuse midline glioma H3 K27M mutant (n = 14); glioblastoma, IDH wildtype, H3.3 G34 mutant (n = 10); glioblastoma, IDH wildtype, subclass mesenchymal (n = 15); glioblastoma, IDH wildtype, subclass midline (n = 10); glioblastoma, IDH wildtype, subclass RTK I (n = 15); glioblastoma, IDH wildtype, subclass RTK II (n = 8). ('ganglioglioma', 'Disease', 'MESH:D018303', (414, 427)) ('tumour', 'Phenotype', 'HP:0002664', (203, 209)) ('glioma', 'Disease', (537, 543)) ('IDH', 'Gene', '3417', (1059, 1062)) ('glioblastoma', 'Phenotype', 'HP:0012174', (824, 836)) ('H3 K27M mutant', 'Var', (799, 813)) ('astrocytoma', 'Phenotype', 'HP:0009592', (487, 498)) ('glioblastoma', 'Disease', (878, 890)) ('midline glioma', 'Disease', (784, 798)) ('glioma', 'Phenotype', 'HP:0009733', (448, 454)) ('IDH', 'Gene', (1006, 1009)) ('astrocytoma', 'Phenotype', 'HP:0009592', (572, 583)) ('glioblastoma', 'Disease', 'MESH:D005909', (937, 949)) ('glioblastoma', 'Disease', 'MESH:D005909', (992, 1004)) ('IDH', 'Gene', '3417', (951, 954)) ('dysembryoplastic neuroepithelial tumour', 'Disease', (346, 385)) ('glioma', 'Disease', 'MESH:D005910', (421, 427)) ('glioma', 'Disease', 'MESH:D005910', (406, 412)) ('glioma', 'Phenotype', 'HP:0009733', (510, 516)) ('IDH', 'Gene', (838, 841)) ('glioblastoma', 'Disease', 'MESH:D005909', (824, 836)) ('glioma', 'Disease', 'MESH:D005910', (792, 798)) ('pleomorphic xanthoastrocytoma', 'Disease', 'MESH:D008228', (682, 711)) ('midline pilocytic astrocytoma', 'Disease', 'MESH:D001254', (554, 583)) ('pilocytic astrocytoma', 'Disease', 'MESH:D001254', (562, 583)) ('glioma', 'Disease', 'MESH:D005910', (448, 454)) ('glioblastoma', 'Disease', (1045, 1057)) ('astrocytoma', 'Phenotype', 'HP:0009592', (733, 744)) ('glioblastoma', 'Phenotype', 'HP:0012174', (878, 890)) ('glioma', 'Phenotype', 'HP:0009733', (338, 344)) ('glioma', 'Disease', 'MESH:D005910', (510, 516)) ('glioma', 'Disease', (421, 427)) ('glioma', 'Disease', (406, 412)) ('IDH', 'Gene', '3417', (1006, 1009)) ('brain tumour', 'Disease', (197, 209)) ('glioma', 'Disease', (792, 798)) ('IDH', 'Gene', (892, 895)) ('pilocytic astrocytoma', 'Disease', 'MESH:D001254', (477, 498)) ('glioblastoma', 'Disease', 'MESH:D005909', (878, 890)) ('IDH', 'Gene', '3417', (838, 841)) ('glioma', 'Disease', 'MESH:D005910', (338, 344)) ('pilocytic astrocytoma', 'Disease', (477, 498)) ('glioblastoma', 'Phenotype', 'HP:0012174', (1045, 1057)) ('astrocytoma', 'Phenotype', 'HP:0009592', (700, 711)) ('glioma', 'Disease', (510, 516)) ('pleomorphic xanthoastrocytoma', 'Disease', (682, 711)) ('cluster', 'Species', '100569', (49, 56)) ('glioma', 'Disease', 'MESH:D005910', (604, 610)) ('anaplastic astrocytoma', 'Disease', 'MESH:D001254', (722, 744)) ('midline glioma', 'Disease', 'MESH:D005910', (784, 798)) ('brain tumour', 'Disease', 'MESH:D001932', (197, 209)) ('glioblastoma', 'Disease', (937, 949)) ('neuroepithelial tumour', 'Phenotype', 'HP:0030063', (363, 385)) ('glioblastoma', 'Disease', (992, 1004)) ('pilocytic astrocytoma', 'Disease', 'MESH:D001254', (637, 658)) ('IDH', 'Gene', (1059, 1062)) ('tumour', 'Phenotype', 'HP:0002664', (379, 385)) ('glioma', 'Phenotype', 'HP:0009733', (421, 427)) ('pilocytic astrocytoma', 'Disease', (637, 658)) ('glioblastoma', 'Disease', 'MESH:D005909', (1045, 1057)) ('glioma', 'Disease', (338, 344)) ('glioma', 'Disease', (448, 454)) ('glioblastoma', 'Disease', (824, 836)) ('K27M', 'Mutation', 'p.K27M', (802, 806)) ('glioma', 'Disease', 'MESH:D005910', (537, 543)) ('ganglioglioma', 'Disease', (503, 516)) ('anaplastic astrocytoma', 'Disease', (722, 744)) ('IDH', 'Gene', '3417', (892, 895)) ('IDH', 'Gene', (951, 954)) ('glioma', 'Disease', (604, 610)) ('ganglioglioma', 'Disease', (414, 427)) ('pilocytic astrocytoma and ganglioglioma', 'Disease', 'MESH:D001254', (477, 516)) ('brain tumour', 'Phenotype', 'HP:0030692', (197, 209)) ('ganglioglioma', 'Disease', 'MESH:D018303', (503, 516)) ('midline pilocytic astrocytoma', 'Disease', (554, 583)) ('glioblastoma', 'Phenotype', 'HP:0012174', (937, 949)) ('dysembryoplastic neuroepithelial tumour', 'Disease', 'MESH:D018302', (346, 385)) ('glioblastoma', 'Phenotype', 'HP:0012174', (992, 1004)) ('astrocytoma', 'Phenotype', 'HP:0009592', (647, 658)) ('glioma', 'Phenotype', 'HP:0009733', (406, 412)) 11209 31563982 However, the analysis revealed that 10/25 tumours (40%) had focal copy number alterations affecting the MYBL1-locus (8q13.1; Fig. ('MYBL1', 'Gene', '4603', (104, 109)) ('tumour', 'Phenotype', 'HP:0002664', (42, 48)) ('copy number alterations', 'Var', (66, 89)) ('tumours', 'Phenotype', 'HP:0002664', (42, 49)) ('tumours', 'Disease', 'MESH:D009369', (42, 49)) ('tumours', 'Disease', (42, 49)) ('MYBL1', 'Gene', (104, 109)) 11210 31563982 1) and 3/25 (12%) showed copy number alterations of the MYB-locus (6q23.3; Fig. ('MYB', 'Gene', '4602', (56, 59)) ('copy number alterations', 'Var', (25, 48)) ('MYB', 'Gene', (56, 59)) 11212 31563982 Of the tumours with rearrangements of the MYB-locus, one tumour had a MYB-gain (Fig. ('tumour', 'Disease', (57, 63)) ('tumour', 'Disease', 'MESH:D009369', (57, 63)) ('MYB', 'Gene', '4602', (70, 73)) ('MYB', 'Gene', (70, 73)) ('rearrangements', 'Var', (20, 34)) ('MYB', 'Gene', (42, 45)) ('tumour', 'Phenotype', 'HP:0002664', (7, 13)) ('tumours', 'Phenotype', 'HP:0002664', (7, 14)) ('tumours', 'Disease', 'MESH:D009369', (7, 14)) ('tumour', 'Disease', 'MESH:D009369', (7, 13)) ('tumour', 'Disease', (7, 13)) ('tumours', 'Disease', (7, 14)) ('tumour', 'Phenotype', 'HP:0002664', (57, 63)) ('MYB', 'Gene', '4602', (42, 45)) 11217 31563982 Of all cases with CNP alterations of MYBL1 or MYB, eleven cases (85%) had broader gains/losses of MYBL1 or MYB and adjacent loci which were evident from a low resolution CNP. ('MYB', 'Gene', '4602', (107, 110)) ('gains/losses', 'NegReg', (82, 94)) ('MYBL1', 'Gene', (37, 42)) ('MYB', 'Gene', '4602', (46, 49)) ('MYB', 'Gene', (107, 110)) ('MYBL1', 'Gene', (98, 103)) ('gains/losses', 'PosReg', (82, 94)) ('MYBL1', 'Gene', '4603', (37, 42)) ('MYB', 'Gene', '4602', (37, 40)) ('MYBL1', 'Gene', '4603', (98, 103)) ('MYB', 'Gene', (46, 49)) ('MYB', 'Gene', '4602', (98, 101)) ('MYB', 'Gene', (37, 40)) ('MYB', 'Gene', (98, 101)) ('CNP alterations', 'Var', (18, 33)) 11219 31563982 The same holds true for the case with alterations of both MYBL1 and MYB. ('MYB', 'Gene', '4602', (58, 61)) ('MYBL1', 'Gene', (58, 63)) ('MYB', 'Gene', '4602', (68, 71)) ('MYB', 'Gene', (68, 71)) ('alterations', 'Var', (38, 49)) ('MYBL1', 'Gene', '4603', (58, 63)) ('MYB', 'Gene', (58, 61)) 11222 31563982 Altogether, we detected alterations of the MYBL1- or MYB-loci in 13/25 (52%) of the isomorphic diffuse gliomas analysed (Supplementary Fig. ('gliomas', 'Disease', 'MESH:D005910', (103, 110)) ('gliomas', 'Phenotype', 'HP:0009733', (103, 110)) ('gliomas', 'Disease', (103, 110)) ('alterations', 'Var', (24, 35)) ('MYBL1', 'Gene', (43, 48)) ('glioma', 'Phenotype', 'HP:0009733', (103, 109)) ('MYB', 'Gene', '4602', (43, 46)) ('MYBL1', 'Gene', '4603', (43, 48)) ('MYB', 'Gene', '4602', (53, 56)) ('MYB', 'Gene', (53, 56)) ('MYB', 'Gene', (43, 46)) 11223 31563982 MYBL1 fusions were detected in 8/22 tumours (36%; Fig. ('tumours', 'Phenotype', 'HP:0002664', (36, 43)) ('tumours', 'Disease', 'MESH:D009369', (36, 43)) ('tumours', 'Disease', (36, 43)) ('MYBL1', 'Gene', (0, 5)) ('detected', 'Reg', (19, 27)) ('MYBL1', 'Gene', '4603', (0, 5)) ('tumour', 'Phenotype', 'HP:0002664', (36, 42)) ('fusions', 'Var', (6, 13)) 11229 31563982 Some fusions were associated with corresponding changes of the CNP: The MYBL1-MMP16 fused cases showed corresponding duplications in the CNP (Fig. ('MYBL1', 'Gene', '4603', (72, 77)) ('MMP16', 'Gene', '4325', (78, 83)) ('MMP16', 'Gene', (78, 83)) ('CNP', 'MPA', (137, 140)) ('duplications', 'Var', (117, 129)) ('MYBL1', 'Gene', (72, 77)) 11231 31563982 However, there was only a partial overlap of the cases with MYBL1 fusions in RNA sequencing and those with copy number alterations of MYBL1 (Fig. ('MYBL1', 'Gene', (134, 139)) ('MYBL1', 'Gene', (60, 65)) ('MYBL1', 'Gene', '4603', (60, 65)) ('MYBL1', 'Gene', '4603', (134, 139)) ('fusions', 'Var', (66, 73)) 11235 31563982 4c), we detected two MYB-HMG20A fusions with two different breakpoints in MYB, likely representing splice variants. ('fusions', 'Var', (32, 39)) ('HMG20A', 'Gene', (25, 31)) ('HMG20A', 'Gene', '10363', (25, 31)) ('MYB', 'Gene', '4602', (74, 77)) ('MYB', 'Gene', '4602', (21, 24)) ('MYB', 'Gene', (74, 77)) ('MYB', 'Gene', (21, 24)) 11237 31563982 4c) While some of the fusions resulted in a truncation of MYB before the negative regulatory C-myb domain reminiscent of the MYBL1 fusions, others resulted in a truncation downstream of the C-myb domain leading to a loss of the 3' miRNA-binding sites of MYB. ('MYBL1', 'Gene', '4603', (125, 130)) ('MYB', 'Gene', (254, 257)) ('C-myb', 'Gene', (190, 195)) ('truncation', 'MPA', (44, 54)) ('MYB', 'Gene', '4602', (125, 128)) ('C-myb', 'Gene', '4602', (190, 195)) ('MYB', 'Gene', '4602', (254, 257)) ('fusions', 'Var', (131, 138)) ('MYB', 'Gene', (125, 128)) ('fusions', 'Var', (22, 29)) ('truncation', 'MPA', (161, 171)) ("3' miRNA-binding sites", 'MPA', (228, 250)) ('loss', 'NegReg', (216, 220)) ('MYB', 'Gene', '4602', (58, 61)) ('MYBL1', 'Gene', (125, 130)) ('C-myb', 'Gene', (93, 98)) ('C-myb', 'Gene', '4602', (93, 98)) ('MYB', 'Gene', (58, 61)) 11239 31563982 In sum, we detected MYBL1 or MYB fusions in 11/22 (50%) of the cases analysed by RNA sequencing (Fig. ('MYB', 'Gene', (20, 23)) ('detected', 'Reg', (11, 19)) ('fusions', 'Var', (33, 40)) ('MYB', 'Gene', '4602', (29, 32)) ('MYBL1', 'Gene', (20, 25)) ('MYBL1', 'Gene', '4603', (20, 25)) ('MYB', 'Gene', (29, 32)) ('MYB', 'Gene', '4602', (20, 23)) 11241 31563982 Deletion of the C-terminal regions of MYBL1 or MYB has been shown to result in an upregulation of the corresponding gene. ('MYB', 'Gene', (38, 41)) ('MYB', 'Gene', '4602', (47, 50)) ('MYBL1', 'Gene', (38, 43)) ('upregulation', 'PosReg', (82, 94)) ('MYBL1', 'Gene', '4603', (38, 43)) ('MYB', 'Gene', (47, 50)) ('MYB', 'Gene', '4602', (38, 41)) ('Deletion', 'Var', (0, 8)) 11246 31563982 The isomorphic diffuse glioma with a rearrangement with breakpoint 5' of MYBL1 (#3) also had an increased MYBL1 expression. ('glioma', 'Disease', 'MESH:D005910', (23, 29)) ('increased', 'PosReg', (96, 105)) ('glioma', 'Phenotype', 'HP:0009733', (23, 29)) ("rearrangement with breakpoint 5'", 'Var', (37, 69)) ('MYBL1', 'Gene', '4603', (73, 78)) ('glioma', 'Disease', (23, 29)) ('MYBL1', 'Gene', (106, 111)) ('MYBL1', 'Gene', '4603', (106, 111)) ('MYBL1', 'Gene', (73, 78)) ('expression', 'MPA', (112, 122)) 11255 31563982 It is possible that these cases have fusions of a MYB-family gene that are not evident from the CNP. ('MYB', 'Gene', (50, 53)) ('MYB', 'Gene', '4602', (50, 53)) ('fusions', 'Var', (37, 44)) 11296 31563982 MYB or MYBL1 fusions result in an activation and overexpression of the respective gene through loss of the C-terminal negative regulatory domain (C-myb). ('MYB', 'Gene', (0, 3)) ('loss', 'NegReg', (95, 99)) ('MYBL1', 'Gene', '4603', (7, 12)) ('C-myb', 'Gene', (146, 151)) ('MYB', 'Gene', '4602', (0, 3)) ('fusions', 'Var', (13, 20)) ('activation', 'PosReg', (34, 44)) ('C-terminal negative regulatory domain', 'MPA', (107, 144)) ('MYB', 'Gene', '4602', (7, 10)) ('overexpression', 'PosReg', (49, 63)) ('MYBL1', 'Gene', (7, 12)) ('MYB', 'Gene', (7, 10)) ('C-myb', 'Gene', '4602', (146, 151)) 11297 31563982 MYB fusions also lead to a loss of the 3' UTR binding sites for several microRNAs that also negatively regulate MYB mRNA stability and translation. ('MYB', 'Gene', (0, 3)) ("3' UTR", 'MPA', (39, 45)) ('fusions', 'Var', (4, 11)) ('translation', 'MPA', (135, 146)) ('negatively', 'NegReg', (92, 102)) ('MYB', 'Gene', '4602', (112, 115)) ('regulate', 'Reg', (103, 111)) ('MYB', 'Gene', '4602', (0, 3)) ('MYB', 'Gene', (112, 115)) ('loss', 'NegReg', (27, 31)) ('mRNA stability', 'MPA', (116, 130)) 11298 31563982 MYB/MYBL1 fusions have been detected in a variety of tumour entities such as adenoid cystic carcinoma, haematological neoplasias and, in the CNS, angiocentric glioma and paediatric diffuse gliomas/astrocytomas. ('MYB', 'Gene', (4, 7)) ('adenoid cystic carcinoma', 'Disease', (77, 101)) ('haematological neoplasias', 'Disease', 'MESH:D009369', (103, 128)) ('haematological neoplasias', 'Disease', (103, 128)) ('detected', 'Reg', (28, 36)) ('glioma', 'Phenotype', 'HP:0009733', (189, 195)) ('MYB', 'Gene', '4602', (0, 3)) ('gliomas/astrocytomas', 'Disease', 'MESH:D005910', (189, 209)) ('gliomas/astrocytomas', 'Disease', (189, 209)) ('MYB', 'Gene', (0, 3)) ('gliomas', 'Phenotype', 'HP:0009733', (189, 196)) ('carcinoma', 'Phenotype', 'HP:0030731', (92, 101)) ('haematological neoplasias', 'Phenotype', 'HP:0004377', (103, 128)) ('tumour entities', 'Disease', 'MESH:D009369', (53, 68)) ('adenoid cystic carcinoma', 'Disease', 'MESH:D003528', (77, 101)) ('astrocytoma', 'Phenotype', 'HP:0009592', (197, 208)) ('angiocentric glioma', 'Disease', (146, 165)) ('fusions', 'Var', (10, 17)) ('angiocentric glioma', 'Disease', 'MESH:D005910', (146, 165)) ('MYBL1', 'Gene', '4603', (4, 9)) ('MYBL1', 'Gene', (4, 9)) ('glioma', 'Phenotype', 'HP:0009733', (159, 165)) ('tumour entities', 'Disease', (53, 68)) ('neoplasias', 'Phenotype', 'HP:0002664', (118, 128)) ('tumour', 'Phenotype', 'HP:0002664', (53, 59)) ('MYB', 'Gene', '4602', (4, 7)) 11301 31563982 However, in isomorphic diffuse gliomas, MYBL1 fusions were the most abundant, while fusions in previously-published paediatric diffuse astrocytomas primarily affected MYB. ('astrocytomas', 'Disease', (135, 147)) ('gliomas', 'Phenotype', 'HP:0009733', (31, 38)) ('fusions', 'Var', (46, 53)) ('MYBL1', 'Gene', (40, 45)) ('MYB', 'Gene', '4602', (40, 43)) ('glioma', 'Phenotype', 'HP:0009733', (31, 37)) ('affected', 'Reg', (158, 166)) ('MYBL1', 'Gene', '4603', (40, 45)) ('astrocytoma', 'Phenotype', 'HP:0009592', (135, 146)) ('MYB', 'Gene', (40, 43)) ('abundant', 'Reg', (68, 76)) ('MYB', 'Gene', '4602', (167, 170)) ('MYB', 'Gene', (167, 170)) ('gliomas', 'Disease', 'MESH:D005910', (31, 38)) ('astrocytomas', 'Disease', 'MESH:D001254', (135, 147)) ('gliomas', 'Disease', (31, 38)) 11305 31563982 We expect that for the other two cases and also further cases with MYB/MYBL1-copy number alterations but without detected MYB or MYBL1 fusion, technical reasons due to low RNA quality extracted from the FFPE material may have hindered the identification of alterations. ('MYBL1', 'Gene', (129, 134)) ('MYBL1', 'Gene', (71, 76)) ('MYB', 'Gene', '4602', (67, 70)) ('MYB', 'Gene', '4602', (71, 74)) ('MYBL1', 'Gene', '4603', (129, 134)) ('MYB', 'Gene', (67, 70)) ('MYB', 'Gene', '4602', (129, 132)) ('MYB', 'Gene', (71, 74)) ('MYBL1', 'Gene', '4603', (71, 76)) ('MYB', 'Gene', (129, 132)) ('MYB', 'Gene', '4602', (122, 125)) ('alterations', 'Var', (89, 100)) ('MYB', 'Gene', (122, 125)) 11323 31563982 In summary, isomorphic diffuse glioma is a morphologically recognizable and molecularly distinct IDH-wildtype glioma with alterations of the MYBL1- and, less frequently, the MYB-gene that exists both in paediatric and in adult patients. ('MYB', 'Gene', (141, 144)) ('glioma', 'Disease', (110, 116)) ('MYBL1', 'Gene', '4603', (141, 146)) ('IDH', 'Gene', (97, 100)) ('MYB', 'Gene', '4602', (141, 144)) ('glioma', 'Disease', 'MESH:D005910', (31, 37)) ('glioma', 'Phenotype', 'HP:0009733', (31, 37)) ('IDH', 'Gene', '3417', (97, 100)) ('patients', 'Species', '9606', (227, 235)) ('glioma', 'Phenotype', 'HP:0009733', (110, 116)) ('glioma', 'Disease', 'MESH:D005910', (110, 116)) ('MYB', 'Gene', '4602', (174, 177)) ('alterations', 'Var', (122, 133)) ('MYBL1', 'Gene', (141, 146)) ('glioma', 'Disease', (31, 37)) ('MYB', 'Gene', (174, 177)) 11326 29232556 MST4 Phosphorylation of ATG4B Regulates Autophagic Activity, Tumorigenicity, and Radioresistance in Glioblastoma ATG4B stimulates autophagy by promoting autophagosome formation through reversible modification of ATG8. ('promoting', 'PosReg', (143, 152)) ('Glioblastoma', 'Disease', 'MESH:D005909', (100, 112)) ('Glioblastoma', 'Phenotype', 'HP:0012174', (100, 112)) ('autophagosome formation', 'CPA', (153, 176)) ('ATG8', 'Gene', (212, 216)) ('Tumor', 'Phenotype', 'HP:0002664', (61, 66)) ('MST4', 'Gene', '51765', (0, 4)) ('Glioblastoma', 'Disease', (100, 112)) ('ATG4B', 'Gene', '66615', (113, 118)) ('stimulates', 'PosReg', (119, 129)) ('ATG4B', 'Gene', '66615', (24, 29)) ('Tumorigenicity', 'CPA', (61, 75)) ('autophagy', 'CPA', (130, 139)) ('Autophagic Activity', 'CPA', (40, 59)) ('MST4', 'Gene', (0, 4)) ('ATG4B', 'Gene', (113, 118)) ('ATG4B', 'Gene', (24, 29)) ('modification', 'Var', (196, 208)) ('Radioresistance', 'CPA', (81, 96)) ('ATG8', 'Gene', '11345', (212, 216)) 11329 29232556 Inhibition of MST4 or ATG4B activities using genetic approaches or an inhibitor of ATG4B suppresses autophagy and the tumorigenicity of glioblastoma (GBM) cells. ('tumor', 'Disease', 'MESH:D009369', (118, 123)) ('ATG4B', 'Gene', (83, 88)) ('glioblastoma', 'Disease', (136, 148)) ('glioblastoma', 'Disease', 'MESH:D005909', (136, 148)) ('tumor', 'Phenotype', 'HP:0002664', (118, 123)) ('autophagy', 'CPA', (100, 109)) ('inhibitor', 'Var', (70, 79)) ('suppresses', 'NegReg', (89, 99)) ('glioblastoma', 'Phenotype', 'HP:0012174', (136, 148)) ('tumor', 'Disease', (118, 123)) 11331 29232556 Inhibiting ATG4B in combination with radiotherapy in treating mice with intracranial GBM xenograft markedly slows tumor growth and provides a significant survival benefit. ('tumor', 'Disease', 'MESH:D009369', (114, 119)) ('Inhibiting', 'Var', (0, 10)) ('ATG4B', 'Gene', (11, 16)) ('tumor', 'Phenotype', 'HP:0002664', (114, 119)) ('slows', 'NegReg', (108, 113)) ('mice', 'Species', '10090', (62, 66)) ('tumor', 'Disease', (114, 119)) ('survival benefit', 'CPA', (154, 170)) 11333 29232556 MST4 kinase regulates the growth, sphere formation, and tumorigenicity of GBM cells MST4 stimulates autophagy by activating ATG4B through phosphorylation of ATG4B S383 Radiation increases MST4 expression and ATG4B phosphorylation, inducing autophagy Inhibiting ATG4B enhances the anti-tumor effects of radiotherapy in GBM PDX models Huang et al. ('tumor', 'Phenotype', 'HP:0002664', (56, 61)) ('tumor', 'Phenotype', 'HP:0002664', (285, 290)) ('enhances', 'PosReg', (267, 275)) ('tumor', 'Disease', (56, 61)) ('tumor', 'Disease', (285, 290)) ('S383', 'Var', (163, 167)) ('phosphorylation', 'CPA', (214, 229)) ('MST4', 'Gene', (188, 192)) ('expression', 'MPA', (193, 203)) ('expression', 'Species', '29278', (193, 203)) ('tumor', 'Disease', 'MESH:D009369', (56, 61)) ('tumor', 'Disease', 'MESH:D009369', (285, 290)) 11335 29232556 Inhibition of ATG4B reduces autophagy and tumorigenicity of glioblastoma (GBM) cells and improves the impact of radiotherapy on GBM growth in mice. ('glioblastoma', 'Disease', (60, 72)) ('autophagy', 'CPA', (28, 37)) ('glioblastoma', 'Disease', 'MESH:D005909', (60, 72)) ('tumor', 'Disease', (42, 47)) ('ATG4B', 'Gene', (14, 19)) ('glioblastoma', 'Phenotype', 'HP:0012174', (60, 72)) ('reduces', 'NegReg', (20, 27)) ('mice', 'Species', '10090', (142, 146)) ('Inhibition', 'Var', (0, 10)) ('improves', 'PosReg', (89, 97)) ('tumor', 'Disease', 'MESH:D009369', (42, 47)) ('impact', 'MPA', (102, 108)) ('tumor', 'Phenotype', 'HP:0002664', (42, 47)) 11372 29232556 These results support epigenetic silencing as a mechanism by which STK26 expression is suppressed in PN-like GSCs. ('PN-like', 'Disease', (101, 108)) ('STK26', 'Gene', '51765', (67, 72)) ('expression', 'Species', '29278', (73, 83)) ('expression', 'MPA', (73, 83)) ('epigenetic silencing', 'Var', (22, 42)) ('suppressed', 'NegReg', (87, 97)) ('STK26', 'Gene', (67, 72)) 11374 29232556 shRNA knockdown inhibited GSC glioma cell growth and sphere-forming ability in vitro (Figures 2A, 2B, and S2B-S2D) and markedly suppressed intracranial tumor growth in athymic nude mice (Figures 2C, S2E, and S2F), thereby significantly prolonging animal subject survival (Figure 2D). ('inhibited', 'NegReg', (16, 25)) ('nude mice', 'Species', '10090', (176, 185)) ('tumor', 'Phenotype', 'HP:0002664', (152, 157)) ('sphere-forming ability', 'CPA', (53, 75)) ('intracranial tumor', 'Disease', (139, 157)) ('animal subject survival', 'CPA', (247, 270)) ('prolonging', 'PosReg', (236, 246)) ('glioma', 'Disease', (30, 36)) ('suppressed', 'NegReg', (128, 138)) ('knockdown', 'Var', (6, 15)) ('glioma', 'Disease', 'MESH:D005910', (30, 36)) ('intracranial tumor', 'Disease', 'MESH:D001932', (139, 157)) ('shRNA', 'Gene', (0, 5)) ('glioma', 'Phenotype', 'HP:0009733', (30, 36)) 11375 29232556 We found that rescue with exogenous MST4, but not an empty vector control, restored GSC cell growth and sphere-forming frequency in vitro and tumorigenicity in the brains of athymic mice (Figures 2E-2G, S2H, and S2I). ('GSC cell growth', 'CPA', (84, 99)) ('restored', 'PosReg', (75, 83)) ('tumor', 'Phenotype', 'HP:0002664', (142, 147)) ('MST4', 'Gene', (36, 40)) ('tumor', 'Disease', (142, 147)) ('mice', 'Species', '10090', (182, 186)) ('sphere-forming frequency', 'CPA', (104, 128)) ('exogenous', 'Var', (26, 35)) ('tumor', 'Disease', 'MESH:D009369', (142, 147)) 11376 29232556 To further investigate the effects of modulating MST4 expression, we transduced cells with constructs to express exogenous WT MST4 or kinase-dead (KD) MST4 mutants K53E and T178A in GSC 23, 528, and JK42 with low endogenous MST4 (Figures 1B and S2J). ('T178A', 'Mutation', 'c.178T>A', (173, 178)) ('K53E', 'Mutation', 'rs770534113', (164, 168)) ('mutants K53E', 'Var', (156, 168)) ('T178A', 'Var', (173, 178)) ('MST4', 'Gene', (151, 155)) ('expression', 'Species', '29278', (54, 64)) ('K53E', 'Var', (164, 168)) 11377 29232556 Ectopic expression of WT but not KD MST4 mutants promoted GSC growth and sphere-forming frequency in vitro (Figures 2H, 2I, S2K, and S2L). ('mutants', 'Var', (41, 48)) ('GSC growth', 'CPA', (58, 68)) ('MST4', 'Gene', (36, 40)) ('expression', 'Species', '29278', (8, 18)) ('promoted', 'PosReg', (49, 57)) ('sphere-forming frequency', 'CPA', (73, 97)) 11381 29232556 With respect to the identified phosphorylated proteins, we found ATG4B, a major cysteine protease that cleaves LC3 and catalyzes the lipidation and delipidation of LC3, to be highly phosphorylated at serine residue 383 (S383) in GSCs expressing MST4 (Figures 3A and S3A). ('LC3', 'Gene', '84557', (164, 167)) ('MST4', 'Var', (245, 249)) ('LC3', 'Gene', (164, 167)) ('ATG4B', 'Gene', (65, 70)) ('S383', 'Var', (220, 224)) ('serine', 'Chemical', 'MESH:D012694', (200, 206)) ('LC3', 'Gene', '84557', (111, 114)) ('LC3', 'Gene', (111, 114)) 11384 29232556 Next, we examined whether MST4 directly phosphorylates ATG4B by co-expressing Myc-tagged MST4 with FLAG-tagged WT ATG4B or with a non-phosphorylatable S383A ATG4B mutant. ('S383A', 'Mutation', 'p.S383A', (151, 156)) ('Myc', 'Gene', (78, 81)) ('Myc', 'Gene', '17869', (78, 81)) ('S383A', 'Var', (151, 156)) ('MST4', 'Gene', (89, 93)) 11386 29232556 To confirm these findings, we generated an antibody that specifically detects p-S383 of endogenous ATG4B (p-ATG4B) in JK83 cells and in GSC 17 modified for overexpression of MST4, but not for GFP control (Figure S3G). ('p-ATG4B', 'Gene', (106, 113)) ('p-S383', 'Var', (78, 84)) ('expression', 'Species', '29278', (160, 170)) ('ATG4B', 'Gene', (99, 104)) ('p-ATG4B', 'Gene', '23192', (106, 113)) 11387 29232556 Moreover, p-S383 of endogenous ATG4B was also detected in GBM tumor sections using the anti-p-ATG4B antibody. ('p-S383', 'Var', (10, 16)) ('tumor', 'Phenotype', 'HP:0002664', (62, 67)) ('ATG4B', 'Gene', (31, 36)) ('GBM tumor', 'Disease', 'MESH:D005910', (58, 67)) ('GBM tumor', 'Disease', (58, 67)) ('detected', 'Reg', (46, 54)) ('p-ATG4B', 'Gene', '23192', (92, 99)) ('p-ATG4B', 'Gene', (92, 99)) 11388 29232556 Binding of the anti-p-ATG4B antibody was blocked by treating specimens with phosphorylated ATG4B peptide RLERFFD(pS)EDEDFEI, but not with the non-phosphorylated peptide RLERFFDSEDEDFEI (Figure S3H). ('p-ATG4B', 'Gene', '23192', (20, 27)) ('p-ATG4B', 'Gene', (20, 27)) ('blocked', 'NegReg', (41, 48)) ('ATG4B', 'Gene', (91, 96)) ('peptide RLERFFD', 'Var', (97, 112)) ('Binding', 'Interaction', (0, 7)) 11390 29232556 To further confirm ATG4B S383 phosphorylation by MST4, we carried out an in vitro kinase assay using purified recombinant proteins of MST4-WT, a KD MST4 mutant (K53E), ATG4B-WT, and the non-phosphorylatable ATG4B-S383A mutant. ('K53E', 'Mutation', 'rs770534113', (161, 165)) ('MST4', 'Gene', (148, 152)) ('K53E', 'Var', (161, 165)) ('S383A', 'Mutation', 'p.S383A', (213, 218)) 11393 29232556 We additionally determined that exogenously expressed WT and KD MST4 associated with WT and S383A ATG4B (Figure 3F), suggesting that neither MST4 kinase activity nor S383 was required for MST4-ATG4B interaction. ('S383A', 'Var', (92, 97)) ('interaction', 'Interaction', (199, 210)) ('MST4', 'Gene', (64, 68)) ('S383A', 'Mutation', 'p.S383A', (92, 97)) ('associated', 'Interaction', (69, 79)) 11397 29232556 When endogenous MST4 or ATG4B were knocked down by specific shRNAs in GSC 1123 and JK83, the associated reductions in p-ATG4B resulted in a corresponding decrease in LC3-II conversion (LC3B-II/I ratio) and increased p62/SQSTM1, an established autophagy substrate (Figure 4A). ('reductions', 'NegReg', (104, 114)) ('LC3', 'Gene', '84557', (185, 188)) ('ATG4B', 'Gene', (24, 29)) ('increased', 'PosReg', (206, 215)) ('LC3', 'Gene', (185, 188)) ('decrease', 'NegReg', (154, 162)) ('p-ATG4B', 'Gene', (118, 125)) ('p-ATG4B', 'Gene', '23192', (118, 125)) ('LC3', 'Gene', '84557', (166, 169)) ('MST4', 'Gene', (16, 20)) ('LC3', 'Gene', (166, 169)) ('JK83', 'Var', (83, 87)) ('p62/SQSTM1', 'MPA', (216, 226)) 11398 29232556 MST4 overexpression induced p-S383 of ATG4B, increased LC3-II conversion, LC3B puncta, autophagosome formation, and YFP-CFP-LC3B cleavage (Figures S4A-S4C). ('ATG4B', 'Gene', (38, 43)) ('autophagosome formation', 'CPA', (87, 110)) ('increased', 'PosReg', (45, 54)) ('LC3', 'Gene', '84557', (55, 58)) ('LC3', 'Gene', '84557', (124, 127)) ('expression', 'Species', '29278', (9, 19)) ('LC3', 'Gene', (124, 127)) ('increased LC3', 'Phenotype', 'HP:0003141', (45, 58)) ('LC3', 'Gene', (55, 58)) ('LC3', 'Gene', '84557', (74, 77)) ('LC3', 'Gene', (74, 77)) ('MST4', 'Gene', (0, 4)) ('p-S383', 'Var', (28, 34)) 11399 29232556 To demonstrate whether MST4-induced p-S383 of ATG4B is critical in MST4-enhanced GSC tumorigenicity, we re-expressed exogenous WT or a phosphomimic S383D mutant ATG4B in GSC 1123 cells, in which endogenous MST4 was knocked down by shRNA (Figure 4E). ('tumor', 'Disease', (85, 90)) ('S383D', 'Mutation', 'p.S383D', (148, 153)) ('S383D', 'Var', (148, 153)) ('p-S383', 'Var', (36, 42)) ('tumor', 'Disease', 'MESH:D009369', (85, 90)) ('ATG4B', 'Gene', (161, 166)) ('tumor', 'Phenotype', 'HP:0002664', (85, 90)) 11400 29232556 Exogenous phosphomimic S383D ATG4B markedly rescued the MST4 knockdown-inhibited GSC cell growth and sphere-forming frequency in vitro (Figures 4F, S4D, and S4E) and tumorigenicity of orthotopic GBM xenografts (Figures 4G, 4H, and S4F). ('tumor', 'Disease', 'MESH:D009369', (166, 171)) ('GSC cell growth', 'CPA', (81, 96)) ('rescued', 'PosReg', (44, 51)) ('MST4', 'Gene', (56, 60)) ('tumor', 'Phenotype', 'HP:0002664', (166, 171)) ('S4E', 'Mutation', 'p.S4E', (157, 160)) ('knockdown-inhibited', 'Var', (61, 80)) ('tumor', 'Disease', (166, 171)) ('S383D', 'Mutation', 'p.S383D', (23, 28)) ('S383D', 'Var', (23, 28)) ('sphere-forming frequency', 'CPA', (101, 125)) 11401 29232556 Next, we expressed exogenous WT or the S383D mutant ATG4B in GSC JK16 cells with low levels of endogenous ATG4B but with high levels of endogenous MST4 (Figure S3I). ('S383D', 'Var', (39, 44)) ('ATG4B', 'Gene', (52, 57)) ('S383D', 'Mutation', 'p.S383D', (39, 44)) 11402 29232556 Expression of exogenous WT ATG4B but not a vector control in unmodified JK16 cells, or the S383D but not WT ATG4B in JK16 cells modified with knockdown of MST4, increased autophagic activity and sphere-forming frequency (Figures 4I-4K and S4G). ('MST4', 'Gene', (155, 159)) ('S383D', 'Var', (91, 96)) ('autophagic activity', 'CPA', (171, 190)) ('sphere-forming frequency', 'CPA', (195, 219)) ('Expression', 'Species', '29278', (0, 10)) ('increased', 'PosReg', (161, 170)) ('S383D', 'Mutation', 'p.S383D', (91, 96)) ('knockdown', 'Var', (142, 151)) 11403 29232556 To further evaluate of the importance of ATG4B S383 phosphorylation in autophagic response, we overexpressed WT, S383A, or a non-catalytic mutant C74S ATG4B in JK16 cells. ('ATG4B', 'Gene', (151, 156)) ('C74S', 'Mutation', 'rs1470862162', (146, 150)) ('C74S', 'Var', (146, 150)) ('S383A', 'Var', (113, 118)) ('S383A', 'Mutation', 'p.S383A', (113, 118)) 11404 29232556 We found that WT, but not C74S or S383A mutant ATG4B, markedly increased LC3-II conversion and LC3B puncta (Figures S4H and S4I). ('increased', 'PosReg', (63, 72)) ('increased LC3', 'Phenotype', 'HP:0003141', (63, 76)) ('LC3', 'Gene', '84557', (73, 76)) ('S383A', 'Var', (34, 39)) ('LC3', 'Gene', (73, 76)) ('LC3', 'Gene', '84557', (95, 98)) ('C74S', 'Var', (26, 30)) ('S383A', 'Mutation', 'p.S383A', (34, 39)) ('ATG4B', 'Gene', (47, 52)) ('C74S', 'Mutation', 'rs1470862162', (26, 30)) ('LC3', 'Gene', (95, 98)) 11405 29232556 WT, but not S383A or C74S mutant ATG4B, also increased the cleavage of FRET-LC3B (Figure S4J). ('C74S', 'Var', (21, 25)) ('C74S', 'Mutation', 'rs1470862162', (21, 25)) ('S383A', 'Var', (12, 17)) ('increased', 'PosReg', (45, 54)) ('FRET-LC3B', 'Protein', (71, 80)) ('S383A', 'Mutation', 'p.S383A', (12, 17)) ('cleavage', 'MPA', (59, 67)) ('ATG4B', 'Gene', (33, 38)) 11406 29232556 Furthermore, ATG4B-WT but not its mutants significantly elevated GSC JK16 sphere formation, survival, and proliferation (Figures S4K and S4L). ('elevated', 'PosReg', (56, 64)) ('survival', 'CPA', (92, 100)) ('S4L', 'Mutation', 'p.S4L', (137, 140)) ('ATG4B-WT', 'Var', (13, 21)) ('GSC JK16', 'Gene', (65, 73)) ('proliferation', 'CPA', (106, 119)) 11407 29232556 Consistent with these observations, in M83 cells with endogenous ATG4B depleted, expression of exogenous WT or S383D, but not C74S or S383A ATG4B, restored ATG4B S383 phosphorylation, LC3-I/II conversion, and LC3B puncta (Figures S4M and S4N). ('C74S', 'Mutation', 'rs1470862162', (126, 130)) ('LC3', 'Gene', (209, 212)) ('restored', 'PosReg', (147, 155)) ('S383D', 'Mutation', 'p.S383D', (111, 116)) ('S383D', 'Var', (111, 116)) ('S383', 'Var', (162, 166)) ('LC3', 'Gene', '84557', (184, 187)) ('LC3', 'Gene', (184, 187)) ('expression', 'Species', '29278', (81, 91)) ('S383A', 'Mutation', 'p.S383A', (134, 139)) ('LC3', 'Gene', '84557', (209, 212)) ('ATG4B', 'Gene', (156, 161)) 11408 29232556 Conversely, in GSC 528 cells having non-detectable MST4 (Figure 1B), expression of exogenous MST4 induced p-ATG4B, LC3-II conversion, autophagosome formation, and increased sphere-forming frequency while decreasing p62. ('p-ATG4B', 'Gene', (106, 113)) ('LC3', 'Gene', (115, 118)) ('MST4', 'Gene', (93, 97)) ('increased', 'PosReg', (163, 172)) ('expression', 'Species', '29278', (69, 79)) ('induced', 'PosReg', (98, 105)) ('LC3', 'Gene', '84557', (115, 118)) ('p-ATG4B', 'Gene', '23192', (106, 113)) ('p62', 'MPA', (215, 218)) ('sphere-forming frequency', 'CPA', (173, 197)) ('autophagosome formation', 'CPA', (134, 157)) ('decreasing', 'NegReg', (204, 214)) ('expression', 'Var', (69, 79)) 11410 29232556 Lastly, we examined whether knockdown or overexpression of MST4, and knockdown of ATG4B affect the ERK- and AKT-signaling pathways, which regulate the onset of autophagy and autophagic activity. ('AKT', 'Gene', '207', (108, 111)) ('affect', 'Reg', (88, 94)) ('AKT', 'Gene', (108, 111)) ('expression', 'Species', '29278', (45, 55)) ('ATG4B', 'Gene', (82, 87)) ('knockdown', 'Var', (69, 78)) 11413 29232556 Finally, PD98059, a MEK1 inhibitor, reduced p-ERK but had no effects on p-ATG4B and autophagic activity in GSCs (Figure S5E). ('PD98059', 'Chemical', 'MESH:C093973', (9, 16)) ('p-ERK', 'MPA', (44, 49)) ('p-ATG4B', 'Gene', '23192', (72, 79)) ('p-ATG4B', 'Gene', (72, 79)) ('autophagic activity', 'CPA', (84, 103)) ('reduced', 'NegReg', (36, 43)) ('PD98059', 'Var', (9, 16)) 11416 29232556 We found that ATG4B-WT or phosphomimic S383D, but not the non-catalytic C74S or non-phosphorylatable S383A mutant, rescued GSC cell proliferation and sphere formation in vitro as well as tumorigenicity in vivo (Figures 6G-6K and S6C-S6I). ('tumor', 'Disease', 'MESH:D009369', (187, 192)) ('S383A', 'Mutation', 'p.S383A', (101, 106)) ('tumor', 'Phenotype', 'HP:0002664', (187, 192)) ('sphere formation', 'CPA', (150, 166)) ('C74S', 'Mutation', 'rs1470862162', (72, 76)) ('tumor', 'Disease', (187, 192)) ('GSC cell proliferation', 'CPA', (123, 145)) ('S383D', 'Var', (39, 44)) ('S383D', 'Mutation', 'p.S383D', (39, 44)) ('rescued', 'PosReg', (115, 122)) 11419 29232556 However, inhibition of ATG5 or ATG7 had a minimal effect on inhibition of cell growth resulting from ATG4B knockdown (Figure S6K). ('knockdown', 'Var', (107, 116)) ('ATG7', 'Gene', '74244', (31, 35)) ('ATG7', 'Gene', (31, 35)) ('ATG4B', 'Gene', (101, 106)) ('cell growth', 'CPA', (74, 85)) ('ATG5', 'Gene', '11793', (23, 27)) ('ATG5', 'Gene', (23, 27)) 11425 29232556 NSC did not enhance the effects of STK26 knockout (KO) on M83 xenograft growth and autophagic activity in vivo (Figures S7F-S7I). ('STK26', 'Gene', '51765', (35, 40)) ('knockout', 'Var', (41, 49)) ('STK26', 'Gene', (35, 40)) ('autophagic activity', 'CPA', (83, 102)) 11433 29232556 On the other hand, IR on GSC JK83, JK42, and JK18 cells, which are not yet molecularly classified, increased endogenous MST4 and p-ATG4B, but only at a higher IR dose (5 Gy) and at later time points subsequent to IR (>=6 days, Figure S7M). ('GSC JK83', 'Var', (25, 33)) ('JK42', 'Var', (35, 39)) ('MST4', 'Protein', (120, 124)) ('p-ATG4B', 'Gene', (129, 136)) ('increased', 'PosReg', (99, 108)) ('p-ATG4B', 'Gene', '23192', (129, 136)) ('endogenous', 'MPA', (109, 119)) 11441 29232556 Apoptosis indicators gammaH2AX and cleaved caspase-3 were also markedly increased 6 hr following completion of IR when compared with control (p < 0.001, Figures S7S-S7V). ('increased', 'PosReg', (72, 81)) ('cleaved caspase-3', 'MPA', (35, 52)) ('Apoptosis', 'CPA', (0, 9)) ('gammaH2AX', 'Chemical', '-', (21, 30)) ('gammaH2AX', 'Var', (21, 30)) 11445 29232556 The clinical implications of these findings are highlighted by the determination of patient survival being inversely correlated with MST4, p-ATG4B, and LC3B staining (Figure 8C). ('p-ATG4B', 'Gene', (139, 146)) ('MST4', 'Gene', (133, 137)) ('patient', 'Species', '9606', (84, 91)) ('p-ATG4B', 'Gene', '23192', (139, 146)) ('inversely', 'NegReg', (107, 116)) ('LC3B staining', 'Var', (152, 165)) 11449 29232556 Pharmacologic inhibition of ATG4B using NSC185058 markedly attenuates autophagic activity, decreases GBM cell tumorigenicity, and enhances the anti-tumor activity of RT when applied to orthotopic GBM xenograft models. ('ATG4B', 'Gene', (28, 33)) ('tumor', 'Phenotype', 'HP:0002664', (148, 153)) ('NSC185058', 'Var', (40, 49)) ('tumor', 'Disease', (148, 153)) ('tumor', 'Phenotype', 'HP:0002664', (110, 115)) ('tumor', 'Disease', (110, 115)) ('attenuates', 'NegReg', (59, 69)) ('enhances', 'PosReg', (130, 138)) ('decreases', 'NegReg', (91, 100)) ('autophagic activity', 'CPA', (70, 89)) ('tumor', 'Disease', 'MESH:D009369', (148, 153)) ('tumor', 'Disease', 'MESH:D009369', (110, 115)) 11458 29232556 Although phosphorylation of serine 383 (p-S383) and p-S392 on ATG4B is important for ATG4B in controlling the autophagic process, this study describes MST4 as the authentic kinase for S383 phosphorylation that is critical in stimulating autophagy and tumorigenicity in GBM. ('autophagy', 'CPA', (237, 246)) ('tumor', 'Disease', (251, 256)) ('serine', 'Chemical', 'MESH:D012694', (28, 34)) ('p-S392', 'Var', (52, 58)) ('S383', 'Var', (184, 188)) ('MST4', 'Gene', (151, 155)) ('tumor', 'Disease', 'MESH:D009369', (251, 256)) ('tumor', 'Phenotype', 'HP:0002664', (251, 256)) ('stimulating', 'PosReg', (225, 236)) 11472 29232556 In conclusion, this study not only describes a signaling relationship by which MST4 phosphorylation of ATG4B promotes autophagy, contributes to GBM malignancy, and lessens tumor response to RT, but also reveals a clinical opportunity involving combined ATG4B inhibitor and RT for treating patients with GBM. ('lessens tumor', 'Disease', 'MESH:D009369', (164, 177)) ('contributes', 'Reg', (129, 140)) ('tumor', 'Phenotype', 'HP:0002664', (172, 177)) ('GBM', 'Disease', (144, 147)) ('ATG4B', 'Gene', (103, 108)) ('lessens tumor', 'Disease', (164, 177)) ('autophagy', 'CPA', (118, 127)) ('MST4 phosphorylation', 'Var', (79, 99)) ('malignancy', 'Disease', 'MESH:D009369', (148, 158)) ('malignancy', 'Disease', (148, 158)) ('promotes', 'PosReg', (109, 117)) ('patients', 'Species', '9606', (289, 297)) 11508 29232556 Human cDNAs for ATG4B and its variants were cloned by PCR and then sub-cloned into pET-28a for expression in E. coli. ('Human', 'Species', '9606', (0, 5)) ('variants', 'Var', (30, 38)) ('E. coli', 'Species', '562', (109, 116)) ('expression', 'Species', '29278', (95, 105)) ('ATG4B', 'Gene', (16, 21)) 11509 29232556 Lentiviral vectors expressing non-target control shRNA, specific shRNA constructs (MST4, ATG4B, ATG5 or ATG7), or full-length MST4, ATG4B or their mutant cDNAs were transfected into 293T using Lipofectamine 2000 in accordance to the manufacturer's instructions. ('ATG7', 'Gene', (104, 108)) ('ATG5', 'Gene', '11793', (96, 100)) ('293T', 'CellLine', 'CVCL:0063', (182, 186)) ('ATG5', 'Gene', (96, 100)) ('MST4', 'Var', (126, 130)) ('ATG4B', 'Var', (132, 137)) ('ATG7', 'Gene', '74244', (104, 108)) ('Lipofectamine 2000', 'Chemical', 'MESH:C086724', (193, 211)) 11517 29232556 In brief, dissociated cells from glioma spheres seeded in 96-well plates at density of 1, 5, 10, 20 or 50 for GSC M83, 1123, JK83, 528 and 23 cells, and 5, 10, 20, 50 or 100 for JK16 and JK42 cells per well. ('JK83', 'Var', (125, 129)) ('glioma', 'Phenotype', 'HP:0009733', (33, 39)) ('glioma', 'Disease', 'MESH:D005910', (33, 39)) ('glioma', 'Disease', (33, 39)) 11518 29232556 After 7 days for GSC M83 and 1123, and 14 days for GSC JK16, JK42, JK83, 528 and 23, each well was examined for formation of tumor spheres. ('tumor', 'Disease', 'MESH:D009369', (125, 130)) ('JK83', 'Var', (67, 71)) ('tumor', 'Phenotype', 'HP:0002664', (125, 130)) ('tumor', 'Disease', (125, 130)) ('JK42', 'Var', (61, 65)) 11551 29232556 Sensitivities of each antibody such as the anti-MST4, anti-p-S383-ATG4B and anti-LC3B antibodies used in this study on detection of corresponding protein expression on GBM tumor sample sections are variable. ('expression', 'Species', '29278', (154, 164)) ('tumor', 'Phenotype', 'HP:0002664', (172, 177)) ('GBM tumor', 'Disease', 'MESH:D005910', (168, 177)) ('anti-MST4', 'Var', (43, 52)) ('GBM tumor', 'Disease', (168, 177)) ('anti-p-S383-ATG4B', 'Var', (54, 71)) 11624 29156720 The n-6 PUFA linoleic acid content in terms of total lipids composition was significantly greater in tumor tissue than in normal one. ('total lipids composition', 'MPA', (47, 71)) ('n-6', 'Var', (4, 7)) ('greater', 'PosReg', (90, 97)) ('tumor', 'Disease', (101, 106)) ('tumor', 'Phenotype', 'HP:0002664', (101, 106)) ('n-6 PUFA', 'Chemical', '-', (4, 12)) ('lipids', 'Chemical', 'MESH:D008055', (53, 59)) ('linoleic acid', 'Chemical', 'MESH:D019787', (13, 26)) ('tumor', 'Disease', 'MESH:D009369', (101, 106)) 11626 29156720 Figure 3 shows distribution of lipids and proteins in the human normal brain tissue (P17) obtained from the basis analysis in the high frequency region and fingerprint region with the following spectral filters: (a) two filters 2800-2920 cm-1 (lipids) and 2900-3010 cm-1 (proteins) for the high frequency region, and (b) two filters for the fingerprint region 1400-1515 (lipids), 1605-1695 (proteins). ('lipids', 'Chemical', 'MESH:D008055', (371, 377)) ('2900-3010 cm-1', 'Var', (256, 270)) ('human', 'Species', '9606', (58, 63)) ('P17', 'Gene', (85, 88)) ('lipids', 'Chemical', 'MESH:D008055', (31, 37)) ('lipids', 'Chemical', 'MESH:D008055', (244, 250)) ('P17', 'Gene', '653820', (85, 88)) ('2800-2920 cm-1', 'Var', (228, 242)) 11631 29156720 Detailed inspection into Figure 4 and Table 2 demonstrates that the Raman spectra of the human normal brain tissue provide information about proteins (alpha-helix proteins at ~1658 cm-1 (Amide I), ~1276 cm-1 (Amide III); beta-sheet proteins at ~1667-1680 cm-1 (Amide I), 1558 cm-1 (Amide II), 1238 cm-1 (Amide III), 2940 cm-1 (CH3 stretching)), lipids (cell membrane phospholipids at ~1080-1158, 1248 cm-1 (symmetric and antisymmetric P=O stretching), fatty acids, triglycerides at ~1437-1444 cm-1 (CH2 deformation(bending)), at ~1658 (C=C stretching), at ~1742 cm-1 (C=0 stretching), ~2845-2940 cm-1 (CH2, CH3 stretching)), (H3C)N+) choline group can at ~721 cm-1), nucleic acids (~751 cm-1, 1080-1158 cm-1, 1584 cm-1), and metabolites (glycogen at 840 cm-1, lactic acid at 917 cm-1). ('C', 'Chemical', 'MESH:D002244', (536, 537)) ('C', 'Chemical', 'MESH:D002244', (568, 569)) ('~751', 'Var', (682, 686)) ('phospholipids', 'Chemical', 'MESH:D010743', (367, 380)) ('choline', 'Chemical', 'MESH:D002794', (634, 641)) ('lactic acid', 'Chemical', 'MESH:D019344', (760, 771)) ('glycogen', 'Chemical', 'MESH:D006003', (738, 746)) ('C', 'Chemical', 'MESH:D002244', (607, 608)) ('human', 'Species', '9606', (89, 94)) ('C', 'Chemical', 'MESH:D002244', (327, 328)) ('CH2 deformation', 'Disease', (499, 514)) ('lipids', 'Chemical', 'MESH:D008055', (345, 351)) ('triglycerides', 'Chemical', 'MESH:D014280', (465, 478)) ('C', 'Chemical', 'MESH:D002244', (628, 629)) ('C', 'Chemical', 'MESH:D002244', (602, 603)) ('C', 'Chemical', 'MESH:D002244', (538, 539)) ('fatty acids', 'Chemical', 'MESH:D005227', (452, 463)) ('lipids', 'Chemical', 'MESH:D008055', (374, 380)) ('C', 'Chemical', 'MESH:D002244', (499, 500)) ('CH2 deformation', 'Disease', 'MESH:D009140', (499, 514)) ('lactic acid', 'MPA', (760, 771)) 11633 29156720 Figure 5 shows the MRI image, the H&E-stained and non-stained microscopic image, Raman images, and vibrational Raman spectra in the fingerprint region and high frequency regions of the tumor tissue (medulloblastoma, grade WHO IV). ('tumor', 'Disease', (185, 190)) ('medulloblastoma', 'Disease', 'MESH:D008527', (199, 214)) ('tissue', 'Var', (191, 197)) ('tumor', 'Disease', 'MESH:D009369', (185, 190)) ('medulloblastoma', 'Phenotype', 'HP:0002885', (199, 214)) ('tumor', 'Phenotype', 'HP:0002664', (185, 190)) ('medulloblastoma', 'Disease', (199, 214)) 11634 29156720 One can see that the Raman images of the tumor tissue (Figure 5E and 5F) are dominated by proteins (red region in the Raman images) reflected by Raman peak at 1585 cm-1 and 2935 cm-1 in Figure 5G in Figure 5J, respectively (detailed analysis of the secondary structure will be discussed below). ('tumor', 'Phenotype', 'HP:0002664', (41, 46)) ('tumor', 'Disease', (41, 46)) ('proteins', 'Protein', (90, 98)) ('2935 cm-1', 'Var', (173, 182)) ('tumor', 'Disease', 'MESH:D009369', (41, 46)) 11641 29156720 Detailed inspection shows notable differences at 751 cm-1 (nucleic acids, Trp), 992 cm-1 (tyrosine, proline, glycogen, carbohydrates, collagen, glucose, lactic acid), 1080 cm-1, 1130/1170 cm-1 (phospholipids), 1338cm-1 (tryptophan), Calpha-H def), 1369 cm-1, 1392 cm-1, 1448 cm-1 (fatty acids, triglycerides, CH2 or CH3 deformations), 1551 cm-1, 1584 cm-1, 1658/1667 cm-1 (amide II and amide I, nucleic acids), and 1740- 1759 cm-1 (triglycerides). ('1551 cm-1', 'Var', (335, 344)) ('tryptophan', 'Chemical', 'MESH:D014364', (220, 230)) ('tyrosine', 'Chemical', 'MESH:D014443', (90, 98)) ('triglycerides', 'Chemical', 'MESH:D014280', (432, 445)) ('1740- 1759 cm-1', 'Var', (415, 430)) ('glucose', 'Chemical', 'MESH:D005947', (144, 151)) ('amide', 'Chemical', 'MESH:D000577', (386, 391)) ('CH2 or CH3 deformations', 'Disease', 'MESH:D009140', (309, 332)) ('phospholipids', 'Chemical', 'MESH:D010743', (194, 207)) ('proline', 'Chemical', 'MESH:D011392', (100, 107)) ('carbohydrates', 'Chemical', 'MESH:D002241', (119, 132)) ('Calpha-H', 'Chemical', '-', (233, 241)) ('triglycerides', 'Chemical', 'MESH:D014280', (294, 307)) ('amide', 'Chemical', 'MESH:D000577', (373, 378)) ('glycogen', 'Chemical', 'MESH:D006003', (109, 117)) ('CH2 or CH3 deformations', 'Disease', (309, 332)) ('lactic acid', 'Chemical', 'MESH:D019344', (153, 164)) ('fatty acids', 'Chemical', 'MESH:D005227', (281, 292)) 11642 29156720 The most spectacular changes can be observed for Raman bands at 1584 cm-1 and 1658/1667 cm-1 attributed to proteins/nucleic acids, and amide I, respectively. ('amide', 'Chemical', 'MESH:D000577', (135, 140)) ('1658/1667 cm-1', 'Var', (78, 92)) ('proteins/nucleic', 'Protein', (107, 123)) ('changes', 'Reg', (21, 28)) ('Raman bands', 'MPA', (49, 60)) 11645 29156720 A further inspection into Figure 6C shows also an increase in Raman signal intensity between 1230-1250 cm-1 in the region of amide III vibrations attributed to beta-sheet conformation and an decrease in the region around 1270-1280 cm-1 attributed to alpha-helix conformation. ('amide', 'Chemical', 'MESH:D000577', (125, 130)) ('Raman signal intensity', 'MPA', (62, 84)) ('beta-sheet conformation', 'Var', (160, 183)) ('increase', 'PosReg', (50, 58)) ('amide III vibrations', 'MPA', (125, 145)) ('C', 'Chemical', 'MESH:D002244', (34, 35)) ('decrease', 'NegReg', (191, 199)) 11659 29156720 Our Raman results for choline level correlate quite well with the proton magnetic resonance spectroscopy (MRS) results, but also clearly demonstrate that the Raman signals at 1437-1444 cm-1 and 2845-2854 cm-1 that reflect global level of saturated bonds in lipids (not only choline specific) decreases significantly in high grade brain tumors. ('brain tumor', 'Phenotype', 'HP:0030692', (330, 341)) ('choline', 'Chemical', 'MESH:D002794', (274, 281)) ('lipids', 'Chemical', 'MESH:D008055', (257, 263)) ('brain tumors', 'Disease', 'MESH:D001932', (330, 342)) ('tumors', 'Phenotype', 'HP:0002664', (336, 342)) ('decreases', 'NegReg', (292, 301)) ('brain tumors', 'Phenotype', 'HP:0030692', (330, 342)) ('MRS', 'Disease', (106, 109)) ('2845-2854 cm-1', 'Var', (194, 208)) ('tumor', 'Phenotype', 'HP:0002664', (336, 341)) ('brain tumors', 'Disease', (330, 342)) ('choline', 'Chemical', 'MESH:D002794', (22, 29)) ('MRS', 'Disease', 'MESH:D008556', (106, 109)) 11748 29156720 The low-grade astrocytoma does not exhibit spectacular conformational modifications indicating that alpha-helix structure is not modified to beta-sheet as a result of low grade brain tumor as it was observed for the high grade brain tumors. ('low grade', 'Var', (167, 176)) ('brain tumor', 'Disease', 'MESH:D001932', (177, 188)) ('tumor', 'Phenotype', 'HP:0002664', (233, 238)) ('astrocytoma', 'Disease', 'MESH:D001254', (14, 25)) ('brain tumor', 'Phenotype', 'HP:0030692', (177, 188)) ('tumors', 'Phenotype', 'HP:0002664', (233, 239)) ('astrocytoma', 'Disease', (14, 25)) ('tumor', 'Phenotype', 'HP:0002664', (183, 188)) ('astrocytoma', 'Phenotype', 'HP:0009592', (14, 25)) ('brain tumors', 'Phenotype', 'HP:0030692', (227, 239)) ('brain tumor', 'Disease', 'MESH:D001932', (227, 238)) ('brain tumors', 'Disease', 'MESH:D001932', (227, 239)) ('brain tumor', 'Phenotype', 'HP:0030692', (227, 238)) ('brain tumor', 'Disease', (177, 188)) ('brain tumors', 'Disease', (227, 239)) 11766 28966829 The histological diagnosis was an LGG, WHO II, molecularly characterized by the absence of: IDH1/2 mutation, 1p/19q codeletion, or MGMT promotor hypermethylation. ('LGG', 'Disease', (34, 37)) ('IDH1/2', 'Gene', (92, 98)) ('MGMT', 'Gene', '4255', (131, 135)) ('MGMT', 'Gene', (131, 135)) ('mutation', 'Var', (99, 107)) ('1p/19q codeletion', 'Var', (109, 126)) ('IDH1/2', 'Gene', '3417;3418', (92, 98)) ('absence', 'NegReg', (80, 87)) 11776 28966829 Every LGG is characterized according to the presence or the absence of mutations in the isocitrate dehydrogenase 1 or 2 genes (IDH) and complete or incomplete deletion of both the short arm of chromosome 1 and of the long arm of chromosome 19 (1p/19q co-deletion). ('short arm', 'Phenotype', 'HP:0009824', (180, 189)) ('absence', 'NegReg', (60, 67)) ('IDH', 'Gene', (127, 130)) ('IDH', 'Gene', '3417', (127, 130)) ('isocitrate', 'Chemical', 'MESH:C034219', (88, 98)) ('mutations', 'Var', (71, 80)) ('deletion', 'Var', (159, 167)) 11777 28966829 The first segregation of diffuse LGG is based on the presence of IDH1/2 gene mutation [Figure 4]. ('presence', 'Var', (53, 61)) ('diffuse LGG', 'Disease', (25, 36)) ('IDH1/2', 'Gene', (65, 71)) ('IDH1/2', 'Gene', '3417;3418', (65, 71)) 11778 28966829 These mutations occur at a single amino acid residue of IDH1, arginine 132, which is most commonly mutated to histidine (R132H). ('R132H', 'Mutation', 'rs121913500', (121, 126)) ('IDH1', 'Gene', '3417', (56, 60)) ('arginine', 'Chemical', 'MESH:D001120', (62, 70)) ('arginine 132', 'Var', (62, 74)) ('histidine', 'Chemical', 'MESH:D006639', (110, 119)) ('IDH1', 'Gene', (56, 60)) 11780 28966829 A mutation in the IDH1 gene (IDHmut) allows the homodimeric enzyme to reduce alpha-ketoglutarate in 2-hydroxygluterate (2-HG). ('reduce alpha-ketoglutarate', 'Phenotype', 'HP:0012403', (70, 96)) ('mutation', 'Var', (2, 10)) ('IDH', 'Gene', (18, 21)) ('IDH1', 'Gene', '3417', (18, 22)) ('IDH', 'Gene', '3417', (18, 21)) ('alpha-ketoglutarate', 'Chemical', 'MESH:D007656', (77, 96)) ('2-hydroxygluterate', 'Chemical', '-', (100, 118)) ('IDH', 'Gene', (29, 32)) ('IDH', 'Gene', '3417', (29, 32)) ('IDH1', 'Gene', (18, 22)) 11782 28966829 In addition, an IDH gene mutation causes hypermethylation of specific DNA loci (CpG islands), resulting in a significantly different gene expression profile compared to wild type IDH LGG. ('IDH', 'Gene', (179, 182)) ('different', 'Reg', (123, 132)) ('IDH', 'Gene', '3417', (179, 182)) ('mutation', 'Var', (25, 33)) ('IDH', 'Gene', (16, 19)) ('IDH', 'Gene', '3417', (16, 19)) ('hypermethylation', 'MPA', (41, 57)) ('gene expression profile', 'MPA', (133, 156)) 11783 28966829 Specifically, hypermethylation of the DNA-repair enzyme O6-methylguanine-DNA methyltransferase (MGMT) promotor gene downregulates the expression of this enzyme, and therefore increases tumor susceptibility to alkylating agents such as temozolomide. ('tumor', 'Disease', (185, 190)) ('MGMT', 'Gene', '4255', (96, 100)) ('hypermethylation', 'Var', (14, 30)) ('expression', 'MPA', (134, 144)) ('downregulates', 'NegReg', (116, 129)) ('tumor', 'Disease', 'MESH:D009369', (185, 190)) ('temozolomide', 'Chemical', 'MESH:D000077204', (235, 247)) ('tumor', 'Phenotype', 'HP:0002664', (185, 190)) ('MGMT', 'Gene', (96, 100)) ('increases', 'PosReg', (175, 184)) 11784 28966829 IDH mutations are present in almost 90% of the diffuse LGG and are correlated with a favorable, therapy independent, survival compared to IDHwt LGG: 13.1 years compared to 5.1 years. ('IDH', 'Gene', (0, 3)) ('IDH', 'Gene', (138, 141)) ('LGG', 'Disease', (55, 58)) ('IDH', 'Gene', '3417', (0, 3)) ('IDH', 'Gene', '3417', (138, 141)) ('mutations', 'Var', (4, 13)) 11785 28966829 Furthermore, an IDH mutation is predictive for the response of the LGG to multimodal treatment strategies, as was recently shown that the addition of chemotherapy to radiotherapy increases progression-free and overall survival in diffuse LGG compared to radiotherapy alone. ('increases', 'PosReg', (179, 188)) ('overall survival', 'CPA', (210, 226)) ('mutation', 'Var', (20, 28)) ('IDH', 'Gene', (16, 19)) ('IDH', 'Gene', '3417', (16, 19)) ('progression-free', 'CPA', (189, 205)) ('diffuse LGG', 'Disease', (230, 241)) 11786 28966829 Subsequent to IDHmut/IDHwt segregation, LGGs are classified according to the presence or absence of 1p/19q codeletion. ('IDH', 'Gene', (21, 24)) ('IDH', 'Gene', (14, 17)) ('IDH', 'Gene', '3417', (21, 24)) ('IDH', 'Gene', '3417', (14, 17)) ('1p/19q codeletion', 'Var', (100, 117)) 11787 28966829 A strong correlation exists between the presence an IDH mutation and 1p/19q codeletion with the histological oligodendroglioma with a correspondence rate of 95% for WHO II tumors. ('glioma', 'Phenotype', 'HP:0009733', (120, 126)) ('tumor', 'Phenotype', 'HP:0002664', (172, 177)) ('II tumors', 'Disease', (169, 178)) ('II tumors', 'Disease', 'MESH:D009369', (169, 178)) ('1p/19q codeletion', 'Var', (69, 86)) ('tumors', 'Phenotype', 'HP:0002664', (172, 178)) ('IDH', 'Gene', (52, 55)) ('IDH', 'Gene', '3417', (52, 55)) ('oligodendroglioma', 'Disease', (109, 126)) ('mutation', 'Var', (56, 64)) ('oligodendroglioma', 'Disease', 'MESH:D009837', (109, 126)) 11788 28966829 Strikingly, mutations in the coding gene for TElomerase Reverse Transcriptase (TERT) is found in 96% of this subclass. ('mutations', 'Var', (12, 21)) ('TElomerase Reverse Transcriptase', 'Gene', '7015', (45, 77)) ('TERT', 'Gene', (79, 83)) ('TElomerase Reverse Transcriptase', 'Gene', (45, 77)) ('TERT', 'Gene', '7015', (79, 83)) 11789 28966829 TERT gene mutations cause an activation of this enzyme. ('mutations', 'Var', (10, 19)) ('activation', 'PosReg', (29, 39)) ('TERT', 'Gene', '7015', (0, 4)) ('TERT', 'Gene', (0, 4)) 11793 28966829 Almost all diffuse LGGs without a 1p/19q codeletion harbor mutations in the Tumor protein (TP) 53 coding gene and the majority harbor inactivating mutations in the ATRX gene. ('Tumor protein (TP) 53', 'Gene', (76, 97)) ('ATRX', 'Gene', (164, 168)) ('Tumor protein (TP) 53', 'Gene', '7157', (76, 97)) ('Tumor', 'Phenotype', 'HP:0002664', (76, 81)) ('ATRX', 'Gene', '546', (164, 168)) ('mutations', 'Var', (59, 68)) ('diffuse LGGs', 'Disease', (11, 23)) ('harbor', 'Reg', (52, 58)) 11794 28966829 Dysfunction of the TP-53 gene, as known for the Li-Fraumeni syndrome, causes a loss of tumor suppressive capabilities of TP-53. ('loss', 'NegReg', (79, 83)) ('TP-53', 'Gene', (121, 126)) ('Dysfunction', 'Var', (0, 11)) ('tumor', 'Phenotype', 'HP:0002664', (87, 92)) ('tumor', 'Disease', (87, 92)) ('Li-Fraumeni syndrome', 'Disease', (48, 68)) ('TP-53', 'Gene', (19, 24)) ('TP-53', 'Gene', '7157', (121, 126)) ('tumor', 'Disease', 'MESH:D009369', (87, 92)) ('Li-Fraumeni syndrome', 'Disease', 'MESH:D016864', (48, 68)) ('TP-53', 'Gene', '7157', (19, 24)) 11795 28966829 For LGG, it is hypothesized that, after the acquisition of an IDH mutation, a tumor cell either acquires a 1p/19q codeletion or a mutation in TP-53. ('1p/19q codeletion', 'MPA', (107, 124)) ('TP-53', 'Gene', (142, 147)) ('IDH', 'Gene', '3417', (62, 65)) ('tumor', 'Disease', 'MESH:D009369', (78, 83)) ('tumor', 'Phenotype', 'HP:0002664', (78, 83)) ('mutation', 'Var', (66, 74)) ('tumor', 'Disease', (78, 83)) ('TP-53', 'Gene', '7157', (142, 147)) ('acquires', 'Reg', (96, 104)) ('IDH', 'Gene', (62, 65)) 11796 28966829 This theory is further supported by the observation that TERT and ATRX mutation are mutually exclusive and result in different subclasses: IDHmut with (TERT) or without (ATRX) 1p/19q codeletion. ('ATRX', 'Gene', '546', (170, 174)) ('TERT', 'Gene', '7015', (152, 156)) ('TERT', 'Gene', (57, 61)) ('TERT', 'Gene', '7015', (57, 61)) ('mutation', 'Var', (71, 79)) ('ATRX', 'Gene', (66, 70)) ('ATRX', 'Gene', (170, 174)) ('IDH', 'Gene', (139, 142)) ('ATRX', 'Gene', '546', (66, 70)) ('TERT', 'Gene', (152, 156)) ('IDH', 'Gene', '3417', (139, 142)) ('result in', 'Reg', (107, 116)) 11797 28966829 Interestingly, not TERT but ATRX mutations were associated with increased telomere length in a pan-glioma analysis, suggesting an alternative lengthening of telomeres. ('TERT', 'Gene', (19, 23)) ('TERT', 'Gene', '7015', (19, 23)) ('increased telomere length', 'Phenotype', 'HP:0031413', (64, 89)) ('ATRX', 'Gene', (28, 32)) ('mutations', 'Var', (33, 42)) ('ATRX', 'Gene', '546', (28, 32)) ('glioma', 'Disease', (99, 105)) ('increased', 'PosReg', (64, 73)) ('glioma', 'Disease', 'MESH:D005910', (99, 105)) ('telomere length', 'MPA', (74, 89)) ('glioma', 'Phenotype', 'HP:0009733', (99, 105)) 11800 28966829 Mutations in the genes encoding for EGFR, PTEN, and NF1 are observed in both LGG-IDHwt and GBM. ('NF1', 'Gene', (52, 55)) ('PTEN', 'Gene', (42, 46)) ('PTEN', 'Gene', '5728', (42, 46)) ('NF1', 'Gene', '4763', (52, 55)) ('observed', 'Reg', (60, 68)) ('EGFR', 'Gene', '1956', (36, 40)) ('Mutations', 'Var', (0, 9)) ('IDH', 'Gene', (81, 84)) ('EGFR', 'Gene', (36, 40)) ('IDH', 'Gene', '3417', (81, 84)) 11801 28966829 Moreover, numerical and structural chromosomal abnormalities such as a trisomy of chromosome 7 and a loss of chromosome 10 are more frequently observed in high-grade glial tumors. ('tumor', 'Phenotype', 'HP:0002664', (172, 177)) ('loss', 'NegReg', (101, 105)) ('tumors', 'Phenotype', 'HP:0002664', (172, 178)) ('observed', 'Reg', (143, 151)) ('chromosomal abnormalities', 'Disease', (35, 60)) ('glial tumors', 'Disease', 'MESH:D005910', (166, 178)) ('trisomy', 'Var', (71, 78)) ('chromosomal abnormalities', 'Disease', 'MESH:D002869', (35, 60)) ('glial tumors', 'Disease', (166, 178)) 11803 28966829 Further research will have to show whether the identified subclass-specific genetic aberrations, such as EGFR amplification, will aid to the development of targeted therapy for low-grade gliomas. ('gliomas', 'Disease', (187, 194)) ('amplification', 'Var', (110, 123)) ('gliomas', 'Disease', 'MESH:D005910', (187, 194)) ('gliomas', 'Phenotype', 'HP:0009733', (187, 194)) ('EGFR', 'Gene', '1956', (105, 109)) ('glioma', 'Phenotype', 'HP:0009733', (187, 193)) ('EGFR', 'Gene', (105, 109)) ('aid', 'Reg', (130, 133)) 11824 26474389 Previous genetic studies demonstrated the loss of 16q in HG1 IDC and the possibility of micro-deletions in 16q in HG3 IDC. ('HG1', 'Gene', '339044', (57, 60)) ('HG3', 'Gene', (114, 117)) ('IDC', 'Gene', '4000', (61, 64)) ('16q', 'Protein', (50, 53)) ('micro-deletions', 'Var', (88, 103)) ('IDC', 'Gene', (61, 64)) ('HG1', 'Gene', (57, 60)) ('HG3', 'Gene', '339039', (114, 117)) ('IDC', 'Gene', '4000', (118, 121)) ('IDC', 'Gene', (118, 121)) ('loss', 'NegReg', (42, 46)) 11865 26474389 According to our data driven grouping (DDG) prognosis analysis (see Methods), all 22g-TAG genes were significant for patient survival (log-rank test FDR < 0.05) and showed consistent pattern (oncogene-like/tumor suppressor-like) in at least three of four independent validation cohorts (obtained from GEO dataset IDs: GSE1456 (Stockholm), GSE4922 (Singapore and Uppsala), and GSE21653 (Marseille)). ('GSE21653', 'Var', (376, 384)) ('tumor', 'Phenotype', 'HP:0002664', (206, 211)) ('significant', 'Reg', (101, 112)) ('GSE4922', 'Chemical', '-', (339, 346)) ('tumor', 'Disease', (206, 211)) ('GSE1456', 'Chemical', '-', (318, 325)) ('patient', 'Species', '9606', (117, 124)) ('GSE4922', 'Var', (339, 346)) ('tumor', 'Disease', 'MESH:D009369', (206, 211)) 11899 26474389 Our results revealed 1,214 DAG (925 protein-coding, 242 ncRNA, 32 pseudo, 14 snoRNA, and 1 snRNA, Supplementary Table S9). ('ncRNA', 'Gene', (56, 61)) ('925', 'Var', (32, 35)) ('DAG', 'Chemical', '-', (27, 30)) ('ncRNA', 'Gene', '220202', (56, 61)) 11901 26474389 Specifically in HG1-like tumors, there is a deletion of part of 16q. ('tumor', 'Phenotype', 'HP:0002664', (25, 30)) ('HG1', 'Gene', (16, 19)) ('tumors', 'Disease', (25, 31)) ('tumors', 'Phenotype', 'HP:0002664', (25, 31)) ('tumors', 'Disease', 'MESH:D009369', (25, 31)) ('deletion of', 'Var', (44, 55)) ('HG1', 'Gene', '339044', (16, 19)) 11902 26474389 In contrast, HG3-like tumors showed gains in 8q, 17q, and 20q and losses in 8p, 11q, and 17p (Table 2A). ('losses', 'NegReg', (66, 72)) ('tumors', 'Phenotype', 'HP:0002664', (22, 28)) ('17q', 'Var', (49, 52)) ('HG3', 'Gene', '339039', (13, 16)) ('tumors', 'Disease', 'MESH:D009369', (22, 28)) ('tumor', 'Phenotype', 'HP:0002664', (22, 27)) ('gains', 'PosReg', (36, 41)) ('HG3', 'Gene', (13, 16)) ('tumors', 'Disease', (22, 28)) 11924 26474389 Similarly, for HG3-like and HG3 tumors, we found 680 significant DAG enriched primarily in chromosomes 11, 16, and 17 (Table 2C). ('tumors', 'Phenotype', 'HP:0002664', (32, 38)) ('tumor', 'Phenotype', 'HP:0002664', (32, 37)) ('DAG', 'Chemical', '-', (65, 68)) ('tumors', 'Disease', (32, 38)) ('DAG', 'Var', (65, 68)) ('HG3-like and HG3', 'Gene', '339039', (15, 31)) ('tumors', 'Disease', 'MESH:D009369', (32, 38)) 11931 26474389 Overall, these findings suggest multi-layered molecular dichotomization of IDC into LGG and HGG classes, predetermined by 22g-TAG classifier, specific patterns of DNA alterations and point mutations. ('IDC', 'Gene', (75, 78)) ('alterations', 'Var', (167, 178)) ('point mutations', 'Var', (183, 198)) ('IDC', 'Gene', '4000', (75, 78)) 11954 26474389 Visualization of the copy number variation status across the chromosome arms showed that in LGG, there is a gain of 16p and deletion of 16q whereas HGG tumors showed gain of 8q and loss of 8p and 17p (Figure 4A). ('tumor', 'Phenotype', 'HP:0002664', (152, 157)) ('HGG tumors', 'Disease', 'MESH:D009369', (148, 158)) ('16p', 'MPA', (116, 119)) ('gain', 'PosReg', (108, 112)) ('tumors', 'Phenotype', 'HP:0002664', (152, 158)) ('gain', 'PosReg', (166, 170)) ('HGG tumors', 'Disease', (148, 158)) ('loss', 'NegReg', (181, 185)) ('16q', 'Gene', (136, 139)) ('deletion', 'Var', (124, 132)) ('LGG', 'Disease', (92, 95)) 11956 26474389 In particular, the deletion of 16q in the LGG tumors and the lack of deletion of 16q in the HGG tumors support the model of independent tumor progression into low or high grades. ('LGG tumors', 'Disease', (42, 52)) ('tumor', 'Disease', 'MESH:D009369', (46, 51)) ('tumor', 'Phenotype', 'HP:0002664', (96, 101)) ('tumor', 'Phenotype', 'HP:0002664', (46, 51)) ('deletion', 'Var', (19, 27)) ('tumors', 'Phenotype', 'HP:0002664', (96, 102)) ('tumor', 'Disease', (46, 51)) ('tumor', 'Disease', (96, 101)) ('tumor', 'Disease', 'MESH:D009369', (136, 141)) ('LGG tumors', 'Disease', 'MESH:D009369', (42, 52)) ('tumors', 'Phenotype', 'HP:0002664', (46, 52)) ('tumor', 'Phenotype', 'HP:0002664', (136, 141)) ('HGG tumors', 'Disease', (92, 102)) ('HGG tumors', 'Disease', 'MESH:D009369', (92, 102)) ('tumor', 'Disease', (136, 141)) ('tumor', 'Disease', 'MESH:D009369', (96, 101)) 11960 26474389 The mutation status of TP53 and PIK3CA show a significant correlation with the new classification into two major genetic classes (Fisher's exact test p-value for TP53 = 8.3 x 10-15, and for PIK3CA = 6.1 x 10-7). ('PIK3CA', 'Gene', '5290', (190, 196)) ('PIK3CA', 'Gene', '5290', (32, 38)) ('correlation', 'Interaction', (58, 69)) ('TP53', 'Gene', '7157', (162, 166)) ('TP53', 'Gene', (162, 166)) ('mutation', 'Var', (4, 12)) ('TP53', 'Gene', '7157', (23, 27)) ('PIK3CA', 'Gene', (190, 196)) ('TP53', 'Gene', (23, 27)) ('PIK3CA', 'Gene', (32, 38)) 11961 26474389 For TP53, the frequency of mutations in this gene consists of the 10% (14/130) in the LGG tumors and the 48% (137/284) in the HGG tumors. ('mutations', 'Var', (27, 36)) ('HGG tumors', 'Disease', 'MESH:D009369', (126, 136)) ('LGG tumors', 'Disease', (86, 96)) ('TP53', 'Gene', (4, 8)) ('tumor', 'Phenotype', 'HP:0002664', (90, 95)) ('tumors', 'Phenotype', 'HP:0002664', (90, 96)) ('LGG tumors', 'Disease', 'MESH:D009369', (86, 96)) ('tumor', 'Phenotype', 'HP:0002664', (130, 135)) ('tumors', 'Phenotype', 'HP:0002664', (130, 136)) ('TP53', 'Gene', '7157', (4, 8)) ('HGG tumors', 'Disease', (126, 136)) 11962 26474389 Inversely, for PIK3CA the frequency of mutations in the gene consists of the 48%(62/130) in the LGG tumors and 23%(67/284) in the HGC tumors, suggesting the negative correlation relatively HGC. ('HGC tumors', 'Disease', (130, 140)) ('tumor', 'Phenotype', 'HP:0002664', (100, 105)) ('tumors', 'Phenotype', 'HP:0002664', (134, 140)) ('HGC tumors', 'Disease', 'MESH:D009369', (130, 140)) ('LGG tumors', 'Disease', (96, 106)) ('PIK3CA', 'Gene', '5290', (15, 21)) ('tumors', 'Phenotype', 'HP:0002664', (100, 106)) ('LGG tumors', 'Disease', 'MESH:D009369', (96, 106)) ('mutations', 'Var', (39, 48)) ('tumor', 'Phenotype', 'HP:0002664', (134, 139)) ('PIK3CA', 'Gene', (15, 21)) 11964 26474389 Specifically, the high mutation rate of the genes in specific regions of LGG tumor cells with respect to HGG tumor cells supports the independence of the oncogenic pathways hypothesis for LGG and HGG tumors. ('tumor', 'Disease', 'MESH:D009369', (200, 205)) ('HGG tumors', 'Disease', (196, 206)) ('mutation', 'Var', (23, 31)) ('HGG tumors', 'Disease', 'MESH:D009369', (196, 206)) ('tumor', 'Phenotype', 'HP:0002664', (200, 205)) ('tumor', 'Disease', 'MESH:D009369', (77, 82)) ('tumors', 'Phenotype', 'HP:0002664', (200, 206)) ('tumor', 'Disease', (200, 205)) ('tumor', 'Disease', 'MESH:D009369', (109, 114)) ('tumor', 'Phenotype', 'HP:0002664', (77, 82)) ('tumor', 'Phenotype', 'HP:0002664', (109, 114)) ('tumor', 'Disease', (77, 82)) ('tumor', 'Disease', (109, 114)) 11967 26474389 Moreover, the DAG (1,845 genes) have stronger correlation with their gene expression profile compared with non-differentially altered genes (non-DAG). ('stronger', 'PosReg', (37, 45)) ('gene expression profile', 'MPA', (69, 92)) ('DAG', 'Chemical', '-', (14, 17)) ('DAG', 'Chemical', '-', (145, 148)) ('correlation', 'MPA', (46, 57)) ('DAG', 'Var', (14, 17)) 11970 26474389 Generally, a loss of genetic material in low grade tumors but not in high grade represents the striking evidence for the independence of the low- and high-grade oncogenic pathways (e.g. ('tumor', 'Phenotype', 'HP:0002664', (51, 56)) ('tumors', 'Disease', (51, 57)) ('tumors', 'Disease', 'MESH:D009369', (51, 57)) ('tumors', 'Phenotype', 'HP:0002664', (51, 57)) ('loss', 'NegReg', (13, 17)) ('genetic material', 'Var', (21, 37)) 11975 26474389 Therefore, 5 genes (LOC286114 for 8p, MYC for 8q, POLR3E for 16p, HERPUD1 for 16q, and ZNF18 for 17p) were selected for subsequent class discovery analysis. ('ZNF18', 'Gene', (87, 92)) ('MYC', 'Gene', (38, 41)) ('HERPUD1', 'Gene', (66, 73)) ('LOC286114', 'Var', (20, 29)) ('POLR3E', 'Gene', '55718', (50, 56)) ('POLR3E', 'Gene', (50, 56)) ('HERPUD1', 'Gene', '9709', (66, 73)) ('ZNF18', 'Gene', '7566', (87, 92)) ('MYC', 'Gene', '4609', (38, 41)) 11983 26474389 Interestingly, all gene lists related to the 21 stem cell were over-represented in the up-regulated genes in HG3-like tumors (Benjamini p-value <8.3 x 10-24, Supplementary Table S15A). ('up-regulated', 'PosReg', (87, 99)) ('HG3', 'Gene', '339039', (109, 112)) ('tumor', 'Phenotype', 'HP:0002664', (118, 123)) ('tumors', 'Phenotype', 'HP:0002664', (118, 124)) ('HG3', 'Gene', (109, 112)) ('tumors', 'Disease', 'MESH:D009369', (118, 124)) ('tumors', 'Disease', (118, 124)) ('S15A', 'Var', (178, 182)) ('S15A', 'SUBSTITUTION', 'None', (178, 182)) ('over-represented', 'PosReg', (63, 79)) 11993 26474389 DNA copy number variations and point mutations are the major genetic changes that drive tumor development. ('point mutations', 'Var', (31, 46)) ('tumor', 'Disease', (88, 93)) ('tumor', 'Disease', 'MESH:D009369', (88, 93)) ('tumor', 'Phenotype', 'HP:0002664', (88, 93)) 11997 26474389 Our gene-centric based copy number variation analysis helps to highlight candidate genes of which copy number alterations give a survival advantage to tumor cells during tumor evolution. ('tumor', 'Disease', 'MESH:D009369', (170, 175)) ('tumor', 'Phenotype', 'HP:0002664', (151, 156)) ('copy number alterations', 'Var', (98, 121)) ('tumor', 'Phenotype', 'HP:0002664', (170, 175)) ('tumor', 'Disease', (151, 156)) ('tumor', 'Disease', (170, 175)) ('tumor', 'Disease', 'MESH:D009369', (151, 156)) ('survival advantage', 'CPA', (129, 147)) 11999 26474389 However, it was reported that the loss of 16q in HG3 tumors is followed by mitotic recombination. ('HG3', 'Gene', (49, 52)) ('loss', 'Var', (34, 38)) ('tumors', 'Disease', 'MESH:D009369', (53, 59)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('HG3', 'Gene', '339039', (49, 52)) ('tumors', 'Phenotype', 'HP:0002664', (53, 59)) ('mitotic recombination', 'CPA', (75, 96)) ('16q', 'Protein', (42, 45)) ('tumors', 'Disease', (53, 59)) 12005 26474389 Overall, LGG tumors have fewer mutations than HGG tumors. ('tumors', 'Phenotype', 'HP:0002664', (50, 56)) ('mutations', 'Var', (31, 40)) ('tumors', 'Phenotype', 'HP:0002664', (13, 19)) ('LGG tumors', 'Disease', (9, 19)) ('tumor', 'Phenotype', 'HP:0002664', (50, 55)) ('tumor', 'Phenotype', 'HP:0002664', (13, 18)) ('HGG tumors', 'Disease', (46, 56)) ('HGG tumors', 'Disease', 'MESH:D009369', (46, 56)) ('LGG tumors', 'Disease', 'MESH:D009369', (9, 19)) 12007 26474389 Our analysis demonstrated that a relatively higher count of PIK3CA mutations is associated with HG1-like tumors. ('tumors', 'Disease', (105, 111)) ('tumors', 'Disease', 'MESH:D009369', (105, 111)) ('PIK3CA', 'Gene', (60, 66)) ('HG1', 'Gene', '339044', (96, 99)) ('PIK3CA', 'Gene', '5290', (60, 66)) ('mutations', 'Var', (67, 76)) ('associated', 'Reg', (80, 90)) ('tumor', 'Phenotype', 'HP:0002664', (105, 110)) ('HG1', 'Gene', (96, 99)) ('tumors', 'Phenotype', 'HP:0002664', (105, 111)) 12008 26474389 As PIK3CA mutations frequently occurs in IDC and are known to activate the PI3K/AKT/mTOR pathway, these mutations could be considered as potential predictive biomarkers of HG1-like tumors. ('HG1', 'Gene', '339044', (172, 175)) ('AKT', 'Gene', '207', (80, 83)) ('tumors', 'Disease', (181, 187)) ('PIK3CA', 'Gene', (3, 9)) ('tumors', 'Disease', 'MESH:D009369', (181, 187)) ('IDC', 'Gene', '4000', (41, 44)) ('activate', 'PosReg', (62, 70)) ('PIK3CA', 'Gene', '5290', (3, 9)) ('occurs', 'Reg', (31, 37)) ('mTOR', 'Gene', '2475', (84, 88)) ('tumors', 'Phenotype', 'HP:0002664', (181, 187)) ('AKT', 'Gene', (80, 83)) ('IDC', 'Gene', (41, 44)) ('mTOR', 'Gene', (84, 88)) ('mutations', 'Var', (10, 19)) ('HG1', 'Gene', (172, 175)) ('tumor', 'Phenotype', 'HP:0002664', (181, 186)) 12009 26474389 High mutation rate of PIK3CA in LGG with respect to HGG indicates that PIK3CA hotspot mutations could have the potential to predict intrinsic tamoxifen resistance in the adjuvant treatment of LGG ER+ BC patients. ('mutations', 'Var', (86, 95)) ('PIK3CA', 'Gene', '5290', (71, 77)) ('predict', 'Reg', (124, 131)) ('PIK3CA', 'Gene', '5290', (22, 28)) ('intrinsic tamoxifen resistance', 'MPA', (132, 162)) ('LGG ER+ BC', 'Disease', (192, 202)) ('patients', 'Species', '9606', (203, 211)) ('tamoxifen', 'Chemical', 'MESH:D013629', (142, 151)) ('PIK3CA', 'Gene', (22, 28)) ('PIK3CA', 'Gene', (71, 77)) 12015 26474389 Interestingly, these DNA variations do not result in any functional transcriptomic discrimination between HG3 and HG3-like sub-classes of IDC. ('HG3', 'Gene', (114, 117)) ('variations', 'Var', (25, 35)) ('HG3', 'Gene', '339039', (106, 109)) ('HG3', 'Gene', (106, 109)) ('IDC', 'Gene', '4000', (138, 141)) ('HG3', 'Gene', '339039', (114, 117)) ('IDC', 'Gene', (138, 141)) 12041 26474389 Alternatively, the IDC patient population dichotomization based on the multiple key cancer-associated molecular factors and mechanisms, were characterized by the 5691 DEGs and by the 1858 DAGs reported in this study. ('cancer', 'Disease', 'MESH:D009369', (84, 90)) ('IDC', 'Gene', '4000', (19, 22)) ('5691 DEGs', 'Var', (162, 171)) ('IDC', 'Gene', (19, 22)) ('cancer', 'Disease', (84, 90)) ('cancer', 'Phenotype', 'HP:0002664', (84, 90)) ('DAGs', 'Chemical', 'MESH:C011439', (188, 192)) ('patient', 'Species', '9606', (23, 30)) 12045 26474389 Clinical information and gene expression data for the Uppsala, Stockholm, Singapore and Marseille BC cohorts were obtained from the NCBI/GEO database series GSE4922, GSE1456, GSE4922 and GSE21653, respectively. ('GSE1456', 'Var', (166, 173)) ('GSE1456', 'Chemical', '-', (166, 173)) ('GSE4922', 'Chemical', '-', (157, 164)) ('GSE4922', 'Chemical', '-', (175, 182)) ('GSE21653', 'Var', (187, 195)) ('GSE4922', 'Var', (157, 164)) ('GSE4922', 'Var', (175, 182)) 12198 29740389 Ig gene rearrangement of the dural tumor detected a kappa light chain clone of the same size (Jk) as that seen in the peripheral blood. ('dural tumor', 'Disease', (29, 40)) ('dural tumor', 'Disease', 'MESH:D020785', (29, 40)) ('tumor', 'Phenotype', 'HP:0002664', (35, 40)) ('rearrangement', 'Var', (8, 21)) 12199 29740389 Although these lymphomas were phenotypically different and also presented at different sites, the analysis of Ig gene rearrangement raised the possibility that the two of them shared the same clonal origin. ('lymphoma', 'Phenotype', 'HP:0002665', (15, 23)) ('Ig gene', 'Gene', (110, 117)) ('lymphomas', 'Disease', (15, 24)) ('lymphomas', 'Disease', 'MESH:D008223', (15, 24)) ('lymphomas', 'Phenotype', 'HP:0002665', (15, 24)) ('rearrangement', 'Var', (118, 131)) 12203 29740389 A second smaller cell population represented 6.3% of all cells and consisted of small cells with the following immunophenotype: CD45+, CD19+, CD20+, CD5+, CD10-, CD23+, CD38-, and surface kappa weakly+. ('CD19', 'Gene', (135, 139)) ('surface kappa weakly+', 'Var', (180, 201)) ('CD45', 'Gene', (128, 132)) ('CD10', 'Gene', (155, 159)) ('CD19', 'Gene', '930', (135, 139)) ('CD5', 'Gene', (149, 152)) ('CD10', 'Gene', '4311', (155, 159)) ('CD23', 'Gene', (162, 166)) ('CD45', 'Gene', '5788', (128, 132)) ('CD38', 'Gene', (169, 173)) ('CD20', 'Gene', '54474', (142, 146)) ('CD20', 'Gene', (142, 146)) ('CD5', 'Gene', '921', (149, 152)) ('CD38', 'Gene', '952', (169, 173)) ('CD23', 'Gene', '2208', (162, 166)) 12221 29740389 Moreover, MYD88 gene mutation is detected in 90% of WM patients, while being rarely found in MZL. ('MYD88', 'Gene', '4615', (10, 15)) ('MYD88', 'Gene', (10, 15)) ('WM', 'Phenotype', 'HP:0005508', (52, 54)) ('mutation', 'Var', (21, 29)) ('patients', 'Species', '9606', (55, 63)) 12227 29740389 Trisomy of chromosomes 3, 7, 12, and 18 can be found in all types of MZL, but their effect on lymphomagenesis is still unclear. ('MZL', 'Disease', (69, 72)) ('lymphoma', 'Disease', 'MESH:D008223', (94, 102)) ('lymphoma', 'Phenotype', 'HP:0002665', (94, 102)) ('Trisomy', 'Var', (0, 7)) ('lymphoma', 'Disease', (94, 102)) 12228 29740389 In our review of dural MZL, we observed that trisomy 3 is the most common chromosomal aberration, followed by t(14;18)(q32;q21). ('t(14;18)(q32;q21)', 'STRUCTURAL_ABNORMALITY', 'None', (110, 127)) ('trisomy', 'Disease', (45, 52)) ('chromosomal aberration', 'Phenotype', 'HP:0040012', (74, 96)) ('t(14;18)(q32;q21', 'Var', (110, 126)) 12295 27227746 The B0 map was created from dual-echo gradient-echo images (DeltaTE = 1 ms) according to the following equation; , where Phase [TEi](x) indicates image phases of the images with echo times TE1 or TE2 at position x in radian, and B0(x) is the resulting B0 map measured in Hz. ('TE2', 'Gene', '8260', (197, 200)) ('Phase [', 'Var', (122, 129)) ('TE2', 'Gene', (197, 200)) 12324 27227746 Both MTRasym (3.5ppm) and DeltaMTRasym (3.5ppm) were significantly higher (P < 0.0001 for all comparisons) in HGG than in LGG with all the three saturation pulse lengths. ('HGG', 'Disease', (110, 113)) ('DeltaMTRasym', 'Var', (26, 38)) ('higher', 'PosReg', (67, 73)) ('rat', 'Species', '10116', (149, 152)) 12367 33634261 One of the important aspects of updated WHO classification in 2016 has been dividing some of the glial tumor according to IDH1 (isocitrate dehydrogenase 1) mutation. ('tumor', 'Phenotype', 'HP:0002664', (103, 108)) ('isocitrate dehydrogenase 1', 'Gene', (128, 154)) ('glial tumor', 'Disease', (97, 108)) ('isocitrate dehydrogenase 1', 'Gene', '3417', (128, 154)) ('IDH1', 'Gene', (122, 126)) ('IDH1', 'Gene', '3417', (122, 126)) ('glial tumor', 'Disease', 'MESH:D005910', (97, 108)) ('mutation', 'Var', (156, 164)) 12369 33634261 For 5 years (2013-2018), 50 cases of clinically documented reactive gliosis and 50 cases of low-grade astrocytoma were evaluated for the presence or absence of IDH1 and P53 mutation by immunohistochemistry. ('P53', 'Gene', '7157', (169, 172)) ('astrocytoma', 'Disease', (102, 113)) ('astrocytoma', 'Phenotype', 'HP:0009592', (102, 113)) ('IDH1', 'Gene', (160, 164)) ('gliosis', 'Disease', 'MESH:D005911', (68, 75)) ('gliosis', 'Disease', (68, 75)) ('IDH1', 'Gene', '3417', (160, 164)) ('gliosis', 'Phenotype', 'HP:0002171', (68, 75)) ('astrocytoma', 'Disease', 'MESH:D001254', (102, 113)) ('P53', 'Gene', (169, 172)) ('mutation', 'Var', (173, 181)) 12374 33634261 P53 mutation can be a good marker for differential diagnosis of reactive gliosis from low-grade astrocytoma; however, some controversies are still present and, in some studies, P53 mutation has been reported in reactive gliosis as well as in low-grade astrocytoma. ('P53', 'Gene', '7157', (177, 180)) ('astrocytoma', 'Disease', 'MESH:D001254', (96, 107)) ('gliosis', 'Phenotype', 'HP:0002171', (73, 80)) ('astrocytoma', 'Disease', (96, 107)) ('reported', 'Reg', (199, 207)) ('gliosis', 'Disease', 'MESH:D005911', (220, 227)) ('astrocytoma', 'Phenotype', 'HP:0009592', (96, 107)) ('gliosis', 'Disease', 'MESH:D005911', (73, 80)) ('astrocytoma', 'Disease', 'MESH:D001254', (252, 263)) ('P53', 'Gene', (0, 3)) ('mutation', 'Var', (181, 189)) ('astrocytoma', 'Disease', (252, 263)) ('gliosis', 'Disease', (220, 227)) ('gliosis', 'Disease', (73, 80)) ('P53', 'Gene', '7157', (0, 3)) ('gliosis', 'Phenotype', 'HP:0002171', (220, 227)) ('P53', 'Gene', (177, 180)) ('astrocytoma', 'Phenotype', 'HP:0009592', (252, 263)) 12375 33634261 Recently, isocitrate dehydrogenase (IDH) has been introduced to be mutated in low-grade gliomas. ('isocitrate dehydrogenase', 'Gene', '3417', (10, 34)) ('gliomas', 'Disease', (88, 95)) ('IDH', 'Gene', (36, 39)) ('mutated', 'Var', (67, 74)) ('gliomas', 'Disease', 'MESH:D005910', (88, 95)) ('gliomas', 'Phenotype', 'HP:0009733', (88, 95)) ('IDH', 'Gene', '3417', (36, 39)) ('glioma', 'Phenotype', 'HP:0009733', (88, 94)) ('isocitrate dehydrogenase', 'Gene', (10, 34)) 12376 33634261 The first introduction of IDH mutation has been reported by Parsons et al in 2008 in 12% of brain tumors with the diagnosis of glioblastoma multiforme. ('tumors', 'Phenotype', 'HP:0002664', (98, 104)) ('brain tumors', 'Disease', 'MESH:D001932', (92, 104)) ('mutation', 'Var', (30, 38)) ('brain tumors', 'Phenotype', 'HP:0030692', (92, 104)) ('brain tumors', 'Disease', (92, 104)) ('glioblastoma multiforme', 'Disease', (127, 150)) ('glioblastoma', 'Phenotype', 'HP:0012174', (127, 139)) ('tumor', 'Phenotype', 'HP:0002664', (98, 103)) ('IDH', 'Gene', (26, 29)) ('glioblastoma multiforme', 'Disease', 'MESH:D005909', (127, 150)) ('IDH', 'Gene', '3417', (26, 29)) 12377 33634261 In that study, the authors showed that all of these cases with IDH mutation also harbor P53 mutation. ('P53', 'Gene', (88, 91)) ('mutation', 'Var', (67, 75)) ('P53', 'Gene', '7157', (88, 91)) ('IDH', 'Gene', (63, 66)) ('harbor', 'Reg', (81, 87)) ('IDH', 'Gene', '3417', (63, 66)) 12381 33634261 Majority of IDH1 mutations occur in exon 4 at codon 132, where a transition changes a single amino acid from arginine to histidine (R132H). ('arginine', 'Chemical', 'MESH:D001120', (109, 117)) ('IDH1', 'Gene', (12, 16)) ('R132H', 'Var', (132, 137)) ('IDH1', 'Gene', '3417', (12, 16)) ('R132H', 'SUBSTITUTION', 'None', (132, 137)) ('mutations', 'Var', (17, 26)) ('histidine', 'Chemical', 'MESH:D006639', (121, 130)) 12383 33634261 In this study, we are trying to evaluate the role of IDH1 mutation in combination with P53 mutation by immunohistochemistry (IHC) method to differentiate reactive gliosis from low-grade astrocytoma (grade II). ('gliosis', 'Phenotype', 'HP:0002171', (163, 170)) ('gliosis', 'Disease', 'MESH:D005911', (163, 170)) ('IDH1', 'Gene', (53, 57)) ('astrocytoma', 'Phenotype', 'HP:0009592', (186, 197)) ('mutation', 'Var', (58, 66)) ('astrocytoma', 'Disease', 'MESH:D001254', (186, 197)) ('IDH1', 'Gene', '3417', (53, 57)) ('astrocytoma', 'Disease', (186, 197)) ('gliosis', 'Disease', (163, 170)) ('P53', 'Gene', (87, 90)) ('P53', 'Gene', '7157', (87, 90)) 12388 33634261 The slides were reviewed and the best representative block was selected for IHC with mouse monoclonal anti-R132H-IDH1 antibody (H09, Dianova, dilution 1:50, citrate-EDTA for antigen retrieval) and P53 antibody (Dako, clone DO-7, dilution 1:100, citrate-EDTA [Ethylenediamine tetraacetic acid] for antigen retrieval). ('R132H', 'Var', (107, 112)) ('Ethylenediamine tetraacetic acid', 'Chemical', 'MESH:D004492', (259, 291)) ('IDH1', 'Gene', (113, 117)) ('P53', 'Gene', '7157', (197, 200)) ('R132H', 'SUBSTITUTION', 'None', (107, 112)) ('citrate', 'Chemical', 'MESH:D019343', (157, 164)) ('IDH1', 'Gene', '3417', (113, 117)) ('EDTA', 'Chemical', 'MESH:D004492', (253, 257)) ('citrate', 'Chemical', 'MESH:D019343', (245, 252)) ('EDTA', 'Chemical', 'MESH:D004492', (165, 169)) ('P53', 'Gene', (197, 200)) 12391 33634261 The immunohistochemical positivity for IDH1 was considered strong with 3+ positivity and weak with 1-2+ positivity. ('IDH1', 'Gene', '3417', (39, 43)) ('IDH1', 'Gene', (39, 43)) ('3+ positivity', 'Var', (71, 84)) 12404 33634261 Immunohistochemistry for P53 mutation is a marker which is seen in diffuse astrocytoma and can be useful for the differential diagnosis. ('mutation', 'Var', (29, 37)) ('P53', 'Gene', (25, 28)) ('astrocytoma', 'Disease', 'MESH:D001254', (75, 86)) ('P53', 'Gene', '7157', (25, 28)) ('astrocytoma', 'Disease', (75, 86)) ('astrocytoma', 'Phenotype', 'HP:0009592', (75, 86)) 12405 33634261 In our study, we detected P53 mutation in 90% of the cases with the diagnosis of low-grade astrocytoma and 4% of the reactive astrocytosis. ('astrocytosis', 'Disease', (126, 138)) ('P53', 'Gene', (26, 29)) ('mutation', 'Var', (30, 38)) ('P53', 'Gene', '7157', (26, 29)) ('astrocytosis', 'Disease', 'MESH:D005911', (126, 138)) ('astrocytoma', 'Disease', 'MESH:D001254', (91, 102)) ('detected', 'Reg', (17, 25)) ('astrocytoma', 'Disease', (91, 102)) ('astrocytosis', 'Phenotype', 'HP:0002446', (126, 138)) ('astrocytoma', 'Phenotype', 'HP:0009592', (91, 102)) 12406 33634261 Another genetic change common in low-grade astrocytomas is IDH1 gene mutations which have not been reported in reactive gliosis, so it seems specific for astrocytoma. ('astrocytoma', 'Disease', (154, 165)) ('mutations', 'Var', (69, 78)) ('astrocytoma', 'Disease', (43, 54)) ('IDH1', 'Gene', '3417', (59, 63)) ('gliosis', 'Disease', 'MESH:D005911', (120, 127)) ('astrocytoma', 'Phenotype', 'HP:0009592', (43, 54)) ('astrocytoma', 'Phenotype', 'HP:0009592', (154, 165)) ('astrocytomas', 'Disease', (43, 55)) ('gliosis', 'Disease', (120, 127)) ('astrocytoma', 'Disease', 'MESH:D001254', (154, 165)) ('astrocytoma', 'Disease', 'MESH:D001254', (43, 54)) ('gliosis', 'Phenotype', 'HP:0002171', (120, 127)) ('IDH1', 'Gene', (59, 63)) ('astrocytomas', 'Disease', 'MESH:D001254', (43, 55)) 12407 33634261 Majority of IDH1 mutations involve substitution of arginine by histidine at codon 132 (R132H). ('R132H', 'Var', (87, 92)) ('IDH1', 'Gene', (12, 16)) ('R132H', 'SUBSTITUTION', 'None', (87, 92)) ('arginine by histidine at codon 132', 'Mutation', 'rs121913500', (51, 85)) ('substitution', 'Var', (35, 47)) ('IDH1', 'Gene', '3417', (12, 16)) ('mutations', 'Var', (17, 26)) 12409 33634261 If IHC for mutant R132H IDH1 protein and sequencing for IDH1 codon 132 and IDH2 codon 172 gene mutations are both negative, or if sequencing for IDH1 codon 132 and IDH2 codon 172 gene mutations alone is negative, then the lesion can be diagnosed as IDH wildtype. ('IDH1', 'Gene', (145, 149)) ('IDH', 'Gene', '3417', (145, 148)) ('IDH1', 'Gene', (24, 28)) ('IDH', 'Gene', '3417', (249, 252)) ('IDH1', 'Gene', (56, 60)) ('IDH', 'Gene', (24, 27)) ('IDH', 'Gene', (56, 59)) ('IDH1', 'Gene', '3417', (145, 149)) ('IDH2', 'Gene', (164, 168)) ('IDH', 'Gene', (164, 167)) ('IDH2', 'Gene', '3418', (164, 168)) ('R132H', 'Var', (18, 23)) ('IDH1', 'Gene', '3417', (24, 28)) ('IDH2', 'Gene', (75, 79)) ('IDH1', 'Gene', '3417', (56, 60)) ('IDH', 'Gene', '3417', (24, 27)) ('IDH', 'Gene', '3417', (56, 59)) ('IDH', 'Gene', (75, 78)) ('protein', 'Protein', (29, 36)) ('IDH2', 'Gene', '3418', (75, 79)) ('IDH', 'Gene', '3417', (164, 167)) ('IDH', 'Gene', (145, 148)) ('R132H', 'SUBSTITUTION', 'None', (18, 23)) ('IDH', 'Gene', '3417', (75, 78)) ('IDH', 'Gene', (249, 252)) 12411 33634261 The study by Camelo-Piragua et al showed that the combination of P53 and mutant IDH1 by IHC provides a sensitivity of 71.4% which is significantly higher than either test alone (47.8%). ('IDH1', 'Gene', (80, 84)) ('IDH1', 'Gene', '3417', (80, 84)) ('mutant', 'Var', (73, 79)) ('P53', 'Gene', (65, 68)) ('higher', 'PosReg', (147, 153)) ('P53', 'Gene', '7157', (65, 68)) 12412 33634261 IDH1 mutation has been reported in 64.6% and 45.4% of low- and high-grade gliomas of adult patients. ('patients', 'Species', '9606', (91, 99)) ('glioma', 'Phenotype', 'HP:0009733', (74, 80)) ('gliomas', 'Disease', (74, 81)) ('gliomas', 'Disease', 'MESH:D005910', (74, 81)) ('gliomas', 'Phenotype', 'HP:0009733', (74, 81)) ('IDH1', 'Gene', (0, 4)) ('mutation', 'Var', (5, 13)) ('IDH1', 'Gene', '3417', (0, 4)) 12415 33634261 In our experience in this study, more than 90% of low-grade astrocytomas have shown mutant IDH1 (R132H) and the IHC for IDH1 was positive; this marker was only positive in 4% of reactive cases. ('astrocytomas', 'Disease', (60, 72)) ('R132H', 'Var', (97, 102)) ('IDH1', 'Gene', (91, 95)) ('mutant', 'Var', (84, 90)) ('IDH1', 'Gene', (120, 124)) ('R132H', 'SUBSTITUTION', 'None', (97, 102)) ('IDH1', 'Gene', '3417', (91, 95)) ('astrocytomas', 'Disease', 'MESH:D001254', (60, 72)) ('IDH1', 'Gene', '3417', (120, 124)) ('astrocytoma', 'Phenotype', 'HP:0009592', (60, 71)) 12422 33634261 Isocitrate dehydrogenase gene mutation assessment has been reported as highly specific marker for low-grade diffuse glioma and is recommended as an additional test not only for classification and prognosis but also for differentiating of these tumors from their mimics. ('tumor', 'Phenotype', 'HP:0002664', (244, 249)) ('mutation', 'Var', (30, 38)) ('Isocitrate dehydrogenase', 'Gene', (0, 24)) ('glioma', 'Disease', (116, 122)) ('tumors', 'Disease', (244, 250)) ('tumors', 'Disease', 'MESH:D009369', (244, 250)) ('tumors', 'Phenotype', 'HP:0002664', (244, 250)) ('glioma', 'Disease', 'MESH:D005910', (116, 122)) ('Isocitrate dehydrogenase', 'Gene', '3417', (0, 24)) ('glioma', 'Phenotype', 'HP:0009733', (116, 122)) 12432 31341789 Multivariate analyses showed improved mortality of the fMRI group and the fMRI+ECM group compared to the No-fMRI group, with age and tumor grade being the most significant influencers. ('tumor', 'Disease', 'MESH:D009369', (133, 138)) ('tumor', 'Phenotype', 'HP:0002664', (133, 138)) ('fMRI', 'Var', (55, 59)) ('tumor', 'Disease', (133, 138)) ('improved', 'PosReg', (29, 37)) ('mortality', 'CPA', (38, 47)) 12433 31341789 Furthermore, patients with high-grade tumors showed significant survival benefits in the fMRI group, while patients with low-grade tumors did not (controlling for age and ECM). ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('benefits', 'PosReg', (73, 81)) ('survival', 'CPA', (64, 72)) ('tumors', 'Disease', (38, 44)) ('tumors', 'Phenotype', 'HP:0002664', (38, 44)) ('tumor', 'Phenotype', 'HP:0002664', (131, 136)) ('patients', 'Species', '9606', (13, 21)) ('tumors', 'Disease', 'MESH:D009369', (38, 44)) ('fMRI', 'Var', (89, 93)) ('tumors', 'Phenotype', 'HP:0002664', (131, 137)) ('tumors', 'Disease', (131, 137)) ('tumors', 'Disease', 'MESH:D009369', (131, 137)) ('patients', 'Species', '9606', (107, 115)) 12434 31341789 There was also a significant difference in the two groups with respect to morbidity, with patients receiving fMRI showing improved outcomes in the motor and language domains. ('fMRI', 'Var', (109, 113)) ('patients', 'Species', '9606', (90, 98)) ('motor', 'CPA', (147, 152)) ('improved', 'PosReg', (122, 130)) 12435 31341789 This study analyzing a large retrospective series of brain tumor patients with and without the use of fMRI in the preoperative planning has resulted in improved mortality and morbidity outcomes with the use of fMRI. ('brain tumor', 'Phenotype', 'HP:0030692', (53, 64)) ('fMRI', 'Var', (210, 214)) ('improved', 'PosReg', (152, 160)) ('patients', 'Species', '9606', (65, 73)) ('brain tumor', 'Disease', 'MESH:D001932', (53, 64)) ('tumor', 'Phenotype', 'HP:0002664', (59, 64)) ('brain tumor', 'Disease', (53, 64)) 12473 31341789 The differences become notable in the high-grade tumors (50.8% survival with fMRI and 27.8% survival with No-fMRI). ('tumor', 'Phenotype', 'HP:0002664', (49, 54)) ('fMRI', 'Var', (77, 81)) ('tumors', 'Phenotype', 'HP:0002664', (49, 55)) ('tumors', 'Disease', 'MESH:D009369', (49, 55)) ('tumors', 'Disease', (49, 55)) 12493 31341789 However, there was a significant increase in 3-year survival of high-grade tumor patients who received a preoperative fMRI compared to the No-fMRI group (50.8% vs 27.8%, respectively). ('patients', 'Species', '9606', (81, 89)) ('tumor', 'Disease', 'MESH:D009369', (75, 80)) ('increase', 'PosReg', (33, 41)) ('tumor', 'Phenotype', 'HP:0002664', (75, 80)) ('tumor', 'Disease', (75, 80)) ('fMRI', 'Var', (118, 122)) 12499 31341789 This would be consistent with the reported improvement in 6 month progression free survival for high grade gliomas patients who underwent 5-aminolevulinic acid fluorescence-guided surgery, and improved median survival due to ECM and more aggressive tumor resection in low-grade tumors by Chang et al. ('tumor', 'Phenotype', 'HP:0002664', (278, 283)) ('patients', 'Species', '9606', (115, 123)) ('gliomas', 'Disease', 'MESH:D005910', (107, 114)) ('gliomas', 'Phenotype', 'HP:0009733', (107, 114)) ('tumors', 'Disease', (278, 284)) ('gliomas', 'Disease', (107, 114)) ('ECM', 'Var', (225, 228)) ('tumors', 'Phenotype', 'HP:0002664', (278, 284)) ('tumor', 'Phenotype', 'HP:0002664', (249, 254)) ('tumors', 'Disease', 'MESH:D009369', (278, 284)) ('improved', 'PosReg', (193, 201)) ('glioma', 'Phenotype', 'HP:0009733', (107, 113)) ('aggressive tumor', 'Disease', 'MESH:D001523', (238, 254)) ('median survival', 'MPA', (202, 217)) ('5-aminolevulinic acid', 'Chemical', 'MESH:C000614854', (138, 159)) ('aggressive tumor', 'Disease', (238, 254)) ('improvement', 'PosReg', (43, 54)) 12520 31341789 We posit that the survival benefit conferred by fMRI is primarily due to accurate spatial localization of functional brain regions leading to maximal tumor resection while minimizing functional deficits. ('tumor', 'Disease', 'MESH:D009369', (150, 155)) ('fMRI', 'Var', (48, 52)) ('survival', 'CPA', (18, 26)) ('tumor', 'Phenotype', 'HP:0002664', (150, 155)) ('tumor', 'Disease', (150, 155)) 12590 26524630 Genomic dynamics associated with malignant transformation in IDH1 mutated gliomas The genomic mechanism responsible for malignant transformation remains an open question for glioma researchers, where differing conclusions have been drawn based on diverse study conditions. ('glioma', 'Disease', 'MESH:D005910', (174, 180)) ('mutated', 'Var', (66, 73)) ('glioma', 'Disease', 'MESH:D005910', (74, 80)) ('glioma', 'Phenotype', 'HP:0009733', (174, 180)) ('associated', 'Reg', (17, 27)) ('gliomas', 'Disease', (74, 81)) ('glioma', 'Disease', (174, 180)) ('IDH1', 'Gene', (61, 65)) ('glioma', 'Disease', (74, 80)) ('gliomas', 'Disease', 'MESH:D005910', (74, 81)) ('gliomas', 'Phenotype', 'HP:0009733', (74, 81)) ('IDH1', 'Gene', '3417', (61, 65)) ('glioma', 'Phenotype', 'HP:0009733', (74, 80)) 12596 26524630 The alterations in genetic regulatory mechanisms may be the key factor for the major phenotypic changes in IDH1 mutated gliomas. ('IDH1', 'Gene', (107, 111)) ('glioma', 'Phenotype', 'HP:0009733', (120, 126)) ('IDH1', 'Gene', '3417', (107, 111)) ('gliomas', 'Disease', 'MESH:D005910', (120, 127)) ('gliomas', 'Phenotype', 'HP:0009733', (120, 127)) ('mutated', 'Var', (112, 119)) ('alterations', 'Reg', (4, 15)) ('gliomas', 'Disease', (120, 127)) 12598 26524630 One of the classic concepts of cancer progression includes an evolutionary process that results from stepwise mutations with sequential subclonal selection. ('results from', 'Reg', (88, 100)) ('mutations', 'Var', (110, 119)) ('cancer', 'Phenotype', 'HP:0002664', (31, 37)) ('cancer', 'Disease', 'MESH:D009369', (31, 37)) ('cancer', 'Disease', (31, 37)) 12602 26524630 Furthermore, once a genetic alteration is identified as a driver in one tumor type, that event can be more reliably interpreted even if it is infrequent. ('tumor', 'Disease', (72, 77)) ('genetic alteration', 'Var', (20, 38)) ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('tumor', 'Disease', 'MESH:D009369', (72, 77)) 12610 26524630 Strong evidence shows that somatic mutation of isocitrate dehydrogenase 1 (IDH1) is related to a better prognosis in LGGs. ('somatic mutation', 'Var', (27, 43)) ('LGGs', 'Disease', (117, 121)) ('isocitrate dehydrogenase 1', 'Gene', (47, 73)) ('isocitrate dehydrogenase 1', 'Gene', '3417', (47, 73)) ('IDH1', 'Gene', (75, 79)) ('IDH1', 'Gene', '3417', (75, 79)) 12612 26524630 However, IDH1 mutation itself may not be the driving force for malignant transformation. ('mutation', 'Var', (14, 22)) ('IDH1', 'Gene', '3417', (9, 13)) ('IDH1', 'Gene', (9, 13)) 12615 26524630 We studied 3 pairs of IDH1 mutated low grade gliomas and their high grade phenotype transformed after the lapse of time (Figure 1). ('mutated', 'Var', (27, 34)) ('glioma', 'Phenotype', 'HP:0009733', (45, 51)) ('IDH1', 'Gene', (22, 26)) ('IDH1', 'Gene', '3417', (22, 26)) ('gliomas', 'Disease', 'MESH:D005910', (45, 52)) ('gliomas', 'Phenotype', 'HP:0009733', (45, 52)) ('gliomas', 'Disease', (45, 52)) 12616 26524630 Case 1 is histologically classified as astrocytoma with IDH1 mutation and intact 1p19q status, which progressed to anaplastic astrocytoma followed by glioblastoma. ('IDH1', 'Gene', (56, 60)) ('astrocytoma', 'Disease', 'MESH:D001254', (126, 137)) ('astrocytoma', 'Phenotype', 'HP:0009592', (39, 50)) ('astrocytoma', 'Disease', (126, 137)) ('glioblastoma', 'Disease', (150, 162)) ('astrocytoma', 'Phenotype', 'HP:0009592', (126, 137)) ('glioblastoma', 'Disease', 'MESH:D005909', (150, 162)) ('mutation', 'Var', (61, 69)) ('IDH1', 'Gene', '3417', (56, 60)) ('glioblastoma', 'Phenotype', 'HP:0012174', (150, 162)) ('astrocytoma', 'Disease', 'MESH:D001254', (39, 50)) ('astrocytoma', 'Disease', (39, 50)) ('progressed', 'PosReg', (101, 111)) 12617 26524630 Case 2 and 3 are oligodendrogliomas with IDH1 mutation and 1p19q co-deletion, which progressed to anaplastic oligodendroglioma. ('glioma', 'Phenotype', 'HP:0009733', (120, 126)) ('oligodendroglioma', 'Disease', (17, 34)) ('glioma', 'Phenotype', 'HP:0009733', (28, 34)) ('oligodendroglioma', 'Disease', 'MESH:D009837', (109, 126)) ('oligodendrogliomas', 'Disease', 'MESH:D009837', (17, 35)) ('oligodendroglioma', 'Disease', 'MESH:D009837', (17, 34)) ('1p19q co-deletion', 'Var', (59, 76)) ('oligodendrogliomas', 'Disease', (17, 35)) ('oligodendroglioma', 'Disease', (109, 126)) ('IDH1', 'Gene', (41, 45)) ('gliomas', 'Phenotype', 'HP:0009733', (28, 35)) ('mutation', 'Var', (46, 54)) ('IDH1', 'Gene', '3417', (41, 45)) ('progressed', 'PosReg', (84, 94)) 12622 26524630 The segments with heterozygous deletion are of primary interest because they can be further utilized for inferring clonal dynamics of tumors. ('tumors', 'Phenotype', 'HP:0002664', (134, 140)) ('tumors', 'Disease', (134, 140)) ('tumors', 'Disease', 'MESH:D009369', (134, 140)) ('deletion', 'Var', (31, 39)) ('tumor', 'Phenotype', 'HP:0002664', (134, 139)) 12630 26524630 Among 262 cases from lower-grade glioma and 235 cases from glioblastoma with complete sequencing and CNA data, a total of 216 cases with an IDH1 mutation and available information about histological grade were analyzed (Table S2). ('IDH1', 'Gene', '3417', (140, 144)) ('glioma', 'Disease', (33, 39)) ('glioblastoma', 'Disease', (59, 71)) ('IDH1', 'Gene', (140, 144)) ('glioblastoma', 'Disease', 'MESH:D005909', (59, 71)) ('glioma', 'Disease', 'MESH:D005910', (33, 39)) ('glioma', 'Phenotype', 'HP:0009733', (33, 39)) ('glioblastoma', 'Phenotype', 'HP:0012174', (59, 71)) ('mutation', 'Var', (145, 153)) 12631 26524630 As verified recently, TP53 and ATRX mutations were the hallmark of 1p19q intact IDH1-mutated gliomas, while CIC and FUBP1 mutations were found in 1p19q co-deleted gliomas. ('gliomas', 'Disease', (93, 100)) ('gliomas', 'Disease', (163, 170)) ('ATRX', 'Gene', (31, 35)) ('ATRX', 'Gene', '546', (31, 35)) ('FUBP1', 'Gene', '8880', (116, 121)) ('TP53', 'Gene', (22, 26)) ('IDH1', 'Gene', (80, 84)) ('gliomas', 'Disease', 'MESH:D005910', (93, 100)) ('gliomas', 'Disease', 'MESH:D005910', (163, 170)) ('CIC', 'Gene', (108, 111)) ('glioma', 'Phenotype', 'HP:0009733', (163, 169)) ('glioma', 'Phenotype', 'HP:0009733', (93, 99)) ('gliomas', 'Phenotype', 'HP:0009733', (93, 100)) ('gliomas', 'Phenotype', 'HP:0009733', (163, 170)) ('IDH1', 'Gene', '3417', (80, 84)) ('TP53', 'Gene', '7157', (22, 26)) ('CIC', 'Gene', '23152', (108, 111)) ('1p19q', 'Var', (67, 72)) ('FUBP1', 'Gene', (116, 121)) ('mutations', 'Var', (36, 45)) 12632 26524630 However, it is worth noting that TP53 and ATRX mutations were observed only in a small fraction of 1p19q co-deleted gliomas of high grade, which implies that these types of trans-lineage mutations can contribute to the malignant transformation that was also observed in Case 2. ('contribute', 'Reg', (201, 211)) ('malignant transformation', 'CPA', (219, 243)) ('gliomas', 'Phenotype', 'HP:0009733', (116, 123)) ('TP53', 'Gene', '7157', (33, 37)) ('ATRX', 'Gene', (42, 46)) ('ATRX', 'Gene', '546', (42, 46)) ('gliomas', 'Disease', (116, 123)) ('TP53', 'Gene', (33, 37)) ('gliomas', 'Disease', 'MESH:D005910', (116, 123)) ('1p19q co-deleted', 'Var', (99, 115)) ('glioma', 'Phenotype', 'HP:0009733', (116, 122)) 12633 26524630 Recent observation of changes in TP53 expression in sequential samples of oligodendrogliomas supports that the de novo TP53 mutation or the proliferation of a subset of cells with nuclear expression of TP53 could lead to tumor progression in some IDH1-mutated oligodendroglial tumors. ('oligodendrogliomas', 'Disease', 'MESH:D009837', (74, 92)) ('tumor', 'Phenotype', 'HP:0002664', (221, 226)) ('TP53', 'Gene', '7157', (33, 37)) ('tumor', 'Phenotype', 'HP:0002664', (277, 282)) ('IDH1', 'Gene', '3417', (247, 251)) ('TP53', 'Gene', '7157', (119, 123)) ('glioma', 'Phenotype', 'HP:0009733', (85, 91)) ('TP53', 'Gene', (202, 206)) ('oligodendrogliomas', 'Disease', (74, 92)) ('gliomas', 'Phenotype', 'HP:0009733', (85, 92)) ('tumor', 'Disease', (221, 226)) ('oligodendroglial tumors', 'Disease', (260, 283)) ('TP53', 'Gene', (33, 37)) ('tumor', 'Disease', (277, 282)) ('TP53', 'Gene', (119, 123)) ('tumor', 'Disease', 'MESH:D009369', (221, 226)) ('TP53', 'Gene', '7157', (202, 206)) ('oligodendroglial tumors', 'Disease', 'MESH:D009369', (260, 283)) ('tumor', 'Disease', 'MESH:D009369', (277, 282)) ('lead to', 'Reg', (213, 220)) ('IDH1', 'Gene', (247, 251)) ('mutation', 'Var', (124, 132)) ('tumors', 'Phenotype', 'HP:0002664', (277, 283)) 12636 26524630 U2AF2 had a copy number loss in case 3 from the low-grade stage and developed additional missense mutations at the high-grade stage. ('U2AF2', 'Gene', '11338', (0, 5)) ('U2AF2', 'Gene', (0, 5)) ('missense mutations', 'Var', (89, 107)) ('copy number loss', 'Var', (12, 28)) 12637 26524630 And in TCGA samples, 5.9% of grade 3 gliomas with IDH1 mutation/1p19q co-deletion harbored mutations in U2AF2 while no mutations were found in grade 2 gliomas with the same molecular signature (Figure 6). ('harbored', 'Reg', (82, 90)) ('IDH1', 'Gene', (50, 54)) ('mutation/1p19q co-deletion', 'Var', (55, 81)) ('glioma', 'Phenotype', 'HP:0009733', (151, 157)) ('U2AF2', 'Gene', (104, 109)) ('IDH1', 'Gene', '3417', (50, 54)) ('gliomas', 'Disease', 'MESH:D005910', (37, 44)) ('gliomas', 'Phenotype', 'HP:0009733', (37, 44)) ('mutations', 'Var', (91, 100)) ('gliomas', 'Disease', (37, 44)) ('U2AF2', 'Gene', '11338', (104, 109)) ('gliomas', 'Disease', (151, 158)) ('glioma', 'Phenotype', 'HP:0009733', (37, 43)) ('gliomas', 'Disease', 'MESH:D005910', (151, 158)) ('gliomas', 'Phenotype', 'HP:0009733', (151, 158)) 12639 26524630 A novel frameshift deletion in TCF12 was found in the high grade sample of case 1, and mutations were observed in 4.7% of grade 2 and 5.9% of grade 3 of IDH1 mutation/1p19q co-deletion samples in TCGA (Figure 6). ('IDH1', 'Gene', (153, 157)) ('TCF12', 'Gene', '6938', (31, 36)) ('frameshift deletion', 'Var', (8, 27)) ('IDH1', 'Gene', '3417', (153, 157)) ('mutation/1p19q', 'Var', (158, 172)) ('TCF12', 'Gene', (31, 36)) 12640 26524630 Although a mutation in low grade phase was already present, newly developed copy number loss of ARID1A was found in the high grade sample of case 1. ('ARID1A', 'Gene', '8289', (96, 102)) ('ARID1A', 'Gene', (96, 102)) ('copy number loss', 'Var', (76, 92)) 12641 26524630 TCGA data shows that increase in mutation rate in high grade phenotype was observed in both 1p19q co-deleted and intact gliomas with IDH1 mutation (Figure 6). ('gliomas', 'Phenotype', 'HP:0009733', (120, 127)) ('glioma', 'Phenotype', 'HP:0009733', (120, 126)) ('IDH1', 'Gene', (133, 137)) ('mutation', 'Var', (138, 146)) ('gliomas', 'Disease', 'MESH:D005910', (120, 127)) ('1p19q co-deleted', 'Var', (92, 108)) ('gliomas', 'Disease', (120, 127)) ('increase', 'PosReg', (21, 29)) ('IDH1', 'Gene', '3417', (133, 137)) 12642 26524630 Moreover, copy number loss was accompanied by 1p19q co-deleted tumors, but there was no mutation in grade 4 GBMs as observed previously. ('tumors', 'Phenotype', 'HP:0002664', (63, 69)) ('tumors', 'Disease', (63, 69)) ('1p19q co-deleted', 'Var', (46, 62)) ('tumors', 'Disease', 'MESH:D009369', (63, 69)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) ('copy number loss', 'Var', (10, 26)) 12650 26524630 Interestingly, the DEG from the high grade phenotype share a common genetic signature with a proneural type of glioblastoma (Gene set: VERHAAK_GLIOBLASTOMA_PRONEURAL), which is distinguished from other glioblastomas by lower age, better prognosis, PDGFRA expression, and frequent IDH1 mutation (Figure S4). ('proneural type', 'Disease', (93, 107)) ('glioblastoma', 'Phenotype', 'HP:0012174', (111, 123)) ('IDH1', 'Gene', (280, 284)) ('glioblastomas', 'Phenotype', 'HP:0012174', (202, 215)) ('PDGFRA', 'Gene', (248, 254)) ('glioblastoma', 'Disease', (202, 214)) ('IDH1', 'Gene', '3417', (280, 284)) ('PDGFRA', 'Gene', '5156', (248, 254)) ('glioblastoma', 'Disease', 'MESH:D005909', (202, 214)) ('glioblastomas', 'Disease', 'MESH:D005909', (202, 215)) ('mutation', 'Var', (285, 293)) ('glioblastoma', 'Phenotype', 'HP:0012174', (202, 214)) ('glioblastomas', 'Disease', (202, 215)) ('glioblastoma', 'Disease', (111, 123)) ('glioblastoma', 'Disease', 'MESH:D005909', (111, 123)) 12653 26524630 U2AF2 is a core member of the spliceosome machinery, so mutations in this gene can affect the normal function of spliceosomes resulting in the formation of aberrant mature mRNAs by misunderstanding of splice site recognition. ('misunderstanding', 'Var', (181, 197)) ('mutations', 'Var', (56, 65)) ('aberrant mature mRNAs', 'MPA', (156, 177)) ('affect', 'Reg', (83, 89)) ('formation', 'MPA', (143, 152)) ('U2AF2', 'Gene', '11338', (0, 5)) ('normal function of spliceosomes', 'MPA', (94, 125)) ('U2AF2', 'Gene', (0, 5)) 12654 26524630 Mutations to spliceosome genes are related to hematological malignancy and its prognosis and can act as a driver of oncogenesis in colon cancer. ('cancer', 'Phenotype', 'HP:0002664', (137, 143)) ('colon cancer', 'Disease', 'MESH:D015179', (131, 143)) ('spliceosome genes', 'Gene', (13, 30)) ('colon cancer', 'Disease', (131, 143)) ('hematological malignancy', 'Disease', 'MESH:D019337', (46, 70)) ('Mutations', 'Var', (0, 9)) ('related', 'Reg', (35, 42)) ('hematological malignancy', 'Phenotype', 'HP:0004377', (46, 70)) ('colon cancer', 'Phenotype', 'HP:0003003', (131, 143)) ('hematological malignancy', 'Disease', (46, 70)) 12658 26524630 Interestingly, significant differences in TCF12 expression between 1p19q co-deleted tumors and intact tumors (higher with 1q19q codeletion) as well as among WHO grades (highest in grade 2 and lowest in grade 4) were reported previously. ('TCF12', 'Gene', '6938', (42, 47)) ('tumors', 'Disease', (102, 108)) ('tumors', 'Disease', 'MESH:D009369', (102, 108)) ('tumors', 'Phenotype', 'HP:0002664', (102, 108)) ('tumor', 'Phenotype', 'HP:0002664', (84, 89)) ('1q19q codeletion', 'Var', (122, 138)) ('expression', 'MPA', (48, 58)) ('differences', 'Reg', (27, 38)) ('1p19q co-deleted', 'Var', (67, 83)) ('TCF12', 'Gene', (42, 47)) ('tumors', 'Disease', (84, 90)) ('tumors', 'Disease', 'MESH:D009369', (84, 90)) ('tumors', 'Phenotype', 'HP:0002664', (84, 90)) ('higher', 'PosReg', (110, 116)) ('tumor', 'Phenotype', 'HP:0002664', (102, 107)) 12669 26524630 Moreover, expression changes resulting from genomic alterations appear to activate genes associated with the restoration of stemness in cancer cells. ('cancer', 'Disease', 'MESH:D009369', (136, 142)) ('expression', 'MPA', (10, 20)) ('cancer', 'Disease', (136, 142)) ('genomic alterations', 'Var', (44, 63)) ('genes', 'Gene', (83, 88)) ('activate', 'PosReg', (74, 82)) ('cancer', 'Phenotype', 'HP:0002664', (136, 142)) 12681 26524630 However, we found that the ASCAT algorithm overestimated the ploidy of the high grade sample from Case 2 because the algorithm prefers to assign integer copy numbers to segments with heterozygous deletion in chromosomes 2 and 18, even though they are only likely to be altered in just under half of the cancer cells from the sample (Figure S8). ('cancer', 'Disease', (303, 309)) ('deletion', 'Var', (196, 204)) ('cancer', 'Phenotype', 'HP:0002664', (303, 309)) ('ploidy', 'MPA', (61, 67)) ('cancer', 'Disease', 'MESH:D009369', (303, 309)) 12684 26524630 1) We identified segments with heterozygous deletions whose size is greater than 10Mb in each tumor sample. ('tumor', 'Disease', 'MESH:D009369', (94, 99)) ('deletions', 'Var', (44, 53)) ('tumor', 'Phenotype', 'HP:0002664', (94, 99)) ('tumor', 'Disease', (94, 99)) 12686 26524630 For each tumor sample, we calculated the fraction of a subclone harboring a segment with heterozygous deletion by utilizing two types of information: a) the normalized read count ratio between the normal and tumor sample within the segment, and b) the altered allele frequencies of germline heterozygous SNVs in a tumor sample within the segments. ('tumor', 'Disease', 'MESH:D009369', (314, 319)) ('tumor', 'Disease', 'MESH:D009369', (9, 14)) ('tumor', 'Disease', 'MESH:D009369', (208, 213)) ('tumor', 'Phenotype', 'HP:0002664', (314, 319)) ('tumor', 'Phenotype', 'HP:0002664', (9, 14)) ('tumor', 'Phenotype', 'HP:0002664', (208, 213)) ('tumor', 'Disease', (314, 319)) ('deletion', 'Var', (102, 110)) ('tumor', 'Disease', (9, 14)) ('tumor', 'Disease', (208, 213)) ('SNVs', 'Gene', (304, 308)) 12719 33093452 Moreover, we found that miR-504 exerted an antitumor effect in vitro and in vivo and in addition, inhibited the stemness and mesenchymal transit of GSCs. ('miR-504', 'Var', (24, 31)) ('inhibited', 'NegReg', (98, 107)) ('tumor', 'Disease', 'MESH:D009369', (47, 52)) ('GSCs', 'Chemical', '-', (148, 152)) ('tumor', 'Phenotype', 'HP:0002664', (47, 52)) ('tumor', 'Disease', (47, 52)) 12729 33093452 Lentivirus vectors (System Biosciences, Mountain View, CA) expressing the miR-504 reporter, pre-miR-504, miR-504 antagomiR, Grb10, or control and Grb10 shRNAs were packaged and used to transduce the cells according to the manufacturer's protocol and as previously described. ('Grb10', 'Gene', (124, 129)) ('Grb10', 'Gene', (146, 151)) ('Grb10', 'Gene', '2887', (146, 151)) ('Grb10', 'Gene', '2887', (124, 129)) ('miR-504', 'Var', (105, 112)) ('transduce', 'Reg', (185, 194)) ('miR-504', 'Gene', (74, 81)) ('pre-miR-504', 'Var', (92, 103)) 12758 33093452 Since miR-504 was one of the most downregulated miRNAs in GSCs compared with hNSCs (Fig. ('GSCs', 'Disease', (58, 62)) ('miR-504', 'Var', (6, 13)) ('GSCs', 'Chemical', '-', (58, 62)) ('downregulated', 'NegReg', (34, 47)) 12772 33093452 3SA) and found that pre-miR-504 markedly decreased the expression of the stemness markers Oct4 and Nanog and increased the expression of the astrocytic marker GFAP in both GSC-1 and GSC-2 (Fig. ('Oct4', 'Gene', '5460', (90, 94)) ('GSC', 'Chemical', '-', (172, 175)) ('expression', 'MPA', (123, 133)) ('decreased', 'NegReg', (41, 50)) ('GFAP', 'Gene', '2670', (159, 163)) ('expression', 'MPA', (55, 65)) ('GSC-2', 'Gene', (182, 187)) ('Nanog', 'Gene', '79923', (99, 104)) ('GSC-2', 'Gene', '2928', (182, 187)) ('Oct4', 'Gene', (90, 94)) ('Nanog', 'Gene', (99, 104)) ('increased', 'PosReg', (109, 118)) ('pre-miR-504', 'Var', (20, 31)) ('GSC', 'Chemical', '-', (182, 185)) ('GFAP', 'Gene', (159, 163)) 12786 33093452 Using the Grb10 3'-UTR- tagged to luciferase, we demonstrated a direct targeting of Grb10 by miR-504 (Fig. ('targeting', 'Reg', (71, 80)) ('Grb10', 'Gene', (10, 15)) ('miR-504', 'Var', (93, 100)) ('Grb10', 'Gene', (84, 89)) ('Grb10', 'Gene', '2887', (84, 89)) ('Grb10', 'Gene', '2887', (10, 15)) 12796 33093452 These results demonstrate that targeting Grb10 by miR-504 mediates at least in part the inhibitory effects of miR-504 on the stemness and mesenchymal phenotypes of GSCs. ('miR-504', 'Var', (110, 117)) ('Grb10', 'Gene', '2887', (41, 46)) ('miR-504', 'Gene', (50, 57)) ('GSCs', 'Chemical', '-', (164, 168)) ('stemness', 'CPA', (125, 133)) ('Grb10', 'Gene', (41, 46)) 12803 33093452 In contrast, transduction of the GSCs with pre-miR-504 (Fig. ('pre-miR-504', 'Var', (43, 54)) ('transduction', 'MPA', (13, 25)) ('GSCs', 'Chemical', '-', (33, 37)) 12807 33093452 5G, microglia that were co-cultured with GSCs overexpressing pre-miR-504 exhibited decreased luciferase activity indicating that miR-504 was transferred by the cocultured GSCs. ('luciferase', 'Enzyme', (93, 103)) ('activity', 'MPA', (104, 112)) ('GSCs', 'Chemical', '-', (171, 175)) ('decreased', 'NegReg', (83, 92)) ('overexpressing', 'Var', (46, 60)) ('GSCs', 'Chemical', '-', (41, 45)) ('pre-miR-504', 'Var', (61, 72)) 12810 33093452 Finally, we demonstrated that overexpression of miR-504 in microglial cells upregulated the relative expression of the M1 markers CD86 and TNF-alpha (Fig. ('miR-504', 'Var', (48, 55)) ('CD86', 'Gene', (130, 134)) ('overexpression', 'PosReg', (30, 44)) ('TNF-alpha', 'Gene', '7124', (139, 148)) ('TNF-alpha', 'Gene', (139, 148)) ('upregulated', 'PosReg', (76, 87)) ('expression', 'MPA', (101, 111)) 12815 33093452 We found that EVs isolated from GSC-1 overexpressing miR-504 expressed significantly higher levels of miR-504 compared with EVs isolated from GSC-1 expressing a control pre-miR (Figs. ('higher', 'PosReg', (85, 91)) ('GSC', 'Chemical', '-', (142, 145)) ('miR-504', 'Var', (53, 60)) ('miR-504', 'MPA', (102, 109)) ('GSC', 'Chemical', '-', (32, 35)) ('levels', 'MPA', (92, 98)) 12822 33093452 These results indicate that the transfer of miR-504 by GSC-derived EVs mediated, at least partly, the increased M1 phenotypes of the microglial cells induced by the cocultured GSCs. ('transfer', 'Var', (32, 40)) ('M1 phenotypes', 'MPA', (112, 125)) ('GSC', 'Chemical', '-', (55, 58)) ('miR-504', 'Gene', (44, 51)) ('GSC', 'Chemical', '-', (176, 179)) ('increased', 'PosReg', (102, 111)) ('GSCs', 'Chemical', '-', (176, 180)) 12831 33093452 These findings indicate that alterations in miRNA expression are associated with deregulation in pathways which contribute to the tumorigenic phenotypes of GSCs. ('GSCs', 'Disease', (156, 160)) ('tumor', 'Disease', 'MESH:D009369', (130, 135)) ('alterations', 'Var', (29, 40)) ('associated', 'Reg', (65, 75)) ('deregulation', 'MPA', (81, 93)) ('miRNA', 'Protein', (44, 49)) ('tumor', 'Phenotype', 'HP:0002664', (130, 135)) ('pathways', 'Pathway', (97, 105)) ('GSCs', 'Chemical', '-', (156, 160)) ('tumor', 'Disease', (130, 135)) 12836 33093452 In agreement with the lower expression of miR-504 in more high grade tumors and in the mesenchymal subtype, we found that overexpression of miR-504 inhibited the self-renewal and mesenchymal phenotypes of GSCs, Collectively, the current results highlight miR-504 as a potential tumor suppressor miRNA and as a negative regulator of the tumorigenicity of GBM and GSCs. ('tumor', 'Phenotype', 'HP:0002664', (69, 74)) ('tumor', 'Disease', 'MESH:D009369', (278, 283)) ('tumor', 'Phenotype', 'HP:0002664', (278, 283)) ('tumor', 'Disease', (278, 283)) ('tumor', 'Disease', (69, 74)) ('tumor', 'Phenotype', 'HP:0002664', (336, 341)) ('tumor', 'Disease', 'MESH:D009369', (336, 341)) ('tumors', 'Phenotype', 'HP:0002664', (69, 75)) ('GSCs', 'Chemical', '-', (362, 366)) ('tumors', 'Disease', (69, 75)) ('tumors', 'Disease', 'MESH:D009369', (69, 75)) ('GBM', 'Phenotype', 'HP:0012174', (354, 357)) ('GSCs', 'Chemical', '-', (205, 209)) ('inhibited', 'NegReg', (148, 157)) ('miR-504', 'Var', (255, 262)) ('tumor', 'Disease', (336, 341)) ('tumor', 'Disease', 'MESH:D009369', (69, 74)) 12855 33093452 Since miR-504 decreased the stemness and mesenchymal differentiation of GSCs, it is possible that other factors or miRNAs that are secreted by the transduced GSCs can also contribute to the induction of this change in the microglial phenotype. ('miR-504', 'Var', (6, 13)) ('GSCs', 'Chemical', '-', (72, 76)) ('GSCs', 'Chemical', '-', (158, 162)) ('decreased', 'NegReg', (14, 23)) 12860 33093452 miR-504 is downregulated in GSCs and exerts inhibitory effects on the functions of these cells via the targeting of Grb10 that acts as an oncogene in GBM and GSCs. ('GBM', 'Phenotype', 'HP:0012174', (150, 153)) ('GSCs', 'Chemical', '-', (158, 162)) ('downregulated', 'NegReg', (11, 24)) ('Grb10', 'Gene', (116, 121)) ('GSCs', 'Chemical', '-', (28, 32)) ('miR-504', 'Gene', (0, 7)) ('targeting', 'Var', (103, 112)) ('Grb10', 'Gene', '2887', (116, 121)) ('GSCs', 'Disease', (28, 32)) 12865 32051553 We previously showed that SIX3 can be transcriptionally silenced by DNA hypermethylation, functions as a tumor suppressor gene, and inhibits human glioblastoma transcriptionally. ('silenced', 'NegReg', (56, 64)) ('DNA hypermethylation', 'Var', (68, 88)) ('glioblastoma', 'Disease', (147, 159)) ('glioblastoma', 'Disease', 'MESH:D005909', (147, 159)) ('tumor', 'Disease', 'MESH:D009369', (105, 110)) ('inhibits', 'NegReg', (132, 140)) ('transcriptionally', 'MPA', (160, 177)) ('SIX3', 'Gene', (26, 30)) ('SIX3', 'Gene', '6496', (26, 30)) ('human', 'Species', '9606', (141, 146)) ('glioblastoma', 'Phenotype', 'HP:0012174', (147, 159)) ('tumor', 'Phenotype', 'HP:0002664', (105, 110)) ('tumor', 'Disease', (105, 110)) 12868 32051553 ZNF263 binds to the core promoter region of SIX3 and recruits the KAP1/HATS/DNMT corepressor complex to induce transcriptional silencing of SIX3 through H3K27me3 and methylation of SIX3 promoter. ('H3K27me3', 'Protein', (153, 161)) ('SIX3', 'Gene', '6496', (44, 48)) ('ZNF263', 'Gene', '10127', (0, 6)) ('ZNF263', 'Gene', (0, 6)) ('transcriptional', 'MPA', (111, 126)) ('SIX3', 'Gene', (44, 48)) ('SIX3', 'Gene', '6496', (181, 185)) ('SIX3', 'Gene', (181, 185)) ('SIX3', 'Gene', '6496', (140, 144)) ('SIX3', 'Gene', (140, 144)) ('silencing', 'NegReg', (127, 136)) ('methylation', 'Var', (166, 177)) 12870 32051553 Together, our findings demonstrate that epigenetic silencing of SIX3 is controlled by a sophisticated and highly ordered oncogenic signaling pathway and therefore provide new insights into initiation and progression of glioblastoma. ('SIX3', 'Gene', '6496', (64, 68)) ('SIX3', 'Gene', (64, 68)) ('glioblastoma', 'Disease', (219, 231)) ('controlled', 'Reg', (72, 82)) ('glioblastoma', 'Disease', 'MESH:D005909', (219, 231)) ('epigenetic silencing', 'Var', (40, 60)) ('glioblastoma', 'Phenotype', 'HP:0012174', (219, 231)) 12871 32051553 During tumorigenesis, cells undergo a genome-wide epigenetic reprogramming process, which contributes to massive overall DNA hypomethylation and specific hypermethylation at certain CpG promoters. ('tumor', 'Disease', (7, 12)) ('hypomethylation', 'Var', (125, 140)) ('epigenetic', 'CPA', (50, 60)) ('tumor', 'Disease', 'MESH:D009369', (7, 12)) ('DNA', 'MPA', (121, 124)) ('hypermethylation', 'Var', (154, 170)) ('tumor', 'Phenotype', 'HP:0002664', (7, 12)) 12872 32051553 Abundant tumor suppressor genes (TSG) are reportedly silenced by DNA methylation and histone modifications in human cancer. ('DNA methylation', 'Var', (65, 80)) ('tumor', 'Disease', 'MESH:D009369', (9, 14)) ('histone modifications', 'Var', (85, 106)) ('cancer', 'Disease', (116, 122)) ('cancer', 'Disease', 'MESH:D009369', (116, 122)) ('tumor', 'Phenotype', 'HP:0002664', (9, 14)) ('silenced', 'NegReg', (53, 61)) ('tumor', 'Disease', (9, 14)) ('human', 'Species', '9606', (110, 115)) ('cancer', 'Phenotype', 'HP:0002664', (116, 122)) 12875 32051553 Epigenetic alterations play critical roles in glioblastoma initiation and progression and give rise to various cells phenotypes. ('Epigenetic alterations', 'Var', (0, 22)) ('give rise', 'Reg', (90, 99)) ('roles', 'Reg', (37, 42)) ('glioblastoma', 'Phenotype', 'HP:0012174', (46, 58)) ('glioblastoma initiation', 'Disease', (46, 69)) ('glioblastoma initiation', 'Disease', 'MESH:D005909', (46, 69)) 12876 32051553 In high-grade pediatric gliomas, high frequency of H3.3K27M mutation led to the loss of suppressive H3K27me3 modifications. ('gliomas', 'Phenotype', 'HP:0009733', (24, 31)) ('glioma', 'Phenotype', 'HP:0009733', (24, 30)) ('loss', 'NegReg', (80, 84)) ('H3K27me3', 'Protein', (100, 108)) ('H3.3K27M mutation', 'Var', (51, 68)) ('gliomas', 'Disease', (24, 31)) ('gliomas', 'Disease', 'MESH:D005910', (24, 31)) 12877 32051553 DNA methylation alterations have been widely reported in gliomas. ('reported', 'Reg', (45, 53)) ('gliomas', 'Disease', 'MESH:D005910', (57, 64)) ('gliomas', 'Phenotype', 'HP:0009733', (57, 64)) ('gliomas', 'Disease', (57, 64)) ('glioma', 'Phenotype', 'HP:0009733', (57, 63)) ('methylation alterations', 'Var', (4, 27)) 12879 32051553 Mutations of isocitrate dehydrogenase 1 (IDH1) have been shown to be sufficient to establish G-CIMP by remodeling the methylome. ('remodeling', 'Reg', (103, 113)) ('G-CIMP', 'Chemical', '-', (93, 99)) ('methylome', 'MPA', (118, 127)) ('Mutations', 'Var', (0, 9)) ('IDH1', 'Gene', (41, 45)) ('IDH1', 'Gene', '3417', (41, 45)) ('isocitrate', 'Chemical', 'MESH:C034219', (13, 23)) 12880 32051553 While H3.3K27M, IDH1 mutations are detected in a small fraction of glioblastoma patients, the mechanism by which oncogenic mutations remodel the epigenome are still poorly understood. ('H3.3K27M', 'Var', (6, 14)) ('glioblastoma', 'Disease', (67, 79)) ('patients', 'Species', '9606', (80, 88)) ('glioblastoma', 'Disease', 'MESH:D005909', (67, 79)) ('glioblastoma', 'Phenotype', 'HP:0012174', (67, 79)) ('IDH1', 'Gene', (16, 20)) ('IDH1', 'Gene', '3417', (16, 20)) ('mutations', 'Var', (21, 30)) 12881 32051553 It is well established that amplification and mutations of epidermal growth factor receptor (EGFR) are the most frequent genetic event in glioblastoma, which promotes tumor growth and survival through uncontrolled activation of signaling networks and metabolic reprogramming. ('signaling networks', 'Pathway', (228, 246)) ('activation', 'PosReg', (214, 224)) ('mutations', 'Var', (46, 55)) ('EGFR', 'Gene', '1956', (93, 97)) ('promotes', 'PosReg', (158, 166)) ('EGFR', 'Gene', (93, 97)) ('tumor', 'Disease', 'MESH:D009369', (167, 172)) ('glioblastoma', 'Disease', (138, 150)) ('metabolic reprogramming', 'CPA', (251, 274)) ('glioblastoma', 'Disease', 'MESH:D005909', (138, 150)) ('tumor', 'Phenotype', 'HP:0002664', (167, 172)) ('tumor', 'Disease', (167, 172)) ('glioblastoma', 'Phenotype', 'HP:0012174', (138, 150)) ('survival', 'CPA', (184, 192)) ('amplification', 'Var', (28, 41)) 12883 32051553 EGFR hyperactivation has been found to transcriptionally suppress the expression of DNA demethylase-TET oncogene family member 1 (TET1), which contributes to the hypermethylation in the promoter region of a panel of TSGs in lung cancers and glioblastomas. ('hypermethylation', 'MPA', (162, 178)) ('glioblastomas', 'Disease', (241, 254)) ('EGFR', 'Gene', (0, 4)) ('lung cancers', 'Disease', (224, 236)) ('cancers', 'Phenotype', 'HP:0002664', (229, 236)) ('expression', 'Species', '29278', (70, 80)) ('suppress', 'NegReg', (57, 65)) ('glioblastoma', 'Phenotype', 'HP:0012174', (241, 253)) ('glioblastomas', 'Phenotype', 'HP:0012174', (241, 254)) ('expression', 'MPA', (70, 80)) ('hyperactivation', 'Var', (5, 20)) ('TET1', 'Gene', (130, 134)) ('lung cancers', 'Disease', 'MESH:D008175', (224, 236)) ('lung cancers', 'Phenotype', 'HP:0100526', (224, 236)) ('glioblastomas', 'Disease', 'MESH:D005909', (241, 254)) ('cancer', 'Phenotype', 'HP:0002664', (229, 235)) ('EGFR', 'Gene', '1956', (0, 4)) 12888 32051553 SIX3 mutations correlate with multiple CNS developmental disorders, such as holoprosencephaly, aprosencephaly, and atelencephaly. ('developmental disorders', 'Disease', 'MESH:D002658', (43, 66)) ('atelencephaly', 'Disease', (115, 128)) ('holoprosencephaly', 'Disease', (76, 93)) ('holoprosencephaly', 'Phenotype', 'HP:0001360', (76, 93)) ('aprosencephaly', 'Disease', (95, 109)) ('mutations', 'Var', (5, 14)) ('SIX3', 'Gene', '6496', (0, 4)) ('aprosencephaly', 'Phenotype', 'HP:0007268', (95, 109)) ('developmental disorders', 'Disease', (43, 66)) ('holoprosencephaly', 'Disease', 'MESH:D016142', (76, 93)) ('atelencephaly', 'Disease', 'MESH:C536767', (115, 128)) ('SIX3', 'Gene', (0, 4)) ('aprosencephaly', 'Disease', 'MESH:D000757', (95, 109)) 12892 32051553 In this study, we revealed that epigenetic silencing of SIX3 is controlled by a highly ordered signaling pathway consisting of EGFR, ZNF263, and a subset of chromatin modifiers. ('ZNF263', 'Gene', (133, 139)) ('SIX3', 'Gene', '6496', (56, 60)) ('SIX3', 'Gene', (56, 60)) ('controlled', 'Reg', (64, 74)) ('epigenetic silencing', 'Var', (32, 52)) ('EGFR', 'Gene', '1956', (127, 131)) ('EGFR', 'Gene', (127, 131)) ('ZNF263', 'Gene', '10127', (133, 139)) 12897 32051553 S1B), we detected SIX3 DNA methylation in the phenotypically normal astrocyte cell line HEB and three glioblastoma cell lines (U251, U87, and U118), and the level of methylation correlated inversely with the expression of SIX3 (Fig. ('glioblastoma', 'Disease', (102, 114)) ('HEB', 'Gene', '6938', (88, 91)) ('SIX3', 'Gene', '6496', (222, 226)) ('expression', 'Species', '29278', (208, 218)) ('methylation', 'Var', (27, 38)) ('glioblastoma', 'Disease', 'MESH:D005909', (102, 114)) ('HEB', 'Gene', (88, 91)) ('glioblastoma', 'Phenotype', 'HP:0012174', (102, 114)) ('SIX3', 'Gene', (222, 226)) ('U251', 'CellLine', 'CVCL:0021', (127, 131)) ('U87', 'CellLine', 'CVCL:0022', (133, 136)) ('SIX3', 'Gene', '6496', (18, 22)) ('SIX3', 'Gene', (18, 22)) 12904 32051553 Intriguingly, it has been reported that the classic subtypes of glioblastoma are characterized by high frequencies of EGFR amplification and mutations. ('glioblastoma', 'Disease', (64, 76)) ('glioblastoma', 'Disease', 'MESH:D005909', (64, 76)) ('mutations', 'Var', (141, 150)) ('glioblastoma', 'Phenotype', 'HP:0012174', (64, 76)) ('EGFR', 'Gene', '1956', (118, 122)) ('EGFR', 'Gene', (118, 122)) ('amplification', 'Var', (123, 136)) 12920 32051553 ChIP analysis showed that knockdown ZNF263 decreased the enrichment of H3K27me3 in the entire region of SIX3 promoter and specifically reduced the enrichment of H3K9me3 at region 2 and 3 (Fig. ('enrichment', 'MPA', (57, 67)) ('H3K27me3', 'Protein', (71, 79)) ('ZNF263', 'Gene', (36, 42)) ('H3K9me3', 'Protein', (161, 168)) ('enrichment', 'MPA', (147, 157)) ('ZNF263', 'Gene', '10127', (36, 42)) ('knockdown', 'Var', (26, 35)) ('reduced', 'NegReg', (135, 142)) ('SIX3', 'Gene', '6496', (104, 108)) ('decreased', 'NegReg', (43, 52)) ('SIX3', 'Gene', (104, 108)) 12925 32051553 The effects of ZNF263 on H3K27me3 and H3K9me3 led us to ask whether ZNF263 alter chromatin accessibility of SIX3 promoter in glioblastoma. ('SIX3', 'Gene', (108, 112)) ('effects', 'Reg', (4, 11)) ('glioblastoma', 'Phenotype', 'HP:0012174', (125, 137)) ('ZNF263', 'Gene', (68, 74)) ('SIX3', 'Gene', '6496', (108, 112)) ('H3K27me3', 'Var', (25, 33)) ('glioblastoma', 'Disease', (125, 137)) ('ZNF263', 'Gene', '10127', (15, 21)) ('ZNF263', 'Gene', (15, 21)) ('ZNF263', 'Gene', '10127', (68, 74)) ('glioblastoma', 'Disease', 'MESH:D005909', (125, 137)) ('chromatin accessibility', 'MPA', (81, 104)) 12927 32051553 Conversely, a more extractable chromatin structure was observed upon knockdown ZNF263 (Fig. ('ZNF263', 'Gene', '10127', (79, 85)) ('extractable chromatin structure', 'MPA', (19, 50)) ('ZNF263', 'Gene', (79, 85)) ('more', 'PosReg', (14, 18)) ('knockdown', 'Var', (69, 78)) 12936 32051553 No interactions were found between ZNF263 and HDAC1, SUZ12, SUV39H1, or SUV39H2 (Fig. ('SUZ12', 'Chemical', '-', (53, 58)) ('ZNF263', 'Gene', '10127', (35, 41)) ('interactions', 'Interaction', (3, 15)) ('ZNF263', 'Gene', (35, 41)) ('SUV39H2', 'Var', (72, 79)) ('HDAC1', 'Gene', (46, 51)) 12942 32051553 The results from TCGA showed that ZNF263 expression had no significant correlation with the expression of DNMT3A, DNMT3B, SUV29H1, SUV39H2, EED, EZH2 at the mRNA level, while positively correlating with the expression of DNMT1, SETDB1, and SUZ12 (Fig. ('expression', 'Species', '29278', (41, 51)) ('ZNF263', 'Gene', (34, 40)) ('DNMT3B', 'Gene', (114, 120)) ('SUZ12', 'Chemical', '-', (240, 245)) ('correlating', 'Reg', (186, 197)) ('SUV29H1', 'CellLine', 'CVCL:2G69', (122, 129)) ('DNMT3A', 'Gene', (106, 112)) ('DNMT3A', 'Gene', '1788', (106, 112)) ('expression', 'Species', '29278', (207, 217)) ('SUV39H2', 'Var', (131, 138)) ('SUV29H1', 'Var', (122, 129)) ('expression', 'Species', '29278', (92, 102)) ('ZNF263', 'Gene', '10127', (34, 40)) 12950 32051553 We therefore determined which pathway(s) may mediate epigenetic repression of SIX3 by using pharmacological inhibitors, namely Trametinib (a MEK inhibitor), MK2206 (an AKT inhibitor), or Ruxolitinib (a JAK inhibitor). ('SIX3', 'Gene', '6496', (78, 82)) ('epigenetic repression', 'Var', (53, 74)) ('MK2206', 'Chemical', 'MESH:C548887', (157, 163)) ('Ruxolitinib', 'Chemical', 'MESH:C540383', (187, 198)) ('SIX3', 'Gene', (78, 82)) ('MK2206', 'Var', (157, 163)) ('Trametinib', 'Chemical', 'MESH:C560077', (127, 137)) 12956 32051553 In keeping with elevated SIX3 expression, Trametinib dramatically reduced the enrichment of H3K27me3 and H3K9me3 in SIX3 promoter and enhanced RNA pol II recruitment (Fig. ('reduced', 'NegReg', (66, 73)) ('H3K9me3', 'Var', (105, 112)) ('enrichment', 'MPA', (78, 88)) ('enhanced', 'PosReg', (134, 142)) ('H3K27me3', 'Protein', (92, 100)) ('SIX3', 'Gene', '6496', (116, 120)) ('SIX3', 'Gene', (116, 120)) ('SIX3', 'Gene', '6496', (25, 29)) ('recruitment', 'MPA', (154, 165)) ('RNA', 'MPA', (143, 146)) ('Trametinib', 'Chemical', 'MESH:C560077', (42, 52)) ('SIX3', 'Gene', (25, 29)) ('expression', 'Species', '29278', (30, 40)) 12959 32051553 Because ZNF263 plays a critical role in epigenetic silencing of SIX3 in glioblastoma, we next examined whether erlotinib or Trametinib induced SIX3 expression through the regulation of ZNF263. ('expression', 'MPA', (148, 158)) ('erlotinib', 'Chemical', 'MESH:D000069347', (111, 120)) ('Trametinib', 'Chemical', 'MESH:C560077', (124, 134)) ('SIX3', 'Gene', '6496', (64, 68)) ('ZNF263', 'Gene', '10127', (185, 191)) ('ZNF263', 'Gene', '10127', (8, 14)) ('ZNF263', 'Gene', (185, 191)) ('SIX3', 'Gene', (64, 68)) ('SIX3', 'Gene', '6496', (143, 147)) ('expression', 'Species', '29278', (148, 158)) ('glioblastoma', 'Disease', (72, 84)) ('ZNF263', 'Gene', (8, 14)) ('glioblastoma', 'Disease', 'MESH:D005909', (72, 84)) ('SIX3', 'Gene', (143, 147)) ('epigenetic silencing', 'Var', (40, 60)) ('glioblastoma', 'Phenotype', 'HP:0012174', (72, 84)) 12975 32051553 We next asked whether modulation of the EGFR/MAPK pathway could alter the ubiquitination of ZNF263 and consequently its stability. ('ubiquitination', 'MPA', (74, 88)) ('alter', 'Reg', (64, 69)) ('EGFR', 'Gene', '1956', (40, 44)) ('ZNF263', 'Gene', '10127', (92, 98)) ('EGFR', 'Gene', (40, 44)) ('ZNF263', 'Gene', (92, 98)) ('modulation', 'Var', (22, 32)) ('stability', 'MPA', (120, 129)) 12976 32051553 HEK293 cells were transfected with expression vectors containing HA-tagged Ubiquitin (HA-Ubiquitin) and FLAG-tagged ZNF263 (ZNF263-FLAG) and were subsequently treated with Trametinib or EGF. ('FLAG-tagged', 'Var', (104, 115)) ('Trametinib', 'Chemical', 'MESH:C560077', (172, 182)) ('EGF', 'Gene', (186, 189)) ('ZNF263', 'Gene', '10127', (124, 130)) ('EGF', 'Gene', '1950', (186, 189)) ('HA-tagged', 'Var', (65, 74)) ('HEK293', 'CellLine', 'CVCL:0045', (0, 6)) ('ZNF263', 'Gene', (124, 130)) ('ZNF263', 'Gene', '10127', (116, 122)) ('ZNF263', 'Gene', (116, 122)) ('expression vectors', 'Species', '29278', (35, 53)) 12978 32051553 We also showed that ubiquitination of ZNF263 was mediated by at lysine residue 63 (K63) (Fig. ('ZNF263', 'Gene', '10127', (38, 44)) ('ZNF263', 'Gene', (38, 44)) ('ubiquitination', 'MPA', (20, 34)) ('K63', 'Chemical', '-', (83, 86)) ('lysine', 'Chemical', 'MESH:D008239', (64, 70)) ('mediated', 'Reg', (49, 57)) ('K63', 'Var', (83, 86)) 12979 32051553 These results suggested that inhibiting EGF/MAPK pathway promotes ZNF263 degradation through the ubiquitin-proteasome pathway. ('degradation', 'MPA', (73, 84)) ('EGF', 'Gene', (40, 43)) ('ZNF263', 'Gene', '10127', (66, 72)) ('ubiquitin-proteasome pathway', 'Pathway', (97, 125)) ('ZNF263', 'Gene', (66, 72)) ('EGF', 'Gene', '1950', (40, 43)) ('inhibiting', 'Var', (29, 39)) ('promotes', 'PosReg', (57, 65)) 12987 32051553 Finally, we constructed a ZNF263 deletion mutant lacking the D domain (ZNF263-DeltaD) and tagging it with either FLAG or GFP (Fig. ('D domain', 'MPA', (61, 69)) ('deletion mutant', 'Var', (33, 48)) ('lacking', 'NegReg', (49, 56)) ('ZNF263', 'Gene', '10127', (71, 77)) ('ZNF263', 'Gene', '10127', (26, 32)) ('ZNF263', 'Gene', (26, 32)) ('ZNF263', 'Gene', (71, 77)) 12988 32051553 We found that the D-domain deletion mutation did not alter ZNF263 translocation to the nuclei (Fig. ('translocation to the nuclei', 'MPA', (66, 93)) ('ZNF263', 'Gene', (59, 65)) ('D-domain deletion mutation', 'Var', (18, 44)) ('ZNF263', 'Gene', '10127', (59, 65)) 12994 32051553 EGFR-vIII, a constitutively active deletion mutant of EGFR that constitutes a large portion of EGFR mutants, is a therapeutic target because of its strong role in enhancing tumorigenesis and malignant progression of glioblastoma. ('vIII', 'Gene', (5, 9)) ('malignant progression', 'CPA', (191, 212)) ('EGFR', 'Gene', (0, 4)) ('tumor', 'Disease', 'MESH:D009369', (173, 178)) ('mutants', 'Var', (100, 107)) ('glioblastoma', 'Disease', (216, 228)) ('glioblastoma', 'Disease', 'MESH:D005909', (216, 228)) ('tumor', 'Phenotype', 'HP:0002664', (173, 178)) ('tumor', 'Disease', (173, 178)) ('EGFR', 'Gene', '1956', (54, 58)) ('vIII', 'Gene', '1351', (5, 9)) ('enhancing', 'PosReg', (163, 172)) ('EGFR', 'Gene', '1956', (95, 99)) ('deletion mutant', 'Var', (35, 50)) ('glioblastoma', 'Phenotype', 'HP:0012174', (216, 228)) ('EGFR', 'Gene', (54, 58)) ('EGFR', 'Gene', '1956', (0, 4)) ('EGFR', 'Gene', (95, 99)) 13001 32051553 EGFR-vIII overexpression markedly increased anchorage-independent growth of HEB cells (Fig. ('HEB', 'Gene', '6938', (76, 79)) ('vIII', 'Gene', (5, 9)) ('EGFR', 'Gene', (0, 4)) ('HEB', 'Gene', (76, 79)) ('expression', 'Species', '29278', (14, 24)) ('overexpression', 'Var', (10, 24)) ('vIII', 'Gene', '1351', (5, 9)) ('increased', 'PosReg', (34, 43)) ('EGFR', 'Gene', '1956', (0, 4)) 13005 32051553 EGFR-vIII ectopic expression substantially enhanced invasion and anchorage-independent growth of glioblastoma cells (Fig. ('enhanced', 'PosReg', (43, 51)) ('vIII', 'Gene', (5, 9)) ('EGFR', 'Gene', (0, 4)) ('glioblastoma', 'Phenotype', 'HP:0012174', (97, 109)) ('EGFR', 'Gene', '1956', (0, 4)) ('expression', 'Species', '29278', (18, 28)) ('anchorage-independent growth', 'CPA', (65, 93)) ('vIII', 'Gene', '1351', (5, 9)) ('ectopic expression', 'Var', (10, 28)) ('invasion', 'CPA', (52, 60)) ('glioblastoma', 'Disease', (97, 109)) ('glioblastoma', 'Disease', 'MESH:D005909', (97, 109)) 13009 32051553 The association analysis of EGFR copy number, EGFR mRNA, EGFR protein, and phosphorylated EGFR showed high consistency by pairs (Fig. ('copy number', 'Var', (33, 44)) ('EGFR', 'Gene', '1956', (28, 32)) ('EGFR', 'Gene', '1956', (90, 94)) ('EGFR', 'Gene', (28, 32)) ('EGFR', 'Gene', '1956', (46, 50)) ('EGFR', 'Gene', '1956', (57, 61)) ('EGFR', 'Gene', (90, 94)) ('EGFR', 'Gene', (46, 50)) ('EGFR', 'Gene', (57, 61)) 13010 32051553 In addition, SIX3 expression has inverse correlation with EGFR copy number and protein expression, respectively. ('EGFR', 'Gene', '1956', (58, 62)) ('protein expression', 'MPA', (79, 97)) ('EGFR', 'Gene', (58, 62)) ('SIX3', 'Gene', '6496', (13, 17)) ('expression', 'Species', '29278', (87, 97)) ('expression', 'Species', '29278', (18, 28)) ('SIX3', 'Gene', (13, 17)) ('expression', 'MPA', (18, 28)) ('copy number', 'Var', (63, 74)) 13015 32051553 We found strong positive correlation between the level of p-EGFR (Y1173) and that of ZNF263 (Fig. ('ZNF263', 'Gene', (85, 91)) ('Y1173', 'Var', (66, 71)) ('EGFR', 'Gene', '1956', (60, 64)) ('ZNF263', 'Gene', '10127', (85, 91)) ('EGFR', 'Gene', (60, 64)) 13016 32051553 While SIX3 levels correlated inversely with the levels of both p-EGFR (Y1173) and ZNF263 (Fig. ('EGFR', 'Gene', '1956', (65, 69)) ('EGFR', 'Gene', (65, 69)) ('SIX3', 'Gene', '6496', (6, 10)) ('Y1173', 'Var', (71, 76)) ('ZNF263', 'Gene', '10127', (82, 88)) ('SIX3', 'Gene', (6, 10)) ('ZNF263', 'Gene', (82, 88)) 13017 32051553 Survival analysis showed that the patients with high levels of p-EGFR exhibited much poorer prognosis than those with low p-EGFR levels (Fig. ('EGFR', 'Gene', '1956', (65, 69)) ('EGFR', 'Gene', '1956', (124, 128)) ('EGFR', 'Gene', (65, 69)) ('high levels', 'Var', (48, 59)) ('EGFR', 'Gene', (124, 128)) ('patients', 'Species', '9606', (34, 42)) 13019 32051553 Altogether, we conclude that epigenetic silencing of SIX3 is controlled by a sophisticated and highly ordered oncogenic signaling pathway and therefore provide new insights into initiation and progression of glioblastoma (Fig. ('glioblastoma', 'Disease', (208, 220)) ('controlled', 'Reg', (61, 71)) ('glioblastoma', 'Disease', 'MESH:D005909', (208, 220)) ('SIX3', 'Gene', '6496', (53, 57)) ('glioblastoma', 'Phenotype', 'HP:0012174', (208, 220)) ('SIX3', 'Gene', (53, 57)) ('epigenetic silencing', 'Var', (29, 49)) 13022 32051553 One argues that hypermethylation of TSGs results from a stochastic process, such as mutations of DNMTs or TETs, which causes extensive abnormalities in the methylome, while the cells with TSG hypermethylation are enabled with selectable growth advantages. ('DNMTs', 'Gene', (97, 102)) ('TETs', 'Gene', (106, 110)) ('methylome', 'MPA', (156, 165)) ('mutations', 'Var', (84, 93)) ('results from', 'Reg', (41, 53)) ('extensive abnormalities', 'Disease', (125, 148)) ('extensive abnormalities', 'Disease', 'MESH:D054908', (125, 148)) ('causes', 'Reg', (118, 124)) ('TETs', 'Chemical', 'MESH:C010349', (106, 110)) 13023 32051553 The G-CIMP phenotype that is derived from IDH1/2 mutations caused by the metabolite 2HG-mediated suppression of TETs strongly supports this model. ('G-CIMP', 'Chemical', '-', (4, 10)) ('IDH1', 'Gene', '3417', (42, 46)) ('mutations', 'Var', (49, 58)) ('caused', 'Reg', (59, 65)) ('2HG', 'Chemical', 'MESH:C019417', (84, 87)) ('IDH1', 'Gene', (42, 46)) ('TETs', 'Chemical', 'MESH:C010349', (112, 116)) ('TETs', 'MPA', (112, 116)) 13025 32051553 Michael R Green' group recently showed that K-ras mutation leads to hypermethylation of Fas in NIH3T3 cells transformation, and contributes to epigenetic silencing of the Fas and INK4-ARF locus both through elaborated signaling pathways. ('hypermethylation', 'MPA', (68, 84)) ('Fas', 'Protein', (88, 91)) ('INK4-ARF', 'Gene', (179, 187)) ('K-ras', 'Gene', '16653', (44, 49)) ('NIH3T3', 'CellLine', 'CVCL:0594', (95, 101)) ('K-ras', 'Gene', (44, 49)) ('epigenetic silencing', 'MPA', (143, 163)) ('Fas', 'Gene', (171, 174)) ('mutation', 'Var', (50, 58)) 13027 32051553 ZNF304 and ZNF354B are both involved in K-ras-mediated hypermethylation of INK4-ARF and Fas, respectively. ('ZNF354B', 'Var', (11, 18)) ('ZNF354B', 'Chemical', '-', (11, 18)) ('INK4-ARF', 'Protein', (75, 83)) ('K-ras', 'Gene', '16653', (40, 45)) ('involved', 'Reg', (28, 36)) ('ZNF304', 'Chemical', '-', (0, 6)) ('K-ras', 'Gene', (40, 45)) ('ZNF304', 'Var', (0, 6)) 13028 32051553 Here, we firstly showed that EGFR/MAPK hyperactivation results in epigenetic silencing of SIX3 through ZNF263 in glioblastoma. ('glioblastoma', 'Disease', (113, 125)) ('SIX3', 'Gene', '6496', (90, 94)) ('SIX3', 'Gene', (90, 94)) ('epigenetic silencing', 'MPA', (66, 86)) ('ZNF263', 'Gene', '10127', (103, 109)) ('ZNF263', 'Gene', (103, 109)) ('glioblastoma', 'Disease', 'MESH:D005909', (113, 125)) ('glioblastoma', 'Phenotype', 'HP:0012174', (113, 125)) ('hyperactivation', 'Var', (39, 54)) ('EGFR', 'Gene', '1956', (29, 33)) ('EGFR', 'Gene', (29, 33)) 13030 32051553 EGFR hyperactivation stabilizes ZNF263 protein through the MAPK pathway and subsequent suppression of ZNF263 ubiquitination. ('ZNF263', 'Gene', (102, 108)) ('MAPK pathway', 'Pathway', (59, 71)) ('ubiquitination', 'MPA', (109, 123)) ('EGFR', 'Gene', (0, 4)) ('suppression', 'NegReg', (87, 98)) ('hyperactivation', 'Var', (5, 20)) ('ZNF263', 'Gene', '10127', (32, 38)) ('stabilizes', 'PosReg', (21, 31)) ('ZNF263', 'Gene', (32, 38)) ('EGFR', 'Gene', '1956', (0, 4)) ('ZNF263', 'Gene', '10127', (102, 108)) 13034 32051553 Bivalent chromatins are characterized by active histone modification H3K4me3 and suppressive H3K27me3 concurrently, leaving SIX3 poised for responding to extrinsic stimuli. ('SIX3', 'Gene', '6496', (124, 128)) ('H3K4me3', 'Var', (69, 76)) ('H3K27me3', 'Var', (93, 101)) ('SIX3', 'Gene', (124, 128)) 13039 32051553 S11), suggesting that DNA hypermethylation, but not H3K27me3, is responsible for epigenetic silencing of SIX3 in glioma. ('glioma', 'Disease', 'MESH:D005910', (113, 119)) ('epigenetic silencing', 'Var', (81, 101)) ('SIX3', 'Gene', '6496', (105, 109)) ('glioma', 'Phenotype', 'HP:0009733', (113, 119)) ('SIX3', 'Gene', (105, 109)) ('glioma', 'Disease', (113, 119)) 13042 32051553 Strikingly, G-CIMP tumors possess high frequency of IDH1 mutation, which occurs in almost 80% G-CIMP glioblastoma and more than 70% low-grade gliomas. ('mutation', 'Var', (57, 65)) ('tumors', 'Disease', (19, 25)) ('glioblastoma', 'Disease', 'MESH:D005909', (101, 113)) ('gliomas', 'Disease', (142, 149)) ('tumors', 'Disease', 'MESH:D009369', (19, 25)) ('IDH1', 'Gene', '3417', (52, 56)) ('gliomas', 'Phenotype', 'HP:0009733', (142, 149)) ('gliomas', 'Disease', 'MESH:D005910', (142, 149)) ('glioblastoma', 'Phenotype', 'HP:0012174', (101, 113)) ('G-CIMP', 'Chemical', '-', (94, 100)) ('G-CIMP', 'Chemical', '-', (12, 18)) ('tumor', 'Phenotype', 'HP:0002664', (19, 24)) ('G-CIMP', 'Disease', (94, 100)) ('glioma', 'Phenotype', 'HP:0009733', (142, 148)) ('glioblastoma', 'Disease', (101, 113)) ('tumors', 'Phenotype', 'HP:0002664', (19, 25)) ('occurs', 'Reg', (73, 79)) ('IDH1', 'Gene', (52, 56)) 13043 32051553 IDH1 mutant R132H (amino acid substitution at arginine 132 account for >95% IDH1 mutation in glioma), is further confirmed to induce the methylome which mirrors G-CIMP in human normal astrocytes. ('IDH1', 'Gene', (76, 80)) ('glioma', 'Disease', (93, 99)) ('induce', 'PosReg', (126, 132)) ('R132H', 'Mutation', 'rs121913500', (12, 17)) ('mutation', 'Var', (81, 89)) ('mutant R132H', 'Var', (5, 17)) ('IDH1', 'Gene', '3417', (76, 80)) ('glioma', 'Disease', 'MESH:D005910', (93, 99)) ('glioma', 'Phenotype', 'HP:0009733', (93, 99)) ('IDH1', 'Gene', (0, 4)) ('arginine', 'Chemical', 'MESH:D001120', (46, 54)) ('methylome', 'MPA', (137, 146)) ('human', 'Species', '9606', (171, 176)) ('G-CIMP', 'Chemical', '-', (161, 167)) ('IDH1', 'Gene', '3417', (0, 4)) 13044 32051553 The most popular IDH1 mutant R132H has been found to inactivate the enzyme's ability to catalyze the conversion of isocitrate to alpha-KG (a-ketoglutarate) and gain the activity to catalyze alpha-KG into 2HG (2-hydroxyglutarate). ('inactivate', 'NegReg', (53, 63)) ('catalyze', 'MPA', (181, 189)) ('alpha-KG', 'Chemical', '-', (190, 198)) ('gain', 'PosReg', (160, 164)) ('2HG', 'Chemical', 'MESH:C019417', (204, 207)) ('activity', 'MPA', (169, 177)) ('isocitrate', 'Chemical', 'MESH:C034219', (115, 125)) ('IDH1', 'Gene', (17, 21)) ('mutant R132H', 'Var', (22, 34)) ('R132H', 'Var', (29, 34)) ('alpha-KG', 'Chemical', '-', (129, 137)) ('2-hydroxyglutarate', 'Chemical', 'MESH:C019417', (209, 227)) ('R132H', 'Mutation', 'rs121913500', (29, 34)) ('a-ketoglutarate', 'Chemical', '-', (139, 154)) ('catalyze', 'MPA', (88, 96)) ('IDH1', 'Gene', '3417', (17, 21)) ('ability', 'MPA', (77, 84)) 13046 32051553 IDH1 mutation in glioma leads to the loss alpha-KG and accumulation of 2HG, resulting in genome-wide histone and DNA methylation alterations. ('alpha-KG', 'Protein', (42, 50)) ('alpha-KG', 'Chemical', '-', (42, 50)) ('glioma', 'Disease', 'MESH:D005910', (17, 23)) ('glioma', 'Phenotype', 'HP:0009733', (17, 23)) ('accumulation', 'PosReg', (55, 67)) ('2HG', 'Protein', (71, 74)) ('2HG', 'Chemical', 'MESH:C019417', (71, 74)) ('histone', 'MPA', (101, 108)) ('loss', 'NegReg', (37, 41)) ('glioma', 'Disease', (17, 23)) ('IDH1', 'Gene', (0, 4)) ('DNA methylation alterations', 'MPA', (113, 140)) ('mutation', 'Var', (5, 13)) ('IDH1', 'Gene', '3417', (0, 4)) 13048 32051553 When we investigated the data from TCGA, we found that IDH1 mutant LGG tumors harbor lower expression and higher-level promoter methylation of SIX3, in comparison with IDH1 wild-type LGG samples (Fig. ('IDH1', 'Gene', '3417', (168, 172)) ('expression', 'MPA', (91, 101)) ('IDH1', 'Gene', '3417', (55, 59)) ('lower', 'NegReg', (85, 90)) ('higher-level', 'PosReg', (106, 118)) ('SIX3', 'Gene', '6496', (143, 147)) ('LGG', 'Disease', (67, 70)) ('tumor', 'Phenotype', 'HP:0002664', (71, 76)) ('tumors', 'Phenotype', 'HP:0002664', (71, 77)) ('tumors', 'Disease', (71, 77)) ('mutant', 'Var', (60, 66)) ('IDH1', 'Gene', (168, 172)) ('expression', 'Species', '29278', (91, 101)) ('IDH1', 'Gene', (55, 59)) ('tumors', 'Disease', 'MESH:D009369', (71, 77)) ('SIX3', 'Gene', (143, 147)) 13050 32051553 While there is no difference of SIX3 between IDH1 mutant or wild-type glioblastoma. ('IDH1', 'Gene', '3417', (45, 49)) ('glioblastoma', 'Phenotype', 'HP:0012174', (70, 82)) ('SIX3', 'Gene', '6496', (32, 36)) ('SIX3', 'Gene', (32, 36)) ('glioblastoma', 'Disease', 'MESH:D005909', (70, 82)) ('mutant', 'Var', (50, 56)) ('glioblastoma', 'Disease', (70, 82)) ('IDH1', 'Gene', (45, 49)) 13051 32051553 We further investigated the data of human normal astrocytes introduced with IDH1 mutant R132H. ('IDH1', 'Gene', (76, 80)) ('IDH1', 'Gene', '3417', (76, 80)) ('R132H', 'Var', (88, 93)) ('mutant R132H', 'Var', (81, 93)) ('human', 'Species', '9606', (36, 41)) ('R132H', 'Mutation', 'rs121913500', (88, 93)) 13052 32051553 The data showed that SIX3 expression in IDH1 mutant astrocytes is 1.28-fold of SIX3 expression in control astrocytes. ('mutant', 'Var', (45, 51)) ('IDH1', 'Gene', (40, 44)) ('IDH1', 'Gene', '3417', (40, 44)) ('SIX3', 'Gene', '6496', (21, 25)) ('expression', 'Species', '29278', (84, 94)) ('SIX3', 'Gene', '6496', (79, 83)) ('SIX3', 'Gene', (21, 25)) ('expression', 'Species', '29278', (26, 36)) ('SIX3', 'Gene', (79, 83)) 13053 32051553 Three probes target different CpG sites of SIX3 had been found to be differently methylated between IDH1 mutant and wild-type astrocytes. ('differently', 'Reg', (69, 80)) ('IDH1', 'Gene', '3417', (100, 104)) ('SIX3', 'Gene', '6496', (43, 47)) ('Thr', 'Chemical', 'MESH:D013912', (0, 3)) ('SIX3', 'Gene', (43, 47)) ('IDH1', 'Gene', (100, 104)) ('mutant', 'Var', (105, 111)) 13054 32051553 One CpG site located 800 bp upstream TSS and another one located in intron were hypermethylated in IDH1 mutant astrocytes. ('mutant', 'Var', (104, 110)) ('IDH1', 'Gene', '3417', (99, 103)) ('IDH1', 'Gene', (99, 103)) 13055 32051553 While the CpG site located 80 bp upstream TSS was hypomethylated in IDH1 mutant samples, and this site overlaps with the region R1 we detected and the core promoter region of SIX3 (Figs. ('hypomethylated', 'Var', (50, 64)) ('IDH1', 'Gene', (68, 72)) ('mutant', 'Var', (73, 79)) ('SIX3', 'Gene', '6496', (175, 179)) ('IDH1', 'Gene', '3417', (68, 72)) ('SIX3', 'Gene', (175, 179)) 13057 32051553 Above all, IDH1 mutation can affect SIX3 methylation and expression through its global effect on reshaping histone and DNA methylome, rather than in a specific pattern. ('expression', 'MPA', (57, 67)) ('mutation', 'Var', (16, 24)) ('IDH1', 'Gene', '3417', (11, 15)) ('SIX3', 'Gene', '6496', (36, 40)) ('SIX3', 'Gene', (36, 40)) ('affect', 'Reg', (29, 35)) ('expression', 'Species', '29278', (57, 67)) ('IDH1', 'Gene', (11, 15)) 13058 32051553 In breast cancer, ZNF217 has been found to be essential for DNA hypermethylation of p15ink4b and does so by recruiting the CoREST complex to the promoter region. ('breast cancer', 'Disease', 'MESH:D001943', (3, 16)) ('ZNF217', 'Gene', (18, 24)) ('cancer', 'Phenotype', 'HP:0002664', (10, 16)) ('breast cancer', 'Disease', (3, 16)) ('breast cancer', 'Phenotype', 'HP:0003002', (3, 16)) ('CoREST complex', 'MPA', (123, 137)) ('p15ink4b', 'Var', (84, 92)) ('recruiting', 'PosReg', (108, 118)) 13059 32051553 The traditional view of DNA methylation-mediated transcriptional silencing is such that methylcytosine on the binding motifs of transcription factors directly blocks transcription factor binding to the chromatin, or indirectly prevents transcription factor binding due to their high-affinity binding for methyl-CpG binding-domain (MBD)-containing proteins. ('binding', 'Interaction', (292, 299)) ('binding', 'Interaction', (257, 264)) ('transcription factor', 'MPA', (236, 256)) ('methylcytosine', 'Chemical', '-', (88, 102)) ('methyl-CpG', 'Protein', (304, 314)) ('binding', 'Interaction', (187, 194)) ('methylcytosine', 'Var', (88, 102)) ('blocks', 'NegReg', (159, 165)) ('transcription factor', 'MPA', (166, 186)) ('prevents', 'NegReg', (227, 235)) 13071 32051553 Moreover, our mass-spectrum data showed several protein phosphatases binding with ZNF263, including PP1 and PP2A, which dephosphorylated and promoted degradation of c-Myc. ('protein phosphatases', 'Enzyme', (48, 68)) ('binding', 'Interaction', (69, 76)) ('dephosphorylated', 'MPA', (120, 136)) ('degradation', 'MPA', (150, 161)) ('c-Myc', 'MPA', (165, 170)) ('PP2A', 'Var', (108, 112)) ('promoted', 'PosReg', (141, 149)) ('ZNF263', 'Gene', '10127', (82, 88)) ('ZNF263', 'Gene', (82, 88)) 13072 32051553 Using Phospho-(Ser/Thr) antibody, we noticed that inhibition of MAPKs decreased the phosphorylated ZNF263 level (Fig. ('ZNF263', 'Gene', (99, 105)) ('inhibition', 'Var', (50, 60)) ('Thr', 'Chemical', 'MESH:D013912', (19, 22)) ('decreased', 'NegReg', (70, 79)) ('MAPKs', 'Gene', (64, 69)) ('ZNF263', 'Gene', '10127', (99, 105)) ('Ser', 'Chemical', 'MESH:D012694', (15, 18)) 13073 32051553 In combination of all these analyses, we can conclude that ZNF263 as a potential substrate of MAPKs, and phosphorylation of ZNF263 by MAPKs stabilizes ZNF263 protein from being degraded via UPPs. ('protein', 'Protein', (158, 165)) ('ZNF263', 'Gene', '10127', (151, 157)) ('ZNF263', 'Gene', (151, 157)) ('ZNF263', 'Gene', '10127', (59, 65)) ('ZNF263', 'Gene', '10127', (124, 130)) ('phosphorylation', 'Var', (105, 120)) ('ZNF263', 'Gene', (59, 65)) ('stabilizes', 'PosReg', (140, 150)) ('ZNF263', 'Gene', (124, 130)) ('MAPKs', 'Gene', (134, 139)) 13079 32051553 All astrocytoma cell lines were subjected to short tandem repeat test. ('astrocytoma', 'Disease', 'MESH:D001254', (4, 15)) ('subjected', 'Reg', (32, 41)) ('astrocytoma', 'Disease', (4, 15)) ('astrocytoma', 'Phenotype', 'HP:0009592', (4, 15)) ('short tandem repeat', 'Var', (45, 64)) 13115 32762688 TOX was down-regulated in malignant gliomas compared to low grade gliomas, and upregulated in the proneural and IDH mutant subtypes of GBM. ('malignant gliomas', 'Disease', 'MESH:D005910', (26, 43)) ('down-regulated', 'NegReg', (8, 22)) ('gliomas', 'Disease', (36, 43)) ('glioma', 'Phenotype', 'HP:0009733', (66, 72)) ('gliomas', 'Disease', 'MESH:D005910', (36, 43)) ('TOX', 'Gene', '9760', (0, 3)) ('GBM', 'Phenotype', 'HP:0012174', (135, 138)) ('gliomas', 'Phenotype', 'HP:0009733', (36, 43)) ('TOX', 'Gene', (0, 3)) ('glioma', 'Phenotype', 'HP:0009733', (36, 42)) ('mutant', 'Var', (116, 122)) ('IDH', 'Gene', (112, 115)) ('upregulated', 'PosReg', (79, 90)) ('gliomas', 'Disease', 'MESH:D005910', (66, 73)) ('malignant gliomas', 'Disease', (26, 43)) ('gliomas', 'Phenotype', 'HP:0009733', (66, 73)) ('gliomas', 'Disease', (66, 73)) ('IDH', 'Gene', '3417', (112, 115)) 13116 32762688 TOXlow tumours are associated with the loss of PTEN and amplification of EGFR, while TOXhigh tumours harbor frequent mutations in IDH1 (91%). ('mutations', 'Var', (117, 126)) ('EGFR', 'Gene', '1956', (73, 77)) ('TOXlow tumours', 'Disease', (0, 14)) ('tumour', 'Phenotype', 'HP:0002664', (7, 13)) ('tumours', 'Phenotype', 'HP:0002664', (7, 14)) ('EGFR', 'Gene', (73, 77)) ('IDH1', 'Gene', (130, 134)) ('TOXhigh tumours', 'Disease', 'MESH:D009369', (85, 100)) ('TOXlow tumours', 'Disease', 'MESH:D009369', (0, 14)) ('loss', 'NegReg', (39, 43)) ('PTEN', 'Gene', (47, 51)) ('tumours', 'Phenotype', 'HP:0002664', (93, 100)) ('amplification', 'MPA', (56, 69)) ('TOXhigh tumours', 'Disease', (85, 100)) ('IDH1', 'Gene', '3417', (130, 134)) ('PTEN', 'Gene', '5728', (47, 51)) ('tumour', 'Phenotype', 'HP:0002664', (93, 99)) 13133 32762688 Deregulation of TOX expression in cancer can be roughly attributed to two mechanisms: genetic alteration and epigenetic events. ('cancer', 'Phenotype', 'HP:0002664', (34, 40)) ('TOX', 'Gene', '9760', (16, 19)) ('TOX', 'Gene', (16, 19)) ('expression', 'MPA', (20, 30)) ('epigenetic events', 'Var', (109, 126)) ('cancer', 'Disease', 'MESH:D009369', (34, 40)) ('Deregulation', 'MPA', (0, 12)) ('cancer', 'Disease', (34, 40)) 13156 32762688 Isocitrate dehydrogenase (IDH) mutation, which is associated with better clinical outcomes, has a tight association with a high expression level of TOX (Fig. ('TOX', 'Gene', (148, 151)) ('TOX', 'Gene', '9760', (148, 151)) ('Isocitrate dehydrogenase', 'Gene', (0, 24)) ('mutation', 'Var', (31, 39)) ('association', 'Interaction', (104, 115)) ('IDH', 'Gene', (26, 29)) ('high expression level', 'MPA', (123, 144)) ('IDH', 'Gene', '3417', (26, 29)) ('Isocitrate dehydrogenase', 'Gene', '3417', (0, 24)) 13158 32762688 The ROC curve further suggested that TOX could be a valuable predictor for IDH mutation across glioma types, in LGG cases, and in GBM cases respectively (AUC value = 0.878, P < 0.001; value = 0.841, P < 0.001; value = 0.814, P < 0.001, respectively Fig. ('glioma', 'Phenotype', 'HP:0009733', (95, 101)) ('TOX', 'Gene', '9760', (37, 40)) ('TOX', 'Gene', (37, 40)) ('GBM', 'Phenotype', 'HP:0012174', (130, 133)) ('glioma', 'Disease', (95, 101)) ('mutation', 'Var', (79, 87)) ('IDH', 'Gene', (75, 78)) ('IDH', 'Gene', '3417', (75, 78)) ('glioma', 'Disease', 'MESH:D005910', (95, 101)) 13160 32762688 Additionally, TOX was up-regulated with 1p/19q codeletion in pan-glioma analysis in both TCGA and CGGA cohorts (Fig. ('glioma', 'Disease', (65, 71)) ('glioma', 'Disease', 'MESH:D005910', (65, 71)) ('glioma', 'Phenotype', 'HP:0009733', (65, 71)) ('TOX', 'Gene', '9760', (14, 17)) ('TOX', 'Gene', (14, 17)) ('up-regulated', 'PosReg', (22, 34)) ('1p/19q codeletion', 'Var', (40, 57)) 13161 32762688 Notably, in LGG samples, IDH mutation together with 1p/19q codeletion is related to higher expression of TOX in both TCGA and CGGA cohorts (Fig. ('TOX', 'Gene', '9760', (105, 108)) ('mutation', 'Var', (29, 37)) ('expression', 'MPA', (91, 101)) ('IDH', 'Gene', (25, 28)) ('TOX', 'Gene', (105, 108)) ('IDH', 'Gene', '3417', (25, 28)) ('higher', 'PosReg', (84, 90)) 13182 32762688 In univariate analysis, TOX, WHO Grade, age at diagnosis, 1p19q codeletion, and IDH mutation were significantly related to OS in both TCGA and CGGA databases (Tables 1, 2). ('related', 'Reg', (112, 119)) ('IDH', 'Gene', (80, 83)) ('TOX', 'Gene', '9760', (24, 27)) ('IDH', 'Gene', '3417', (80, 83)) ('TOX', 'Gene', (24, 27)) ('1p19q codeletion', 'Var', (58, 74)) 13187 32762688 Chromosome 7 amplification and chromosome 10 deletion, the two most common genomic events in GBM, were frequently associated with the TOXlow cluster (Fig. ('cluster (Fig', 'Species', '100569', (141, 153)) ('TOX', 'Gene', '9760', (134, 137)) ('chromosome 10', 'Gene', (31, 44)) ('Chromosome', 'Var', (0, 10)) ('TOX', 'Gene', (134, 137)) ('associated', 'Reg', (114, 124)) ('GBM', 'Phenotype', 'HP:0012174', (93, 96)) ('deletion', 'Var', (45, 53)) 13188 32762688 The genomic hallmark of oligodendroglioma, deletion of 1p and 19q, was more frequently occurring in the TOXhigh cluster (Fig. ('oligodendroglioma', 'Disease', (24, 41)) ('oligodendroglioma', 'Disease', 'MESH:D009837', (24, 41)) ('cluster (Fig', 'Species', '100569', (112, 124)) ('glioma', 'Phenotype', 'HP:0009733', (35, 41)) ('TOX', 'Gene', '9760', (104, 107)) ('deletion of', 'Var', (43, 54)) ('TOX', 'Gene', (104, 107)) 13193 32762688 Notably, a 4q12 peak was detected in both TOXhigh and TOXlow samples. ('TOX', 'Gene', '9760', (54, 57)) ('TOX', 'Gene', (54, 57)) ('4q12', 'Var', (11, 15)) ('TOX', 'Gene', '9760', (42, 45)) ('TOX', 'Gene', (42, 45)) 13195 32762688 Based on TOX expression levels, the somatic mutation profiles revealed that mutations in IDH1 (91%), CIC (28%), and ATRX (37%) were significantly enriched in GBM samples with high TOX expression (Fig. ('TOX', 'Gene', (9, 12)) ('CIC', 'Disease', 'None', (101, 104)) ('mutations', 'Var', (76, 85)) ('ATRX', 'Gene', (116, 120)) ('ATRX', 'Gene', '546', (116, 120)) ('GBM', 'Phenotype', 'HP:0012174', (158, 161)) ('TOX', 'Gene', '9760', (180, 183)) ('CIC', 'Disease', (101, 104)) ('IDH1', 'Gene', (89, 93)) ('TOX', 'Gene', (180, 183)) ('TOX', 'Gene', '9760', (9, 12)) ('IDH1', 'Gene', '3417', (89, 93)) 13196 32762688 In addition, frequently observed mutations to EGFR (27%), IDH1 (20%), PTEN (18%), and MUC16 (16%) were present in gliomas with low TOX expression (n = 158; Fig. ('gliomas', 'Disease', (114, 121)) ('MUC16', 'Gene', (86, 91)) ('IDH1', 'Gene', '3417', (58, 62)) ('PTEN', 'Gene', (70, 74)) ('gliomas', 'Disease', 'MESH:D005910', (114, 121)) ('gliomas', 'Phenotype', 'HP:0009733', (114, 121)) ('PTEN', 'Gene', '5728', (70, 74)) ('EGFR', 'Gene', '1956', (46, 50)) ('present', 'Reg', (103, 110)) ('mutations', 'Var', (33, 42)) ('MUC16', 'Gene', '94025', (86, 91)) ('glioma', 'Phenotype', 'HP:0009733', (114, 120)) ('EGFR', 'Gene', (46, 50)) ('TOX', 'Gene', '9760', (131, 134)) ('IDH1', 'Gene', (58, 62)) ('TOX', 'Gene', (131, 134)) 13220 32762688 Altogether, our data reveal that high expression of TOX is associated with reduced infiltration of immune cells in the microenvironment of gliomas. ('high expression', 'Var', (33, 48)) ('gliomas', 'Disease', (139, 146)) ('gliomas', 'Disease', 'MESH:D005910', (139, 146)) ('reduced', 'NegReg', (75, 82)) ('gliomas', 'Phenotype', 'HP:0009733', (139, 146)) ('glioma', 'Phenotype', 'HP:0009733', (139, 145)) ('infiltration', 'MPA', (83, 95)) ('TOX', 'Gene', '9760', (52, 55)) ('TOX', 'Gene', (52, 55)) 13234 32762688 Moreover, high expression of TOX was associated with better survival in pan-glioma analysis, LGG alone, and GBM alone. ('glioma', 'Disease', (76, 82)) ('TOX', 'Gene', '9760', (29, 32)) ('TOX', 'Gene', (29, 32)) ('glioma', 'Disease', 'MESH:D005910', (76, 82)) ('glioma', 'Phenotype', 'HP:0009733', (76, 82)) ('high expression', 'Var', (10, 25)) ('GBM', 'Phenotype', 'HP:0012174', (108, 111)) ('better', 'PosReg', (53, 59)) 13240 32762688 Given that genomic alternations may promote the progression of tumor through transforming the tumor microenvironment, these results suggest that TOX expression is associated with benign biological processes. ('tumor', 'Disease', (63, 68)) ('tumor', 'Disease', 'MESH:D009369', (94, 99)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) ('promote', 'PosReg', (36, 43)) ('genomic alternations', 'Var', (11, 31)) ('tumor', 'Phenotype', 'HP:0002664', (94, 99)) ('transforming', 'Reg', (77, 89)) ('tumor', 'Disease', (94, 99)) ('associated', 'Reg', (163, 173)) ('tumor', 'Disease', 'MESH:D009369', (63, 68)) ('progression', 'CPA', (48, 59)) ('TOX', 'Gene', '9760', (145, 148)) ('TOX', 'Gene', (145, 148)) 13264 30880007 Here we employed a computational approach to uncover mechanisms underlying cancer mutational burden by focusing upon relationships between 1) translocation breakpoints and the thousands of G4 DNA-forming sequences within retrotransposons impacting transcription and exemplifying probable non-B DNA structures and 2) transcriptome profiling and cancer mutations. ('cancer', 'Disease', (344, 350)) ('cancer', 'Disease', 'MESH:D009369', (75, 81)) ('transcription', 'MPA', (248, 261)) ('cancer', 'Disease', (75, 81)) ('cancer', 'Disease', 'MESH:D009369', (344, 350)) ('sequences', 'Var', (204, 213)) ('cancer', 'Phenotype', 'HP:0002664', (344, 350)) ('cancer', 'Phenotype', 'HP:0002664', (75, 81)) ('transposons', 'Species', '2387', (226, 237)) ('impacting', 'Reg', (238, 247)) 13266 30880007 By analyzing >97,000 unique translocation breakpoints from the Catalogue Of Somatic Mutations In Cancer (COSMIC), we found that breakpoints are overrepresented at G4 DNA-forming sequences within hominid-specific SVA retrotransposons, and generally occur in tumors with mutations in tumor suppressor genes, such as TP53. ('Cancer', 'Disease', 'MESH:D009369', (97, 103)) ('tumor', 'Phenotype', 'HP:0002664', (282, 287)) ('tumor', 'Disease', (257, 262)) ('Mutations', 'Var', (84, 93)) ('mutations', 'Var', (269, 278)) ('occur', 'Reg', (248, 253)) ('tumors', 'Disease', (257, 263)) ('tumors', 'Disease', 'MESH:D009369', (257, 263)) ('tumor', 'Disease', (282, 287)) ('TP53', 'Gene', '7157', (314, 318)) ('tumors', 'Phenotype', 'HP:0002664', (257, 263)) ('transposons', 'Species', '2387', (221, 232)) ('TP53', 'Gene', (314, 318)) ('tumor', 'Disease', 'MESH:D009369', (257, 262)) ('Cancer', 'Phenotype', 'HP:0002664', (97, 103)) ('Cancer', 'Disease', (97, 103)) ('tumor', 'Phenotype', 'HP:0002664', (257, 262)) ('tumor', 'Disease', 'MESH:D009369', (282, 287)) 13269 30880007 Thus, correlation analyses of DNA structure and gene expression with mutation loads complement and extend more traditional approaches to elucidate processes shaping genomic instability in cancer. ('cancer', 'Disease', 'MESH:D009369', (188, 194)) ('cancer', 'Phenotype', 'HP:0002664', (188, 194)) ('mutation loads', 'Var', (69, 83)) ('cancer', 'Disease', (188, 194)) 13271 30880007 Genomic instability, increased proliferation and escape from apoptosis are hallmarks of cancer. ('increased', 'PosReg', (21, 30)) ('cancer', 'Disease', (88, 94)) ('cancer', 'Disease', 'MESH:D009369', (88, 94)) ('proliferation', 'CPA', (31, 44)) ('escape', 'CPA', (49, 55)) ('cancer', 'Phenotype', 'HP:0002664', (88, 94)) ('Genomic', 'Var', (0, 7)) 13272 30880007 A recent survey of >11000 tumor samples identified ~300 genes (cancer-driver genes) whose somatic mutations in terms of base substitutions are directly linked to malignancy. ('malignancy', 'Disease', 'MESH:D009369', (162, 172)) ('cancer', 'Phenotype', 'HP:0002664', (63, 69)) ('tumor', 'Disease', 'MESH:D009369', (26, 31)) ('linked', 'Reg', (152, 158)) ('base substitutions', 'Var', (120, 138)) ('malignancy', 'Disease', (162, 172)) ('cancer', 'Disease', 'MESH:D009369', (63, 69)) ('tumor', 'Phenotype', 'HP:0002664', (26, 31)) ('tumor', 'Disease', (26, 31)) ('cancer', 'Disease', (63, 69)) 13273 30880007 Another ~1100 genes may support tumorigenesis through alterations in their expression profiles as a consequence of copy-number alterations, gene fusions, and other types of genomic rearrangements. ('tumor', 'Disease', 'MESH:D009369', (32, 37)) ('expression profiles', 'MPA', (75, 94)) ('alterations', 'Reg', (54, 65)) ('tumor', 'Phenotype', 'HP:0002664', (32, 37)) ('tumor', 'Disease', (32, 37)) ('copy-number alterations', 'Var', (115, 138)) ('support', 'PosReg', (24, 31)) 13277 30880007 Such genomic alterations are seen not only in adult but also in pediatric tumors, implicating DNA mutations and epigenetic changes in steering a normal cell into a malignant phenotype. ('epigenetic changes', 'Var', (112, 130)) ('DNA', 'Gene', (94, 97)) ('tumor', 'Phenotype', 'HP:0002664', (74, 79)) ('mutations', 'Var', (98, 107)) ('tumors', 'Phenotype', 'HP:0002664', (74, 80)) ('tumors', 'Disease', 'MESH:D009369', (74, 80)) ('steering', 'PosReg', (134, 142)) ('tumors', 'Disease', (74, 80)) 13278 30880007 Somatic mutations in driver genes are often instigated by predisposing germline variants, such as in BRCA1 and BRCA2, and impinge on 8 major cellular processes, with alterations in genes involved in maintaining genome integrity, such as the Fanconi anemia pathway, and in 10 signaling pathways (RTK/RAS, Nrf2, PI3K, TGFbeta, Wnt, Myc, TP53, cell cycle, Hippo, Notch) as being among the most commonly altered. ('alterations', 'Reg', (166, 177)) ('TGFbeta', 'Gene', (316, 323)) ('Fanconi anemia', 'Phenotype', 'HP:0001994', (241, 255)) ('impinge', 'Reg', (122, 129)) ('TP53', 'Gene', '7157', (335, 339)) ('BRCA2', 'Gene', (111, 116)) ('TGFbeta', 'Gene', '7039', (316, 323)) ('Nrf2', 'Gene', (304, 308)) ('Myc', 'Gene', (330, 333)) ('mutations', 'Var', (8, 17)) ('cell cycle', 'CPA', (341, 351)) ('BRCA2', 'Gene', '675', (111, 116)) ('signaling pathways', 'Pathway', (275, 293)) ('variants', 'Var', (80, 88)) ('Fanconi anemia', 'Disease', (241, 255)) ('anemia', 'Phenotype', 'HP:0001903', (249, 255)) ('TP53', 'Gene', (335, 339)) ('BRCA1', 'Gene', '672', (101, 106)) ('Fanconi anemia', 'Disease', 'MESH:D005199', (241, 255)) ('Myc', 'Gene', '4609', (330, 333)) ('altered', 'Reg', (400, 407)) ('BRCA1', 'Gene', (101, 106)) ('Nrf2', 'Gene', '4780', (304, 308)) 13280 30880007 By extracting patterns of base changes in cancer genomes, ~30 distinct signatures have been catalogued, which inform on molecular processes likely to lead to mutations from either extrinsic (ultraviolet light, smoking, chemicals) or intrinsic (APOBEC misediting, DNA repair deficiencies, defective polymerase epsilon) sources. ('mutations', 'Var', (158, 167)) ('cancer', 'Disease', (42, 48)) ('cancer', 'Disease', 'MESH:D009369', (42, 48)) ('cancer', 'Phenotype', 'HP:0002664', (42, 48)) 13281 30880007 Patterns of base substitutions have also been associated with direct damage to DNA bases by oxidants, such as reactive oxygen and nitrogen species (ROS and RNS respectively), which rise in tumor cells following glucose deprivation, deregulation of the mitochondrial electron transport chain and other organelles (endoplasmic reticulum, lysosomes and peroxisomes). ('rise', 'PosReg', (181, 185)) ('tumor', 'Disease', (189, 194)) ('base substitutions', 'Var', (12, 30)) ('deregulation', 'Reg', (232, 244)) ('glucose', 'Chemical', 'MESH:D005947', (211, 218)) ('nitrogen', 'Chemical', 'MESH:D009584', (130, 138)) ('RNS', 'Chemical', 'MESH:D011886', (156, 159)) ('mitochondrial', 'Enzyme', (252, 265)) ('ROS', 'Chemical', 'MESH:D017382', (148, 151)) ('tumor', 'Disease', 'MESH:D009369', (189, 194)) ('tumor', 'Phenotype', 'HP:0002664', (189, 194)) 13282 30880007 This sustained proliferation contributes to a condition referred to as "replication stress", a potent inducer of genomic instability triggered by a buildup of ssDNA from RPA depletion, the accumulation of secondary DNA structures, R-loops, collisions between replication and transcription, and other factors. ('RPA', 'Gene', '6117', (170, 173)) ('collisions', 'Var', (240, 250)) ('R-loops', 'Var', (231, 238)) ('accumulation', 'PosReg', (189, 201)) ('stress', 'Disease', 'MESH:D000079225', (84, 90)) ('RPA', 'Gene', (170, 173)) ('secondary DNA structures', 'Protein', (205, 229)) ('stress', 'Disease', (84, 90)) 13287 30880007 Tumor samples with translocation breakpoints at G4 DNA-forming sequences are also more likely to carry mutations in TP53 and less likely to harbor pathologic mutations in KRAS and CTNNB1, supporting a role for TP53 mutations in G4 DNA-induced instability. ('mutations', 'Var', (103, 112)) ('TP53', 'Gene', (116, 120)) ('CTNNB1', 'Gene', '1499', (180, 186)) ('Tumor', 'Phenotype', 'HP:0002664', (0, 5)) ('TP53', 'Gene', (210, 214)) ('G4 DNA-forming', 'Var', (48, 62)) ('CTNNB1', 'Gene', (180, 186)) ('KRAS', 'Gene', (171, 175)) ('TP53', 'Gene', '7157', (116, 120)) ('KRAS', 'Gene', '3845', (171, 175)) ('TP53', 'Gene', '7157', (210, 214)) 13290 30880007 Thus, correlation analyses of G4 DNA structure and gene expression with mutation loads complement and extend more traditional approaches to elucidate sources of genomic instability in cancer. ('cancer', 'Disease', (184, 190)) ('cancer', 'Disease', 'MESH:D009369', (184, 190)) ('cancer', 'Phenotype', 'HP:0002664', (184, 190)) ('mutation loads', 'Var', (72, 86)) 13307 30880007 single base substitutions and small insertion/deletions in exons genome-wide specific to the tumor but not the matched normal samples. ('tumor', 'Phenotype', 'HP:0002664', (93, 98)) ('tumor', 'Disease', (93, 98)) ('insertion/deletions', 'Var', (36, 55)) ('single base substitutions', 'Var', (0, 25)) ('tumor', 'Disease', 'MESH:D009369', (93, 98)) 13321 30880007 In conclusion, our analysis shows that translocation breakpoints in cancer occur at G4 DNA-forming repeats more often than expected by chance alone. ('cancer', 'Disease', 'MESH:D009369', (68, 74)) ('cancer', 'Phenotype', 'HP:0002664', (68, 74)) ('translocation breakpoints', 'Var', (39, 64)) ('cancer', 'Disease', (68, 74)) 13323 30880007 First, we assessed the genome-wide load of translocations in each patient; we found that the group of patients with G4-associated breakpoints carried more translocations than the group of patients without G4-associated breakpoints (57.9 +- 59.7 vs. 17.3 +- 20.7; Fig. ('G4-associated', 'Var', (116, 129)) ('breakpoints', 'Var', (130, 141)) ('patient', 'Species', '9606', (188, 195)) ('patient', 'Species', '9606', (102, 109)) ('patients', 'Species', '9606', (102, 110)) ('patient', 'Species', '9606', (66, 73)) ('patients', 'Species', '9606', (188, 196)) ('translocations', 'MPA', (155, 169)) 13324 30880007 Second, even though tumor samples with and without G4-associated breakpoints carried pathologic mutations in cancer-related genes, such as TP53, KRAS, PIK3CA, etc. ('cancer', 'Disease', 'MESH:D009369', (109, 115)) ('pathologic', 'Reg', (85, 95)) ('KRAS', 'Gene', (145, 149)) ('PIK3CA', 'Gene', (151, 157)) ('cancer', 'Disease', (109, 115)) ('TP53', 'Gene', '7157', (139, 143)) ('tumor', 'Disease', 'MESH:D009369', (20, 25)) ('KRAS', 'Gene', '3845', (145, 149)) ('PIK3CA', 'Gene', '5290', (151, 157)) ('tumor', 'Phenotype', 'HP:0002664', (20, 25)) ('TP53', 'Gene', (139, 143)) ('cancer', 'Phenotype', 'HP:0002664', (109, 115)) ('mutations', 'Var', (96, 105)) ('tumor', 'Disease', (20, 25)) 13325 30880007 (Figs 2C and D), samples with G4-containing breakpoints displayed a greater frequency of mutations at TP53, PTPRD and GATA3 than the alternate group. ('TP53', 'Gene', (102, 106)) ('GATA3', 'Gene', (118, 123)) ('PTPRD', 'Gene', '5789', (108, 113)) ('PTPRD', 'Gene', (108, 113)) ('mutations', 'Var', (89, 98)) ('GATA3', 'Gene', '2625', (118, 123)) ('TP53', 'Gene', '7157', (102, 106)) ('G4-containing', 'Var', (30, 43)) 13326 30880007 By contrast, the likelihood of harboring pathologic mutations at KRAS and CTNNB1 was significantly reduced (Fig. ('mutations', 'Var', (52, 61)) ('CTNNB1', 'Gene', (74, 80)) ('KRAS', 'Gene', '3845', (65, 69)) ('CTNNB1', 'Gene', '1499', (74, 80)) ('reduced', 'NegReg', (99, 106)) ('KRAS', 'Gene', (65, 69)) 13327 30880007 3E), in accordance with the expectation that mutations in the TP53, RTK/RAS and Wnt pathways are mutually exclusive. ('RTK/RAS', 'Pathway', (68, 75)) ('mutations', 'Var', (45, 54)) ('TP53', 'Gene', '7157', (62, 66)) ('TP53', 'Gene', (62, 66)) ('Wnt pathways', 'Pathway', (80, 92)) 13328 30880007 We conclude that strand breaks at or near G4 DNA-forming sequences occur generally in tumors with high genetic instability, which is promoted in part by mutations in tumor suppressor genes, such as TP53. ('tumor', 'Disease', 'MESH:D009369', (166, 171)) ('tumor', 'Phenotype', 'HP:0002664', (86, 91)) ('tumor', 'Phenotype', 'HP:0002664', (166, 171)) ('mutations', 'Var', (153, 162)) ('tumor', 'Disease', (86, 91)) ('strand', 'Var', (17, 23)) ('tumors', 'Disease', (86, 92)) ('tumor', 'Disease', (166, 171)) ('TP53', 'Gene', '7157', (198, 202)) ('tumors', 'Disease', 'MESH:D009369', (86, 92)) ('tumors', 'Phenotype', 'HP:0002664', (86, 92)) ('TP53', 'Gene', (198, 202)) ('tumor', 'Disease', 'MESH:D009369', (86, 91)) 13337 30880007 In conclusion, translocation breakpoints are more likely to be found at G4 DNA located in SVA elements than in L1 transposons; furthermore, it is possible that a subset of SVA elements in the human genome might be particularly unstable, yielding recurrent strand breaks in cancer. ('cancer', 'Disease', (273, 279)) ('human', 'Species', '9606', (192, 197)) ('transposons', 'Species', '2387', (114, 125)) ('cancer', 'Disease', 'MESH:D009369', (273, 279)) ('yielding', 'Reg', (237, 245)) ('cancer', 'Phenotype', 'HP:0002664', (273, 279)) ('SVA', 'Gene', (172, 175)) ('elements', 'Var', (176, 184)) ('strand breaks', 'MPA', (256, 269)) ('recurrent strand breaks', 'Phenotype', 'HP:0040012', (246, 269)) 13338 30880007 Recognizing that G4 DNA likely impacts transcription, we employed a separate set of analyses to assess the extent to which the cellular transcriptome and its regulation are associated with mutation loads in cancer genomes. ('cancer', 'Disease', 'MESH:D009369', (207, 213)) ('cancer', 'Disease', (207, 213)) ('G4 DNA', 'Var', (17, 23)) ('mutation loads', 'Var', (189, 203)) ('cancer', 'Phenotype', 'HP:0002664', (207, 213)) ('associated', 'Reg', (173, 183)) ('impacts', 'Reg', (31, 38)) ('transcription', 'MPA', (39, 52)) 13340 30880007 Thus, an S-plot of all P-values allowed for a direct comparison across all tumors, which revealed a strong variability on tissue-dependent origin in the extent to which gene expression correlates with mutation loads. ('tumors', 'Disease', 'MESH:D009369', (75, 81)) ('gene expression', 'MPA', (169, 184)) ('tumors', 'Phenotype', 'HP:0002664', (75, 81)) ('tumor', 'Phenotype', 'HP:0002664', (75, 80)) ('mutation', 'Var', (201, 209)) ('tumors', 'Disease', (75, 81)) 13348 30880007 Of the 10 top genes most negatively correlated with mutation loads, the strongest association was found for MLH1 in ESCA (Fig. ('ESCA', 'Disease', (116, 120)) ('MLH1', 'Gene', '4292', (108, 112)) ('MLH1', 'Gene', (108, 112)) ('mutation', 'Var', (52, 60)) 13349 30880007 Mutations in MLH1 or its low expression are known for their role in tumorigenesis, however none of the other 9 genes were listed in the COSMIC cancer gene census. ('tumor', 'Disease', (68, 73)) ('cancer', 'Phenotype', 'HP:0002664', (143, 149)) ('MLH1', 'Gene', (13, 17)) ('MLH1', 'Gene', '4292', (13, 17)) ('Mutations', 'Var', (0, 9)) ('tumor', 'Disease', 'MESH:D009369', (68, 73)) ('cancer', 'Disease', (143, 149)) ('cancer', 'Disease', 'MESH:D009369', (143, 149)) ('tumor', 'Phenotype', 'HP:0002664', (68, 73)) 13352 30880007 In summary, the top genes most strongly correlated with mutations loads reveal strong associations between deregulation of gene expression and poor survival in cancer. ('mutations', 'Var', (56, 65)) ('cancer', 'Disease', 'MESH:D009369', (160, 166)) ('poor survival', 'CPA', (143, 156)) ('cancer', 'Disease', (160, 166)) ('deregulation', 'Var', (107, 119)) ('cancer', 'Phenotype', 'HP:0002664', (160, 166)) 13353 30880007 To further explore the involvement of the top genes correlated with mutations in tumorigenesis, we focused on two genes: MYBL2 for the positive correlations and SDHAF3 for the negative correlations. ('MYBL2', 'Gene', '4605', (121, 126)) ('SDHAF3', 'Gene', '57001', (161, 167)) ('MYBL2', 'Gene', (121, 126)) ('tumor', 'Disease', 'MESH:D009369', (81, 86)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('mutations', 'Var', (68, 77)) ('SDHAF3', 'Gene', (161, 167)) ('tumor', 'Disease', (81, 86)) 13359 30880007 Poor prognosis was associated with high MYBL2 expression in 11/32 tumors (Fig. ('tumor', 'Phenotype', 'HP:0002664', (66, 71)) ('tumors', 'Disease', (66, 72)) ('tumors', 'Disease', 'MESH:D009369', (66, 72)) ('tumors', 'Phenotype', 'HP:0002664', (66, 72)) ('MYBL2', 'Gene', '4605', (40, 45)) ('expression', 'MPA', (46, 56)) ('high', 'Var', (35, 39)) ('MYBL2', 'Gene', (40, 45)) 13367 30880007 In PRAD, where SDHAF3 displayed the strongest negative correlation between expression and mutation of all tumors, the gene was overexpressed relative to matched controls (not shown); however, SDHD was strongly downregulated. ('tumors', 'Phenotype', 'HP:0002664', (106, 112)) ('SDHAF3', 'Gene', '57001', (15, 21)) ('tumors', 'Disease', (106, 112)) ('overexpressed', 'PosReg', (127, 140)) ('tumors', 'Disease', 'MESH:D009369', (106, 112)) ('PRAD', 'Disease', (3, 7)) ('SDHAF3', 'Gene', (15, 21)) ('SDHD', 'Gene', (192, 196)) ('SDHD', 'Gene', '6392', (192, 196)) ('downregulated', 'NegReg', (210, 223)) ('tumor', 'Phenotype', 'HP:0002664', (106, 111)) ('negative', 'NegReg', (46, 54)) ('mutation', 'Var', (90, 98)) ('expression', 'MPA', (75, 85)) 13371 30880007 Having established the validity of our analyses in uncovering genes whose deregulation seem to predict poor clinical outcome, we then conducted a systematic assessment of gene enrichment for a pool of genes with strong correlations in each tumor type. ('deregulation', 'Var', (74, 86)) ('tumor', 'Disease', (240, 245)) ('tumor', 'Phenotype', 'HP:0002664', (240, 245)) ('tumor', 'Disease', 'MESH:D009369', (240, 245)) 13378 30880007 We also conducted the gene enrichment analysis for the 270 genes (in each tumor type), whose expression was most negatively correlated with mutations, but did not find any enriched term. ('tumor', 'Disease', 'MESH:D009369', (74, 79)) ('tumor', 'Phenotype', 'HP:0002664', (74, 79)) ('expression', 'MPA', (93, 103)) ('tumor', 'Disease', (74, 79)) ('mutations', 'Var', (140, 149)) ('negatively', 'NegReg', (113, 123)) 13380 30880007 Therefore, our correlation analysis of gene expression versus mutation loads identified pathways that are commonly altered in different types of cancer. ('cancer', 'Disease', (145, 151)) ('pathways', 'Pathway', (88, 96)) ('cancer', 'Phenotype', 'HP:0002664', (145, 151)) ('mutation', 'Var', (62, 70)) ('cancer', 'Disease', 'MESH:D009369', (145, 151)) 13381 30880007 In LUAD, although not in KICH and PRAD, the main pathways for the repair of base mismatch and base lesions, i.e. ('KICH', 'Disease', 'None', (25, 29)) ('base mismatch', 'Var', (76, 89)) ('KICH', 'Disease', (25, 29)) 13383 30880007 In addition, ALKBH3 (R = -0.22, P = 4.0x10-7) for alkylation damage reversal, RRM2B (R = -0.24, P = 2.7 x 10-8), which supplies dNTPs during DNA repair synthesis, POLK (R = -0.22, P = 3.9 x 10-7) for translesion DNA synthesis and UBE2B (R = -0.22, P = 4.9 x 10-7), involved in ubiquitination of PCNA also displayed negative correlations with mutational loads (Fig. ('RRM2B', 'Gene', (78, 83)) ('ALKBH3', 'Gene', (13, 19)) ('ALKBH3', 'Gene', '221120', (13, 19)) ('PCNA', 'Gene', (295, 299)) ('negative', 'NegReg', (315, 323)) ('UBE2B', 'Gene', '7320', (230, 235)) ('RRM2B', 'Gene', '50484', (78, 83)) ('mutational', 'Var', (342, 352)) ('PCNA', 'Gene', '5111', (295, 299)) ('POLK', 'Gene', (163, 167)) ('POLK', 'Gene', '51426', (163, 167)) ('UBE2B', 'Gene', (230, 235)) 13386 30880007 Translocation breakpoints were enriched at sequences with the potential to form G4 DNA structures in tumor samples that were characterized by elevated genetic instability and frequent mutations in tumor suppressor genes, such as TP53. ('tumor', 'Disease', 'MESH:D009369', (197, 202)) ('mutations', 'Var', (184, 193)) ('tumor', 'Phenotype', 'HP:0002664', (101, 106)) ('tumor', 'Disease', (101, 106)) ('TP53', 'Gene', '7157', (229, 233)) ('tumor', 'Phenotype', 'HP:0002664', (197, 202)) ('TP53', 'Gene', (229, 233)) ('tumor', 'Disease', (197, 202)) ('tumor', 'Disease', 'MESH:D009369', (101, 106)) 13390 30880007 Genes whose expression is positively correlated with mutations were enriched in selected KEGG terms in more than one cancer type, which provides a platform for addressing the contribution of specific pathways to somatic mutation in cancer. ('cancer', 'Disease', 'MESH:D009369', (232, 238)) ('cancer', 'Phenotype', 'HP:0002664', (117, 123)) ('cancer', 'Disease', (117, 123)) ('cancer', 'Disease', (232, 238)) ('mutations', 'Var', (53, 62)) ('cancer', 'Disease', 'MESH:D009369', (117, 123)) ('cancer', 'Phenotype', 'HP:0002664', (232, 238)) ('expression', 'MPA', (12, 22)) 13393 30880007 Nevertheless, our estimates are in line with determinations of mutations at non-B DNA-forming motifs in cancer genomes and strengthens the concept, both from genome-wide and targeted studies, that non-B DNA structures contribute to mutagenesis, both in cancer and in genetic disease. ('mutations', 'Var', (63, 72)) ('genetic disease', 'Disease', (267, 282)) ('non-B DNA', 'Var', (197, 206)) ('cancer', 'Phenotype', 'HP:0002664', (104, 110)) ('contribute', 'Reg', (218, 228)) ('cancer', 'Phenotype', 'HP:0002664', (253, 259)) ('cancer', 'Disease', 'MESH:D009369', (253, 259)) ('cancer', 'Disease', (253, 259)) ('mutagenesis', 'MPA', (232, 243)) ('cancer', 'Disease', (104, 110)) ('cancer', 'Disease', 'MESH:D009369', (104, 110)) ('genetic disease', 'Disease', 'MESH:D030342', (267, 282)) 13394 30880007 The prevalence of G4-associated translocation breakpoints with tumor samples carrying extensive genomic alterations is consistent with reports that TP53 mutant tumors are associated with high rates of genomic instability (reviewed in). ('tumors', 'Phenotype', 'HP:0002664', (160, 166)) ('tumor', 'Disease', (63, 68)) ('translocation breakpoints', 'Var', (32, 57)) ('TP53', 'Gene', '7157', (148, 152)) ('TP53', 'Gene', (148, 152)) ('tumor', 'Disease', 'MESH:D009369', (160, 165)) ('mutant', 'Var', (153, 159)) ('tumor', 'Phenotype', 'HP:0002664', (160, 165)) ('tumor', 'Disease', 'MESH:D009369', (63, 68)) ('tumors', 'Disease', (160, 166)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) ('G4-associated', 'Gene', (18, 31)) ('tumor', 'Disease', (160, 165)) ('genomic instability', 'MPA', (201, 220)) ('tumors', 'Disease', 'MESH:D009369', (160, 166)) 13395 30880007 TP53 mutants have been reported to sequester DNA repair factors, such as MRE11, away from double-strand breaks and at stalled replication forks, leading to an accumulation of translocations. ('TP53', 'Gene', '7157', (0, 4)) ('TP53', 'Gene', (0, 4)) ('MRE11', 'Gene', '4361', (73, 78)) ('accumulation', 'PosReg', (159, 171)) ('MRE11', 'Gene', (73, 78)) ('translocations', 'MPA', (175, 189)) ('mutants', 'Var', (5, 12)) 13397 30880007 Changes in gene expression, which we show here are extensive and impact cancer mutagenesis, are also likely to influence G4 DNA structure-induced genetic instability. ('influence', 'Reg', (111, 120)) ('cancer', 'Phenotype', 'HP:0002664', (72, 78)) ('Changes', 'Var', (0, 7)) ('cancer', 'Disease', 'MESH:D009369', (72, 78)) ('impact', 'Reg', (65, 71)) ('cancer', 'Disease', (72, 78)) 13398 30880007 We are also learning how replication and repair proteins, such as FEN1, can act in trans to greatly impact mutations so molecular mechanisms are expected to be key to improve predictions. ('impact', 'Reg', (100, 106)) ('FEN1', 'Gene', (66, 70)) ('FEN1', 'Gene', '2237', (66, 70)) ('mutations', 'Var', (107, 116)) 13405 30880007 MLH1 mediates protein-protein interactions during mismatch recognition, strand discrimination, and strand removal. ('protein-protein', 'Protein', (14, 29)) ('MLH1', 'Gene', '4292', (0, 4)) ('strand discrimination', 'Var', (72, 93)) ('mediates', 'Reg', (5, 13)) ('MLH1', 'Gene', (0, 4)) ('mismatch recognition', 'Var', (50, 70)) 13406 30880007 In colon and rectal cancers hypermutation has been linked in part to MLH1 hypermethylation, and in esophageal squamous cell carcinoma MLH1 promoter methylation correlates with weak expression and poor survival. ('cancer', 'Phenotype', 'HP:0002664', (20, 26)) ('expression', 'MPA', (181, 191)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (110, 133)) ('linked', 'Reg', (51, 57)) ('esophageal squamous cell carcinoma', 'Disease', (99, 133)) ('carcinoma', 'Phenotype', 'HP:0030731', (124, 133)) ('weak', 'NegReg', (176, 180)) ('MLH1', 'Gene', '4292', (134, 138)) ('MLH1', 'Gene', (134, 138)) ('MLH1', 'Gene', '4292', (69, 73)) ('hypermethylation', 'Var', (74, 90)) ('MLH1', 'Gene', (69, 73)) ('cancers', 'Phenotype', 'HP:0002664', (20, 27)) ('hypermutation', 'Var', (28, 41)) ('colon and rectal cancers', 'Disease', 'MESH:D015179', (3, 27)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (99, 133)) 13411 30880007 The polymeric immunoglobulin receptor (the PIGR gene product) pIgR plays an important role in protecting small airways of the lung from airborne antigens and microorganisms; PIGR-/- mice develop chronic obstructive pulmonary disease (COMP)-like pathology with age and persistent activation of innate immune response to the lung microbiome. ('chronic obstructive pulmonary disease', 'Disease', (195, 232)) ('pIgR', 'Gene', (62, 66)) ('chronic obstructive pulmonary disease', 'Disease', 'MESH:D029424', (195, 232)) ('mice', 'Species', '10090', (182, 186)) ('PIGR-/-', 'Var', (174, 181)) ('obstructive pulmonary disease', 'Phenotype', 'HP:0006536', (203, 232)) ('pIgR', 'Gene', '18703', (62, 66)) ('develop', 'Reg', (187, 194)) ('chronic obstructive pulmonary disease', 'Phenotype', 'HP:0006510', (195, 232)) 13412 30880007 Loss of PIGR is an early event in lung tumorigenesis, and it is plausible that the association of low PIGR with high mutation rates we observe reflects a role for the ensuing inflammation in mutagenesis, in part through the release of ROS and reactive nitrogen intermediates. ('nitrogen', 'Chemical', 'MESH:D009584', (252, 260)) ('tumor', 'Disease', 'MESH:D009369', (39, 44)) ('low', 'NegReg', (98, 101)) ('PIGR', 'Gene', (8, 12)) ('PIGR', 'Gene', (102, 106)) ('reactive nitrogen intermediates', 'MPA', (243, 274)) ('ROS', 'MPA', (235, 238)) ('tumor', 'Phenotype', 'HP:0002664', (39, 44)) ('tumor', 'Disease', (39, 44)) ('inflammation', 'Disease', 'MESH:D007249', (175, 187)) ('inflammation', 'Disease', (175, 187)) ('Loss', 'Var', (0, 4)) ('release', 'MPA', (224, 231)) ('ROS', 'Chemical', 'MESH:D017382', (235, 238)) 13420 30880007 A causal association between MYBL2 expression and mutation loads has recently been reported, and involves transactivation of the APOBEC3B gene whose product (apolipoprotein B mRNA cytosine deaminase, A3B) generates ectopic C>U>T transitions and genomic hypermutation when overproduced. ('APOBEC3B', 'Gene', (129, 137)) ('genomic hypermutation', 'CPA', (245, 266)) ('apolipoprotein B', 'Gene', (158, 174)) ('APOBEC3B', 'Gene', '9582', (129, 137)) ('MYBL2', 'Gene', '4605', (29, 34)) ('apolipoprotein B', 'Gene', '338', (158, 174)) ('A3B', 'Gene', '9582', (200, 203)) ('ectopic C', 'MPA', (215, 224)) ('MYBL2', 'Gene', (29, 34)) ('mutation', 'Var', (50, 58)) ('A3B', 'Gene', (200, 203)) 13421 30880007 The strong correlation of the SDH accessory factor SDHAF3 with mutations was of particular interest since a germline c.157T>C (p.Phe53Leu) substitution in this gene was recently associated with increased prevalence of familiar and sporadic pheochromocytoma and paraganglioma, which are characteristic of SDH-deficiency. ('SDHAF3', 'Gene', (51, 57)) ('associated with', 'Reg', (178, 193)) ('SDH', 'Gene', (51, 54)) ('c.157T>C', 'Mutation', 'rs62624461', (117, 125)) ('sporadic pheochromocytoma and paraganglioma', 'Disease', 'MESH:D010673', (231, 274)) ('SDH', 'Gene', (304, 307)) ('c.157T>C', 'Var', (117, 125)) ('paraganglioma', 'Phenotype', 'HP:0002668', (261, 274)) ('p.Phe53Leu', 'Mutation', 'rs62624461', (127, 137)) ('familiar', 'Disease', (218, 226)) ('glioma', 'Phenotype', 'HP:0009733', (268, 274)) ('SDH', 'Gene', '6390', (30, 33)) ('SDH-deficiency', 'Disease', 'MESH:D007153', (304, 318)) ('SDH-deficiency', 'Disease', (304, 318)) ('pheochromocytoma', 'Phenotype', 'HP:0002666', (240, 256)) ('SDH', 'Gene', '6390', (51, 54)) ('SDH', 'Gene', (30, 33)) ('SDH', 'Gene', '6390', (304, 307)) ('SDHAF3', 'Gene', '57001', (51, 57)) 13423 30880007 The fundamental importance of Fe-S clusters and control of superoxide support the observed connections of the SDHB subunit with mutational load. ('SDHB', 'Gene', (110, 114)) ('superoxide', 'Chemical', 'MESH:D013481', (59, 69)) ('Fe-S', 'Chemical', 'MESH:D007501', (30, 34)) ('mutational load', 'Var', (128, 143)) ('SDHB', 'Gene', '6390', (110, 114)) ('connections', 'Interaction', (91, 102)) 13426 30880007 Thus, anticorrelation between SDHAF3 expression and mutations may stem from SDH deficiency. ('stem from', 'Reg', (66, 75)) ('mutations', 'Var', (52, 61)) ('SDH deficiency', 'Disease', 'MESH:D007153', (76, 90)) ('SDHAF3', 'Gene', '57001', (30, 36)) ('SDHAF3', 'Gene', (30, 36)) ('expression', 'MPA', (37, 47)) ('SDH deficiency', 'Disease', (76, 90)) 13428 30880007 The clustering encompassing KICH, LUAD, PRAD and LGG is centered on cell cycle, DNA replication and DNA repair genes, and the positive correlations with mutations likely arise from replication stress, excessive DNA damage (such as A3B activation) and its escape from repair. ('A3B', 'Gene', (231, 234)) ('DNA', 'MPA', (211, 214)) ('mutations', 'Var', (153, 162)) ('KICH', 'Disease', (28, 32)) ('stress', 'Disease', 'MESH:D000079225', (193, 199)) ('A3B', 'Gene', '9582', (231, 234)) ('stress', 'Disease', (193, 199)) ('KICH', 'Disease', 'None', (28, 32)) ('arise from', 'Reg', (170, 180)) 13430 30880007 Thus, we propose that the association of mitochondrial gene expression with mutations likely stems from direct damage to DNA by increased ROS and other oxidants. ('ROS', 'MPA', (138, 141)) ('mutations', 'Var', (76, 85)) ('mitochondrial gene', 'Gene', (41, 59)) ('increased', 'PosReg', (128, 137)) ('ROS', 'Chemical', 'MESH:D017382', (138, 141)) 13433 30880007 The ectopic expression and upregulation of olfactory receptors in melanoma (SKCM) is a potential source of malignant transformation, and it will be useful to assess their role in mutagenesis. ('melanoma', 'Disease', 'MESH:D008545', (66, 74)) ('melanoma', 'Phenotype', 'HP:0002861', (66, 74)) ('melanoma', 'Disease', (66, 74)) ('olfactory receptors', 'Protein', (43, 62)) ('upregulation', 'PosReg', (27, 39)) ('ectopic expression', 'Var', (4, 22)) 13438 30880007 We found that G4 DNA-forming sequences are enriched twofold at translocation breakpoints, strengthening the view that G4 DNA structures contribute to genomic instability in cancer; many such structures are likely to originate from L1 and SVA retrotransposons and contribute to instability. ('cancer', 'Disease', 'MESH:D009369', (173, 179)) ('cancer', 'Disease', (173, 179)) ('genomic instability', 'MPA', (150, 169)) ('contribute', 'Reg', (136, 146)) ('cancer', 'Phenotype', 'HP:0002664', (173, 179)) ('transposons', 'Species', '2387', (247, 258)) ('G4 DNA', 'Var', (118, 124)) 13439 30880007 Mutations in TP53 increase the chance of G4 DNA-induced translocations, possibly through defects in homologous recombination following replication fork stalling at G4 DNA. ('TP53', 'Gene', (13, 17)) ('homologous', 'MPA', (100, 110)) ('defects', 'NegReg', (89, 96)) ('Mutations', 'Var', (0, 9)) ('translocations', 'MPA', (56, 70)) ('TP53', 'Gene', '7157', (13, 17)) 13441 30880007 Transcriptome analyses identify two distinct branches though which alterations in gene expression may lead to an accumulation of single base substitutions in cancer: 1) activation of cell cycle/DNA repair; and 2) loss of homeostatic control of mitochondrial respiration. ('homeostatic control of mitochondrial respiration', 'MPA', (221, 269)) ('cell cycle/DNA repair', 'CPA', (183, 204)) ('activation', 'PosReg', (169, 179)) ('cancer', 'Disease', 'MESH:D009369', (158, 164)) ('alterations', 'Var', (67, 78)) ('cancer', 'Disease', (158, 164)) ('single base substitutions', 'Var', (129, 154)) ('loss', 'NegReg', (213, 217)) ('cancer', 'Phenotype', 'HP:0002664', (158, 164)) 13444 30880007 Tumor-specific alterations in gene expression associated with mutation loads also include the ectopic expression of olfactory receptor genes in skin cancer, exacerbation of the ER unfolded protein response in breast cancer and altered HLA gene expression in cervical cancer. ('Tumor', 'Phenotype', 'HP:0002664', (0, 5)) ('cancer', 'Disease', 'MESH:D009369', (267, 273)) ('alterations', 'Reg', (15, 26)) ('HLA', 'Protein', (235, 238)) ('cancer', 'Disease', (216, 222)) ('ER unfolded protein', 'MPA', (177, 196)) ('gene expression', 'MPA', (30, 45)) ('skin cancer', 'Disease', (144, 155)) ('cancer', 'Phenotype', 'HP:0002664', (216, 222)) ('mutation loads', 'Var', (62, 76)) ('cancer', 'Disease', (149, 155)) ('skin cancer', 'Phenotype', 'HP:0008069', (144, 155)) ('cancer', 'Disease', (267, 273)) ('breast cancer', 'Phenotype', 'HP:0003002', (209, 222)) ('cancer', 'Phenotype', 'HP:0002664', (149, 155)) ('cancer', 'Phenotype', 'HP:0002664', (267, 273)) ('cancer', 'Disease', 'MESH:D009369', (216, 222)) ('ectopic expression', 'MPA', (94, 112)) ('olfactory receptor genes', 'Gene', (116, 140)) ('breast cancer', 'Disease', 'MESH:D001943', (209, 222)) ('altered', 'Reg', (227, 234)) ('breast cancer', 'Disease', (209, 222)) ('skin cancer', 'Disease', 'MESH:D012878', (144, 155)) ('exacerbation', 'PosReg', (157, 169)) ('cancer', 'Disease', 'MESH:D009369', (149, 155)) 13446 30880007 The second is to clarify how deregulation of the mitochondrial respiratory chain and its link to the TCA cycle through the SDH complex elicits mutations. ('SDH', 'Gene', (123, 126)) ('mitochondrial respiratory chain', 'Enzyme', (49, 80)) ('deregulation', 'Var', (29, 41)) ('elicits', 'Reg', (135, 142)) ('SDH', 'Gene', '6390', (123, 126)) ('TCA', 'Chemical', 'MESH:D014233', (101, 104)) ('mutations', 'Var', (143, 152)) 13512 26115094 Isocitrate dehydrogenase 1 Gene Mutation Is Associated with Prognosis in Clinical Low-Grade Gliomas Isocitrate dehydrogenase 1 gene mutations are found in most World Health Organization grade II and III gliomas and secondary glioblastomas. ('glioblastomas', 'Phenotype', 'HP:0012174', (226, 239)) ('II gliomas', 'Disease', 'MESH:D005910', (201, 211)) ('gliomas', 'Disease', (204, 211)) ('glioma', 'Phenotype', 'HP:0009733', (204, 210)) ('Gliomas', 'Phenotype', 'HP:0009733', (93, 100)) ('Glioma', 'Phenotype', 'HP:0009733', (93, 99)) ('Isocitrate dehydrogenase 1', 'Gene', (101, 127)) ('gliomas', 'Disease', 'MESH:D005910', (204, 211)) ('Associated', 'Reg', (45, 55)) ('glioblastomas', 'Disease', (226, 239)) ('mutations', 'Var', (133, 142)) ('Gliomas', 'Disease', (93, 100)) ('Isocitrate dehydrogenase 1', 'Gene', '3417', (1, 27)) ('glioblastomas', 'Disease', 'MESH:D005909', (226, 239)) ('gliomas', 'Phenotype', 'HP:0009733', (204, 211)) ('II gliomas', 'Disease', (201, 211)) ('Isocitrate dehydrogenase 1', 'Gene', (1, 27)) ('glioma', 'Disease', (204, 210)) ('glioma', 'Disease', 'MESH:D005910', (204, 210)) ('Isocitrate dehydrogenase 1', 'Gene', '3417', (101, 127)) ('Gliomas', 'Disease', 'MESH:D005910', (93, 100)) 13514 26115094 Clinical information and genetic data including isocitrate dehydrogenase 1 mutation, O 6-methylguanine DNA methyltransferase promoter methylation, 1p/19q chromosome loss, and TP53 mutation of 417 low-grade gliomas were collected from the Chinese Glioma Genome Atlas database. ('TP53', 'Gene', (175, 179)) ('Glioma Genome Atlas', 'Disease', 'MESH:D005910', (246, 265)) ('TP53', 'Gene', '7157', (175, 179)) ('Glioma Genome Atlas', 'Disease', (246, 265)) ('O 6-methylguanine DNA methyltransferase', 'Gene', '4255', (85, 124)) ('glioma', 'Phenotype', 'HP:0009733', (206, 212)) ('low-grade gliomas', 'Disease', (196, 213)) ('O 6-methylguanine DNA methyltransferase', 'Gene', (85, 124)) ('loss', 'NegReg', (165, 169)) ('Glioma', 'Phenotype', 'HP:0009733', (246, 252)) ('mutation', 'Var', (180, 188)) ('gliomas', 'Phenotype', 'HP:0009733', (206, 213)) 13516 26115094 Notably, isocitrate dehydrogenase 1 mutation was found to be a significant prognostic factor in patients with oligodendrogliomas, but not in patients with astrocytomas. ('oligodendrogliomas', 'Disease', (110, 128)) ('astrocytoma', 'Disease', 'MESH:D001254', (155, 166)) ('gliomas', 'Phenotype', 'HP:0009733', (121, 128)) ('astrocytoma', 'Disease', (155, 166)) ('astrocytomas', 'Disease', 'MESH:D001254', (155, 167)) ('astrocytoma', 'Phenotype', 'HP:0009592', (155, 166)) ('patient', 'Species', '9606', (96, 103)) ('patient', 'Species', '9606', (141, 148)) ('glioma', 'Phenotype', 'HP:0009733', (121, 127)) ('patients', 'Species', '9606', (96, 104)) ('astrocytomas', 'Disease', (155, 167)) ('oligodendrogliomas', 'Disease', 'MESH:D009837', (110, 128)) ('patients', 'Species', '9606', (141, 149)) ('mutation', 'Var', (36, 44)) ('isocitrate dehydrogenase 1', 'Gene', (9, 35)) 13517 26115094 Furthermore, O 6-methylguanine DNA methyltransferase promoter methylation (p = 0.017) and TP53 mutation (p < 0.001), but not 1p/19q loss (p = 0.834), occurred at a higher frequency in isocitrate dehydrogenase 1-mutated tumors than in isocitrate dehydrogenase 1 wild-type tumors. ('tumor', 'Phenotype', 'HP:0002664', (219, 224)) ('tumor', 'Phenotype', 'HP:0002664', (271, 276)) ('tumors', 'Disease', (219, 225)) ('tumors', 'Disease', 'MESH:D009369', (219, 225)) ('tumor', 'Disease', (219, 224)) ('tumors', 'Phenotype', 'HP:0002664', (219, 225)) ('tumors', 'Disease', (271, 277)) ('tumors', 'Disease', 'MESH:D009369', (271, 277)) ('isocitrate dehydrogenase 1-mutated', 'Disease', (184, 218)) ('tumor', 'Disease', (271, 276)) ('tumors', 'Phenotype', 'HP:0002664', (271, 277)) ('TP53', 'Gene', (90, 94)) ('tumor', 'Disease', 'MESH:D009369', (219, 224)) ('tumor', 'Disease', 'MESH:D009369', (271, 276)) ('mutation', 'Var', (95, 103)) 13518 26115094 Younger patient age (p = 0.041) and frontal lobe location (p = 0.010) were significantly correlated with isocitrate dehydrogenase 1 mutation. ('frontal lobe location', 'Disease', (36, 57)) ('isocitrate dehydrogenase 1', 'Gene', (105, 131)) ('frontal lobe location', 'Disease', 'MESH:D001927', (36, 57)) ('correlated', 'Reg', (89, 99)) ('mutation', 'Var', (132, 140)) 13521 26115094 Recent genome-wide mutational analyses have demonstrated the presence of isocitrate dehydrogenase 1 (IDH1) mutations in more than 70% of WHO grade II and III astrocytomas, oligodendrogliomas, and secondary glioblastomas (GBMs), whereas fewer than 5% of primary GBMs harbor this mutation. ('IDH1', 'Gene', (101, 105)) ('mutations', 'Var', (107, 116)) ('IDH1', 'Gene', '3417', (101, 105)) ('gliomas', 'Phenotype', 'HP:0009733', (183, 190)) ('secondary glioblastomas', 'Disease', (196, 219)) ('glioblastomas', 'Phenotype', 'HP:0012174', (206, 219)) ('oligodendrogliomas', 'Disease', (172, 190)) ('glioma', 'Phenotype', 'HP:0009733', (183, 189)) ('astrocytoma', 'Phenotype', 'HP:0009592', (158, 169)) 13522 26115094 A few studies have suggested that IDH1 mutation is associated with better outcome and sensitivity to temozolomide; however, evidence of its predictive value for response to alkylating agents, 1-(2-chloroethyl)-3-cyclohexyl-L-nitrosourea, and vincristine chemotherapy is lacking. ('mutation', 'Var', (39, 47)) ('sensitivity', 'MPA', (86, 97)) ('temozolomide', 'Chemical', 'MESH:D000077204', (101, 113)) ('vincristine', 'Chemical', 'MESH:D014750', (242, 253)) ('IDH1', 'Gene', (34, 38)) ('1-(2-chloroethyl)-3-cyclohexyl-L-nitrosourea', 'Chemical', '-', (192, 236)) 13523 26115094 Many previous studies have suggested that the prevalence of IDH1 mutations is particularly high in LGGs with 1p/19q deletion, TP53 mutation, and O 6-methylguanine-DNA methyltransferase (MGMT) gene promoter methylation, which has been shown to play a role in predicting survival in patients with newly diagnosed GBM. ('TP53', 'Gene', (126, 130)) ('IDH1', 'Gene', (60, 64)) ('O 6-methylguanine-DNA methyltransferase', 'Gene', '4255', (145, 184)) ('MGMT', 'Gene', (186, 190)) ('O 6-methylguanine-DNA methyltransferase', 'Gene', (145, 184)) ('MGMT', 'Gene', '4255', (186, 190)) ('high', 'Reg', (91, 95)) ('LGGs', 'Disease', (99, 103)) ('mutations', 'Var', (65, 74)) 13532 26115094 Of the 417 grade II gliomas examined, mutations at codon 132 of the IDH1 gene were detected in 309 tumors (74%) including 304 R132H mutations (arginine to histidine substitution [CGT to CAT]) and 5 R132G mutations (arginine to glycine substitution [CGT to GGT]), which resulted in amino acid sequence alterations. ('tumors', 'Phenotype', 'HP:0002664', (99, 105)) ('glioma', 'Phenotype', 'HP:0009733', (20, 26)) ('detected', 'Reg', (83, 91)) ('R132G', 'Mutation', 'rs121913499', (198, 203)) ('glycine', 'Chemical', 'MESH:D005998', (227, 234)) ('histidine', 'Chemical', 'MESH:D006639', (155, 164)) ('R132G', 'Var', (198, 203)) ('CAT]', 'Gene', '847', (186, 190)) ('arginine', 'Chemical', 'MESH:D001120', (143, 151)) ('IDH1', 'Gene', (68, 72)) ('CAT]', 'Gene', (186, 190)) ('gliomas', 'Phenotype', 'HP:0009733', (20, 27)) ('tumor', 'Phenotype', 'HP:0002664', (99, 104)) ('mutations', 'Var', (38, 47)) ('arginine', 'Var', (143, 151)) ('R132H', 'Mutation', 'rs121913500', (126, 131)) ('arginine', 'Chemical', 'MESH:D001120', (215, 223)) 13533 26115094 IDH1 mutation was associated with better OS in patients with oligoastrocytomas or oligodendrogliomas (p = 0.047; Fig 1E), but not in patients with astrocytomas (p = 0.124; Fig 1F). ('oligoastrocytomas or oligodendrogliomas', 'Disease', 'MESH:D001254', (61, 100)) ('better', 'PosReg', (34, 40)) ('oligoastrocytomas or oligodendrogliomas', 'Disease', (61, 100)) ('astrocytoma', 'Phenotype', 'HP:0009592', (147, 158)) ('gliomas', 'Phenotype', 'HP:0009733', (93, 100)) ('astrocytoma', 'Phenotype', 'HP:0009592', (66, 77)) ('glioma', 'Phenotype', 'HP:0009733', (93, 99)) ('IDH1', 'Gene', (0, 4)) ('mutation', 'Var', (5, 13)) 13535 26115094 reported that more than 70% of WHO grade II and III astrocytomas and oligodendrogliomas had mutations in amino acid position 132 of IDH1. ('IDH1', 'Gene', (132, 136)) ('gliomas', 'Phenotype', 'HP:0009733', (80, 87)) ('astrocytomas and oligodendrogliomas', 'Disease', 'MESH:D009837', (52, 87)) ('astrocytoma', 'Phenotype', 'HP:0009592', (52, 63)) ('glioma', 'Phenotype', 'HP:0009733', (80, 86)) ('mutations in amino acid position 132', 'Var', (92, 128)) 13536 26115094 Notably, our study is the first to demonstrate the prognostic significance of IDH1 mutation in patients with oligodendroglioma or oligoastrocytoma, but not in patients with astrocytoma. ('glioma', 'Phenotype', 'HP:0009733', (120, 126)) ('IDH1', 'Gene', (78, 82)) ('oligodendroglioma or oligoastrocytoma', 'Disease', 'MESH:D001254', (109, 146)) ('mutation', 'Var', (83, 91)) ('astrocytoma', 'Phenotype', 'HP:0009592', (173, 184)) ('astrocytoma', 'Phenotype', 'HP:0009592', (135, 146)) ('oligodendroglioma or oligoastrocytoma', 'Disease', (109, 146)) 13539 23450706 Furthermore, the significant morbidity and mortality yielded by pediatric GBM is compounded by neurotoxicity for the developing brain caused by current therapies. ('neurotoxicity', 'Disease', (95, 108)) ('neurotoxicity', 'Disease', 'MESH:D020258', (95, 108)) ('GBM', 'Gene', (74, 77)) ('pediatric', 'Var', (64, 73)) 13551 23450706 The subtypes are not as well defined in pediatric GBM where genetic profiling revealed PDGFRalpha as the predominant focal amplification target and gene expression analyses indicated deregulation of PDGFRalpha signaling plays an important role in tumor development. ('tumor', 'Phenotype', 'HP:0002664', (247, 252)) ('PDGFRalpha', 'Gene', (199, 209)) ('tumor', 'Disease', (247, 252)) ('deregulation', 'Var', (183, 195)) ('PDGFRalpha', 'Gene', '5156', (87, 97)) ('PDGFRalpha', 'Gene', (87, 97)) ('tumor', 'Disease', 'MESH:D009369', (247, 252)) ('PDGFRalpha', 'Gene', '5156', (199, 209)) 13557 23450706 GSCs, which share markers of normal neural stem cells, have been isolated from both pediatric low-grade gliomas (LGG) and HGGs suggesting that pediatric GSCs may emerge from normal neural stem cells that become mutated resulting in the loss of regulated cell division. ('gliomas', 'Disease', (104, 111)) ('mutated', 'Var', (211, 218)) ('loss', 'NegReg', (236, 240)) ('glioma', 'Phenotype', 'HP:0009733', (104, 110)) ('regulated cell division', 'CPA', (244, 267)) ('gliomas', 'Disease', 'MESH:D005910', (104, 111)) ('gliomas', 'Phenotype', 'HP:0009733', (104, 111)) 13565 23450706 In a pediatric GBM model, found CD133+ cells expressed a higher percentage of the intermediate filament nestin, musashi-1, and CD15 (stage-specific embryonic antigen 1 or SSEA-1) and had increased proliferation compared to CD133- cells. ('musashi-1', 'Gene', '4440', (112, 121)) ('nestin', 'Gene', (104, 110)) ('higher', 'PosReg', (57, 63)) ('musashi-1', 'Gene', (112, 121)) ('CD15', 'Gene', '2526', (127, 131)) ('stage-specific embryonic antigen 1', 'Gene', (133, 167)) ('CD15', 'Gene', (127, 131)) ('stage-specific embryonic antigen 1', 'Gene', '2526', (133, 167)) ('increased', 'PosReg', (187, 196)) ('nestin', 'Gene', '10763', (104, 110)) ('proliferation', 'CPA', (197, 210)) ('CD133+', 'Var', (32, 38)) 13592 23450706 Inhibiting Hedgehog signaling prevented tumorigenicity and GSC proliferation in HGGs and decreased the self-renewal ability of DIPG neurospheres. ('Hedgehog', 'Protein', (11, 19)) ('Inhibiting', 'Var', (0, 10)) ('prevented', 'NegReg', (30, 39)) ('GSC proliferation', 'CPA', (59, 76)) ('tumor', 'Disease', 'MESH:D009369', (40, 45)) ('self-renewal ability of DIPG neurospheres', 'CPA', (103, 144)) ('DIPG', 'Chemical', '-', (127, 131)) ('tumor', 'Phenotype', 'HP:0002664', (40, 45)) ('tumor', 'Disease', (40, 45)) ('decreased', 'NegReg', (89, 98)) 13600 23450706 While EGFR is more commonly amplified and overexpressed in adult gliomas, recent evidence suggests that EGFR amplification and EGFRvIII mutations may occur more often in pediatric HGGs than previously recognized. ('adult gliomas', 'Disease', (59, 72)) ('HGGs', 'Disease', (180, 184)) ('EGFR', 'Gene', (104, 108)) ('glioma', 'Phenotype', 'HP:0009733', (65, 71)) ('amplification', 'Var', (109, 122)) ('adult gliomas', 'Disease', 'MESH:D005910', (59, 72)) ('mutations', 'Var', (136, 145)) ('EGFRvIII', 'Gene', (127, 135)) ('gliomas', 'Phenotype', 'HP:0009733', (65, 72)) 13615 23450706 In a pediatric GBM cell line which was resistant to temozolomide in the absence of MGMT, discovered a PI3-K-mediated HOX/stem cell resistance gene signature. ('temozolomide', 'Chemical', 'MESH:D000077204', (52, 64)) ('MGMT', 'Gene', '4255', (83, 87)) ('PI3-K-mediated', 'Var', (102, 116)) ('MGMT', 'Gene', (83, 87)) 13620 23450706 showed that the CD133+ fraction in D456MG, a pediatric GBM, was enriched after radiation, and the CD133+ GSCs survived radiation by more effectively repairing radiation-induced DNA damage compared to CD133- cells. ('CD133+', 'Var', (98, 104)) ('more effectively', 'PosReg', (132, 148)) ('D456MG', 'Chemical', '-', (35, 41)) ('D456MG', 'Var', (35, 41)) ('repairing radiation-induced DNA damage', 'MPA', (149, 187)) 13635 23450706 Candidate viruses either normally do not cause human disease but replicate in GSCs with altered signaling pathways or deficient interferon responses, or they contain mutations that prevent the virus from infecting or replicating in normal cells but permit infection and replication in GSCs. ('mutations', 'Var', (166, 175)) ('replicating', 'CPA', (217, 228)) ('prevent', 'NegReg', (181, 188)) ('altered', 'Reg', (88, 95)) ('infecting', 'CPA', (204, 213)) ('human', 'Species', '9606', (47, 52)) 13642 23450706 Importantly, deletion of certain HSV genes (e.g., the gamma134.5 neurovirulence gene) facilitates selective replication in glioma cells. ('glioma', 'Phenotype', 'HP:0009733', (123, 129)) ('HSV genes', 'Gene', (33, 42)) ('glioma', 'Disease', 'MESH:D005910', (123, 129)) ('facilitates', 'PosReg', (86, 97)) ('selective', 'CPA', (98, 107)) ('deletion', 'Var', (13, 21)) ('glioma', 'Disease', (123, 129)) ('gamma134.5', 'Gene', (54, 64)) 13643 23450706 In the unlikely event that a mutant virus produces toxicity in normal brain tissue, effective antiviral agents are clinically available. ('mutant', 'Var', (29, 35)) ('toxicity', 'Disease', (51, 59)) ('toxicity', 'Disease', 'MESH:D064420', (51, 59)) 13646 23450706 It contains deletions in both copies of the gamma134.5 gene and a LacZ gene insertion (which encodes beta-galactosidase) into the UL39 locus thereby disabling expression of ICP6, the heavy chain for viral ribonucleotide reductase (RR). ('deletions', 'Var', (12, 21)) ('beta-galactosidase', 'Gene', '2720', (101, 119)) ('beta-galactosidase', 'Gene', (101, 119)) ('LacZ gene', 'Gene', (66, 75)) ('disabling', 'NegReg', (149, 158)) ('viral ribonucleotide reductase', 'Disease', 'MESH:D001102', (199, 229)) ('viral ribonucleotide reductase', 'Disease', (199, 229)) ('expression', 'MPA', (159, 169)) ('ICP6', 'Gene', (173, 177)) 13651 23450706 Oncolytic HSVs deleted for the gamma134.5 gene are unable to evade PKR-mediated translational arrest thus limiting viral replication in normal cells containing a functional PKR response. ('viral replication', 'MPA', (115, 132)) ('arrest', 'Disease', 'MESH:D006323', (94, 100)) ('PKR', 'Gene', '5610', (67, 70)) ('PKR', 'Gene', '5610', (173, 176)) ('gamma134.5', 'Gene', (31, 41)) ('arrest', 'Disease', (94, 100)) ('PKR', 'Gene', (173, 176)) ('limiting', 'NegReg', (106, 114)) ('PKR', 'Gene', (67, 70)) ('deleted', 'Var', (15, 22)) 13653 23450706 Mutant viruses with gamma134.5-deletions may replicate in tumor cells which have defective signaling pathways (e.g., defective PTEN and activated MAPK, both of which can be present in HGG), or activating ras mutations that results in defective PKR. ('tumor', 'Phenotype', 'HP:0002664', (58, 63)) ('tumor', 'Disease', (58, 63)) ('MAPK', 'Pathway', (146, 150)) ('signaling pathways', 'Pathway', (91, 109)) ('gamma134.5-deletions', 'Var', (20, 40)) ('activated', 'PosReg', (136, 145)) ('defective', 'NegReg', (81, 90)) ('mutations', 'Var', (208, 217)) ('PKR', 'Gene', '5610', (244, 247)) ('ras', 'Gene', (204, 207)) ('PTEN', 'Protein', (127, 131)) ('Mutant', 'Var', (0, 6)) ('PKR', 'Gene', (244, 247)) ('tumor', 'Disease', 'MESH:D009369', (58, 63)) ('defective', 'NegReg', (117, 126)) ('activating', 'PosReg', (193, 203)) 13655 23450706 The lacZ insertion adds additional protection for normal cells because RR is vital for nucleotide synthesis necessary for viral replication and mutants are hypersensitive to acyclovir. ('mutants', 'Var', (144, 151)) ('acyclovir', 'Chemical', 'MESH:D000212', (174, 183)) ('lacZ', 'Gene', (4, 8)) ('hypersensitive', 'Disease', 'MESH:D004342', (156, 170)) ('hypersensitive', 'Disease', (156, 170)) 13657 23450706 Similar to G207, HSV1716 contains deletions in both copies of the gamma134.5 gene (also identified as RL1); however HSV1716 was derived from wild-type strain 17 which is a temperature insensitive isolate unlike the parental HSV-1(F) strain for G207. ('strain 17', 'Species', '2743', (151, 160)) ('HSV-1', 'Species', '10298', (224, 229)) ('deletions', 'Var', (34, 43)) ('gamma134.5', 'Gene', (66, 76)) 13658 23450706 HSV1716 virulence is greater than that of G207 based on murine studies and the maximum safe dose [105 PFU (plaque-forming unit) for 1716 vs. 3 x 109 PFU for G207] used in clinical trials. ('virulence', 'MPA', (8, 17)) ('murine', 'Species', '10090', (56, 62)) ('greater', 'PosReg', (21, 28)) ('HSV1716', 'Var', (0, 7)) 13665 23450706 The only abnormality seen was histological and MRI evidence of unilateral ventriculomegaly ipsilateral to the injection site in some of the G207-treated mice and in one saline-injected mouse that was attributed most likely to free-hand injection resulting in intraventricular delivery of the virus. ('mouse', 'Species', '10090', (185, 190)) ('unilateral ventriculomegaly ipsilateral', 'Disease', (63, 102)) ('ventriculomegaly', 'Phenotype', 'HP:0002119', (74, 90)) ('G207-treated', 'Var', (140, 152)) ('unilateral ventriculomegaly ipsilateral', 'Disease', 'MESH:D006849', (63, 102)) ('mice', 'Species', '10090', (153, 157)) ('saline', 'Chemical', 'MESH:D012965', (169, 175)) 13675 23450706 While neither virus has been used in children with HGGs, HSV1716 is currently being used in a phase I trial in children older than 6 with recurrent solid tumors outside the central nervous system (ClinicalTrials.gov identifier: NCT00931931). ('tumors outside the central nervous system', 'Phenotype', 'HP:0100006', (154, 195)) ('solid tumors', 'Disease', 'MESH:D009369', (148, 160)) ('tumors', 'Phenotype', 'HP:0002664', (154, 160)) ('children', 'Species', '9606', (111, 119)) ('children', 'Species', '9606', (37, 45)) ('HSV1716', 'Var', (57, 64)) ('solid tumors', 'Disease', (148, 160)) ('tumor', 'Phenotype', 'HP:0002664', (154, 159)) 13691 23450706 This was confirmed with cytotoxicity testing in vitro; the lethal dose required to kill 50% (LD50) of CD133+ or CD133- D456MG cells was not significantly different, and D456MG, including the GSCs, were more sensitive to killing by G207 and M002 than six adult GBM xenografts tested. ('D456MG', 'Chemical', '-', (119, 125)) ('sensitive', 'MPA', (207, 216)) ('cytotoxicity', 'Disease', (24, 36)) ('D456MG', 'Chemical', '-', (169, 175)) ('D456MG', 'Var', (169, 175)) ('G207', 'Var', (231, 235)) ('cytotoxicity', 'Disease', 'MESH:D064420', (24, 36)) 13692 23450706 Athymic nude mice with D456MG implanted intracranially lived significantly longer after a single injection of the oHSV C134, a chimeric gamma134.5-deleted virus with the human cytomegalovirus (HCMV) IRS1 gene under control of the HCMV immediate early promoter; this insertion improves viral replication without restoring neurovirulence. ('viral replication', 'MPA', (285, 302)) ('improves', 'PosReg', (276, 284)) ('longer', 'PosReg', (75, 81)) ('HCMV', 'Species', '10359', (230, 234)) ('oHSV', 'Chemical', '-', (114, 118)) ('IRS1', 'Gene', (199, 203)) ('nude mice', 'Species', '10090', (8, 17)) ('HCMV', 'Species', '10359', (193, 197)) ('human cytomegalovirus', 'Species', '10359', (170, 191)) ('IRS1', 'Gene', '3077574', (199, 203)) ('D456MG', 'Chemical', '-', (23, 29)) ('D456MG', 'Var', (23, 29)) 13694 23450706 Interestingly, when GBM xenograft cells including D456MG were grown in 1% hypoxia to simulate the more severe physiologic hypoxic environment that glioma cells experience in vivo, nectin-1 expression increased significantly (12% increase in D456MG cells). ('hypoxic', 'Disease', (122, 129)) ('hypoxia', 'Disease', 'MESH:D000860', (74, 81)) ('nectin-1', 'Gene', (180, 188)) ('hypoxic', 'Disease', 'MESH:D000860', (122, 129)) ('D456MG', 'Var', (241, 247)) ('D456MG', 'Chemical', '-', (241, 247)) ('glioma', 'Disease', 'MESH:D005910', (147, 153)) ('hypoxia', 'Disease', (74, 81)) ('increased', 'PosReg', (200, 209)) ('increase', 'PosReg', (229, 237)) ('glioma', 'Phenotype', 'HP:0009733', (147, 153)) ('expression', 'MPA', (189, 199)) ('D456MG', 'Chemical', '-', (50, 56)) ('nectin-1', 'Gene', '5818', (180, 188)) ('glioma', 'Disease', (147, 153)) 13696 23450706 Despite the increase in nectin-1, gamma134.5-deleted virus infectivity, replication, and cytotoxicity were significantly diminished in the pediatric GBM xenograft model under hypoxia. ('infectivity', 'CPA', (59, 70)) ('nectin-1', 'Gene', '5818', (24, 32)) ('cytotoxicity', 'Disease', (89, 101)) ('increase', 'PosReg', (12, 20)) ('hypoxia', 'Disease', 'MESH:D000860', (175, 182)) ('diminished', 'NegReg', (121, 131)) ('replication', 'CPA', (72, 83)) ('hypoxia', 'Disease', (175, 182)) ('gamma134.5-deleted', 'Var', (34, 52)) ('cytotoxicity', 'Disease', 'MESH:D064420', (89, 101)) ('nectin-1', 'Gene', (24, 32)) 13698 23450706 The decreased efficacy of a gamma134.5-deleted virus in physiologic hypoxic conditions is not inconsequential. ('hypoxic conditions', 'Disease', 'MESH:D009135', (68, 86)) ('hypoxic conditions', 'Disease', (68, 86)) ('gamma134.5-deleted', 'Var', (28, 46)) 13700 23450706 While hypoxia significantly increased the CD133+ fraction in D456MG by nearly fourfold and decreased the percentage of CD133+ GSC infected, there was not a significant difference in the percentage of CD133+ cells infected compared to all tumor cells in normoxia or hypoxia suggesting that the CD133+ cells were not inherently more resistant (Figure 2). ('increased', 'PosReg', (28, 37)) ('tumor', 'Disease', 'MESH:D009369', (238, 243)) ('decreased', 'NegReg', (91, 100)) ('tumor', 'Phenotype', 'HP:0002664', (238, 243)) ('hypoxia', 'Disease', 'MESH:D000860', (6, 13)) ('tumor', 'Disease', (238, 243)) ('hypoxia', 'Disease', (6, 13)) ('hypoxia', 'Disease', (265, 272)) ('hypoxia', 'Disease', 'MESH:D000860', (265, 272)) ('CD133+', 'MPA', (42, 48)) ('D456MG', 'Chemical', '-', (61, 67)) ('D456MG', 'Var', (61, 67)) 13712 23450706 While gamma134.5-deleted viruses can replicate in HGGs, replication is attenuated compared to wild-type HSV-1. ('HSV-1', 'Species', '10298', (104, 109)) ('replication', 'MPA', (56, 67)) ('attenuated', 'NegReg', (71, 81)) ('gamma134.5-deleted', 'Var', (6, 24)) 13716 23450706 Compared to its parent gamma134.5-deleted virus, C134 was superior at improving survival in animals with gliomas. ('improving', 'PosReg', (70, 79)) ('gliomas', 'Disease', 'MESH:D005910', (105, 112)) ('gliomas', 'Phenotype', 'HP:0009733', (105, 112)) ('gliomas', 'Disease', (105, 112)) ('C134', 'Var', (49, 53)) ('survival', 'CPA', (80, 88)) ('glioma', 'Phenotype', 'HP:0009733', (105, 111)) 13719 23450706 Recent research suggests ICP34.5 confers neurovirulence by inhibiting autophagy through beclin-1. ('beclin-1', 'Gene', '8678', (88, 96)) ('autophagy', 'CPA', (70, 79)) ('neurovirulence', 'MPA', (41, 55)) ('ICP34.5', 'Var', (25, 32)) ('inhibiting', 'NegReg', (59, 69)) ('beclin-1', 'Gene', (88, 96)) 13720 23450706 developed Delta68H-6, an ICP6 mutant with the gamma134.5 gene intact except for the Beclin-1 binding domain. ('Beclin-1', 'Gene', '8678', (84, 92)) ('Delta68H-6', 'Var', (10, 20)) ('Beclin-1', 'Gene', (84, 92)) 13721 23450706 The mutant virus was minimally neuropathogenic but replicated well in GSCs in vitro and prolonged survival in mice bearing orthotopic gliomas. ('glioma', 'Phenotype', 'HP:0009733', (134, 140)) ('survival', 'CPA', (98, 106)) ('mutant', 'Var', (4, 10)) ('gliomas', 'Disease', (134, 141)) ('mice', 'Species', '10090', (110, 114)) ('gliomas', 'Disease', 'MESH:D005910', (134, 141)) ('gliomas', 'Phenotype', 'HP:0009733', (134, 141)) ('prolonged', 'PosReg', (88, 97)) 13722 23450706 In addition to the attenuated replication of gamma134.5-deleted mutants, the tumoral environment of highly necrotic and infiltrative HGGs may limit the virus' ability to infect all GSCs. ('necrotic', 'Disease', (107, 115)) ('tumor', 'Disease', 'MESH:D009369', (77, 82)) ('limit', 'NegReg', (142, 147)) ('tumor', 'Phenotype', 'HP:0002664', (77, 82)) ('necrotic', 'Disease', 'MESH:D009336', (107, 115)) ('mutants', 'Var', (64, 71)) ('tumor', 'Disease', (77, 82)) ('ability', 'MPA', (159, 166)) 13731 23450706 Compared to its parent virus without Chase-ABC, OV-Chase significantly enhanced spread in glioma spheroids and prolonged survival in animals with intracranial glioma xenografts. ('glioma spheroids', 'Disease', 'MESH:D005910', (90, 106)) ('enhanced', 'PosReg', (71, 79)) ('glioma spheroids', 'Disease', (90, 106)) ('intracranial glioma', 'Disease', (146, 165)) ('glioma', 'Phenotype', 'HP:0009733', (90, 96)) ('prolonged', 'PosReg', (111, 120)) ('survival', 'CPA', (121, 129)) ('glioma', 'Phenotype', 'HP:0009733', (159, 165)) ('OV-Chase', 'Var', (48, 56)) ('intracranial glioma', 'Disease', 'MESH:D005910', (146, 165)) 13734 23450706 A similar virus that expresses VStat120, 34.5ENVE, was created within the backbone of rQNestin34.5 and likewise prolonged survival in glioma-bearing mice and showed evidence of antiangiogenesis with reduced microvessel density and increased tumoral necrosis compared to a control virus. ('prolonged', 'PosReg', (112, 121)) ('glioma', 'Phenotype', 'HP:0009733', (134, 140)) ('Nestin', 'Gene', '10763', (88, 94)) ('glioma', 'Disease', 'MESH:D005910', (134, 140)) ('tumor', 'Phenotype', 'HP:0002664', (241, 246)) ('survival', 'CPA', (122, 130)) ('increased', 'PosReg', (231, 240)) ('antiangiogenesis', 'CPA', (177, 193)) ('VStat120', 'Chemical', '-', (31, 39)) ('Nestin', 'Gene', (88, 94)) ('microvessel density', 'CPA', (207, 226)) ('mice', 'Species', '10090', (149, 153)) ('tumoral necrosis', 'Phenotype', 'HP:0010885', (241, 257)) ('glioma', 'Disease', (134, 140)) ('tumoral necrosis', 'Disease', (241, 257)) ('tumoral necrosis', 'Disease', 'MESH:D009336', (241, 257)) ('VStat120', 'Var', (31, 39)) ('reduced', 'NegReg', (199, 206)) 13738 23450706 Similarly, G47Delta-mAngio expresses angiostatin, and in combination with the VEGF inhibitor bevacizumab, the virus increased glioma tumor lysis and angiostatin-mediated inhibition of VEGF leading to a decreased invasive tumor phenotype. ('glioma', 'Phenotype', 'HP:0009733', (126, 132)) ('invasive tumor', 'Disease', (212, 226)) ('decreased', 'NegReg', (202, 211)) ('tumor', 'Phenotype', 'HP:0002664', (221, 226)) ('tumor', 'Phenotype', 'HP:0002664', (133, 138)) ('G47Delta-mAngio', 'Var', (11, 26)) ('increased', 'PosReg', (116, 125)) ('glioma tumor', 'Disease', 'MESH:D005910', (126, 138)) ('bevacizumab', 'Chemical', 'MESH:D000068258', (93, 104)) ('invasive tumor', 'Disease', 'MESH:D009369', (212, 226)) ('angiostatin', 'Gene', '18815', (149, 160)) ('glioma tumor', 'Disease', (126, 138)) ('VEGF', 'Gene', '7422', (184, 188)) ('angiostatin', 'Gene', (149, 160)) ('VEGF', 'Gene', (184, 188)) ('angiostatin', 'Gene', '18815', (37, 48)) ('VEGF', 'Gene', '7422', (78, 82)) ('VEGF', 'Gene', (78, 82)) ('angiostatin', 'Gene', (37, 48)) 13745 23450706 MG18L, an oHSV with ICP6 disabled and deletion in Us3, which encodes a serine-threonine kinase with multiple functions including inhibition of virus-induced apoptosis and activation of Akt, acted synergistically with PI3-K/Akt inhibitors to target GSCs effectively. ('oHSV', 'Chemical', '-', (10, 14)) ('MG18L', 'Var', (0, 5)) ('Akt', 'Gene', (223, 226)) ('Us3', 'Gene', (50, 53)) ('activation', 'PosReg', (171, 181)) ('Akt', 'Gene', '207', (185, 188)) ('deletion', 'Var', (38, 46)) ('Akt', 'Gene', '207', (223, 226)) ('MG18L', 'Chemical', '-', (0, 5)) ('Akt', 'Gene', (185, 188)) 13759 32525984 Pan-cancer analysis of TCGA data showed widespread single/double copy loss of RP genes, without significantly affecting survival. ('cancer', 'Phenotype', 'HP:0002664', (4, 10)) ('cancer', 'Disease', 'MESH:D009369', (4, 10)) ('RP genes', 'Gene', (78, 86)) ('cancer', 'Disease', (4, 10)) ('single/double copy loss', 'Var', (51, 74)) 13760 32525984 In several cancer cell lines, CRISPR-Cas9 knockout of RP genes did not affect cell viability. ('cancer', 'Phenotype', 'HP:0002664', (11, 17)) ('RP genes', 'Gene', (54, 62)) ('cancer', 'Disease', 'MESH:D009369', (11, 17)) ('knockout', 'Var', (42, 50)) ('cancer', 'Disease', (11, 17)) 13764 32525984 One of the strongest evidence for existence of 'specialized ribosomes' comes from a study in mice, where loss of function mutation in Rpl38 selectively perturbs translation of subsets of Hox mRNA, while maintaining global protein synthesis. ('Rpl38', 'Gene', '67671', (134, 139)) ('mutation', 'Var', (122, 130)) ('mice', 'Species', '10090', (93, 97)) ('perturbs', 'NegReg', (152, 160)) ('Rpl38', 'Gene', (134, 139)) ('global protein synthesis', 'MPA', (215, 239)) ('translation of subsets of Hox mRNA', 'MPA', (161, 195)) ('maintaining', 'PosReg', (203, 214)) 13768 32525984 In yeast, growth-defective 60S mutants increased synthesis of proteins involved in proteasome-mediated degradation, and 40S mutants had increased translation of ribosome biogenesis genes. ('translation', 'MPA', (146, 157)) ('mutants', 'Var', (31, 38)) ('mutants', 'Var', (124, 131)) ('ribosome biogenesis genes', 'Gene', (161, 186)) ('increased', 'PosReg', (39, 48)) ('yeast', 'Species', '4932', (3, 8)) ('increased', 'PosReg', (136, 145)) 13769 32525984 The effects of alterations in RPs have also been noted in cancers, with both germline and somatic mutations in RP genes found in 10-30% of tumors. ('cancer', 'Phenotype', 'HP:0002664', (58, 64)) ('RPs', 'Gene', (30, 33)) ('cancers', 'Phenotype', 'HP:0002664', (58, 65)) ('rat', 'Species', '10116', (19, 22)) ('alterations', 'Var', (15, 26)) ('tumor', 'Phenotype', 'HP:0002664', (139, 144)) ('cancers', 'Disease', 'MESH:D009369', (58, 65)) ('tumors', 'Disease', (139, 145)) ('tumors', 'Disease', 'MESH:D009369', (139, 145)) ('tumors', 'Phenotype', 'HP:0002664', (139, 145)) ('cancers', 'Disease', (58, 65)) 13770 32525984 Ribosomopathies, which are congenital dysfunctions in heart, bone, and kidney, derive from mutations in different RPs, and make patients susceptible to cancers later in life. ('congenital dysfunctions in heart', 'Phenotype', 'HP:0001627', (27, 59)) ('cancers', 'Disease', (152, 159)) ('cancers', 'Disease', 'MESH:D009369', (152, 159)) ('congenital dysfunctions', 'Disease', (27, 50)) ('congenital dysfunctions', 'Disease', 'MESH:D009358', (27, 50)) ('susceptible', 'Reg', (137, 148)) ('Ribosomopathies', 'Disease', 'None', (0, 15)) ('derive from', 'Reg', (79, 90)) ('mutations', 'Var', (91, 100)) ('cancer', 'Phenotype', 'HP:0002664', (152, 158)) ('patients', 'Species', '9606', (128, 136)) ('Ribosomopathies', 'Disease', (0, 15)) ('cancers', 'Phenotype', 'HP:0002664', (152, 159)) ('RPs', 'Gene', (114, 117)) 13782 32525984 GISTIC2 copy number variation (CNV) data for the 78 RP genes in 10 845 tumors from 33 cancer types in the TCGA dataset was compiled from 'all_thresholded.by_genes.txt' files downloaded from Broad GDAC (http://gdac.broadinstitute.org), and the entries -2 and -1 were interpreted as double deletion (aka deep deletion) and single deletion (aka shallow deletion) respectively. ('double deletion', 'Var', (281, 296)) ('single deletion', 'Var', (321, 336)) ('cancer', 'Phenotype', 'HP:0002664', (86, 92)) ('tumor', 'Phenotype', 'HP:0002664', (71, 76)) ('tumors', 'Phenotype', 'HP:0002664', (71, 77)) ('tumors', 'Disease', (71, 77)) ('cancer', 'Disease', 'MESH:D009369', (86, 92)) ('tumors', 'Disease', 'MESH:D009369', (71, 77)) ('cancer', 'Disease', (86, 92)) 13795 32525984 transcripts being translated in ribosomes) data sets were downloaded from the Gene Expression Omnibus (GEO, https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=): human (GSE60426, GSE62247, GSE65885), mouse (GSE60426, GSE41246, GSE72064, GSE89108, rat (GSE66715). ('GSE60426', 'Var', (169, 177)) ('GSE65885', 'Var', (189, 197)) ('GSE41246', 'Var', (217, 225)) ('GSE89108', 'Var', (237, 245)) ('GSE72064', 'Var', (227, 235)) ('GSE66715', 'Var', (252, 260)) ('mouse', 'Species', '10090', (200, 205)) ('GSE62247', 'Var', (179, 187)) ('rat', 'Species', '10116', (247, 250)) ('human', 'Species', '9606', (162, 167)) ('GSE60426', 'Var', (207, 215)) 13824 32525984 In these six cancer types, the RP genes over-expressed in the better prognosis RP subtypes (Supplementary Table S1e) were intolerant of loss-of-function (LoF) variation, as measured by the 'probability of loss of intolerance' (pLI) score (Figure 4C). ('cancer', 'Phenotype', 'HP:0002664', (13, 19)) ('RP genes', 'Gene', (31, 39)) ('loss-of-function', 'NegReg', (136, 152)) ('cancer', 'Disease', (13, 19)) ('cancer', 'Disease', 'MESH:D009369', (13, 19)) ('variation', 'Var', (159, 168)) ('over-expressed', 'PosReg', (40, 54)) 13826 32525984 The RP genes over-expressed in the worse prognosis RP subtypes in the six cancer types described above were more tolerant of loss-of-function (LoF) variation, i.e. ('over-expressed', 'PosReg', (13, 27)) ('cancer', 'Disease', 'MESH:D009369', (74, 80)) ('cancer', 'Disease', (74, 80)) ('loss-of-function', 'NegReg', (125, 141)) ('variation', 'Var', (148, 157)) ('cancer', 'Phenotype', 'HP:0002664', (74, 80)) ('RP genes', 'Gene', (4, 12)) 13827 32525984 The LGG-worse survival RP mRNA subtype was enriched in the 'IDH-mutant 1p/19q non-co-deletion tumors', 'IDH-wildtype tumors', and tumors with 'astrocytoma histology', while the LGG-better survival RP mRNA subtype was enriched in the 'IDH-mutant 1p/19q co-deletion tumors', and tumors with 'oligodendroglioma histology' as defined in the literature. ('astrocytoma', 'Disease', (143, 154)) ('tumors', 'Disease', 'MESH:D009369', (130, 136)) ('tumors', 'Phenotype', 'HP:0002664', (117, 123)) ('tumor', 'Phenotype', 'HP:0002664', (277, 282)) ('tumors', 'Disease', (264, 270)) ('tumors', 'Phenotype', 'HP:0002664', (94, 100)) ('tumors', 'Disease', (277, 283)) ('tumor', 'Phenotype', 'HP:0002664', (117, 122)) ('rat', 'Species', '10116', (341, 344)) ('tumor', 'Phenotype', 'HP:0002664', (94, 99)) ('tumors', 'Disease', (117, 123)) ('tumors', 'Disease', (94, 100)) ('tumors', 'Disease', 'MESH:D009369', (264, 270)) ('tumors', 'Phenotype', 'HP:0002664', (130, 136)) ('tumors', 'Disease', 'MESH:D009369', (277, 283)) ('tumors', 'Disease', 'MESH:D009369', (117, 123)) ('tumor', 'Phenotype', 'HP:0002664', (130, 135)) ('tumors', 'Disease', 'MESH:D009369', (94, 100)) ('oligodendroglioma', 'Disease', 'MESH:D009837', (290, 307)) ('tumors', 'Disease', (130, 136)) ('tumor', 'Phenotype', 'HP:0002664', (264, 269)) ('oligodendroglioma', 'Disease', (290, 307)) ('tumors', 'Phenotype', 'HP:0002664', (264, 270)) ('glioma', 'Phenotype', 'HP:0009733', (301, 307)) ('astrocytoma', 'Disease', 'MESH:D001254', (143, 154)) ('non-co-deletion', 'Var', (78, 93)) ("'IDH-mutant", 'Disease', (59, 70)) ('tumors', 'Phenotype', 'HP:0002664', (277, 283)) 13832 32525984 Pan-Cancer analysis of TCGA CNV data showed that 1,272 (11.7%) tumors had double deletion of one or more of the 78 RP genes, and both copies of each of the 78 RP genes were deleted in at least one tumor in the TCGA data (Figure 5A, B). ('tumor', 'Disease', (63, 68)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) ('tumor', 'Disease', 'MESH:D009369', (197, 202)) ('Cancer', 'Disease', 'MESH:D009369', (4, 10)) ('tumors', 'Phenotype', 'HP:0002664', (63, 69)) ('RP genes', 'Gene', (115, 123)) ('Cancer', 'Disease', (4, 10)) ('tumors', 'Disease', (63, 69)) ('tumor', 'Disease', 'MESH:D009369', (63, 68)) ('tumors', 'Disease', 'MESH:D009369', (63, 69)) ('tumor', 'Phenotype', 'HP:0002664', (197, 202)) ('Cancer', 'Phenotype', 'HP:0002664', (4, 10)) ('double deletion', 'Var', (74, 89)) ('tumor', 'Disease', (197, 202)) 13833 32525984 RPL13 and RPL29 had double deletions in more than 100 samples (Figure 5A, B) and both copies of up to 16 RPs were lost in one sample (Figure 5C). ('RPL13', 'Gene', '6137', (0, 5)) ('RPL13', 'Gene', (0, 5)) ('double deletions', 'Var', (20, 36)) ('RPL29', 'Gene', '6159', (10, 15)) ('RPL29', 'Gene', (10, 15)) 13834 32525984 Double deletions of RP genes were observed in all 33 cancer types (Figure 5D), but were more frequent in some cancer types than others (Supplementary Figure S13, Table S1f). ('cancer', 'Disease', (110, 116)) ('RP genes', 'Gene', (20, 28)) ('cancer', 'Disease', (53, 59)) ('Double deletions', 'Var', (0, 16)) ('cancer', 'Disease', 'MESH:D009369', (53, 59)) ('cancer', 'Phenotype', 'HP:0002664', (110, 116)) ('cancer', 'Phenotype', 'HP:0002664', (53, 59)) ('observed', 'Reg', (34, 42)) ('cancer', 'Disease', 'MESH:D009369', (110, 116)) ('frequent', 'Reg', (93, 101)) 13835 32525984 DLBC was at one extreme, where over 25% of tumors had double deletion of some RP gene, and KICH was at the other extreme, where <2% tumors had double deletion of some RP genes. ('double deletion', 'Var', (54, 69)) ('RP gene', 'Gene', (78, 85)) ('tumor', 'Phenotype', 'HP:0002664', (132, 137)) ('KICH', 'Disease', 'None', (91, 95)) ('tumors', 'Phenotype', 'HP:0002664', (132, 138)) ('tumor', 'Phenotype', 'HP:0002664', (43, 48)) ('tumors', 'Disease', (43, 49)) ('tumors', 'Disease', (132, 138)) ('tumors', 'Phenotype', 'HP:0002664', (43, 49)) ('tumors', 'Disease', 'MESH:D009369', (132, 138)) ('KICH', 'Disease', (91, 95)) ('tumors', 'Disease', 'MESH:D009369', (43, 49)) 13837 32525984 Overall, 8,910 (82.2%) tumors had single/double deletion of one or more of the 78 RP genes in the TCGA dataset. ('tumors', 'Disease', 'MESH:D009369', (23, 29)) ('tumors', 'Disease', (23, 29)) ('single/double deletion', 'Var', (34, 56)) ('tumor', 'Phenotype', 'HP:0002664', (23, 28)) ('RP genes', 'Gene', (82, 90)) ('tumors', 'Phenotype', 'HP:0002664', (23, 29)) 13838 32525984 Individual RP genes had single/double deletion in 392-4,013 tumors (Supplementary Figure S14ab), and up to 55 RPs had single/double deletions in the same sample (Supplementary Figure S14c). ('single/double deletion', 'Var', (24, 46)) ('RP genes', 'Gene', (11, 19)) ('tumors', 'Disease', (60, 66)) ('tumor', 'Phenotype', 'HP:0002664', (60, 65)) ('tumors', 'Phenotype', 'HP:0002664', (60, 66)) ('tumors', 'Disease', 'MESH:D009369', (60, 66)) 13839 32525984 Single/double deletions of RP genes were abundant in all 33 cancer types (Supplementary Figure S14d) but were more frequent in some cancer types than others (Supplementary Figure S15, Table S1g). ('RP genes', 'Gene', (27, 35)) ('cancer', 'Disease', (132, 138)) ('Single/double deletions', 'Var', (0, 23)) ('cancer', 'Disease', 'MESH:D009369', (60, 66)) ('cancer', 'Phenotype', 'HP:0002664', (132, 138)) ('cancer', 'Disease', (60, 66)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) ('cancer', 'Disease', 'MESH:D009369', (132, 138)) ('frequent', 'Reg', (115, 123)) 13840 32525984 OV was at one extreme, with over 99% of tumors showing single/double deletion of some RP genes, and LAML was at the other extreme, with <20% of tumors showing single/double deletion of some RP genes. ('tumors', 'Disease', (144, 150)) ('tumors', 'Phenotype', 'HP:0002664', (144, 150)) ('tumors', 'Phenotype', 'HP:0002664', (40, 46)) ('tumors', 'Disease', 'MESH:D009369', (144, 150)) ('RP genes', 'Gene', (86, 94)) ('tumors', 'Disease', 'MESH:D009369', (40, 46)) ('single/double deletion', 'Var', (55, 77)) ('tumor', 'Phenotype', 'HP:0002664', (40, 45)) ('tumor', 'Phenotype', 'HP:0002664', (144, 149)) ('tumors', 'Disease', (40, 46)) 13841 32525984 Highly recurrent single/double deletion of a RP gene was quite common (Supplementary Figure S15, Table S1g), and there were even examples of RP genes single/double deleted in over 85% of tumors in a given cancer type, such as RPS15 in OV, RPL29 in LUSC, RPS24 in GBM, RPL17 in READ; and RPL14, RPL15, RPL29, RPL32, RPSA in KIRC. ('RPS15', 'Gene', (226, 231)) ('RPSA', 'Gene', (315, 319)) ('cancer', 'Disease', 'MESH:D009369', (205, 211)) ('RPL17', 'Gene', (268, 273)) ('RP genes', 'Gene', (141, 149)) ('RPL29', 'Gene', (301, 306)) ('RPSA', 'Gene', '3921', (315, 319)) ('RPS24', 'Gene', (254, 259)) ('tumors', 'Phenotype', 'HP:0002664', (187, 193)) ('RPL29', 'Gene', '6159', (239, 244)) ('tumor', 'Phenotype', 'HP:0002664', (187, 192)) ('cancer', 'Disease', (205, 211)) ('RPL15', 'Gene', (294, 299)) ('tumors', 'Disease', (187, 193)) ('RPL32', 'Gene', '6161', (308, 313)) ('cancer', 'Phenotype', 'HP:0002664', (205, 211)) ('RPL15', 'Gene', '6138', (294, 299)) ('RPL32', 'Gene', (308, 313)) ('RPS24', 'Gene', '6229', (254, 259)) ('RPL29', 'Gene', '6159', (301, 306)) ('RPL17', 'Gene', '6139', (268, 273)) ('single/double deletion', 'Var', (17, 39)) ('RPS15', 'Gene', '6209', (226, 231)) ('RPL14', 'Gene', (287, 292)) ('tumors', 'Disease', 'MESH:D009369', (187, 193)) ('RP gene', 'Gene', (45, 52)) ('RPL14', 'Gene', '9045', (287, 292)) ('RPL29', 'Gene', (239, 244)) 13842 32525984 In most cancer types, there was no significant association between the number of double-deleted RP genes in tumors and patient survival (Supplementary Figure S16), showing that RP loss did not reduce tumor fitness. ('patient', 'Species', '9606', (119, 126)) ('double-deleted', 'Var', (81, 95)) ('cancer', 'Disease', (8, 14)) ('RP genes', 'Gene', (96, 104)) ('tumor fitness', 'Disease', (200, 213)) ('tumor', 'Phenotype', 'HP:0002664', (108, 113)) ('tumor', 'Phenotype', 'HP:0002664', (200, 205)) ('RP loss', 'Disease', (177, 184)) ('cancer', 'Phenotype', 'HP:0002664', (8, 14)) ('tumors', 'Disease', (108, 114)) ('tumors', 'Disease', 'MESH:D009369', (108, 114)) ('tumors', 'Phenotype', 'HP:0002664', (108, 114)) ('RP loss', 'Disease', 'MESH:C538365', (177, 184)) ('cancer', 'Disease', 'MESH:D009369', (8, 14)) ('tumor fitness', 'Disease', 'MESH:D012640', (200, 213)) 13845 32525984 Instead, 73 of the 74 RPs (all except RPS20), had gDS >-1 in one or more cell lines (Figure 6A, B; Supplementary Table S1h). ('RPS20', 'Gene', '6224', (38, 43)) ('gDS >-1', 'Var', (50, 57)) ('RPS20', 'Gene', (38, 43)) 13846 32525984 Every cell-line, irrespective of the cancer type, had some RP genes with gDS >-1, and the minimum/maximum number of RPs with gDS >-1 in a single cell line varied from 21 to 62, with a mode of 35 (Figure 6C). ('gDS >-1', 'Var', (73, 80)) ('cancer', 'Disease', 'MESH:D009369', (37, 43)) ('RP genes', 'Gene', (59, 67)) ('cancer', 'Disease', (37, 43)) ('cancer', 'Phenotype', 'HP:0002664', (37, 43)) 13847 32525984 RP genes with gDS >-1 were abundant in every cancer type, as between 51 and 68 RPs had gDS >-1 in different cancer types (Figure 6D). ('gDS >-1', 'Var', (14, 21)) ('gDS >-1', 'Var', (87, 94)) ('cancer', 'Phenotype', 'HP:0002664', (45, 51)) ('cancer', 'Phenotype', 'HP:0002664', (108, 114)) ('cancer', 'Disease', 'MESH:D009369', (45, 51)) ('cancer', 'Disease', (45, 51)) ('cancer', 'Disease', (108, 114)) ('cancer', 'Disease', 'MESH:D009369', (108, 114)) 13848 32525984 Supplementary Figure S17 and Table S1i show the frequency (%) of gDS >-1 for each RP (shown in rows) in various cancer types (shown in columns). ('cancer', 'Disease', 'MESH:D009369', (112, 118)) ('gDS', 'Var', (65, 68)) ('cancer', 'Phenotype', 'HP:0002664', (112, 118)) ('cancer', 'Disease', (112, 118)) 13852 32525984 These differences in the essentiality of RP genes in cell lines versus RP copy number loss in tumors is in accordance with the tissue-specific clustering seen in tumors but not seen in cell lines. ('tumor', 'Phenotype', 'HP:0002664', (162, 167)) ('loss', 'NegReg', (86, 90)) ('tumor', 'Phenotype', 'HP:0002664', (94, 99)) ('copy number', 'Var', (74, 85)) ('tumors', 'Disease', (94, 100)) ('tumors', 'Disease', 'MESH:D009369', (94, 100)) ('tumors', 'Disease', (162, 168)) ('essentiality', 'MPA', (25, 37)) ('tumors', 'Disease', 'MESH:D009369', (162, 168)) ('tumors', 'Phenotype', 'HP:0002664', (94, 100)) ('tumors', 'Phenotype', 'HP:0002664', (162, 168)) 13864 32525984 Finally, double copy losses of RPs in tumors, and CRISPR-Cas9 knockout of several RPs in cell lines, do not lead to loss of ribosome function. ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('tumors', 'Disease', (38, 44)) ('tumors', 'Phenotype', 'HP:0002664', (38, 44)) ('tumors', 'Disease', 'MESH:D009369', (38, 44)) ('double copy losses', 'Var', (9, 27)) ('loss', 'NegReg', (116, 120)) ('ribosome function', 'MPA', (124, 141)) ('RPs', 'Gene', (31, 34)) 13867 32525984 Fact I: TCGA CNV data showed that double deletion of each of the 78 non-sex-specific RP genes is found in one or more tumors (Figure 5A and B). ('found', 'Reg', (97, 102)) ('tumor', 'Phenotype', 'HP:0002664', (118, 123)) ('tumors', 'Phenotype', 'HP:0002664', (118, 124)) ('tumors', 'Disease', (118, 124)) ('double deletion', 'Var', (34, 49)) ('tumors', 'Disease', 'MESH:D009369', (118, 124)) 13868 32525984 Nearly 12 percent of tumors had double deletion of an RP gene while retaining ribosome functionality. ('RP gene', 'Gene', (54, 61)) ('ribosome functionality', 'MPA', (78, 100)) ('tumors', 'Disease', 'MESH:D009369', (21, 27)) ('tumors', 'Disease', (21, 27)) ('tumors', 'Phenotype', 'HP:0002664', (21, 27)) ('double deletion', 'Var', (32, 47)) ('tumor', 'Phenotype', 'HP:0002664', (21, 26)) 13870 32525984 Furthermore, there was no correlation between number of double deleted RPs in tumors and patient survival (Supplementary Figure S16) in most cancer types, suggesting that ribosome function is not compromised by such losses of RP genes. ('tumors', 'Disease', 'MESH:D009369', (78, 84)) ('tumors', 'Disease', (78, 84)) ('patient', 'Species', '9606', (89, 96)) ('tumors', 'Phenotype', 'HP:0002664', (78, 84)) ('cancer', 'Phenotype', 'HP:0002664', (141, 147)) ('tumor', 'Phenotype', 'HP:0002664', (78, 83)) ('double deleted RPs', 'Var', (56, 74)) ('cancer', 'Disease', 'MESH:D009369', (141, 147)) ('cancer', 'Disease', (141, 147)) 13871 32525984 Speculation I: These copy number variations would suggest that at least in tumors, the ribosome can function without all its RP components, which would suggest that the ribosomal protein stoichiometry in tumors is not necessarily 1:1:1... for all RPs. ('tumors', 'Disease', 'MESH:D009369', (75, 81)) ('tumor', 'Phenotype', 'HP:0002664', (204, 209)) ('variations', 'Var', (33, 43)) ('tumors', 'Disease', (204, 210)) ('tumors', 'Phenotype', 'HP:0002664', (75, 81)) ('tumors', 'Disease', 'MESH:D009369', (204, 210)) ('tumors', 'Phenotype', 'HP:0002664', (204, 210)) ('tumor', 'Phenotype', 'HP:0002664', (75, 80)) ('tumors', 'Disease', (75, 81)) 13875 32525984 These results show that not all RPs are essential in cancer cell lines, and several RPs can be knocked out without complete loss of ribosome function. ('cancer', 'Disease', (53, 59)) ('cancer', 'Disease', 'MESH:D009369', (53, 59)) ('RPs', 'Gene', (84, 87)) ('knocked', 'Var', (95, 102)) ('cancer', 'Phenotype', 'HP:0002664', (53, 59)) 13877 32525984 Moreover, CERES analysis corrects for association between copy number effects and sgRNA scores improving false discovery rates associated with CRISPR screens. ('copy number effects', 'Var', (58, 77)) ('CRISPR', 'Disease', (143, 149)) ('improving', 'PosReg', (95, 104)) ('false discovery rates', 'MPA', (105, 126)) ('sgRNA scores', 'Gene', (82, 94)) ('rat', 'Species', '10116', (121, 124)) 13892 32525984 In LGG, UVM, and BLCA, the majority of the difference in RP mRNA levels among the RP subtypes were due to copy number alteration of RP genes (Supplementary Figure S12). ('RP mRNA levels', 'MPA', (57, 71)) ('RP genes', 'Gene', (132, 140)) ('copy number alteration', 'Var', (106, 128)) ('rat', 'Species', '10116', (122, 125)) ('difference', 'Reg', (43, 53)) ('due to', 'Reg', (99, 105)) 13896 32525984 Speculation VII: In most cancers, loss of both copies of some RPs seems to have no effect on survival (Supplementary Figure S16). ('loss', 'Var', (34, 38)) ('cancer', 'Phenotype', 'HP:0002664', (25, 31)) ('cancers', 'Phenotype', 'HP:0002664', (25, 32)) ('RPs', 'Gene', (62, 65)) ('cancers', 'Disease', (25, 32)) ('cancers', 'Disease', 'MESH:D009369', (25, 32)) 13905 32525984 is supported by NHGRI [U01CA232161, U41HG001715, P50HG004233 to M.V.] ('U41HG001715', 'Var', (36, 47)) ('U01', 'CellLine', 'CVCL:2220', (23, 26)) ('P50HG004233 to', 'Var', (49, 63)) 13920 32408867 However, the histopathological result depends on biopsy or surgical resection, which is not only invasive, but also affected by the intratumoral histological heterogeneity and sampling erros, which may lead to underestimation of the true grades. ('tumor', 'Disease', (137, 142)) ('affected', 'Reg', (116, 124)) ('erros', 'Var', (185, 190)) ('tumor', 'Disease', 'MESH:D009369', (137, 142)) ('tumor', 'Phenotype', 'HP:0002664', (137, 142)) 13937 32408867 The patients' histological types of gliomas were as follows: 6 diffuse astrocytomas (3 IDH-mutant, 3 IDH wild-type), 3 oligodendrogliomas (3 IDH-mutant and 1p19q-codeleted), 2 anaplastic astrocytomas (1 IDH wild-type, 1 IDH-mutant), 1 anaplastic oligodendroglioma (IDH-mutant and 1p19q-codeleted), 1 anaplastic oligoastrocytoma (NOS) and 14 glioblastoma multiforme (GBM, 14 IDH wild-type). ('glioblastoma', 'Phenotype', 'HP:0012174', (341, 353)) ('1p19q-codeleted', 'Var', (280, 295)) ('IDH', 'Gene', '3417', (203, 206)) ('gliomas', 'Disease', (36, 43)) ('IDH', 'Gene', '3417', (265, 268)) ('gliomas', 'Disease', (130, 137)) ('glioblastoma multiforme', 'Disease', (341, 364)) ('IDH', 'Gene', (374, 377)) ('IDH', 'Gene', (141, 144)) ('oligodendrogliomas', 'Disease', 'MESH:D009837', (119, 137)) ('astrocytomas', 'Disease', (71, 83)) ('glioblastoma multiforme', 'Disease', 'MESH:D005909', (341, 364)) ('IDH', 'Gene', (87, 90)) ('gliomas', 'Disease', 'MESH:D005910', (130, 137)) ('gliomas', 'Disease', 'MESH:D005910', (36, 43)) ('anaplastic oligodendroglioma', 'Disease', 'MESH:D009837', (235, 263)) ('anaplastic oligoastrocytoma', 'Disease', 'MESH:D001254', (300, 327)) ('patients', 'Species', '9606', (4, 12)) ('glioma', 'Phenotype', 'HP:0009733', (36, 42)) ('astrocytomas', 'Disease', (187, 199)) ('glioma', 'Phenotype', 'HP:0009733', (130, 136)) ('anaplastic oligoastrocytoma', 'Disease', (300, 327)) ('IDH', 'Gene', (220, 223)) ('glioma', 'Phenotype', 'HP:0009733', (257, 263)) ('anaplastic oligodendroglioma', 'Disease', (235, 263)) ('IDH', 'Gene', '3417', (374, 377)) ('IDH', 'Gene', '3417', (141, 144)) ('gliomas', 'Phenotype', 'HP:0009733', (130, 137)) ('oligodendrogliomas', 'Disease', (119, 137)) ('gliomas', 'Phenotype', 'HP:0009733', (36, 43)) ('IDH', 'Gene', (101, 104)) ('IDH', 'Gene', '3417', (87, 90)) ('astrocytomas', 'Disease', 'MESH:D001254', (71, 83)) ('IDH', 'Gene', (203, 206)) ('IDH', 'Gene', (265, 268)) ('IDH', 'Gene', '3417', (220, 223)) ('astrocytomas', 'Disease', 'MESH:D001254', (187, 199)) ('IDH', 'Gene', '3417', (101, 104)) 13963 32408867 Medium diagnostic performance was achieved by all the parameters, with the area under the ROC curve (AUC) of 0.877 for ADC 20th and 0.858 for the ADC mean, and by the APT values, with the AUC of 0.833 for the APT 90th and 0.840 for the APT mean, and by the rCBF values, with the AUC of 0.735 for the ASL 90th and 0.722 for the ASL mean. ('ADC', 'Chemical', '-', (146, 149)) ('rCBF', 'Gene', (257, 261)) ('0.858', 'Var', (132, 137)) ('ADC', 'Chemical', '-', (119, 122)) ('0.840', 'Var', (222, 227)) ('rCBF', 'Gene', '362686', (257, 261)) 14023 31702614 For example, knockdown of lncRNA PEG10 significantly inhibited the malignant behavior, such as growth, migration, and invasion in gastric and esophageal cancer. ('inhibited', 'NegReg', (53, 62)) ('malignant behavior', 'CPA', (67, 85)) ('gastric and esophageal cancer', 'Disease', 'MESH:D013274', (130, 159)) ('cancer', 'Phenotype', 'HP:0002664', (153, 159)) ('knockdown', 'Var', (13, 22)) ('PEG10', 'Gene', '23089', (33, 38)) ('PEG10', 'Gene', (33, 38)) ('invasion', 'CPA', (118, 126)) ('growth', 'CPA', (95, 101)) ('migration', 'CPA', (103, 112)) 14027 31702614 Together these evidences suggest important functions for aberrant expression of PEG10 in tumor malignancy progression. ('functions', 'Reg', (43, 52)) ('tumor malignancy', 'Disease', 'MESH:D009369', (89, 105)) ('PEG10', 'Gene', '23089', (80, 85)) ('PEG10', 'Gene', (80, 85)) ('tumor malignancy', 'Disease', (89, 105)) ('tumor', 'Phenotype', 'HP:0002664', (89, 94)) ('aberrant expression', 'Var', (57, 76)) 14114 31702614 In addition, PEG10 was also identified as a biomarker for predicting early recurrence and patients with high expression of PEG10 have shorter recurrence-free survival in HCC. ('PEG10', 'Gene', '23089', (123, 128)) ('recurrence-free survival', 'CPA', (142, 166)) ('PEG10', 'Gene', (123, 128)) ('HCC', 'Disease', (170, 173)) ('PEG10', 'Gene', (13, 18)) ('high expression', 'Var', (104, 119)) ('patients', 'Species', '9606', (90, 98)) ('shorter', 'NegReg', (134, 141)) ('PEG10', 'Gene', '23089', (13, 18)) 14148 31092699 Additionally, patients with ring-like enhancement exhibited significantly longer 5-year PFS time in the Kaplan-Meier survival curves (100 vs 67.2 +- 7.7%, P=0.049). ('longer', 'PosReg', (74, 80)) ('PFS', 'CPA', (88, 91)) ('patients', 'Species', '9606', (14, 22)) ('ring-like enhancement', 'Var', (28, 49)) 14158 31092699 Furthermore, combined loss of 1p and 19q is independent prognosis factor of prolonged survival in LGG patient which originated from oligodendrocytes. ('patient', 'Species', '9606', (102, 109)) ('loss', 'Var', (22, 26)) ('prolonged', 'PosReg', (76, 85)) ('LGG', 'Disease', (98, 101)) 14159 31092699 IDH mutation was also found to be related to the prognosis of LGGs. ('IDH', 'Gene', (0, 3)) ('LGGs', 'Disease', (62, 66)) ('IDH', 'Gene', '3417', (0, 3)) ('mutation', 'Var', (4, 12)) ('related', 'Reg', (34, 41)) 14223 31092699 In addition, the study pointed that heterogeneously enhancing tumors appear to have poorer outcomes when compared with ring-like enhancing and nodular enhancing tumors. ('tumor', 'Phenotype', 'HP:0002664', (62, 67)) ('tumors', 'Disease', (161, 167)) ('tumors', 'Phenotype', 'HP:0002664', (161, 167)) ('heterogeneously', 'Var', (36, 51)) ('tumors', 'Disease', (62, 68)) ('tumors', 'Disease', 'MESH:D009369', (62, 68)) ('tumors', 'Phenotype', 'HP:0002664', (62, 68)) ('tumors', 'Disease', 'MESH:D009369', (161, 167)) ('tumor', 'Phenotype', 'HP:0002664', (161, 166)) 14227 31092699 The present study found that patients with ring-like enhancement exhibited significantly longer PFS time in the Kaplan-Meier survival curves. ('patients', 'Species', '9606', (29, 37)) ('longer', 'PosReg', (89, 95)) ('ring-like enhancement', 'Var', (43, 64)) ('PFS time', 'CPA', (96, 104)) 14242 31092699 Radiotherapy can cause adverse long-term effects such as late neurocognitive toxicity and leukoencephalopathy. ('leukoencephalopathy', 'Disease', (90, 109)) ('late neurocognitive toxicity', 'Disease', 'MESH:D002493', (57, 85)) ('leukoencephalopathy', 'Phenotype', 'HP:0002352', (90, 109)) ('Radiotherapy', 'Var', (0, 12)) ('late neurocognitive toxicity', 'Disease', (57, 85)) ('leukoencephalopathy', 'Disease', 'MESH:D056784', (90, 109)) 14252 29541392 The genes are upregulated in glioblastoma relative to normal brain and lower grade glioma samples; they are also hypo-methylated in glioblastoma relative to lower grade glioma tumors. ('glioma', 'Disease', (83, 89)) ('glioblastoma', 'Disease', 'MESH:D005909', (29, 41)) ('glioblastoma', 'Phenotype', 'HP:0012174', (132, 144)) ('tumor', 'Phenotype', 'HP:0002664', (176, 181)) ('glioma', 'Disease', (169, 175)) ('glioblastoma', 'Phenotype', 'HP:0012174', (29, 41)) ('glioma tumors', 'Disease', (169, 182)) ('hypo-methylated', 'Var', (113, 128)) ('glioma', 'Disease', 'MESH:D005910', (83, 89)) ('tumors', 'Phenotype', 'HP:0002664', (176, 182)) ('glioma', 'Phenotype', 'HP:0009733', (83, 89)) ('glioma tumors', 'Disease', 'MESH:D005910', (169, 182)) ('upregulated', 'PosReg', (14, 25)) ('glioma', 'Disease', 'MESH:D005910', (169, 175)) ('glioma', 'Phenotype', 'HP:0009733', (169, 175)) ('glioblastoma', 'Disease', (132, 144)) ('glioblastoma', 'Disease', 'MESH:D005909', (132, 144)) ('glioblastoma', 'Disease', (29, 41)) 14254 29541392 Furthermore, high expression of these genes is associated with decreased survival across each glioblastoma subtype. ('glioblastoma', 'Phenotype', 'HP:0012174', (94, 106)) ('glioblastoma subtype', 'Disease', 'MESH:D005909', (94, 114)) ('high', 'Var', (13, 17)) ('decreased', 'NegReg', (63, 72)) ('glioblastoma subtype', 'Disease', (94, 114)) 14260 29541392 There are known monogenic GBM biomarkers that include mutations in the IDH1 and PDGFRalpha loci. ('PDGFRalpha', 'Gene', '5156', (80, 90)) ('mutations', 'Var', (54, 63)) ('IDH1', 'Gene', (71, 75)) ('PDGFRalpha', 'Gene', (80, 90)) ('IDH1', 'Gene', '3417', (71, 75)) 14281 29541392 The correlations in Brain M0257, which is enriched for GBM, were compared to matching correlations found by KINC using only the normal brain datasets in the Brain GEM. ('GEM', 'Gene', (163, 166)) ('GEM', 'Gene', '2669', (163, 166)) ('M0257', 'Var', (26, 31)) 14306 29541392 The mutual exclusivity of PIK3R1 mutations in GBM is of particular interest; PIK3R1 knockdown decreases invasion, proliferation, and migration in GBM. ('knockdown', 'Var', (84, 93)) ('decreases', 'NegReg', (94, 103)) ('mutations', 'Var', (33, 42)) ('migration', 'CPA', (133, 142)) ('PIK3R1', 'Gene', '5295', (26, 32)) ('invasion', 'CPA', (104, 112)) ('PIK3R1', 'Gene', '5295', (77, 83)) ('PIK3R1', 'Gene', (26, 32)) ('PIK3R1', 'Gene', (77, 83)) 14307 29541392 IDH1 mutations were neither mutually exclusive nor co-occurring with alterations in the 22 shared genes. ('IDH1', 'Gene', (0, 4)) ('mutations', 'Var', (5, 14)) ('IDH1', 'Gene', '3417', (0, 4)) 14308 29541392 This is consistent with Figure 7; the proneural GBM subtype, which exhibits low expression for these 22 genes, is often defined by IDH1 or PDGFRA mutation. ('IDH1', 'Gene', (131, 135)) ('IDH1', 'Gene', '3417', (131, 135)) ('PDGFRA', 'Gene', '5156', (139, 145)) ('PDGFRA', 'Gene', (139, 145)) ('proneural', 'Disease', (38, 47)) ('mutation', 'Var', (146, 154)) 14326 29541392 Transcript counts were indexed as 209086 Ensembl hg38 transcript IDs resulted in a 209086 x 204 GEM. ('GEM', 'Gene', (96, 99)) ('hg38', 'Gene', (49, 53)) ('hg38', 'Gene', '8549', (49, 53)) ('209086', 'Var', (83, 89)) ('GEM', 'Gene', '2669', (96, 99)) 14331 29541392 The KS test (DN > 0.15) removed 211 datasets, resulting in a 209086 x 1793 GEM. ('GEM', 'Gene', (75, 78)) ('209086 x 1793', 'Var', (61, 74)) ('GEM', 'Gene', '2669', (75, 78)) ('KS', 'Chemical', '-', (4, 6)) 14332 29541392 From this 209086 x 1793 preprocessed GEM, 49 transcripts mapped to the genes present in Module 0214 identified in the TCGA Network. ('209086', 'Var', (10, 16)) ('GEM', 'Gene', (37, 40)) ('GEM', 'Gene', '2669', (37, 40)) 14530 33184974 Postoperative and prognostic follow-up-related indicators were T1S1 distance (cm) (coronal), T1S1 distance (cm) (sagittal), major curve (Cobb) (coronal), C7CSVL (cm) (coronal), apical vertebra translation (cm), kyphosis angle (Cobb), sagittal vertical axis (SVA), and postoperative spinal nerve function (Frankel grade). ('apical vertebra translation', 'CPA', (177, 204)) ('kyphosis', 'Phenotype', 'HP:0002808', (211, 219)) ('sagittal vertical axis', 'CPA', (234, 256)) ('kyphosis angle', 'Disease', (211, 225)) ('T1S1', 'Var', (63, 67)) ('major', 'Disease', (124, 129)) ('kyphosis angle', 'Disease', 'MESH:D007738', (211, 225)) 14543 33184974 The operation time, the intraoperative bleeding volume, and the hospital stay of the low-grade surgical treatment group were lower than those of the high-grade surgical treatment group. ('hospital stay', 'CPA', (64, 77)) ('lower', 'NegReg', (125, 130)) ('intraoperative bleeding', 'Disease', 'MESH:D016063', (24, 47)) ('intraoperative bleeding', 'Disease', (24, 47)) ('low-grade', 'Var', (85, 94)) 14549 33184974 The detection indexes were T1S1 distance (cm) (coronal), T1S1 distance (cm) (Sagittal), major curve (Cobb) (Coronal), C7CSVL (cm) (coronal), AVT (cm), kyphosis angle (Cobb), and SVA (sagittal vertical axis). ('kyphosis angle', 'Disease', (151, 165)) ('SVA', 'Disease', (178, 181)) ('AVT', 'Disease', (141, 144)) ('T1S1 distance', 'Var', (27, 40)) ('kyphosis angle', 'Disease', 'MESH:D007738', (151, 165)) ('major curve', 'Disease', (88, 99)) ('kyphosis', 'Phenotype', 'HP:0002808', (151, 159)) ('T1S1 distance', 'Var', (57, 70)) 14560 33184974 An 18-year-old male patient with scoliosis T11-L3 110 and kyphosis T11-L2 70 before the operation had scoliosis 51 and kyphosis 14 after the operation. ('scoliosis', 'Phenotype', 'HP:0002650', (104, 113)) ('kyphosis', 'Disease', (122, 130)) ('kyphosis', 'Disease', 'MESH:D007738', (122, 130)) ('kyphosis', 'Disease', (59, 67)) ('scoliosis', 'Phenotype', 'HP:0002650', (33, 42)) ('patient', 'Species', '9606', (20, 27)) ('kyphosis', 'Disease', 'MESH:D007738', (59, 67)) ('T11-L2', 'Var', (68, 74)) ('scoliosis', 'Disease', 'MESH:D012600', (104, 113)) ('scoliosis', 'Disease', (104, 113)) ('kyphosis', 'Phenotype', 'HP:0002808', (122, 130)) ('scoliosis', 'Disease', 'MESH:D012600', (33, 42)) ('scoliosis', 'Disease', (33, 42)) ('kyphosis', 'Phenotype', 'HP:0002808', (59, 67)) 14618 31995621 We detected genetic alterations (GAs) in 97% (36/37) of cases, averaging 2.51 single nucleotide variations (SNVs) and 0.91 gene fusions per patient. ('patient', 'Species', '9606', (140, 147)) ('genetic alterations', 'Var', (12, 31)) ('detected', 'Reg', (3, 11)) 14626 31995621 In addition, we identified a GOPC-ROS1 fusion that may be a biomarker for pLGG. ('pLGG', 'Disease', (74, 78)) ('GOPC', 'Gene', '57120', (29, 33)) ('ROS1', 'Gene', (34, 38)) ('ROS1', 'Gene', '6098', (34, 38)) ('GOPC', 'Gene', (29, 33)) ('fusion', 'Var', (39, 45)) 14644 31995621 In this study, we sought to illustrate how correlating genetic alterations with histologic and clinical features can improve pLGG classification and treatment decisions for patients in Saudi Arabia (SA). ('genetic alterations', 'Var', (55, 74)) ('improve', 'PosReg', (117, 124)) ('pLGG', 'Disease', (125, 129)) ('patients', 'Species', '9606', (173, 181)) 14676 31995621 GOPC-ROS1 fusions have been identified in a "not otherwise specified" (NOS) single case of glioblastoma (deemed to be neither pLGG nor pHGG) in which the tumor also harbored mutations in other glioma-associated genes, including TP53 and PTPN11, and in one case of pHGG. ('glioblastoma', 'Disease', 'MESH:D005909', (91, 103)) ('PTPN11', 'Gene', (237, 243)) ('TP53', 'Gene', (228, 232)) ('glioblastoma', 'Disease', (91, 103)) ('tumor', 'Disease', (154, 159)) ('PTPN11', 'Gene', '5781', (237, 243)) ('glioma', 'Disease', (193, 199)) ('glioblastoma', 'Phenotype', 'HP:0012174', (91, 103)) ('tumor', 'Disease', 'MESH:D009369', (154, 159)) ('mutations', 'Var', (174, 183)) ('ROS1', 'Gene', (5, 9)) ('glioma', 'Disease', 'MESH:D005910', (193, 199)) ('harbored', 'Reg', (165, 173)) ('TP53', 'Gene', '7157', (228, 232)) ('glioma', 'Phenotype', 'HP:0009733', (193, 199)) ('GOPC', 'Gene', '57120', (0, 4)) ('tumor', 'Phenotype', 'HP:0002664', (154, 159)) ('GOPC', 'Gene', (0, 4)) ('fusions', 'Var', (10, 17)) ('identified', 'Reg', (28, 38)) ('ROS1', 'Gene', '6098', (5, 9)) 14679 31995621 We detected a likely pathogenic GOPC-ROS1 fusion in a pLGG patient who also harbored a RAD15C variant of uncertain significance. ('variant', 'Var', (94, 101)) ('RAD15C', 'Gene', (87, 93)) ('ROS1', 'Gene', '6098', (37, 41)) ('GOPC', 'Gene', '57120', (32, 36)) ('fusion', 'Var', (42, 48)) ('GOPC', 'Gene', (32, 36)) ('patient', 'Species', '9606', (59, 66)) ('ROS1', 'Gene', (37, 41)) ('pathogenic', 'Reg', (21, 31)) 14692 31995621 The majority of tumors harboring BRAF fusions were located in the cerebellum/posterior fossa (Fig 1C, S2 Table), which was consistent with the association between tumor location and BRAF fusions reported in other cohorts. ('BRAF', 'Gene', '673', (33, 37)) ('BRAF', 'Gene', (182, 186)) ('tumor', 'Disease', 'MESH:D009369', (163, 168)) ('tumor', 'Disease', 'MESH:D009369', (16, 21)) ('tumors', 'Phenotype', 'HP:0002664', (16, 22)) ('BRAF', 'Gene', (33, 37)) ('tumor', 'Phenotype', 'HP:0002664', (163, 168)) ('tumor', 'Phenotype', 'HP:0002664', (16, 21)) ('tumors', 'Disease', 'MESH:D009369', (16, 22)) ('BRAF', 'Gene', '673', (182, 186)) ('tumor', 'Disease', (163, 168)) ('tumor', 'Disease', (16, 21)) ('tumors', 'Disease', (16, 22)) ('fusions', 'Var', (38, 45)) 14694 31995621 We observed higher rates of recurrence (12 of 37 patients, 32.43%), raising the possibility that BRAF fusions may not be directly associated with an improved outcome in SA pLGGs, as reported in previous studies. ('fusions', 'Var', (102, 109)) ('BRAF', 'Gene', (97, 101)) ('patients', 'Species', '9606', (49, 57)) ('BRAF', 'Gene', '673', (97, 101)) 14695 31995621 Because KIAA1549-BRAF is rarely detected in pHGGs, including anaplastic astrocytoma and glioblastoma, BRAF fusions can genetically distinguish pLGG from pHGG in the Saudi cohort. ('glioblastoma', 'Disease', (88, 100)) ('fusions', 'Var', (107, 114)) ('distinguish', 'Reg', (131, 142)) ('pLGG', 'Disease', (143, 147)) ('astrocytoma', 'Disease', 'MESH:D001254', (72, 83)) ('BRAF', 'Gene', '673', (102, 106)) ('glioblastoma', 'Disease', 'MESH:D005909', (88, 100)) ('astrocytoma', 'Disease', (72, 83)) ('BRAF', 'Gene', '673', (17, 21)) ('glioblastoma', 'Phenotype', 'HP:0012174', (88, 100)) ('astrocytoma', 'Phenotype', 'HP:0009592', (72, 83)) ('BRAF', 'Gene', (102, 106)) ('KIAA1549', 'Gene', (8, 16)) ('BRAF', 'Gene', (17, 21)) ('KIAA1549', 'Gene', '57670', (8, 16)) 14696 31995621 We suggest that in the future, the identification of BRAF fusions can guide patient treatment as targeted molecular therapies are discovered. ('patient', 'Species', '9606', (76, 83)) ('fusions', 'Var', (58, 65)) ('BRAF', 'Gene', (53, 57)) ('BRAF', 'Gene', '673', (53, 57)) 14697 31995621 Regarding gene variants, mutations in the Notch genes were most frequent (Fig 3C, S2 Table). ('mutations', 'Var', (25, 34)) ('frequent', 'Reg', (64, 72)) ('Notch', 'Gene', (42, 47)) ('variants', 'Var', (15, 23)) ('Notch', 'Gene', '4851;4853;4854', (42, 47)) 14700 31995621 The frequency of these mutations is perhaps surprising since higher expression of ASCL1, Dll1, Notch1, -3, -4 have been shown to correlate with a higher glioma grade and poorer prognosis, implicating Notch signaling in more undifferentiated and aggressive tumor phenotypes. ('aggressive tumor', 'Disease', (245, 261)) ('expression', 'MPA', (68, 78)) ('Notch', 'Gene', '4851;4853;4854', (95, 100)) ('ASCL1', 'Gene', '429', (82, 87)) ('glioma', 'Disease', (153, 159)) ('higher', 'PosReg', (61, 67)) ('Dll1', 'Gene', (89, 93)) ('mutations', 'Var', (23, 32)) ('Dll1', 'Gene', '28514', (89, 93)) ('Notch', 'Gene', (200, 205)) ('glioma', 'Disease', 'MESH:D005910', (153, 159)) ('ASCL1', 'Gene', (82, 87)) ('Notch1', 'Gene', (95, 101)) ('Notch1', 'Gene', '4851', (95, 101)) ('aggressive tumor', 'Disease', 'MESH:D001523', (245, 261)) ('glioma', 'Phenotype', 'HP:0009733', (153, 159)) ('higher', 'PosReg', (146, 152)) ('Notch', 'Gene', (95, 100)) ('Notch', 'Gene', '4851;4853;4854', (200, 205)) ('tumor', 'Phenotype', 'HP:0002664', (256, 261)) 14701 31995621 We observed no association between Notch mutants and relapse/disease progression in our cohort, indeed a patient with co-occurring Notch2/3 mutations did not relapse following surgical intervention (S2 Table). ('patient', 'Species', '9606', (105, 112)) ('Notch2', 'Gene', '4853', (131, 137)) ('Notch', 'Gene', '4851;4853;4854', (35, 40)) ('Notch', 'Gene', '4851;4853;4854', (131, 136)) ('Notch', 'Gene', (35, 40)) ('Notch', 'Gene', (131, 136)) ('Notch2', 'Gene', (131, 137)) ('mutations', 'Var', (140, 149)) 14702 31995621 Among the less frequent mutations, we observed alterations in RAD51C, a component of the DNA double-strand repair pathway, the E3 ubiquitin ligase RNF43, and the central checkpoint gene ATM that is involved in the repair of DNA damage after ionizing irradiation to be associated with the risk of brain tumors. ('brain tumors', 'Phenotype', 'HP:0030692', (296, 308)) ('brain tumors', 'Disease', (296, 308)) ('ATM', 'Gene', (186, 189)) ('tumor', 'Phenotype', 'HP:0002664', (302, 307)) ('RAD51C', 'Gene', '5889', (62, 68)) ('associated', 'Reg', (268, 278)) ('tumors', 'Phenotype', 'HP:0002664', (302, 308)) ('ATM', 'Gene', '472', (186, 189)) ('mutations', 'Var', (24, 33)) ('RNF43', 'Gene', '54894', (147, 152)) ('brain tumors', 'Disease', 'MESH:D001932', (296, 308)) ('alterations', 'Var', (47, 58)) ('RNF43', 'Gene', (147, 152)) ('RAD51C', 'Gene', (62, 68)) 14704 31995621 Regarding RNF43, mutations affecting this gene were loss-of function mutations, likely leading to the activation of pro-oncogenic Wnt signaling by interfering with the RNF43-mediated ubiquitination of the frizzled receptor. ('interfering', 'NegReg', (147, 158)) ('pro-oncogenic Wnt signaling', 'MPA', (116, 143)) ('loss-of function', 'NegReg', (52, 68)) ('activation', 'PosReg', (102, 112)) ('RNF43', 'Gene', '54894', (168, 173)) ('RNF43', 'Gene', '54894', (10, 15)) ('RNF43', 'Gene', (168, 173)) ('RNF43', 'Gene', (10, 15)) ('mutations', 'Var', (17, 26)) 14713 31995621 We identified a rare GOPC-ROS1 fusion in pLGG patients lacking BRAF alterations, which may represent a genomically-distinct subgroup of pLGGs that could be targeted with crizotinib. ('crizotinib', 'Chemical', 'MESH:C551994', (170, 180)) ('ROS1', 'Gene', (26, 30)) ('patients', 'Species', '9606', (46, 54)) ('pLGG', 'Disease', (41, 45)) ('ROS1', 'Gene', '6098', (26, 30)) ('fusion', 'Var', (31, 37)) ('GOPC', 'Gene', '57120', (21, 25)) ('BRAF', 'Gene', '673', (63, 67)) ('BRAF', 'Gene', (63, 67)) ('GOPC', 'Gene', (21, 25)) 14737 31995621 They found one patient with a a GOPC-ROS1 mutation, and suggested possible clinical implications if the tumor recurs. ('patient', 'Species', '9606', (15, 22)) ('ROS1', 'Gene', '6098', (37, 41)) ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('GOPC', 'Gene', '57120', (32, 36)) ('GOPC', 'Gene', (32, 36)) ('tumor', 'Disease', (104, 109)) ('mutation', 'Var', (42, 50)) ('ROS1', 'Gene', (37, 41)) ('tumor', 'Disease', 'MESH:D009369', (104, 109)) 14750 31995621 In the results section (Lines 182-197), a 4 year old Paediatric High Grade Glioma (pHGG) patient with the GOPC-ROS1 fusion mutation received the same treatment and achieved the same outcome (previously reported in reference 39), whereas an 8-year old patient with the GOPC-ROS1 fusion mutation received a gross resection with no adjuvant chemotherapy. ('Glioma', 'Phenotype', 'HP:0009733', (75, 81)) ('ROS1', 'Gene', (273, 277)) ('GOPC', 'Gene', (268, 272)) ('patient', 'Species', '9606', (89, 96)) ('ROS1', 'Gene', '6098', (273, 277)) ('Glioma', 'Disease', (75, 81)) ('patient', 'Species', '9606', (251, 258)) ('GOPC', 'Gene', '57120', (106, 110)) ('ROS1', 'Gene', (111, 115)) ('fusion mutation', 'Var', (116, 131)) ('GOPC', 'Gene', (106, 110)) ('ROS1', 'Gene', '6098', (111, 115)) ('Glioma', 'Disease', 'MESH:D005910', (75, 81)) ('GOPC', 'Gene', '57120', (268, 272)) 14777 31614872 The majority of grade I is benign and counts almost 80% of all meningiomas. ('meningiomas', 'Disease', 'MESH:D008579', (63, 74)) ('grade I', 'Var', (16, 23)) ('meningiomas', 'Phenotype', 'HP:0002858', (63, 74)) ('meningioma', 'Phenotype', 'HP:0002858', (63, 73)) ('meningiomas', 'Disease', (63, 74)) 14785 31614872 Circulating miRNAs were found in almost all human body fluids including CSF and they seem to be highly stable and resist extreme conditions Moreover, several studies have shown that deregulated levels of CSF miRNAs are associated with malignant tumors of CNS. ('human', 'Species', '9606', (44, 49)) ('associated with', 'Reg', (219, 234)) ('malignant tumors', 'Disease', (235, 251)) ('malignant tumors', 'Disease', 'MESH:D009369', (235, 251)) ('levels', 'MPA', (194, 200)) ('deregulated', 'Var', (182, 193)) ('tumor', 'Phenotype', 'HP:0002664', (245, 250)) ('malignant tumors of CNS', 'Phenotype', 'HP:0100836', (235, 258)) ('tumors', 'Phenotype', 'HP:0002664', (245, 251)) ('tumors of CNS', 'Phenotype', 'HP:0100006', (245, 258)) 14798 31614872 Based on the fold-change, significance specificity, and uniqueness for various tumor types, we selected 9 miRNAs (let-7a, let-7b, miR-10a, miR-10b, miR-21-3p, miR-30e, miR-140, miR-196a and miR-196b) to be validated in CSF specimens of independent groups of patients (41 GBMs, 8 low-grade gliomas, 44 meningiomas, 12 brain metastases and 21 non-tumor patients). ('non-tumor', 'Disease', (341, 350)) ('metastases', 'Disease', (323, 333)) ('miR-196b', 'Gene', (190, 198)) ('tumor', 'Disease', (345, 350)) ('miR-10a', 'Gene', '406902', (130, 137)) ('miR-21-3p', 'Gene', '406995', (148, 157)) ('GBM', 'Disease', (271, 274)) ('gliomas', 'Disease', (289, 296)) ('tumor', 'Disease', 'MESH:D009369', (345, 350)) ('miR-140', 'Gene', (168, 175)) ('GBM', 'Disease', 'MESH:D005909', (271, 274)) ('let-7b', 'Gene', (122, 128)) ('patients', 'Species', '9606', (258, 266)) ('miR-140', 'Gene', '406932', (168, 175)) ('meningiomas', 'Disease', 'MESH:D008579', (301, 312)) ('gliomas', 'Disease', 'MESH:D005910', (289, 296)) ('miR-30e', 'Gene', (159, 166)) ('miR-10b', 'Gene', (139, 146)) ('miR-10a', 'Gene', (130, 137)) ('let-7a', 'Var', (114, 120)) ('tumor', 'Disease', (79, 84)) ('tumor', 'Phenotype', 'HP:0002664', (345, 350)) ('meningioma', 'Phenotype', 'HP:0002858', (301, 311)) ('non-tumor', 'Disease', 'MESH:C580335', (341, 350)) ('glioma', 'Phenotype', 'HP:0009733', (289, 295)) ('miR-196b', 'Gene', '442920', (190, 198)) ('miR-10b', 'Gene', '406903', (139, 146)) ('patients', 'Species', '9606', (351, 359)) ('tumor', 'Disease', 'MESH:D009369', (79, 84)) ('miR-30e', 'Gene', '407034', (159, 166)) ('meningiomas', 'Phenotype', 'HP:0002858', (301, 312)) ('gliomas', 'Phenotype', 'HP:0009733', (289, 296)) ('miR-21-3p', 'Gene', (148, 157)) ('tumor', 'Phenotype', 'HP:0002664', (79, 84)) ('miR-196a', 'Var', (177, 185)) ('meningiomas', 'Disease', (301, 312)) ('metastases', 'Disease', 'MESH:D009362', (323, 333)) ('let-7b', 'Gene', '406884', (122, 128)) 14820 31614872 Specifically, our results indicate that let-7c, miR-140 and miR-196a show significantly different levels in glioblastoma and low-grade glioma patients' CSF. ('glioma', 'Disease', (135, 141)) ('miR-196a', 'Var', (60, 68)) ('miR-140', 'Gene', (48, 55)) ('glioma', 'Phenotype', 'HP:0009733', (135, 141)) ('let-7c', 'Gene', (40, 46)) ('glioblastoma', 'Disease', (108, 120)) ('glioma', 'Disease', 'MESH:D005910', (135, 141)) ('glioblastoma', 'Disease', 'MESH:D005909', (108, 120)) ('patients', 'Species', '9606', (142, 150)) ('let-7c', 'Gene', '406885', (40, 46)) ('miR-140', 'Gene', '406932', (48, 55)) ('glioblastoma', 'Phenotype', 'HP:0012174', (108, 120)) 14825 31614872 Among all, miR-196a and miR-196b showed increased expression levels in GBMs relative to both anaplastic astrocytomas and normal brain tissues, which is consistent with our results since both miRNAs had significantly higher levels in CSFs from GBM patients than from non-tumor donors. ('levels', 'MPA', (223, 229)) ('CSFs', 'MPA', (233, 237)) ('GBM', 'Disease', 'MESH:D005909', (243, 246)) ('miR-196b', 'Gene', (24, 32)) ('astrocytomas', 'Disease', 'MESH:D001254', (104, 116)) ('miR-196b', 'Gene', '442920', (24, 32)) ('expression levels', 'MPA', (50, 67)) ('GBM', 'Disease', (71, 74)) ('patients', 'Species', '9606', (247, 255)) ('higher', 'PosReg', (216, 222)) ('increased', 'PosReg', (40, 49)) ('miR-196a', 'Var', (11, 19)) ('GBM', 'Disease', (243, 246)) ('non-tumor', 'Disease', (266, 275)) ('astrocytomas', 'Disease', (104, 116)) ('GBM', 'Disease', 'MESH:D005909', (71, 74)) ('tumor', 'Phenotype', 'HP:0002664', (270, 275)) ('non-tumor', 'Disease', 'MESH:C580335', (266, 275)) 14827 31614872 Another two studies described increasing tissue expression levels of miR-196a upon progression of low-grade gliomas to the GBM. ('gliomas', 'Disease', 'MESH:D005910', (108, 115)) ('GBM', 'Disease', 'MESH:D005909', (123, 126)) ('gliomas', 'Phenotype', 'HP:0009733', (108, 115)) ('gliomas', 'Disease', (108, 115)) ('increasing', 'PosReg', (30, 40)) ('glioma', 'Phenotype', 'HP:0009733', (108, 114)) ('miR-196a', 'Var', (69, 77)) ('GBM', 'Disease', (123, 126)) ('tissue expression levels', 'MPA', (41, 65)) 14946 30952038 The four D95 outliers belong to subjects where small regions in the brain were erroneously segmented as tumor core by our method, for some cases because of co-occurring pathologies. ('D95', 'Var', (9, 12)) ('tumor', 'Disease', (104, 109)) ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('tumor', 'Disease', 'MESH:D009369', (104, 109)) 14986 30952038 Although the method we propose is demonstrated to be applicable across data with various image contrast properties without retraining, it does rely on contrast-specific settings to constrain and to initialize tumor-specific appearance parameters, especially in the MR-sequences FLAIR and T1c (see Table 3 and Table 4, respectively). ('T1c', 'Var', (288, 291)) ('tumor', 'Disease', (209, 214)) ('tumor', 'Disease', 'MESH:D009369', (209, 214)) ('FLAIR', 'Var', (278, 283)) ('tumor', 'Phenotype', 'HP:0002664', (209, 214)) 15008 29720725 miR-449a has a target dependent effect, inhibiting cell growth and migration by downregulation of CCND1 and suppressing neural phenotypes by inhibition of G protein coupled-receptor (GPR) 158. ('inhibition', 'NegReg', (141, 151)) ('rat', 'Species', '10116', (70, 73)) ('G protein coupled-receptor (GPR) 158', 'Gene', '57512', (155, 191)) ('CCND1', 'Gene', (98, 103)) ('miR-449a', 'Var', (0, 8)) ('suppressing', 'NegReg', (108, 119)) ('downregulation', 'NegReg', (80, 94)) ('neural phenotypes', 'CPA', (120, 137)) ('inhibiting', 'NegReg', (40, 50)) 15010 29720725 The correlation of GPR158 expression with molecular subtypes, patient survival and therapy response suggests a possible role of GPR158 as prognostic biomarker in human gliomas. ('GPR158', 'Var', (128, 134)) ('GPR158', 'Gene', (19, 25)) ('glioma', 'Phenotype', 'HP:0009733', (168, 174)) ('patient', 'Species', '9606', (62, 69)) ('human', 'Species', '9606', (162, 167)) ('gliomas', 'Disease', 'MESH:D005910', (168, 175)) ('gliomas', 'Phenotype', 'HP:0009733', (168, 175)) ('gliomas', 'Disease', (168, 175)) 15012 29720725 The identification of mutations in two isocitrate dehydrogenase genes, IDH1 and IDH2, in gliomas was a major discovery, leading to a biomarker-defined glioma classification, IDH and ATRX-mutant astrocytomas and glioblastomas and IDH-mutant 1p/19q codeleted oligodendrogliomas. ('glioma', 'Disease', (268, 274)) ('gliomas', 'Disease', (268, 275)) ('glioma', 'Phenotype', 'HP:0009733', (151, 157)) ('IDH2', 'Gene', '3418', (80, 84)) ('leading to', 'Reg', (120, 130)) ('ATRX', 'Gene', (182, 186)) ('IDH', 'Gene', (71, 74)) ('glioma', 'Disease', 'MESH:D005910', (268, 274)) ('ATRX', 'Gene', '546', (182, 186)) ('astrocytomas', 'Disease', 'MESH:D001254', (194, 206)) ('IDH', 'Gene', (174, 177)) ('oligodendrogliomas', 'Disease', (257, 275)) ('gliomas', 'Disease', 'MESH:D005910', (268, 275)) ('glioblastoma', 'Phenotype', 'HP:0012174', (211, 223)) ('glioblastomas', 'Disease', (211, 224)) ('IDH1', 'Gene', (71, 75)) ('IDH', 'Gene', (80, 83)) ('gliomas', 'Disease', (89, 96)) ('IDH', 'Gene', (229, 232)) ('glioma', 'Disease', (89, 95)) ('glioma', 'Phenotype', 'HP:0009733', (268, 274)) ('IDH', 'Gene', '3417', (71, 74)) ('rat', 'Species', '10116', (45, 48)) ('IDH', 'Gene', '3417', (174, 177)) ('glioblastomas', 'Disease', 'MESH:D005909', (211, 224)) ('glioma', 'Disease', 'MESH:D005910', (89, 95)) ('gliomas', 'Phenotype', 'HP:0009733', (268, 275)) ('mutations', 'Var', (22, 31)) ('IDH1', 'Gene', '3417', (71, 75)) ('gliomas', 'Disease', 'MESH:D005910', (89, 96)) ('IDH', 'Gene', '3417', (80, 83)) ('IDH', 'Gene', '3417', (229, 232)) ('glioma', 'Disease', (151, 157)) ('astrocytomas', 'Disease', (194, 206)) ('glioma', 'Disease', 'MESH:D005910', (151, 157)) ('glioma', 'Phenotype', 'HP:0009733', (89, 95)) ('gliomas', 'Phenotype', 'HP:0009733', (89, 96)) ('oligodendrogliomas', 'Disease', 'MESH:D009837', (257, 275)) ('glioblastomas', 'Phenotype', 'HP:0012174', (211, 224)) ('IDH2', 'Gene', (80, 84)) 15014 29720725 The only prognostic biomarker in GBM is the methylation of MGMT but is has no diagnostic value. ('GBM', 'Disease', (33, 36)) ('MGMT', 'Gene', (59, 63)) ('methylation', 'Var', (44, 55)) ('MGMT', 'Gene', '4255', (59, 63)) 15015 29720725 To identify additional biomarkers of diagnostic and/or prognostic value, we used a mouse model of intrinsic brain tumours generated by Cre-mediated inactivation of Ptenlox/lox and p53lox/lox genes or of Rblox/lox and p53lox/lox genes in the neurogenic cell population of the subventricular zone (SVZ) of the brain, previously in-depth molecularly characterized. ('lox', 'Gene', '16948', (205, 208)) ('lox', 'Gene', '16948', (220, 223)) ('inactivation', 'Var', (148, 160)) ('tumours', 'Phenotype', 'HP:0002664', (114, 121)) ('lox', 'Gene', '16948', (172, 175)) ('lox', 'Gene', (205, 208)) ('lox', 'Gene', '16948', (187, 190)) ('intrinsic brain tumours', 'Disease', (98, 121)) ('intrinsic brain tumours', 'Disease', 'MESH:D020919', (98, 121)) ('lox', 'Gene', '16948', (209, 212)) ('lox', 'Gene', (172, 175)) ('lox', 'Gene', (220, 223)) ('tumour', 'Phenotype', 'HP:0002664', (114, 120)) ('lox', 'Gene', (187, 190)) ('rat', 'Species', '10116', (126, 129)) ('lox', 'Gene', (209, 212)) ('mouse', 'Species', '10090', (83, 88)) ('lox', 'Gene', '16948', (168, 171)) ('lox', 'Gene', '16948', (224, 227)) ('lox', 'Gene', '16948', (183, 186)) ('brain tumours', 'Phenotype', 'HP:0030692', (108, 121)) ('lox', 'Gene', (168, 171)) ('lox', 'Gene', (224, 227)) ('lox', 'Gene', (183, 186)) ('brain tumour', 'Phenotype', 'HP:0030692', (108, 120)) 15020 29720725 It was selected for subsequent analysis as a tumour suppressive role of miR-449a has been suggested in a number of malignancies, most notably in prostate cancer by targeting classical proto-oncogenes CCND1, c-Myc and HDAC-1. ('miR-449a', 'Var', (72, 80)) ('CCND1', 'Gene', (200, 205)) ('prostate cancer', 'Disease', 'MESH:D011471', (145, 160)) ('HDAC-1', 'Gene', '3065', (217, 223)) ('c-Myc', 'Gene', '4609', (207, 212)) ('tumour', 'Phenotype', 'HP:0002664', (45, 51)) ('HDAC-1', 'Gene', (217, 223)) ('targeting', 'Reg', (164, 173)) ('tumour', 'Disease', 'MESH:D009369', (45, 51)) ('prostate cancer', 'Phenotype', 'HP:0012125', (145, 160)) ('malignancies', 'Disease', 'MESH:D009369', (115, 127)) ('prostate cancer', 'Disease', (145, 160)) ('cancer', 'Phenotype', 'HP:0002664', (154, 160)) ('malignancies', 'Disease', (115, 127)) ('tumour', 'Disease', (45, 51)) ('c-Myc', 'Gene', (207, 212)) 15022 29720725 A role of miR-449a targeting MYC-associated zinc finger proteins has been suggested in glioblastoma. ('MYC-associated zinc finger proteins', 'Protein', (29, 64)) ('glioblastoma', 'Disease', (87, 99)) ('glioblastoma', 'Disease', 'MESH:D005909', (87, 99)) ('miR-449a', 'Var', (10, 18)) ('glioblastoma', 'Phenotype', 'HP:0012174', (87, 99)) 15025 29720725 miR-449a targets a site in the 3' UTR of the CCND1 transcript, and miR-449a significantly reduces Cyclin D1 protein in PC-3 cells. ('CCND1', 'Gene', (45, 50)) ('Cyclin D1', 'Gene', '595', (98, 107)) ('reduces', 'NegReg', (90, 97)) ('Cyclin D1', 'Gene', (98, 107)) ('miR-449a', 'Var', (67, 75)) ('PC-3', 'CellLine', 'CVCL:0035', (119, 123)) 15026 29720725 Here, we identify a new target of miR-449a, the G-protein coupled receptor 158 (GPR158), a member of a large group of cell surface proteins exerting a range of diverse cellular functions. ('G-protein coupled receptor 158', 'Gene', '57512', (48, 78)) ('GPR158', 'Gene', (80, 86)) ('miR-449a', 'Var', (34, 42)) ('G-protein coupled receptor 158', 'Gene', (48, 78)) 15030 29720725 Here we show a target dependent effect of miR-449a, inhibiting growth and migration by downregulating CCND1 and suppressing neural differentiation by inhibiting GPR158. ('neural differentiation', 'CPA', (124, 146)) ('inhibiting', 'NegReg', (150, 160)) ('downregulating', 'NegReg', (87, 101)) ('rat', 'Species', '10116', (77, 80)) ('suppressing', 'NegReg', (112, 123)) ('inhibiting', 'NegReg', (52, 62)) ('CCND1', 'Gene', (102, 107)) ('GPR158', 'Gene', (161, 167)) ('miR-449a', 'Var', (42, 50)) 15031 29720725 In human gliomas, high levels of miR-449a and low expression of GPR158 are associated with higher malignancy and poorer survival. ('low', 'NegReg', (46, 49)) ('poorer', 'NegReg', (113, 119)) ('gliomas', 'Disease', (9, 16)) ('higher', 'PosReg', (91, 97)) ('GPR158', 'Gene', (64, 70)) ('gliomas', 'Disease', 'MESH:D005910', (9, 16)) ('human', 'Species', '9606', (3, 8)) ('gliomas', 'Phenotype', 'HP:0009733', (9, 16)) ('miR-449a', 'Var', (33, 41)) ('malignancy', 'Disease', 'MESH:D009369', (98, 108)) ('glioma', 'Phenotype', 'HP:0009733', (9, 15)) ('expression', 'MPA', (50, 60)) ('malignancy', 'Disease', (98, 108)) 15038 29720725 miR-449a is enriched in astrocytes, whereas miR-219 and miR-338 are essential for oligodendrocyte differentiation. ('miR-338', 'Gene', '442906', (56, 63)) ('miR-338', 'Gene', (56, 63)) ('miR-219', 'Gene', (44, 51)) ('miR-219', 'Gene', '407002', (44, 51)) ('miR-449a', 'Var', (0, 8)) 15039 29720725 Considering that miR-449a is involved in the regulatory network of RB and P53, it was a promising candidate and most likely relevant to the brain tumour phenotype. ('P53', 'Gene', (74, 77)) ('brain tumour', 'Disease', (140, 152)) ('P53', 'Gene', '7157', (74, 77)) ('RB', 'Disease', 'MESH:D012175', (67, 69)) ('brain tumour', 'Disease', 'MESH:D001932', (140, 152)) ('brain tumour', 'Phenotype', 'HP:0030692', (140, 152)) ('tumour', 'Phenotype', 'HP:0002664', (146, 152)) ('miR-449a', 'Var', (17, 25)) ('involved', 'Reg', (29, 37)) 15040 29720725 To identify DE genes between the two tumour types, we retrieved the top 1000 DE-genes ranked by logarithmic fold change (glioma/PNET) from our published Exon Microarray dataset (GSE42515), and matched them against the 101 putative targets, following permissive filtration criteria: (i) miR-449a is highly expressed in PNETs, expecting downregulated targets; (ii) DE-genes with p > 0.05 were also considered to minimize false negative calls. ('miR-449a', 'Var', (286, 294)) ('downregulated', 'NegReg', (335, 348)) ('tumour', 'Disease', (37, 43)) ('glioma', 'Disease', 'MESH:D005910', (121, 127)) ('tumour', 'Disease', 'MESH:D009369', (37, 43)) ('glioma', 'Phenotype', 'HP:0009733', (121, 127)) ('tumour', 'Phenotype', 'HP:0002664', (37, 43)) ('rat', 'Species', '10116', (265, 268)) ('glioma', 'Disease', (121, 127)) 15042 29720725 To identify candidates regulated by miR-449a, we analysed Rb/p53 (miR-449ahigh), Pten/p53 (miR-449alow), and Rb/p53antagomir mBTSCs (miR-449alow), and selected those targets which were upregulated in miR-449alow mBTSCs. ('mir', 'Gene', (121, 124)) ('Rb/p53', 'Gene', '7157', (109, 115)) ('mir', 'Gene', '220972', (121, 124)) ('Rb/p53', 'Gene', (109, 115)) ('upregulated', 'PosReg', (185, 196)) ('Rb/p53', 'Gene', '7157', (58, 64)) ('Rb/p53', 'Gene', (58, 64)) ('miR-449alow', 'Var', (200, 211)) 15046 29720725 We then confirmed a functional link between miR-449a and its target Gpr158 by two functionally independent approaches: a modified hybrid Argonaute 2 (AGO2) pulldown assay and a luciferase reporter assay. ('AGO2', 'Gene', (150, 154)) ('miR-449a', 'Var', (44, 52)) ('Argonaute 2', 'Gene', '27161', (137, 148)) ('AGO2', 'Gene', '27161', (150, 154)) ('Argonaute 2', 'Gene', (137, 148)) 15049 29720725 2e), demonstrating direct regulation of Gpr158 expression by miR-449a. ('rat', 'Species', '10116', (12, 15)) ('miR-449a', 'Var', (61, 69)) ('regulation', 'Reg', (26, 36)) ('expression', 'MPA', (47, 57)) ('Gpr158', 'Gene', (40, 46)) 15056 29720725 To test if these were miR-449a-mediated effects, miR-449a antagomir or mimics were introduced into mBTSCs. ('miR-449a', 'Var', (49, 57)) ('mir', 'Gene', (64, 67)) ('mir', 'Gene', '220972', (64, 67)) 15058 29720725 In a 3D collagen matrix tumour invasion assay, inhibition of miR-449a expression in Rb/p53 cells increased cell migration, whereas miR-449 mimics in Pten/p53 cells slowed down migration (Fig. ('Rb/p53', 'Gene', '7157', (84, 90)) ('tumour', 'Phenotype', 'HP:0002664', (24, 30)) ('increased', 'PosReg', (97, 106)) ('rat', 'Species', '10116', (115, 118)) ('inhibition', 'Var', (47, 57)) ('slowed down', 'NegReg', (164, 175)) ('migration', 'CPA', (176, 185)) ('Rb/p53', 'Gene', (84, 90)) ('miR-449', 'Gene', '723868', (61, 68)) ('tumour invasion', 'Disease', 'MESH:D009361', (24, 39)) ('miR-449', 'Gene', (131, 138)) ('cell migration', 'CPA', (107, 121)) ('expression', 'MPA', (70, 80)) ('rat', 'Species', '10116', (179, 182)) ('miR-449', 'Gene', (61, 68)) ('miR-449', 'Gene', '723868', (131, 138)) ('tumour invasion', 'Disease', (24, 39)) 15060 29720725 In conclusion, in stem cell medium, miR-449ahigh mBTSC grow slower than miR-449alow mBTSC, suggesting a suppressive role of miR-449a on proliferation, migration and invasion. ('migration', 'CPA', (151, 160)) ('slower', 'NegReg', (60, 66)) ('rat', 'Species', '10116', (154, 157)) ('invasion', 'CPA', (165, 173)) ('rat', 'Species', '10116', (143, 146)) ('proliferation', 'CPA', (136, 149)) ('grow', 'CPA', (55, 59)) ('suppressive', 'NegReg', (104, 115)) ('miR-449ahigh', 'Var', (36, 48)) 15061 29720725 First we confirmed the known effect of miR-449a to downregulate Ccnd1. ('Ccnd1', 'Gene', '595', (64, 69)) ('downregulate', 'NegReg', (51, 63)) ('Ccnd1', 'Gene', (64, 69)) ('miR-449a', 'Var', (39, 47)) 15069 29720725 Unexpectedly, overexpression of Gpr158 in Rb/p53 and Pten/p53 mBTSC, resulted in slower growth of both cell lines, whereby Pten/p53 cells always proliferated and migrated faster than Rb/p53 cells (Figs. ('growth', 'MPA', (88, 94)) ('slower', 'NegReg', (81, 87)) ('Rb/p53', 'Gene', (183, 189)) ('migrated', 'CPA', (162, 170)) ('rat', 'Species', '10116', (165, 168)) ('rat', 'Species', '10116', (152, 155)) ('proliferated', 'CPA', (145, 157)) ('Rb/p53', 'Gene', '7157', (42, 48)) ('Pten/p53', 'Gene', (53, 61)) ('Gpr158', 'Var', (32, 38)) ('Rb/p53', 'Gene', (42, 48)) ('faster', 'PosReg', (171, 177)) ('overexpression', 'PosReg', (14, 28)) ('Rb/p53', 'Gene', '7157', (183, 189)) 15070 29720725 4g-i), i.e., Gpr158 further reduces proliferation and migration. ('reduces', 'NegReg', (28, 35)) ('rat', 'Species', '10116', (43, 46)) ('rat', 'Species', '10116', (57, 60)) ('Gpr158', 'Var', (13, 19)) ('proliferation', 'CPA', (36, 49)) 15071 29720725 This is seemingly incompatible with the finding that miR-449a inhibits Gpr158, as both miR-449ahigh Rb/p53 and miR-449alow Pten/p53 cells show further reduction of proliferation, i.e., in the same direction as miR-449a treatment. ('proliferation', 'CPA', (164, 177)) ('miR-449alow', 'Var', (111, 122)) ('inhibits', 'NegReg', (62, 70)) ('rat', 'Species', '10116', (171, 174)) ('miR-449ahigh', 'Var', (87, 99)) ('Gpr158', 'Gene', (71, 77)) ('Rb/p53', 'Gene', '7157', (100, 106)) ('Rb/p53', 'Gene', (100, 106)) ('reduction', 'NegReg', (151, 160)) 15073 29720725 Indeed siRNA knock-down of Gpr158 in naive, adherently growing murine neural stem/progenitor cells (mNSPC) (Supplementary Figure 1B) showed global reduction of expression levels of the majority of genes associated with neural differentiation/neurogenesis (Supplementary Figure 1C), of which Nrp1, S100alpha6 and Tnr were significant. ('knock-down', 'Var', (13, 23)) ('Gpr158', 'Gene', (27, 33)) ('Supplementary Figure 1B', 'Disease', 'MESH:D017034', (108, 131)) ('Nrp1', 'Gene', '18186', (291, 295)) ('expression levels', 'MPA', (160, 177)) ('Supplementary Figure 1B', 'Disease', (108, 131)) ('reduction', 'NegReg', (147, 156)) ('Nrp1', 'Gene', (291, 295)) ('murine', 'Species', '10090', (63, 69)) 15075 29720725 There is significant up-regulation of the proneural markers Map2, Sox2, and Pdgfra, and of three extracellular matrix-associated genes Filamin A (Flna), Netrin 1 (Ntn1), and Pleiotrophin (Ptn), and downregulation upon Gpr158 knock-down (Fig. ('Ptn', 'Gene', '5764', (188, 191)) ('Map2', 'Gene', (60, 64)) ('Filamin A', 'Gene', (135, 144)) ('Netrin 1', 'Gene', '9423', (153, 161)) ('Ntn1', 'Gene', '9423', (163, 167)) ('Netrin 1', 'Gene', (153, 161)) ('Flna', 'Gene', '2316', (146, 150)) ('Ptn', 'Gene', (188, 191)) ('Flna', 'Gene', (146, 150)) ('Filamin A', 'Gene', '2316', (135, 144)) ('Ntn1', 'Gene', (163, 167)) ('Pleiotrophin', 'Gene', (174, 186)) ('Gpr158', 'Gene', (218, 224)) ('knock-down', 'Var', (225, 235)) ('up-regulation', 'PosReg', (21, 34)) ('Sox2', 'Gene', (66, 70)) ('Pleiotrophin', 'Gene', '5764', (174, 186)) ('Pdgfra', 'Gene', (76, 82)) ('downregulation', 'NegReg', (198, 212)) 15077 29720725 4l), whilst Gpr158 siRNA knockdown increased proliferation (p < 0.05, Figs. ('rat', 'Species', '10116', (52, 55)) ('increased', 'PosReg', (35, 44)) ('proliferation', 'CPA', (45, 58)) ('knockdown', 'Var', (25, 34)) ('Gpr158', 'Gene', (12, 18)) 15079 29720725 Consistent with this observation, also GPR158 knockdown in three human GBM primary cultures significantly reduced apoptosis (Fig. ('human', 'Species', '9606', (65, 70)) ('GPR158', 'Gene', (39, 45)) ('knockdown', 'Var', (46, 55)) ('reduced', 'NegReg', (106, 113)) ('apoptosis', 'CPA', (114, 123)) 15080 29720725 4r), and in keeping, overexpression of GPR158 in two human GBM primary cultures induced apoptosis (Fig. ('induced', 'Reg', (80, 87)) ('apoptosis', 'CPA', (88, 97)) ('GPR158', 'Var', (39, 45)) ('overexpression', 'PosReg', (21, 35)) ('human', 'Species', '9606', (53, 58)) 15083 29720725 We identified that miR-449a has distinct, target-dependent (i.e., CCND1 and GPR158) effects on cellular growth, migration and differentiation. ('cellular growth', 'CPA', (95, 110)) ('differentiation', 'CPA', (126, 141)) ('rat', 'Species', '10116', (115, 118)) ('miR-449a', 'Var', (19, 27)) ('migration', 'CPA', (112, 121)) ('effects', 'Reg', (84, 91)) ('GPR158', 'Gene', (76, 82)) 15084 29720725 Under growth-promoting conditions in EGF, FGF enriched serum-free medium, miR-449a suppresses Ccnd1 and inhibits migration and invasion, suggestive of a tumour-suppressive effect. ('tumour', 'Disease', (153, 159)) ('Ccnd1', 'Gene', (94, 99)) ('inhibits', 'NegReg', (104, 112)) ('miR-449a', 'Var', (74, 82)) ('tumour', 'Disease', 'MESH:D009369', (153, 159)) ('tumour', 'Phenotype', 'HP:0002664', (153, 159)) ('rat', 'Species', '10116', (116, 119)) ('Ccnd1', 'Gene', '595', (94, 99)) ('suppresses', 'NegReg', (83, 93)) 15086 29720725 Therefore, we first determined Gpr158 and Ccnd1 expression in Pten/p53 or Rb/p53 mBTSC, under proliferative (serum-free, EGF, FGF enriched) and differentiating (3% FBS) conditions. ('rat', 'Species', '10116', (101, 104)) ('Gpr158', 'Gene', (31, 37)) ('Rb/p53', 'Gene', '7157', (74, 80)) ('Rb/p53', 'Gene', (74, 80)) ('Ccnd1', 'Gene', '595', (42, 47)) ('Ccnd1', 'Gene', (42, 47)) ('Pten/p53', 'Var', (62, 70)) 15096 29720725 5d4) conspicuously retained their expression of DCX, suggesting a direct effect of miR-449a to suppress neural differentiation. ('suppress', 'NegReg', (95, 103)) ('DCX', 'Gene', (48, 51)) ('DCX', 'Gene', '1641', (48, 51)) ('miR-449a', 'Var', (83, 91)) ('neural differentiation', 'CPA', (104, 126)) 15099 29720725 In conclusion, the neurogenic effect of Gpr158 can be antagonised by mir-449a. ('Gpr158', 'Var', (40, 46)) ('mir-449a', 'Gene', '723868', (69, 77)) ('mir-449a', 'Gene', (69, 77)) ('neurogenic', 'CPA', (19, 29)) 15101 29720725 Under these conditions, downregulation of Ccnd1 explains the miR-449a-induced reduction of growth and migration. ('rat', 'Species', '10116', (105, 108)) ('reduction', 'NegReg', (78, 87)) ('Ccnd1', 'Gene', '595', (42, 47)) ('downregulation', 'NegReg', (24, 38)) ('miR-449a-induced', 'Var', (61, 77)) ('Ccnd1', 'Gene', (42, 47)) 15102 29720725 We further confirmed the interaction of miR-449a with Ccnd1 and Gpr158 in vivo. ('Gpr158', 'Gene', (64, 70)) ('Ccnd1', 'Gene', '595', (54, 59)) ('interaction', 'Interaction', (25, 36)) ('miR-449a', 'Var', (40, 48)) ('Ccnd1', 'Gene', (54, 59)) 15103 29720725 Allografts of Rb/p53 (miR-449ahigh), Pten/p53 (miR-449alow), and Rb/p53ant (miR-449alow) were generated in NOD-SCID immunodeficient mice. ('Rb/p53', 'Gene', (14, 20)) ('miR-449ahigh', 'Var', (22, 34)) ('NOD-SCID immunodeficient', 'Disease', (107, 131)) ('NOD-SCID immunodeficient', 'Disease', 'MESH:D020191', (107, 131)) ('rat', 'Species', '10116', (98, 101)) ('miR-449alow', 'Var', (47, 58)) ('mice', 'Species', '10090', (132, 136)) ('Rb/p53', 'Gene', '7157', (65, 71)) ('Rb/p53', 'Gene', '7157', (14, 20)) ('miR-449alow', 'Var', (76, 87)) ('Rb/p53', 'Gene', (65, 71)) 15109 29720725 In conclusion, miR-449a directly downregulates Gpr158 and Ccnd1 in vivo (Figs. ('downregulates', 'NegReg', (33, 46)) ('Gpr158', 'Gene', (47, 53)) ('miR-449a', 'Var', (15, 23)) ('Ccnd1', 'Gene', '595', (58, 63)) ('Ccnd1', 'Gene', (58, 63)) 15111 29720725 To correlate GPR158 expression with clinically, diagnostically and biologically relevant tumour entities, we defined oligodendrogliomas (O, n = 83) as IDH mutant, 1p/19q co-deleted tumours, and astrocytomas (A, n = 138) as IDH mutant, ATRX mutant tumours with no 1p/19q codeletion. ('gliomas', 'Phenotype', 'HP:0009733', (128, 135)) ('tumour', 'Phenotype', 'HP:0002664', (181, 187)) ('astrocytomas', 'Disease', 'MESH:D001254', (194, 206)) ('tumours', 'Disease', (247, 254)) ('tumour entities', 'Disease', 'MESH:D009369', (89, 104)) ('ATRX', 'Gene', (235, 239)) ('IDH', 'Gene', (151, 154)) ('ATRX', 'Gene', '546', (235, 239)) ('IDH', 'Gene', (223, 226)) ('tumours', 'Phenotype', 'HP:0002664', (247, 254)) ('1p/19q', 'Var', (163, 169)) ('oligodendrogliomas', 'Disease', 'MESH:D009837', (117, 135)) ('tumours', 'Disease', 'MESH:D009369', (247, 254)) ('tumour entities', 'Disease', (89, 104)) ('tumour', 'Phenotype', 'HP:0002664', (247, 253)) ('IDH', 'Gene', '3417', (151, 154)) ('tumour', 'Phenotype', 'HP:0002664', (89, 95)) ('IDH', 'Gene', '3417', (223, 226)) ('tumours', 'Disease', (181, 188)) ('oligodendrogliomas', 'Disease', (117, 135)) ('astrocytomas', 'Disease', (194, 206)) ('tumours', 'Phenotype', 'HP:0002664', (181, 188)) ('tumours', 'Disease', 'MESH:D009369', (181, 188)) ('glioma', 'Phenotype', 'HP:0009733', (128, 134)) 15114 29720725 IDH wild-type high grade gliomas with 7p gain, 10q loss, EGFR amplification and TERT promoter mutation were considered as GBM (corresponding to WHO grade IV) (n = 146). ('gain', 'PosReg', (41, 45)) ('IDH', 'Gene', (0, 3)) ('TERT', 'Gene', (80, 84)) ('gliomas', 'Disease', 'MESH:D005910', (25, 32)) ('IDH', 'Gene', '3417', (0, 3)) ('glioma', 'Phenotype', 'HP:0009733', (25, 31)) ('EGFR', 'Gene', '1956', (57, 61)) ('amplification', 'Var', (62, 75)) ('loss', 'NegReg', (51, 55)) ('EGFR', 'Gene', (57, 61)) ('TERT', 'Gene', '7015', (80, 84)) ('gliomas', 'Phenotype', 'HP:0009733', (25, 32)) ('gliomas', 'Disease', (25, 32)) 15119 29720725 In 29 other TCGA tumour entities (Supplementary Figure 3D), with the exception of pheochromocytoma and paraganglioma, the remaining tumours types expressed very little or no GPR158. ('tumour entities', 'Disease', (17, 32)) ('tumours', 'Disease', 'MESH:D009369', (132, 139)) ('paraganglioma', 'Disease', 'MESH:D010235', (103, 116)) ('tumours', 'Disease', (132, 139)) ('tumour', 'Phenotype', 'HP:0002664', (17, 23)) ('pheochromocytoma', 'Disease', (82, 98)) ('GPR158', 'Var', (174, 180)) ('glioma', 'Phenotype', 'HP:0009733', (110, 116)) ('paraganglioma', 'Phenotype', 'HP:0002668', (103, 116)) ('tumour', 'Phenotype', 'HP:0002664', (132, 138)) ('pheochromocytoma', 'Phenotype', 'HP:0002666', (82, 98)) ('pheochromocytoma', 'Disease', 'MESH:D010673', (82, 98)) ('tumours', 'Phenotype', 'HP:0002664', (132, 139)) ('paraganglioma', 'Disease', (103, 116)) ('tumour entities', 'Disease', 'MESH:D009369', (17, 32)) 15124 29720725 Thus, the expression of CCND1 remains largely independent of the tumour subtypes, supporting the notion that GPR158 may have a role as biomarker that is independent from the miR-449a target CCND1. ('GPR158', 'Var', (109, 115)) ('tumour', 'Phenotype', 'HP:0002664', (65, 71)) ('tumour', 'Disease', 'MESH:D009369', (65, 71)) ('CCND1', 'Gene', (24, 29)) ('tumour', 'Disease', (65, 71)) 15130 29720725 First we separated the 25 NHNN patients of whom we had miR-449a expression values into 2 groups (above and below median) and found significantly better survival in the miR-449alow group (p = 0.004) (Fig. ('miR-449a', 'Var', (55, 63)) ('survival', 'MPA', (152, 160)) ('patients', 'Species', '9606', (31, 39)) ('rat', 'Species', '10116', (13, 16)) ('miR-449alow', 'Var', (168, 179)) ('better', 'PosReg', (145, 151)) 15132 29720725 Then we accessed the TCGA repository, retrieved and quantified GPR158 mRNA expression levels as per rsem (Supplementary table 3), and assigned patients to 4 strata according to their GPR158 rsem level (<=500 (Interval 1), >500 <= 1000 (Interval 2), >1000 <= 1500 (Interval 3) and >1500 (Interval 4)). ('>1500', 'Var', (280, 285)) ('patients', 'Species', '9606', (143, 151)) ('>1000 <= 1500', 'Var', (249, 262)) ('<=500', 'Var', (202, 207)) ('>500 <= 1000', 'Var', (222, 234)) ('GPR158', 'Gene', (63, 69)) ('rat', 'Species', '10116', (159, 162)) 15134 29720725 Patients with high GPR158 expression were younger than those with low expression, consistent with IDH mutant tumours occurring in younger patients are also being associated with better survival. ('tumours', 'Phenotype', 'HP:0002664', (109, 116)) ('tumours', 'Disease', 'MESH:D009369', (109, 116)) ('GPR158', 'Gene', (19, 25)) ('better', 'PosReg', (178, 184)) ('tumours', 'Disease', (109, 116)) ('high', 'Var', (14, 18)) ('Patients', 'Species', '9606', (0, 8)) ('IDH', 'Gene', (98, 101)) ('patients', 'Species', '9606', (138, 146)) ('IDH', 'Gene', '3417', (98, 101)) ('tumour', 'Phenotype', 'HP:0002664', (109, 115)) 15135 29720725 To identify if GPR158 has a prognostic role within either IDH wild-type or IDH mutant subgroups, we then grouped patients according to the IDH mutation status. ('IDH', 'Gene', '3417', (58, 61)) ('GPR158', 'Gene', (15, 21)) ('patients', 'Species', '9606', (113, 121)) ('mutant', 'Var', (79, 85)) ('IDH', 'Gene', (75, 78)) ('IDH', 'Gene', (139, 142)) ('IDH', 'Gene', '3417', (75, 78)) ('IDH', 'Gene', (58, 61)) ('IDH', 'Gene', '3417', (139, 142)) 15136 29720725 Although not reaching significance in the IDH mutant cohort, GPR158high tumours showed an obvious tendency to longer survival (p = 0.057; Fig. ('IDH', 'Gene', (42, 45)) ('longer', 'PosReg', (110, 116)) ('IDH', 'Gene', '3417', (42, 45)) ('tumour', 'Phenotype', 'HP:0002664', (72, 78)) ('tumours', 'Phenotype', 'HP:0002664', (72, 79)) ('GPR158high', 'Var', (61, 71)) ('tumours', 'Disease', 'MESH:D009369', (72, 79)) ('tumours', 'Disease', (72, 79)) 15137 29720725 However, in the IDHwt eGBM subgroup, GPR158high tumours showed no different survival from GPR158low tumours, as only few patients were available in the GPR158high group. ('tumours', 'Disease', 'MESH:D009369', (100, 107)) ('tumours', 'Disease', (100, 107)) ('tumours', 'Disease', (48, 55)) ('tumour', 'Phenotype', 'HP:0002664', (48, 54)) ('GPR158low tumours', 'Disease', 'MESH:D009369', (90, 107)) ('tumour', 'Phenotype', 'HP:0002664', (100, 106)) ('IDH', 'Gene', (16, 19)) ('GPR158high', 'Var', (37, 47)) ('IDH', 'Gene', '3417', (16, 19)) ('tumours', 'Phenotype', 'HP:0002664', (100, 107)) ('tumours', 'Phenotype', 'HP:0002664', (48, 55)) ('GPR158low tumours', 'Disease', (90, 107)) ('tumours', 'Disease', 'MESH:D009369', (48, 55)) ('patients', 'Species', '9606', (121, 129)) 15138 29720725 We assessed the prognostic value of GPR158 in the four subtypes of GBM and found significantly longer survival of GPR158high patients in the proneural and neural groups (Fig. ('survival', 'MPA', (102, 110)) ('GPR158high', 'Var', (114, 124)) ('longer', 'PosReg', (95, 101)) ('patients', 'Species', '9606', (125, 133)) 15139 29720725 In summary, in both the NHNN and the TCGA glioma cohorts, we confirmed that higher GPR158 transcript and protein expression levels correlate with better survival, and patients with GPR158high IDHwt GBM responded significantly better to chemotherapy compared to patients with GPR158low tumours (Fig. ('IDH', 'Gene', '3417', (192, 195)) ('tumours', 'Phenotype', 'HP:0002664', (285, 292)) ('glioma', 'Disease', 'MESH:D005910', (42, 48)) ('glioma', 'Phenotype', 'HP:0009733', (42, 48)) ('glioma', 'Disease', (42, 48)) ('better', 'PosReg', (226, 232)) ('patients', 'Species', '9606', (167, 175)) ('tumour', 'Phenotype', 'HP:0002664', (285, 291)) ('better', 'PosReg', (146, 152)) ('GPR158low tumours', 'Disease', (275, 292)) ('higher', 'PosReg', (76, 82)) ('GPR158low tumours', 'Disease', 'MESH:D009369', (275, 292)) ('patients', 'Species', '9606', (261, 269)) ('GPR158high', 'Var', (181, 191)) ('IDH', 'Gene', (192, 195)) 15141 29720725 miR-449a belongs to the miR-34/449 family, and shares with miRNA-34, 449b, and 449c seed sequences, secondary structures, and downstream targets, including CCND1 and E2F transcription factor 5 (E2F5). ('E2F transcription factor 5', 'Gene', (166, 192)) ('E2F transcription factor 5', 'Gene', '1875', (166, 192)) ('miR-34', 'Gene', (24, 30)) ('miR-449a', 'Var', (0, 8)) ('E2F5', 'Gene', (194, 198)) ('miR-34', 'Gene', '407040', (24, 30)) ('E2F5', 'Gene', '1875', (194, 198)) 15144 29720725 2e and 4a-f) and we identified a new target, G-protein coupled receptor 158 (GPR158) which is downregulated by miR-449a (Figs. ('miR-449a', 'Var', (111, 119)) ('G-protein coupled receptor 158', 'Gene', '57512', (45, 75)) ('GPR158', 'Gene', (77, 83)) ('downregulated', 'NegReg', (94, 107)) ('G-protein coupled receptor 158', 'Gene', (45, 75)) 15147 29720725 We show here that miR-449a has target-dependent effects on cell migration, proliferation and differentiation, mediated by CCND1 or GPR158 (Fig. ('rat', 'Species', '10116', (67, 70)) ('effects', 'Reg', (48, 55)) ('differentiation', 'CPA', (93, 108)) ('cell migration', 'CPA', (59, 73)) ('CCND1', 'Gene', (122, 127)) ('rat', 'Species', '10116', (82, 85)) ('proliferation', 'CPA', (75, 88)) ('GPR158', 'Gene', (131, 137)) ('miR-449a', 'Var', (18, 26)) 15148 29720725 miR-449a inhibits CCND1 under proliferative conditions in stem cell medium (serum free, EGF, FGF supplemented), reducing proliferation and migration (Figs. ('reducing', 'NegReg', (112, 120)) ('proliferation', 'CPA', (121, 134)) ('rat', 'Species', '10116', (142, 145)) ('rat', 'Species', '10116', (37, 40)) ('migration', 'CPA', (139, 148)) ('inhibits', 'NegReg', (9, 17)) ('miR-449a', 'Var', (0, 8)) ('CCND1', 'Gene', (18, 23)) ('rat', 'Species', '10116', (128, 131)) 15152 29720725 4k-o, and Supplementary Figure 2), whilst miR-449a antagomir restores a neural phenotype (Fig. ('mir', 'Gene', '220972', (57, 60)) ('restores', 'PosReg', (61, 69)) ('miR-449a', 'Var', (42, 50)) ('mir', 'Gene', (57, 60)) 15153 29720725 This antagonistic effect between mir-449a and GPR158 was consistently found in conditions promoting neural (FBS, Fig. ('mir-449a', 'Gene', '723868', (33, 41)) ('mir-449a', 'Gene', (33, 41)) ('promoting', 'PosReg', (90, 99)) ('GPR158', 'Var', (46, 52)) 15155 29720725 miR-449a has an inhibitory effect on migration and invasion in vitro in some cancer types and Figs. ('cancer', 'Disease', (77, 83)) ('cancer', 'Disease', 'MESH:D009369', (77, 83)) ('rat', 'Species', '10116', (40, 43)) ('migration', 'CPA', (37, 46)) ('miR-449a', 'Var', (0, 8)) ('cancer', 'Phenotype', 'HP:0002664', (77, 83)) ('invasion', 'CPA', (51, 59)) ('inhibitory', 'NegReg', (16, 26)) 15156 29720725 In vivo, miR-449a has a tumour suppressive effect in some cancers, such as hepatocellular carcinoma,, or lung cancer, but not in others, where an association with cancer progression was found, such as breast or colorectal cancer. ('breast or colorectal cancer', 'Disease', (201, 228)) ('cancer', 'Phenotype', 'HP:0002664', (58, 64)) ('carcinoma', 'Phenotype', 'HP:0030731', (90, 99)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (211, 228)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (75, 99)) ('lung cancer', 'Disease', 'MESH:D008175', (105, 116)) ('cancer', 'Disease', 'MESH:D009369', (163, 169)) ('lung cancer', 'Phenotype', 'HP:0100526', (105, 116)) ('cancer', 'Disease', (222, 228)) ('cancer', 'Disease', 'MESH:D009369', (58, 64)) ('cancers', 'Disease', 'MESH:D009369', (58, 65)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (75, 99)) ('cancer', 'Phenotype', 'HP:0002664', (222, 228)) ('tumour', 'Phenotype', 'HP:0002664', (24, 30)) ('cancer', 'Disease', (110, 116)) ('miR-449a', 'Var', (9, 17)) ('tumour', 'Disease', 'MESH:D009369', (24, 30)) ('cancer', 'Phenotype', 'HP:0002664', (110, 116)) ('tumour', 'Disease', (24, 30)) ('hepatocellular carcinoma', 'Disease', (75, 99)) ('cancer', 'Disease', (58, 64)) ('cancer', 'Disease', (163, 169)) ('lung cancer', 'Disease', (105, 116)) ('cancer', 'Disease', 'MESH:D009369', (222, 228)) ('cancers', 'Phenotype', 'HP:0002664', (58, 65)) ('cancer', 'Phenotype', 'HP:0002664', (163, 169)) ('cancers', 'Disease', (58, 65)) ('cancer', 'Disease', 'MESH:D009369', (110, 116)) ('breast or colorectal cancer', 'Disease', 'MESH:D015179', (201, 228)) 15160 29720725 CCND1 can have context-depending roles in vitro and in vivo: It is one of the major regulators of the cell-cycle progression, can act as an oncogene, and aberrant expression is commonly seen in human cancers. ('aberrant', 'Var', (154, 162)) ('cancers', 'Disease', 'MESH:D009369', (200, 207)) ('cancers', 'Phenotype', 'HP:0002664', (200, 207)) ('cancer', 'Phenotype', 'HP:0002664', (200, 206)) ('cancers', 'Disease', (200, 207)) ('human', 'Species', '9606', (194, 199)) ('CCND1', 'Gene', (0, 5)) 15162 29720725 4a-c, 5a and 9a), and is modulated by miR-449a expression, i.e., is higher in Pten/p53 mBTSC (miR-449alow) than in Rb/p53 mBTSC (miR-449ahigh) (Figs. ('Rb/p53', 'Gene', (115, 121)) ('miR-449a', 'Gene', (38, 46)) ('higher', 'PosReg', (68, 74)) ('Pten/p53', 'Var', (78, 86)) ('Rb/p53', 'Gene', '7157', (115, 121)) ('miR-449alow', 'Var', (94, 105)) 15163 29720725 4c and 5a) and in miR-449ahigh experimental tumours, Ccnd1 is downregulated (Fig. ('tumours', 'Phenotype', 'HP:0002664', (44, 51)) ('Ccnd1', 'Gene', '595', (53, 58)) ('tumours', 'Disease', 'MESH:D009369', (44, 51)) ('downregulated', 'NegReg', (62, 75)) ('tumours', 'Disease', (44, 51)) ('Ccnd1', 'Gene', (53, 58)) ('miR-449ahigh', 'Var', (18, 30)) ('tumour', 'Phenotype', 'HP:0002664', (44, 50)) 15166 29720725 This is consistent with our observation of higher expression of neural markers, and of GPR158 and CCND1 in miR-449alow tumours developing from allografted Pten/p53 cells and from Rb/p53 cells treated with miR-449a antagomir (Fig. ('miR-449alow', 'Var', (107, 118)) ('tumour', 'Phenotype', 'HP:0002664', (119, 125)) ('Rb/p53', 'Gene', (179, 185)) ('higher', 'PosReg', (43, 49)) ('tumours', 'Phenotype', 'HP:0002664', (119, 126)) ('tumours', 'Disease', 'MESH:D009369', (119, 126)) ('mir', 'Gene', '220972', (220, 223)) ('CCND1', 'Gene', (98, 103)) ('tumours', 'Disease', (119, 126)) ('Rb/p53', 'Gene', '7157', (179, 185)) ('mir', 'Gene', (220, 223)) ('expression', 'MPA', (50, 60)) ('GPR158', 'Gene', (87, 93)) 15169 29720725 Of translational importance, miR-449a expression correlates with tumour grade (Fig. ('expression', 'MPA', (38, 48)) ('miR-449a', 'Var', (29, 37)) ('tumour', 'Phenotype', 'HP:0002664', (65, 71)) ('tumour', 'Disease', 'MESH:D009369', (65, 71)) ('tumour', 'Disease', (65, 71)) 15174 29720725 Correlation of GPR158 expression levels to GBM, stratified according to the molecular subtypes further supports this notion, as GPR158 expression is highest in the proneural subtypes (a class that is enriched for IDH mutations and PDGFR amplifications), and decreases in classical (enriched for EGFR amplified and CDKN2A mutant tumours) and mesenchymal subtypes, which are most commonly NF1 mutated (Supplementary Figure 3c). ('PDGFR', 'Gene', (231, 236)) ('PDGFR', 'Gene', '5159', (231, 236)) ('tumours', 'Disease', (328, 335)) ('NF1', 'Gene', '4763', (387, 390)) ('IDH', 'Gene', (213, 216)) ('CDKN2A', 'Gene', '1029', (314, 320)) ('decreases', 'NegReg', (258, 267)) ('tumours', 'Phenotype', 'HP:0002664', (328, 335)) ('tumours', 'Disease', 'MESH:D009369', (328, 335)) ('NF1', 'Gene', (387, 390)) ('GPR158', 'Gene', (128, 134)) ('expression', 'MPA', (135, 145)) ('EGFR', 'Gene', (295, 299)) ('IDH', 'Gene', '3417', (213, 216)) ('tumour', 'Phenotype', 'HP:0002664', (328, 334)) ('highest', 'Reg', (149, 156)) ('CDKN2A', 'Gene', (314, 320)) ('mesenchymal subtypes', 'CPA', (341, 361)) ('rat', 'Species', '10116', (50, 53)) ('mutant', 'Var', (321, 327)) ('EGFR', 'Gene', '1956', (295, 299)) 15183 29720725 We show that miR-449 directly targets and downregulates CCND1, resulting in reduced proliferation in vitro, and GPR158, antagonising neural differentiation and apoptosis in glioma stem cells. ('apoptosis', 'CPA', (160, 169)) ('antagonising', 'NegReg', (120, 132)) ('rat', 'Species', '10116', (91, 94)) ('glioma', 'Disease', (173, 179)) ('GPR158', 'Var', (112, 118)) ('neural differentiation', 'CPA', (133, 155)) ('miR-449', 'Gene', '723868', (13, 20)) ('reduced', 'NegReg', (76, 83)) ('proliferation', 'CPA', (84, 97)) ('downregulates', 'NegReg', (42, 55)) ('glioma', 'Phenotype', 'HP:0009733', (173, 179)) ('glioma', 'Disease', 'MESH:D005910', (173, 179)) ('CCND1', 'Gene', (56, 61)) ('miR-449', 'Gene', (13, 20)) 15184 29720725 High miR-449a expression levels correlate with shorter survival, whilst high GPR158 expression is associated experimentally with neural phenotypes, cell differentiation and clinically with lower glioma grades and better patient survival and may serve as predictive biomarker. ('glioma', 'Phenotype', 'HP:0009733', (195, 201)) ('shorter', 'NegReg', (47, 54)) ('expression levels', 'MPA', (14, 31)) ('better', 'PosReg', (213, 219)) ('GPR158', 'Gene', (77, 83)) ('lower', 'NegReg', (189, 194)) ('patient', 'Species', '9606', (220, 227)) ('glioma', 'Disease', (195, 201)) ('expression', 'MPA', (84, 94)) ('high', 'Var', (72, 76)) ('glioma', 'Disease', 'MESH:D005910', (195, 201)) 15190 29720725 Pair-wise RNA samples labelled with Hy3 or Hy5 dye were hybridized to the miRCURY LNA microRNA Array 7 (Exiqon). ('Hy3', 'Gene', (36, 39)) ('Hy3', 'Gene', '6085', (36, 39)) ('Hy5 dye', 'Var', (43, 50)) 15205 29720725 Further instructive information can be found on this informal resource http://www.biology-pages.info/L/LimitingDilution.html Murine brain tumour stem cells of the Rb/p53 or Pten/p53 genotypes transduced with lentivirus expressing GPR158 or GFP as control, containing puromycin a selection marker (4 weeks selection). ('Rb/p53', 'Gene', '7157', (163, 169)) ('brain tumour', 'Phenotype', 'HP:0030692', (132, 144)) ('tumour', 'Phenotype', 'HP:0002664', (138, 144)) ('brain tumour', 'Disease', (132, 144)) ('puromycin a', 'Chemical', '-', (267, 278)) ('Murine', 'Species', '10090', (125, 131)) ('GPR158', 'Var', (230, 236)) ('brain tumour', 'Disease', 'MESH:D001932', (132, 144)) ('Rb/p53', 'Gene', (163, 169)) 15207 29720725 After 48 h differentiation cells were fixed and stained for doublecortin (DCX, ab18723, 1:800, Abcam) and GFAP (ab4674, 1:1000, Abcam), followed by secondary antibodies conjugated with Alexa dyes. ('Alexa dyes', 'Chemical', '-', (185, 195)) ('DCX', 'Gene', '1641', (74, 77)) ('doublecortin', 'Gene', '1641', (60, 72)) ('GFAP', 'Gene', (106, 110)) ('doublecortin', 'Gene', (60, 72)) ('1:800', 'Var', (88, 93)) ('GFAP', 'Gene', '2670', (106, 110)) ('DCX', 'Gene', (74, 77)) 15355 22748659 For example, mutations in TP53 are commonly found in astrocytomas (50%-90%) and oligoastrocytomas (40%-50%) but are infrequent in oligodendrogliomas (5%-10%). ('TP53', 'Gene', (26, 30)) ('oligodendrogliomas', 'Disease', 'MESH:D009837', (130, 148)) ('gliomas', 'Phenotype', 'HP:0009733', (141, 148)) ('astrocytomas', 'Disease', 'MESH:D001254', (85, 97)) ('astrocytomas', 'Disease', (53, 65)) ('glioma', 'Phenotype', 'HP:0009733', (141, 147)) ('found', 'Reg', (44, 49)) ('oligodendrogliomas', 'Disease', (130, 148)) ('oligoastrocytomas', 'Disease', (80, 97)) ('astrocytomas', 'Disease', (85, 97)) ('TP53', 'Gene', '7157', (26, 30)) ('oligoastrocytomas', 'Disease', 'MESH:D001254', (80, 97)) ('mutations', 'Var', (13, 22)) ('astrocytomas', 'Disease', 'MESH:D001254', (53, 65)) 15356 22748659 On the other hand, 1p19q deletions are frequent in oligodendrogliomas (50%-70%) and less common to rare in oligoastrocytomas (30%-50%) and astrocytomas (0%-15%). ('oligodendrogliomas', 'Disease', (51, 69)) ('1p19q deletions', 'Var', (19, 34)) ('astrocytomas', 'Disease', (139, 151)) ('astrocytomas', 'Disease', (112, 124)) ('glioma', 'Phenotype', 'HP:0009733', (62, 68)) ('oligoastrocytomas', 'Disease', (107, 124)) ('oligoastrocytomas', 'Disease', 'MESH:D001254', (107, 124)) ('oligodendrogliomas', 'Disease', 'MESH:D009837', (51, 69)) ('astrocytomas', 'Disease', 'MESH:D001254', (139, 151)) ('astrocytomas', 'Disease', 'MESH:D001254', (112, 124)) ('gliomas', 'Phenotype', 'HP:0009733', (62, 69)) 15357 22748659 Although both TP53 mutations and 1p19q codeletions have been associated with improved prognosis, these mutations are mutually exclusive in gliomas, providing molecular evidence to support the histologic stratification of these tumors. ('TP53', 'Gene', '7157', (14, 18)) ('TP53', 'Gene', (14, 18)) ('gliomas', 'Disease', (139, 146)) ('1p19q codeletions', 'Var', (33, 50)) ('tumors', 'Disease', (227, 233)) ('tumors', 'Disease', 'MESH:D009369', (227, 233)) ('mutations', 'Var', (19, 28)) ('gliomas', 'Disease', 'MESH:D005910', (139, 146)) ('tumors', 'Phenotype', 'HP:0002664', (227, 233)) ('gliomas', 'Phenotype', 'HP:0009733', (139, 146)) ('glioma', 'Phenotype', 'HP:0009733', (139, 145)) ('improved', 'PosReg', (77, 85)) ('tumor', 'Phenotype', 'HP:0002664', (227, 232)) 15358 22748659 Recently, a sentinel paper by Parsons and colleagues demonstrated the existence of a novel glioma-associated mutation in isocitrate dehydrogenase-1 (IDH1) in 12% of patients with glioblastoma (GBM) via high-throughput gene expression analysis of 20,661 protein coding genes. ('IDH1', 'Gene', (149, 153)) ('glioblastoma', 'Disease', (179, 191)) ('glioma', 'Disease', (91, 97)) ('isocitrate dehydrogenase-1', 'Gene', '3417', (121, 147)) ('glioblastoma', 'Disease', 'MESH:D005909', (179, 191)) ('IDH1', 'Gene', '3417', (149, 153)) ('isocitrate dehydrogenase-1', 'Gene', (121, 147)) ('patients', 'Species', '9606', (165, 173)) ('glioblastoma', 'Phenotype', 'HP:0012174', (179, 191)) ('GBM', 'Phenotype', 'HP:0012174', (193, 196)) ('glioma', 'Disease', 'MESH:D005910', (91, 97)) ('glioma', 'Phenotype', 'HP:0009733', (91, 97)) ('mutation', 'Var', (109, 117)) 15360 22748659 Mutations in IDH1 were found to be associated with younger age, secondary GBMs (grade IV tumors that arise from biopsy-proven lower-grade predecessors), and increased overall survival (OS). ('tumors', 'Disease', (89, 95)) ('GBM', 'Phenotype', 'HP:0012174', (74, 77)) ('tumors', 'Phenotype', 'HP:0002664', (89, 95)) ('secondary GBMs', 'Disease', (64, 78)) ('tumors', 'Disease', 'MESH:D009369', (89, 95)) ('IDH1', 'Gene', (13, 17)) ('Mutations', 'Var', (0, 9)) ('increased', 'PosReg', (157, 166)) ('IDH1', 'Gene', '3417', (13, 17)) ('overall', 'MPA', (167, 174)) ('tumor', 'Phenotype', 'HP:0002664', (89, 94)) 15367 22748659 A critical structure in the enzymatic interaction with the substrate isocitrate is the arginine 132 (R132) found within the active site of IDH1 (arginine is conserved in the functionally analogous R172 of IDH2). ('IDH1', 'Gene', (139, 143)) ('R132', 'Var', (101, 105)) ('R132', 'Chemical', '-', (101, 105)) ('IDH2', 'Gene', '3418', (205, 209)) ('isocitrate', 'Chemical', 'MESH:C034219', (69, 79)) ('IDH1', 'Gene', '3417', (139, 143)) ('arginine', 'Chemical', 'MESH:D001120', (87, 95)) ('arginine', 'Chemical', 'MESH:D001120', (145, 153)) ('IDH2', 'Gene', (205, 209)) 15370 22748659 Mutations in IDH1 and IDH2 are generally mutually exclusive, and there has only been one report of simultaneous IDH1 and IDH2 mutations to date. ('IDH2', 'Gene', '3418', (121, 125)) ('IDH1', 'Gene', (112, 116)) ('IDH2', 'Gene', (22, 26)) ('IDH1', 'Gene', (13, 17)) ('Mutations', 'Var', (0, 9)) ('IDH1', 'Gene', '3417', (13, 17)) ('IDH2', 'Gene', '3418', (22, 26)) ('IDH1', 'Gene', '3417', (112, 116)) ('IDH2', 'Gene', (121, 125)) 15371 22748659 Interestingly, apart from rare case reports, the mutations of IDH1 and IDH2 occur exclusively at these arginine residues (most commonly replaced by histidine, R132H in IDH1), which are highly conserved across species and malignancies that involve the mutation of isocitrate dehydrogenase. ('IDH1', 'Gene', '3417', (168, 172)) ('malignancies', 'Disease', (221, 233)) ('mutations', 'Var', (49, 58)) ('IDH1', 'Gene', '3417', (62, 66)) ('R132H', 'Var', (159, 164)) ('IDH2', 'Gene', (71, 75)) ('isocitrate', 'Chemical', 'MESH:C034219', (263, 273)) ('hydrogen', 'Chemical', 'MESH:D006859', (276, 284)) ('R132H', 'Mutation', 'rs121913500', (159, 164)) ('occur', 'Reg', (76, 81)) ('IDH2', 'Gene', '3418', (71, 75)) ('malignancies', 'Disease', 'MESH:D009369', (221, 233)) ('arginine', 'Chemical', 'MESH:D001120', (103, 111)) ('IDH1', 'Gene', (62, 66)) ('IDH1', 'Gene', (168, 172)) ('histidine', 'Chemical', 'MESH:D006639', (148, 157)) 15372 22748659 This slight modification in the active site of the enzyme disrupts the aforementioned hydrogen bonding of the critical R132 and results in a shift in the enzymatic equilibrium to favor the closed configuration and subsequently increased affinity for nicotinamide adenine dinucleotide phosphate (NADPH). ('increased', 'PosReg', (227, 236)) ('NADPH', 'Chemical', 'MESH:D009249', (295, 300)) ('nicotinamide adenine dinucleotide phosphate', 'Chemical', 'MESH:D009249', (250, 293)) ('disrupts', 'NegReg', (58, 66)) ('shift', 'Reg', (141, 146)) ('hydrogen', 'Chemical', 'MESH:D006859', (86, 94)) ('hydrogen bonding', 'MPA', (86, 102)) ('closed configuration', 'MPA', (189, 209)) ('R132', 'Chemical', '-', (119, 123)) ('modification', 'Var', (12, 24)) ('enzymatic equilibrium', 'MPA', (154, 175)) 15374 22748659 As a result of these changes, R132 mutations result in a greater than 80% reduction in activity compared with the wild-type (wt) enzyme. ('R132', 'Chemical', '-', (30, 34)) ('R132 mutations', 'Var', (30, 44)) ('activity', 'MPA', (87, 95)) ('reduction', 'NegReg', (74, 83)) ('changes', 'Var', (21, 28)) 15375 22748659 Following the first report that IDH1 mutations were found more frequently in secondary GBMs (sGBM) compared with primary GBMs (pGBM), other studies showed similar findings and elucidated other associations between IDH1 mutation status and WHO classification (Table 1). ('found', 'Reg', (52, 57)) ('IDH1', 'Gene', (32, 36)) ('IDH1', 'Gene', (214, 218)) ('IDH1', 'Gene', '3417', (32, 36)) ('mutations', 'Var', (37, 46)) ('IDH1', 'Gene', '3417', (214, 218)) ('GBM', 'Phenotype', 'HP:0012174', (87, 90)) ('GBM', 'Phenotype', 'HP:0012174', (121, 124)) ('GBM', 'Phenotype', 'HP:0012174', (94, 97)) ('GBM', 'Phenotype', 'HP:0012174', (128, 131)) ('secondary GBMs', 'Disease', (77, 91)) 15376 22748659 Indeed, IDH1 mutations are more frequently found in sGBMs, with reported frequencies ranging from 50% to 86% compared with pGBMs, which contain the mutation only 4% to 21% of the time. ('sGBMs', 'Disease', (52, 57)) ('GBM', 'Phenotype', 'HP:0012174', (53, 56)) ('IDH1', 'Gene', (8, 12)) ('found', 'Reg', (43, 48)) ('IDH1', 'Gene', '3417', (8, 12)) ('GBM', 'Phenotype', 'HP:0012174', (124, 127)) ('mutations', 'Var', (13, 22)) 15377 22748659 sGBMs were frequently cited as being associated with younger patients; prognostically favorable genetic alterations, including 1p19q deletions and TP53 mutations; and an improved clinical course. ('GBM', 'Phenotype', 'HP:0012174', (1, 4)) ('TP53', 'Gene', (147, 151)) ('mutations', 'Var', (152, 161)) ('1p19q deletions', 'Var', (127, 142)) ('patients', 'Species', '9606', (61, 69)) ('sGBMs', 'Gene', (0, 5)) ('TP53', 'Gene', '7157', (147, 151)) ('clinical', 'Species', '191496', (179, 187)) 15378 22748659 The association between IDH1 mutations and favorable overall prognosis was so striking that some groups argued that sGBMs lacking these characteristics may in fact be pGBMs that were underdiagnosed as anaplastic tumors on initial discovery; the molecular similarities with pGBMs of these IDH1 mutation-negative sGBMs and the fact that all said tumors were initially found as anaplastic gliomas supported this assertion. ('gliomas', 'Disease', (386, 393)) ('IDH1', 'Gene', (24, 28)) ('IDH1', 'Gene', '3417', (288, 292)) ('tumor', 'Phenotype', 'HP:0002664', (212, 217)) ('GBM', 'Phenotype', 'HP:0012174', (117, 120)) ('tumors', 'Disease', 'MESH:D009369', (344, 350)) ('GBM', 'Phenotype', 'HP:0012174', (274, 277)) ('tumors', 'Phenotype', 'HP:0002664', (212, 218)) ('gliomas', 'Disease', 'MESH:D005910', (386, 393)) ('glioma', 'Phenotype', 'HP:0009733', (386, 392)) ('IDH1', 'Gene', '3417', (24, 28)) ('GBM', 'Phenotype', 'HP:0012174', (312, 315)) ('GBM', 'Phenotype', 'HP:0012174', (168, 171)) ('tumors', 'Disease', (212, 218)) ('mutations', 'Var', (29, 38)) ('gliomas', 'Phenotype', 'HP:0009733', (386, 393)) ('tumors', 'Phenotype', 'HP:0002664', (344, 350)) ('IDH1', 'Gene', (288, 292)) ('tumors', 'Disease', 'MESH:D009369', (212, 218)) ('tumor', 'Phenotype', 'HP:0002664', (344, 349)) ('tumors', 'Disease', (344, 350)) 15379 22748659 The reported rates of IDH1 mutation in low-grade gliomas (LGG) are comparable with those of sGBMs, ranging from 59% to 100% in diffuse astrocytomas, 67% to 93% in oligodendrogliomas, and 50% to 100% in oligoastrocytomas. ('gliomas', 'Phenotype', 'HP:0009733', (49, 56)) ('oligodendrogliomas', 'Disease', (163, 181)) ('astrocytomas', 'Disease', (207, 219)) ('glioma', 'Phenotype', 'HP:0009733', (174, 180)) ('mutation', 'Var', (27, 35)) ('gliomas', 'Phenotype', 'HP:0009733', (174, 181)) ('GBM', 'Phenotype', 'HP:0012174', (93, 96)) ('astrocytomas', 'Disease', (135, 147)) ('astrocytomas', 'Disease', 'MESH:D001254', (207, 219)) ('gliomas', 'Disease', (49, 56)) ('IDH1', 'Gene', (22, 26)) ('oligodendrogliomas', 'Disease', 'MESH:D009837', (163, 181)) ('gliomas', 'Disease', (174, 181)) ('astrocytomas', 'Disease', 'MESH:D001254', (135, 147)) ('gliomas', 'Disease', 'MESH:D005910', (49, 56)) ('oligoastrocytomas', 'Disease', (202, 219)) ('oligoastrocytomas', 'Disease', 'MESH:D001254', (202, 219)) ('gliomas', 'Disease', 'MESH:D005910', (174, 181)) ('glioma', 'Phenotype', 'HP:0009733', (49, 55)) ('IDH1', 'Gene', '3417', (22, 26)) 15380 22748659 WHO grade III tumors seem to share a similar rate of IDH1 mutations (0%-100% in anaplastic astrocytomas, 49%-86% in anaplastic oligodendrogliomas, and 63%-100% in anaplastic oligoastrocytomas); however, when calculated and compared across numerous series, they seem to have a lower overall frequency (see Table 1). ('gliomas', 'Phenotype', 'HP:0009733', (138, 145)) ('mutations', 'Var', (58, 67)) ('astrocytomas', 'Disease', (91, 103)) ('anaplastic oligodendrogliomas', 'Disease', (116, 145)) ('oligoastrocytomas', 'Disease', (174, 191)) ('astrocytomas', 'Disease', 'MESH:D001254', (179, 191)) ('IDH1', 'Gene', (53, 57)) ('oligoastrocytomas', 'Disease', 'MESH:D001254', (174, 191)) ('tumors', 'Disease', (14, 20)) ('tumors', 'Phenotype', 'HP:0002664', (14, 20)) ('glioma', 'Phenotype', 'HP:0009733', (138, 144)) ('IDH1', 'Gene', '3417', (53, 57)) ('astrocytomas', 'Disease', (179, 191)) ('tumors', 'Disease', 'MESH:D009369', (14, 20)) ('astrocytomas', 'Disease', 'MESH:D001254', (91, 103)) ('tumor', 'Phenotype', 'HP:0002664', (14, 19)) ('anaplastic oligodendrogliomas', 'Disease', 'MESH:D009837', (116, 145)) 15381 22748659 The ubiquitous nature of the mutation across histologic grades and traditionally dichotomized tumor groups (eg, oligodendroglial and astrocytic tumors) separated it from previously described genetic alterations and sparked great interest in elucidating its role in tumorigenesis and its value as a prognostic marker. ('tumors', 'Phenotype', 'HP:0002664', (144, 150)) ('mutation', 'Var', (29, 37)) ('tumor', 'Disease', (144, 149)) ('tumor', 'Disease', 'MESH:D009369', (94, 99)) ('tumor', 'Phenotype', 'HP:0002664', (265, 270)) ('tumor', 'Phenotype', 'HP:0002664', (94, 99)) ('oligodendroglial and astrocytic tumors', 'Disease', 'MESH:D001254', (112, 150)) ('tumor', 'Disease', (265, 270)) ('tumor', 'Disease', (94, 99)) ('tumor', 'Disease', 'MESH:D009369', (144, 149)) ('tumor', 'Phenotype', 'HP:0002664', (144, 149)) ('tumor', 'Disease', 'MESH:D009369', (265, 270)) 15386 22748659 Although initial work reported elevated levels of HIF-1a in IDH1 mutant tumors, subsequent studies involving genome array, immunohistochemical, and fluorodeoxyglucose positron emission tomography analyses did not find significantly elevated levels of HIF-1a in IDH1 mutated gliomas. ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('tumors', 'Disease', (72, 78)) ('HIF-1a', 'Gene', (50, 56)) ('gliomas', 'Disease', (274, 281)) ('HIF-1a', 'Gene', '3091', (251, 257)) ('mutant', 'Var', (65, 71)) ('mutated', 'Var', (266, 273)) ('tumors', 'Disease', 'MESH:D009369', (72, 78)) ('gliomas', 'Disease', 'MESH:D005910', (274, 281)) ('IDH1', 'Gene', (261, 265)) ('glioma', 'Phenotype', 'HP:0009733', (274, 280)) ('IDH1', 'Gene', (60, 64)) ('HIF-1a', 'Gene', '3091', (50, 56)) ('gliomas', 'Phenotype', 'HP:0009733', (274, 281)) ('elevated', 'PosReg', (31, 39)) ('HIF-1a', 'Gene', (251, 257)) ('IDH1', 'Gene', '3417', (261, 265)) ('tumors', 'Phenotype', 'HP:0002664', (72, 78)) ('IDH1', 'Gene', '3417', (60, 64)) 15387 22748659 Moreover, because the tumors associated with the loss of succinate dehydrogenase and fumarate hydratase are vascular because of the activated angiogenesis pathways, the lack of vascularity in IDH1-mutated LGG (tumors most frequently carrying the mutation) further argues against this as an underlying mechanism in their gliomagenesis. ('vascularity', 'MPA', (177, 188)) ('fumarate hydratase', 'Gene', (85, 103)) ('hydrogen', 'Chemical', 'MESH:D006859', (69, 77)) ('tumors', 'Disease', 'MESH:D009369', (210, 216)) ('IDH1', 'Gene', '3417', (192, 196)) ('tumors', 'Phenotype', 'HP:0002664', (22, 28)) ('glioma', 'Disease', (320, 326)) ('activated', 'PosReg', (132, 141)) ('tumor', 'Phenotype', 'HP:0002664', (22, 27)) ('glioma', 'Disease', 'MESH:D005910', (320, 326)) ('lack', 'NegReg', (169, 173)) ('angiogenesis pathways', 'Pathway', (142, 163)) ('tumors', 'Disease', (22, 28)) ('fumarate hydratase', 'Gene', '2271', (85, 103)) ('LGG', 'Gene', (205, 208)) ('tumors', 'Phenotype', 'HP:0002664', (210, 216)) ('glioma', 'Phenotype', 'HP:0009733', (320, 326)) ('tumors', 'Disease', 'MESH:D009369', (22, 28)) ('tumor', 'Phenotype', 'HP:0002664', (210, 215)) ('loss', 'Var', (49, 53)) ('tumors', 'Disease', (210, 216)) ('IDH1', 'Gene', (192, 196)) 15388 22748659 Other biochemical arguments against the role of reduced alpha-KG in gliomagenesis stem from the reasoning that a significant percentage of IDH1 molecules would need to exist as heterodimers in order for this mutation to exert dominant negative activity in vivo. ('glioma', 'Disease', 'MESH:D005910', (68, 74)) ('activity', 'MPA', (244, 252)) ('IDH1', 'Gene', (139, 143)) ('mutation', 'Var', (208, 216)) ('alpha-KG', 'Chemical', 'MESH:D007656', (56, 64)) ('glioma', 'Phenotype', 'HP:0009733', (68, 74)) ('alpha-KG', 'Protein', (56, 64)) ('reduced', 'NegReg', (48, 55)) ('IDH1', 'Gene', '3417', (139, 143)) ('glioma', 'Disease', (68, 74)) 15389 22748659 A study by Jin and colleagues demonstrated that although IDH1 R132 mutants have equal binding affinity for IDH1 wt proteins, IDH2 R172 mutants (which exhibit the same clinical and molecular profiles as IDH1 mutants) have little affinity for their IDH2-wt counterparts. ('IDH1', 'Gene', (107, 111)) ('R132', 'Chemical', '-', (62, 66)) ('IDH2', 'Gene', '3418', (125, 129)) ('R172 mutants', 'Var', (130, 142)) ('IDH1', 'Gene', '3417', (107, 111)) ('IDH2', 'Gene', (247, 251)) ('binding', 'Interaction', (86, 93)) ('IDH1', 'Gene', (57, 61)) ('mutants', 'Var', (67, 74)) ('mutants', 'Var', (135, 142)) ('IDH1', 'Gene', (202, 206)) ('clinical', 'Species', '191496', (167, 175)) ('IDH2', 'Gene', '3418', (247, 251)) ('IDH1', 'Gene', '3417', (57, 61)) ('IDH2', 'Gene', (125, 129)) ('IDH1', 'Gene', '3417', (202, 206)) 15391 22748659 Notwithstanding the controversial role of diminished oxidative decarboxylation of isocitrate to alpha-KG, IDH1/2 mutants do gain a neomorphic ability to convert alpha-KG to D-2-hydroxyglutarate (2-HG). ('alpha-KG', 'Chemical', 'MESH:D007656', (96, 104)) ('isocitrate', 'Chemical', 'MESH:C034219', (82, 92)) ('oxidative decarboxylation', 'MPA', (53, 78)) ('IDH1/2', 'Gene', '3417;3418', (106, 112)) ('gain', 'PosReg', (124, 128)) ('2-HG', 'Chemical', 'MESH:C019417', (195, 199)) ('D-2-hydroxyglutarate', 'Chemical', 'MESH:C019417', (173, 193)) ('IDH1/2', 'Gene', (106, 112)) ('alpha-KG', 'Chemical', 'MESH:D007656', (161, 169)) ('convert alpha-KG to D-2-hydroxyglutarate', 'MPA', (153, 193)) ('mutants', 'Var', (113, 120)) 15392 22748659 This ability is likely secondary to the newly developed high affinity for NADPH by the R132/R172 mutant enzyme, which changes the equilibrium of the active site state to kinetically allow, and even favor, the conversion of alpha-KG to 2-HG. ('R132/R172', 'Var', (87, 96)) ('R132', 'Chemical', '-', (87, 91)) ('2-HG', 'Chemical', 'MESH:C019417', (235, 239)) ('favor', 'PosReg', (198, 203)) ('equilibrium of the active site state', 'MPA', (130, 166)) ('NADPH', 'Chemical', 'MESH:D009249', (74, 79)) ('conversion', 'MPA', (209, 219)) ('alpha-KG', 'Chemical', 'MESH:D007656', (223, 231)) 15393 22748659 Assays of 2-HG have shown increases in its concentration from 100- to 300-fold in glioma cells harboring IDH1 mutations. ('glioma', 'Disease', 'MESH:D005910', (82, 88)) ('glioma', 'Phenotype', 'HP:0009733', (82, 88)) ('mutations', 'Var', (110, 119)) ('IDH1', 'Gene', (105, 109)) ('2-HG', 'Chemical', 'MESH:C019417', (10, 14)) ('IDH1', 'Gene', '3417', (105, 109)) ('concentration', 'MPA', (43, 56)) ('glioma', 'Disease', (82, 88)) ('increases', 'PosReg', (26, 35)) 15394 22748659 Furthermore, the addition of 2-HG alone into glioma cells has been shown to decrease proliferation without inducing apoptosis as was found in IDH1 R132 mutant cells; the addition of this metabolite also induced global metabolic changes in IDH1-wt glioma on metabolomic analysis, akin to those found in IDH1-R132H expressing cells. ('R132', 'Chemical', '-', (307, 311)) ('IDH1', 'Gene', (239, 243)) ('global metabolic changes', 'MPA', (211, 235)) ('glioma', 'Disease', 'MESH:D005910', (45, 51)) ('2-HG', 'Chemical', 'MESH:C019417', (29, 33)) ('IDH1', 'Gene', (142, 146)) ('R132', 'Chemical', '-', (147, 151)) ('IDH1', 'Gene', (302, 306)) ('addition', 'Var', (170, 178)) ('glioma', 'Phenotype', 'HP:0009733', (45, 51)) ('mutant', 'Var', (152, 158)) ('IDH1', 'Gene', '3417', (239, 243)) ('glioma', 'Disease', (247, 253)) ('decrease', 'NegReg', (76, 84)) ('glioma', 'Disease', 'MESH:D005910', (247, 253)) ('IDH1', 'Gene', '3417', (142, 146)) ('IDH1', 'Gene', '3417', (302, 306)) ('glioma', 'Phenotype', 'HP:0009733', (247, 253)) ('R132H', 'Mutation', 'rs121913500', (307, 312)) ('induced', 'Reg', (203, 210)) ('glioma', 'Disease', (45, 51)) 15395 22748659 The existence of a highly conserved mutation site without complete inactivation of the gene product, combined with data showing that the knockdown of IDH1-wt does not produce downstream changes shared by 2-HG-injected or IDH1-R132 mutant glioma, gives further credence to the idea that the isocitrate dehydrogenase gene serves as an oncogene with gain of function through its mutation. ('IDH1', 'Gene', (221, 225)) ('IDH1', 'Gene', (150, 154)) ('glioma', 'Disease', (238, 244)) ('isocitrate dehydrogenase', 'Gene', (290, 314)) ('IDH1', 'Gene', '3417', (221, 225)) ('glioma', 'Disease', 'MESH:D005910', (238, 244)) ('2-HG', 'Chemical', 'MESH:C019417', (204, 208)) ('gain of function', 'PosReg', (347, 363)) ('mutation', 'Var', (376, 384)) ('hydrogen', 'Chemical', 'MESH:D006859', (303, 311)) ('glioma', 'Phenotype', 'HP:0009733', (238, 244)) ('isocitrate', 'Chemical', 'MESH:C034219', (290, 300)) ('R132', 'Chemical', '-', (226, 230)) ('IDH1', 'Gene', '3417', (150, 154)) 15396 22748659 The notion that 2-HG may serve as an oncogenic metabolite in IDH1/2 mutated gliomas was appealing given the existence of congenital conditions, such as L-2HG aciduria whereby germ-line mutations of IDH result in the accumulation of the L-enantiomer of 2-HG, with some of these patients developing malignant brain tumors. ('2-HG', 'Chemical', 'MESH:C019417', (16, 20)) ('IDH', 'Gene', '3417', (61, 64)) ('L-2HG aciduria', 'Phenotype', 'HP:0040144', (152, 166)) ('developing', 'PosReg', (286, 296)) ('patients', 'Species', '9606', (277, 285)) ('IDH1/2', 'Gene', '3417;3418', (61, 67)) ('2-HG', 'Chemical', 'MESH:C019417', (252, 256)) ('aciduria', 'Phenotype', 'HP:0012072', (158, 166)) ('malignant brain tumors', 'Disease', (297, 319)) ('gliomas', 'Disease', (76, 83)) ('accumulation', 'PosReg', (216, 228)) ('IDH1/2', 'Gene', (61, 67)) ('L-enantiomer of 2-HG', 'MPA', (236, 256)) ('glioma', 'Phenotype', 'HP:0009733', (76, 82)) ('IDH', 'Gene', (198, 201)) ('tumor', 'Phenotype', 'HP:0002664', (313, 318)) ('malignant brain tumors', 'Disease', 'MESH:D001932', (297, 319)) ('gliomas', 'Disease', 'MESH:D005910', (76, 83)) ('tumors', 'Phenotype', 'HP:0002664', (313, 319)) ('brain tumors', 'Phenotype', 'HP:0030692', (307, 319)) ('IDH', 'Gene', (61, 64)) ('IDH', 'Gene', '3417', (198, 201)) ('brain tumor', 'Phenotype', 'HP:0030692', (307, 318)) ('gliomas', 'Phenotype', 'HP:0009733', (76, 83)) ('mutations', 'Var', (185, 194)) 15400 22748659 With mounting evidence that IDH1 mutations in glioma are associated with favorable molecular profiles and clinical outcomes, many studies began reporting on its association with other known significant genetic aberrations in human brain tumors. ('brain tumors', 'Disease', 'MESH:D001932', (231, 243)) ('brain tumors', 'Phenotype', 'HP:0030692', (231, 243)) ('association', 'Interaction', (161, 172)) ('brain tumors', 'Disease', (231, 243)) ('genetic aberrations', 'Disease', 'MESH:D030342', (202, 221)) ('IDH1', 'Gene', '3417', (28, 32)) ('tumors', 'Phenotype', 'HP:0002664', (237, 243)) ('glioma', 'Disease', (46, 52)) ('mutations', 'Var', (33, 42)) ('brain tumor', 'Phenotype', 'HP:0030692', (231, 242)) ('genetic aberrations', 'Disease', (202, 221)) ('human', 'Species', '9606', (225, 230)) ('glioma', 'Disease', 'MESH:D005910', (46, 52)) ('tumor', 'Phenotype', 'HP:0002664', (237, 242)) ('glioma', 'Phenotype', 'HP:0009733', (46, 52)) ('clinical', 'Species', '191496', (106, 114)) ('IDH1', 'Gene', (28, 32)) 15401 22748659 Traditionally, O6-methylguanine-DNA methyltransferase (MGMT) promoter methylation, TP53 mutation, and deletions of 1p19q have been associated with improved outcomes in patients with glial tumors. ('TP53', 'Gene', '7157', (83, 87)) ('mutation', 'Var', (88, 96)) ('MGMT', 'Gene', '4255', (55, 59)) ('O6-methylguanine-DNA methyltransferase', 'Gene', '4255', (15, 53)) ('MGMT', 'Gene', (55, 59)) ('glial tumors', 'Disease', 'MESH:D005910', (182, 194)) ('tumors', 'Phenotype', 'HP:0002664', (188, 194)) ('TP53', 'Gene', (83, 87)) ('deletions', 'Var', (102, 111)) ('glial tumors', 'Disease', (182, 194)) ('O6-methylguanine-DNA methyltransferase', 'Gene', (15, 53)) ('patients', 'Species', '9606', (168, 176)) ('tumor', 'Phenotype', 'HP:0002664', (188, 193)) ('1p19q', 'Gene', (115, 120)) ('improved', 'PosReg', (147, 155)) 15402 22748659 IDH1 mutations were found to be strongly associated with 1p19q codeletions in numerous studies, although a few others did not find any significant relationship between the two. ('1p19q codeletions', 'Disease', (57, 74)) ('associated', 'Reg', (41, 51)) ('mutations', 'Var', (5, 14)) ('IDH1', 'Gene', (0, 4)) ('IDH1', 'Gene', '3417', (0, 4)) 15403 22748659 Most of the published work to date regarding the association between these two genetic phenomena have indicated a high incidence of co-occurrence, with reported rates of 90% to 100% of IDH mutations in gliomas that have 1p19q deletions. ('IDH', 'Gene', '3417', (185, 188)) ('IDH', 'Gene', (185, 188)) ('glioma', 'Phenotype', 'HP:0009733', (202, 208)) ('gliomas', 'Disease', (202, 209)) ('gliomas', 'Disease', 'MESH:D005910', (202, 209)) ('gliomas', 'Phenotype', 'HP:0009733', (202, 209)) ('mutations', 'Var', (189, 198)) 15404 22748659 The correlation between TP53 and IDH1 mutations is not as robust; however, the trend of evidence does suggest a high rate of simultaneous mutations in gliomas that have been studied to date. ('TP53', 'Gene', (24, 28)) ('glioma', 'Phenotype', 'HP:0009733', (151, 157)) ('IDH1', 'Gene', (33, 37)) ('TP53', 'Gene', '7157', (24, 28)) ('gliomas', 'Phenotype', 'HP:0009733', (151, 158)) ('IDH1', 'Gene', '3417', (33, 37)) ('gliomas', 'Disease', (151, 158)) ('gliomas', 'Disease', 'MESH:D005910', (151, 158)) ('mutations', 'Var', (138, 147)) 15405 22748659 MGMT promoter methylation was similarly found to be associated with IDH1 mutation in numerous studies, although others did not find any significant relationship. ('MGMT', 'Gene', (0, 4)) ('associated', 'Reg', (52, 62)) ('IDH1', 'Gene', (68, 72)) ('IDH1', 'Gene', '3417', (68, 72)) ('mutation', 'Var', (73, 81)) ('MGMT', 'Gene', '4255', (0, 4)) 15406 22748659 The overwhelming presence of IDH1 mutations with 1p19q deletion and TP53 mutation, 2 events that have been classically dichotomized with distinct histologic and molecular groups, namely oligodendroglial and astrocytic tumors, alluded to an early genetic event that occurred before the differentiation of neural progenitor cells into these various tissue types. ('oligodendroglial and astrocytic tumors', 'Disease', 'MESH:D001254', (186, 224)) ('TP53', 'Gene', (68, 72)) ('IDH1', 'Gene', (29, 33)) ('1p19q deletion', 'Var', (49, 63)) ('IDH1', 'Gene', '3417', (29, 33)) ('tumor', 'Phenotype', 'HP:0002664', (218, 223)) ('tumors', 'Phenotype', 'HP:0002664', (218, 224)) ('TP53', 'Gene', '7157', (68, 72)) ('mutation', 'Var', (73, 81)) ('mutations', 'Var', (34, 43)) 15408 22748659 In many cases, IDH1 mutations were found to be simultaneously present with TP53 mutations or 1p19q deletions, whereas in others, IDH1 mutations preceded them. ('1p19q', 'Gene', (93, 98)) ('IDH1', 'Gene', (129, 133)) ('mutations', 'Var', (80, 89)) ('IDH1', 'Gene', (15, 19)) ('IDH1', 'Gene', '3417', (15, 19)) ('IDH1', 'Gene', '3417', (129, 133)) ('TP53', 'Gene', '7157', (75, 79)) ('mutations', 'Var', (20, 29)) ('TP53', 'Gene', (75, 79)) 15409 22748659 In no case did TP53 mutations or 1p19q deletions precede the mutation of IDH1, indicating that this was indeed an early event in the development of glioma. ('IDH1', 'Gene', '3417', (73, 77)) ('glioma', 'Disease', (148, 154)) ('TP53', 'Gene', '7157', (15, 19)) ('glioma', 'Disease', 'MESH:D005910', (148, 154)) ('TP53', 'Gene', (15, 19)) ('glioma', 'Phenotype', 'HP:0009733', (148, 154)) ('IDH1', 'Gene', (73, 77)) ('mutations', 'Var', (20, 29)) ('1p19q deletions', 'Var', (33, 48)) 15410 22748659 Watanabe and colleagues analyzed a series of glioma from patients with Li-Fraumeni syndrome, who on account of their disease have germ-line TP53 mutations, and found that 71% of their patients had an IDH1 mutation. ('IDH1', 'Gene', (200, 204)) ('TP53', 'Gene', (140, 144)) ('patients', 'Species', '9606', (184, 192)) ('mutations', 'Var', (145, 154)) ('IDH1', 'Gene', '3417', (200, 204)) ('patients', 'Species', '9606', (57, 65)) ('Li-Fraumeni syndrome', 'Disease', 'MESH:D016864', (71, 91)) ('glioma', 'Disease', 'MESH:D005910', (45, 51)) ('glioma', 'Phenotype', 'HP:0009733', (45, 51)) ('glioma', 'Disease', (45, 51)) ('Li-Fraumeni syndrome', 'Disease', (71, 91)) ('mutation', 'Var', (205, 213)) ('TP53', 'Gene', '7157', (140, 144)) 15411 22748659 Of note, 100% of these mutations were R132C substitutions, a rarer form of mutation (3.6%-4.6%) compared with R132H (~90%), suggesting that this mutation may be the favored gliomagenic pathway in patients with preexisting mutations of TP53. ('R132C', 'Var', (38, 43)) ('glioma', 'Disease', (173, 179)) ('R132C', 'Mutation', 'rs121913499', (38, 43)) ('patients', 'Species', '9606', (196, 204)) ('mutations', 'Var', (23, 32)) ('TP53', 'Gene', '7157', (235, 239)) ('R132H', 'Mutation', 'rs121913500', (110, 115)) ('glioma', 'Phenotype', 'HP:0009733', (173, 179)) ('glioma', 'Disease', 'MESH:D005910', (173, 179)) ('TP53', 'Gene', (235, 239)) 15412 22748659 These findings indicate that although there seems to be a predilection for IDH1 mutations to be an early step in the formation of glioma, it is not the exclusive pathway in IDH1 mutation based gliomagenesis. ('mutations', 'Var', (80, 89)) ('glioma', 'Disease', (193, 199)) ('glioma', 'Disease', (130, 136)) ('IDH1', 'Gene', (173, 177)) ('IDH1', 'Gene', (75, 79)) ('IDH1', 'Gene', '3417', (173, 177)) ('glioma', 'Phenotype', 'HP:0009733', (193, 199)) ('IDH1', 'Gene', '3417', (75, 79)) ('glioma', 'Disease', 'MESH:D005910', (193, 199)) ('glioma', 'Disease', 'MESH:D005910', (130, 136)) ('glioma', 'Phenotype', 'HP:0009733', (130, 136)) 15413 22748659 In addition to isolated changes in chromosome copy and gene mutations, some studies have investigated the relationship between IDH1 mutations and glioma genetics on a genome level. ('investigated', 'Reg', (89, 101)) ('glioma', 'Disease', (146, 152)) ('mutations', 'Var', (132, 141)) ('IDH1', 'Gene', (127, 131)) ('glioma', 'Disease', 'MESH:D005910', (146, 152)) ('IDH1', 'Gene', '3417', (127, 131)) ('glioma', 'Phenotype', 'HP:0009733', (146, 152)) 15416 22748659 Noushmehr and colleagues analyzed more than 200 gliomas for their glioma-CpG island methylator phenotype (G-CIMP) to ascertain if there was any relationship between IDH1 mutations and overall DNA methylation profiles. ('glioma', 'Disease', (66, 72)) ('gliomas', 'Disease', 'MESH:D005910', (48, 55)) ('gliomas', 'Phenotype', 'HP:0009733', (48, 55)) ('glioma', 'Disease', 'MESH:D005910', (48, 54)) ('glioma', 'Phenotype', 'HP:0009733', (48, 54)) ('mutations', 'Var', (170, 179)) ('glioma', 'Phenotype', 'HP:0009733', (66, 72)) ('glioma', 'Disease', 'MESH:D005910', (66, 72)) ('IDH1', 'Gene', (165, 169)) ('G-CIMP', 'Chemical', '-', (106, 112)) ('IDH1', 'Gene', '3417', (165, 169)) ('glioma', 'Disease', (48, 54)) ('gliomas', 'Disease', (48, 55)) 15419 22748659 Similarly, Christensen and colleagues clustered gliomas into separate groups based on their methylation status and found that only 2 distinct methylation classes had IDH1 or IDH2 mutants and that more than 98% of the tumors in these 2 classes possessed the mutation. ('IDH1', 'Gene', (166, 170)) ('gliomas', 'Disease', 'MESH:D005910', (48, 55)) ('tumor', 'Phenotype', 'HP:0002664', (217, 222)) ('gliomas', 'Phenotype', 'HP:0009733', (48, 55)) ('tumors', 'Disease', (217, 223)) ('tumors', 'Disease', 'MESH:D009369', (217, 223)) ('IDH1', 'Gene', '3417', (166, 170)) ('tumors', 'Phenotype', 'HP:0002664', (217, 223)) ('glioma', 'Phenotype', 'HP:0009733', (48, 54)) ('IDH2', 'Gene', (174, 178)) ('IDH2', 'Gene', '3418', (174, 178)) ('mutants', 'Var', (179, 186)) ('gliomas', 'Disease', (48, 55)) 15420 22748659 Moreover, these methylation profiles were stable across the evolution of the tumor into more malignant grades, suggesting that these changes occurred early during gliomagenesis, giving further credence to the idea that the mutation of IDH1 may have a role in the epigenetic modulation of gene expression. ('glioma', 'Disease', (163, 169)) ('IDH1', 'Gene', (235, 239)) ('tumor', 'Disease', 'MESH:D009369', (77, 82)) ('IDH1', 'Gene', '3417', (235, 239)) ('glioma', 'Disease', 'MESH:D005910', (163, 169)) ('glioma', 'Phenotype', 'HP:0009733', (163, 169)) ('mutation', 'Var', (223, 231)) ('tumor', 'Phenotype', 'HP:0002664', (77, 82)) ('epigenetic modulation of gene expression', 'MPA', (263, 303)) ('tumor', 'Disease', (77, 82)) 15422 22748659 Finally, recent reports have described the association between IDH1 mutation and internexin-alpha, a proneural gene encoding a neurofilament interacting protein that has previously been shown to be tightly related to 1p19q codeletions and a predictor of favorable outcomes in anaplastic oligoastrocytomas and anaplastic oligodendrogliomas. ('oligoastrocytomas', 'Disease', (287, 304)) ('oligoastrocytomas', 'Disease', 'MESH:D001254', (287, 304)) ('association', 'Interaction', (43, 54)) ('IDH1', 'Gene', '3417', (63, 67)) ('anaplastic oligodendrogliomas', 'Disease', 'MESH:D009837', (309, 338)) ('mutation', 'Var', (68, 76)) ('anaplastic oligodendrogliomas', 'Disease', (309, 338)) ('gliomas', 'Phenotype', 'HP:0009733', (331, 338)) ('related', 'Reg', (206, 213)) ('internexin-alpha', 'Gene', (81, 97)) ('glioma', 'Phenotype', 'HP:0009733', (331, 337)) ('IDH1', 'Gene', (63, 67)) 15423 22748659 Further studies will likely help add to the list of IDH1 mutation-associated genetic changes that interact in the oncogenesis of these unique tumors. ('tumor', 'Phenotype', 'HP:0002664', (142, 147)) ('IDH1', 'Gene', '3417', (52, 56)) ('mutation-associated', 'Var', (57, 76)) ('tumors', 'Disease', 'MESH:D009369', (142, 148)) ('tumors', 'Disease', (142, 148)) ('tumors', 'Phenotype', 'HP:0002664', (142, 148)) ('IDH1', 'Gene', (52, 56)) 15424 22748659 Since the publication of the first report on improved survival in patients with GBM with IDH1 mutations (45.6 vs 13.2 months in IDH1-mutations vs IDH1-wt respectively) by Parsons and colleagues, numerous groups have been able to replicate similar findings. ('IDH1', 'Gene', (146, 150)) ('GBM', 'Phenotype', 'HP:0012174', (80, 83)) ('IDH1', 'Gene', '3417', (128, 132)) ('mutations', 'Var', (94, 103)) ('improved', 'PosReg', (45, 53)) ('IDH1', 'Gene', '3417', (146, 150)) ('survival', 'MPA', (54, 62)) ('patients', 'Species', '9606', (66, 74)) ('IDH1', 'Gene', (89, 93)) ('IDH1', 'Gene', (128, 132)) ('IDH1', 'Gene', '3417', (89, 93)) 15425 22748659 In addition to improved OS, Sanson and colleagues were able to demonstrate improved progression free survival (PFS) as well in their set of patients with GBM, with 55 months PFS in patients with IDH1 mutation versus 8.8 months PFS in those without it. ('improved', 'PosReg', (75, 83)) ('GBM', 'Phenotype', 'HP:0012174', (154, 157)) ('progression', 'MPA', (84, 95)) ('IDH1', 'Gene', (195, 199)) ('patients', 'Species', '9606', (181, 189)) ('patients', 'Species', '9606', (140, 148)) ('mutation', 'Var', (200, 208)) ('IDH1', 'Gene', '3417', (195, 199)) 15426 22748659 The analysis was extended to anaplastic (WHO grade III) tumors because many groups were readily able to show an improved OS in grade III tumors that harbored the IDH mutation compared with those that did not in both univariate and multivariate analyses. ('tumors', 'Disease', (137, 143)) ('tumors', 'Disease', 'MESH:D009369', (137, 143)) ('tumors', 'Phenotype', 'HP:0002664', (137, 143)) ('tumor', 'Phenotype', 'HP:0002664', (56, 61)) ('IDH', 'Gene', (162, 165)) ('tumors', 'Disease', (56, 62)) ('IDH', 'Gene', '3417', (162, 165)) ('tumors', 'Disease', 'MESH:D009369', (56, 62)) ('tumors', 'Phenotype', 'HP:0002664', (56, 62)) ('mutation', 'Var', (166, 174)) ('tumor', 'Phenotype', 'HP:0002664', (137, 142)) 15427 22748659 In a prospective analysis, Wick and colleagues found that grade III astrocytomas that possessed the IDH1 mutation were associated with greater PFS regardless of the treatment arm and conferred a stronger risk reduction than any other factor in multivariate analysis, including histology. ('mutation', 'Var', (105, 113)) ('PFS', 'MPA', (143, 146)) ('IDH1', 'Gene', '3417', (100, 104)) ('astrocytomas', 'Disease', (68, 80)) ('reduction', 'NegReg', (209, 218)) ('IDH1', 'Gene', (100, 104)) ('greater', 'PosReg', (135, 142)) ('astrocytomas', 'Disease', 'MESH:D001254', (68, 80)) 15428 22748659 The evidence for LGG and the prognostic value of IDH1 mutations is slightly more controversial. ('IDH1', 'Gene', '3417', (49, 53)) ('mutations', 'Var', (54, 63)) ('IDH1', 'Gene', (49, 53)) ('LGG', 'Disease', (17, 20)) 15429 22748659 Two independent groups found that IDH1 mutations in LGG were associated with significantly improved OS, whereas others could not find any significant association. ('IDH1', 'Gene', '3417', (34, 38)) ('LGG', 'Gene', (52, 55)) ('mutations', 'Var', (39, 48)) ('improved', 'PosReg', (91, 99)) ('IDH1', 'Gene', (34, 38)) 15430 22748659 Weller and colleagues found improved PFS with IDH1 mutation in univariate and multivariate analyses but no significant improvement in OS in multivariate analysis. ('improved', 'PosReg', (28, 36)) ('IDH1', 'Gene', (46, 50)) ('IDH1', 'Gene', '3417', (46, 50)) ('mutation', 'Var', (51, 59)) ('PFS', 'MPA', (37, 40)) 15431 22748659 It is still unclear if IDH1 mutational status is a prognostic indicator or a predictive measure of response to treatment. ('mutational', 'Var', (28, 38)) ('IDH1', 'Gene', '3417', (23, 27)) ('IDH1', 'Gene', (23, 27)) 15432 22748659 Houillier and colleagues stratified a cohort of LGG into 3 groups based on prognostic factors based on the presence of 1p19q deletion, IDH1 mutation, or both together. ('IDH1', 'Gene', (135, 139)) ('mutation', 'Var', (140, 148)) ('IDH1', 'Gene', '3417', (135, 139)) ('1p19q deletion', 'Var', (119, 133)) 15433 22748659 They found that each of these factors was an independent predictor of improved clinical outcome in response to treatment with the chemotherapeutic agent temozolomide and that the group of patients with both mutations had the best treatment response (objective response in 80% with both mutations, 61% of IDH1-mutants without 1p19q deletion, 17% without either mutation). ('clinical outcome', 'MPA', (79, 95)) ('mutations', 'Var', (286, 295)) ('IDH1', 'Gene', (304, 308)) ('improved', 'PosReg', (70, 78)) ('response to treatment with', 'MPA', (99, 125)) ('patients', 'Species', '9606', (188, 196)) ('IDH1', 'Gene', '3417', (304, 308)) ('temozolomide', 'Chemical', 'MESH:D000077204', (153, 165)) ('clinical', 'Species', '191496', (79, 87)) 15434 22748659 In a similar fashion, Hartman and colleagues found that in their cohort of patients that received adjuvant therapies, IDH1 mutation status was the single most important predictor of PFS and OS; this was not seen in their cohort of patients that did not receive adjuvant therapy. ('mutation', 'Var', (123, 131)) ('IDH1', 'Gene', (118, 122)) ('patients', 'Species', '9606', (231, 239)) ('patients', 'Species', '9606', (75, 83)) ('IDH1', 'Gene', '3417', (118, 122)) ('OS', 'Disease', (190, 192)) ('PFS', 'Disease', (182, 185)) 15435 22748659 These findings support the notion that IDH1 mutations may be an important predictor to treatment response. ('IDH1', 'Gene', '3417', (39, 43)) ('IDH1', 'Gene', (39, 43)) ('mutations', 'Var', (44, 53)) 15438 22748659 There are 6 amino acid base pair substitutions at R132 of IDH1 that have been identified to date in human glioma: R132H (88.2%-92.7%), R132C (3.6%-4.6%), R132L (0.4%-4.3%), R132 G (0.6%-3.8%), R132S (0.8%-2.5%), and R132P (0.4%). ('R132H', 'Mutation', 'rs121913500', (114, 119)) ('R132C', 'Var', (135, 140)) ('R132L', 'Var', (154, 159)) ('R132C', 'Mutation', 'rs121913499', (135, 140)) ('R132', 'Chemical', '-', (173, 177)) ('R132S', 'Var', (193, 198)) ('R132S', 'Mutation', 'rs121913499', (193, 198)) ('IDH1', 'Gene', '3417', (58, 62)) ('R132', 'Chemical', '-', (193, 197)) ('R132 G', 'Mutation', 'rs121913499', (173, 179)) ('R132', 'Chemical', '-', (50, 54)) ('glioma', 'Disease', (106, 112)) ('R132', 'Chemical', '-', (154, 158)) ('R132L', 'Mutation', 'rs121913500', (154, 159)) ('R132', 'Chemical', '-', (216, 220)) ('glioma', 'Disease', 'MESH:D005910', (106, 112)) ('R132 G', 'Var', (173, 179)) ('R132', 'Chemical', '-', (114, 118)) ('R132H', 'Var', (114, 119)) ('glioma', 'Phenotype', 'HP:0009733', (106, 112)) ('human', 'Species', '9606', (100, 105)) ('R132P', 'Var', (216, 221)) ('R132', 'Chemical', '-', (135, 139)) ('R132P', 'Mutation', 'rs121913500', (216, 221)) ('IDH1', 'Gene', (58, 62)) 15440 22748659 The R132C substitution has been found in greater frequency in astrocytomas and gliomas associated with Li-Fraumeni syndrome, which were diffuse and anaplastic astrocytomas. ('gliomas', 'Disease', (79, 86)) ('Li-Fraumeni syndrome', 'Disease', 'MESH:D016864', (103, 123)) ('gliomas', 'Disease', 'MESH:D005910', (79, 86)) ('R132C', 'Var', (4, 9)) ('R132C', 'Mutation', 'rs121913499', (4, 9)) ('astrocytomas', 'Disease', 'MESH:D001254', (159, 171)) ('astrocytomas', 'Disease', 'MESH:D001254', (62, 74)) ('glioma', 'Phenotype', 'HP:0009733', (79, 85)) ('Li-Fraumeni syndrome', 'Disease', (103, 123)) ('astrocytomas', 'Disease', (159, 171)) ('astrocytomas', 'Disease', (62, 74)) ('gliomas', 'Phenotype', 'HP:0009733', (79, 86)) 15441 22748659 Recently Pusch and colleagues identified 3 cases of R100Q substitutions within the IDH1 gene. ('R100Q substitutions', 'Var', (52, 71)) ('R100Q', 'Mutation', 'p.R100Q', (52, 57)) ('IDH1', 'Gene', '3417', (83, 87)) ('IDH1', 'Gene', (83, 87)) 15442 22748659 In line with the preexisting dogma that it was the conformational alteration of the IDH1 protein that allowed neomorphic enzymatic activity, R100 is within the active site involved in binding isocitrate. ('R100', 'Var', (141, 145)) ('IDH1', 'Gene', '3417', (84, 88)) ('IDH1', 'Gene', (84, 88)) ('isocitrate', 'Chemical', 'MESH:C034219', (192, 202)) 15443 22748659 Regardless of the location of the amino acid substituted, each of the identified IDH1 mutations seems to share the same molecular and clinical properties. ('mutations', 'Var', (86, 95)) ('IDH1', 'Gene', (81, 85)) ('IDH1', 'Gene', '3417', (81, 85)) ('clinical', 'Species', '191496', (134, 142)) 15444 22748659 Given the increasing importance of IDH1 mutation status in glioma research, there has been considerable effort to develop novel ways to quickly and reliably detect this mutation in tissue specimens. ('mutation', 'Var', (40, 48)) ('IDH1', 'Gene', (35, 39)) ('glioma', 'Disease', (59, 65)) ('IDH1', 'Gene', '3417', (35, 39)) ('glioma', 'Disease', 'MESH:D005910', (59, 65)) ('glioma', 'Phenotype', 'HP:0009733', (59, 65)) 15447 22748659 Pyrosequencing is an alternative to traditional sequencing that allows for rapid high-throughput analysis of IDH1 mutations. ('mutations', 'Var', (114, 123)) ('IDH1', 'Gene', '3417', (109, 113)) ('IDH1', 'Gene', (109, 113)) 15448 22748659 This method has been recently used to detect IDH1 mutations in gliomas and demonstrated an advantage over classic Sanger sequencing in that it can detect mutated allele frequencies down to 5%. ('IDH1', 'Gene', '3417', (45, 49)) ('gliomas', 'Phenotype', 'HP:0009733', (63, 70)) ('gliomas', 'Disease', (63, 70)) ('mutations', 'Var', (50, 59)) ('glioma', 'Phenotype', 'HP:0009733', (63, 69)) ('IDH1', 'Gene', (45, 49)) ('gliomas', 'Disease', 'MESH:D005910', (63, 70)) 15449 22748659 However, because the technique requires the new mutation to have a Tm that is lower than IDH1-wt, it theoretically may not be able to detect R132 G mutations. ('IDH1', 'Gene', (89, 93)) ('R132 G', 'Mutation', 'rs121913499', (141, 147)) ('R132 G mutations', 'Var', (141, 157)) ('IDH1', 'Gene', '3417', (89, 93)) 15451 22748659 Other antibodies for R132H followed, including IMab-1 and DIAH09, with one report indicating that DIA-H09 was superior to IMab-1 in that it was generally crisper with better signal-to-noise ratio. ('R132H', 'Mutation', 'rs121913500', (21, 26)) ('DIA-H09', 'Var', (98, 105)) ('R132H', 'Var', (21, 26)) 15452 22748659 Proponents of immunohistochemistry-based antibody staining argue that the use of these antibodies to identify IDH1 mutations may even be superior to direct sequencing because there are reported cases in which these antibodies detect mutations missed by direct sequencing, likely because of poor tissue preservation of samples. ('mutations', 'Var', (233, 242)) ('IDH1', 'Gene', '3417', (110, 114)) ('IDH1', 'Gene', (110, 114)) ('mutations', 'Var', (115, 124)) 15454 22748659 However, because the antibodies are mutation specific, it can be expected that those designed to bind R132H will fail to detect IDH1 mutants approximately 10% of the time. ('R132H', 'Mutation', 'rs121913500', (102, 107)) ('IDH1', 'Gene', '3417', (128, 132)) ('R132H', 'Var', (102, 107)) ('mutants', 'Var', (133, 140)) ('IDH1', 'Gene', (128, 132)) 15456 22748659 Multiple studies have reported the rate of IDH1 mutations in tumors other than glioma. ('tumors', 'Disease', (61, 67)) ('tumors', 'Disease', 'MESH:D009369', (61, 67)) ('glioma', 'Disease', (79, 85)) ('glioma', 'Disease', 'MESH:D005910', (79, 85)) ('IDH1', 'Gene', (43, 47)) ('glioma', 'Phenotype', 'HP:0009733', (79, 85)) ('IDH1', 'Gene', '3417', (43, 47)) ('tumor', 'Phenotype', 'HP:0002664', (61, 66)) ('tumors', 'Phenotype', 'HP:0002664', (61, 67)) ('mutations', 'Var', (48, 57)) 15457 22748659 In regard to central nervous system (CNS) tumors, IDH1 mutations do seem to favor glial tumors because the highest frequencies of mutations are found in astrocytic and oligodendroglial tumors of WHO grades II, III, and IV, as mentioned previously. ('IDH1', 'Gene', (50, 54)) ('glial tumors', 'Disease', 'MESH:D005910', (179, 191)) ('glial tumors', 'Disease', (82, 94)) ('mutations', 'Var', (55, 64)) ('favor', 'PosReg', (76, 81)) ('tumors', 'Phenotype', 'HP:0002664', (42, 48)) ('IDH1', 'Gene', '3417', (50, 54)) ('tumors', 'Phenotype', 'HP:0002664', (185, 191)) ('central nervous system (CNS) tumors', 'Disease', 'MESH:D016543', (13, 48)) ('glial tumors', 'Disease', (179, 191)) ('mutations', 'Var', (130, 139)) ('tumor', 'Phenotype', 'HP:0002664', (88, 93)) ('astrocytic and oligodendroglial tumors', 'Disease', 'MESH:D001254', (153, 191)) ('tumors', 'Phenotype', 'HP:0002664', (88, 94)) ('tumor', 'Phenotype', 'HP:0002664', (185, 190)) ('tumor', 'Phenotype', 'HP:0002664', (42, 47)) ('glial tumors', 'Disease', 'MESH:D005910', (82, 94)) 15458 22748659 Juvenile pilocytic astrocytomas do not seem to fall under the predilection of IDH1 mutations because there have been no reports of this gene mutation in this tumor type to date. ('mutations', 'Var', (83, 92)) ('tumor', 'Disease', (158, 163)) ('fall', 'Phenotype', 'HP:0002527', (47, 51)) ('IDH1', 'Gene', (78, 82)) ('IDH1', 'Gene', '3417', (78, 82)) ('Juvenile pilocytic astrocytomas', 'Disease', (0, 31)) ('tumor', 'Disease', 'MESH:D009369', (158, 163)) ('tumor', 'Phenotype', 'HP:0002664', (158, 163)) ('Juvenile pilocytic astrocytomas', 'Disease', 'MESH:D001254', (0, 31)) 15460 22748659 Other CNS tumors that conspicuously lack IDH1 mutations include medulloblastomas, dysembryoplastic neuroepithelial tumors, schwannomas, meningiomas, pleomorphic xanthoastrocytomas, subependymal giant cell astrocytomas, and ependymomas. ('subependymal giant cell astrocytomas', 'Disease', 'MESH:D001254', (182, 218)) ('tumors', 'Disease', (10, 16)) ('schwannomas', 'Phenotype', 'HP:0100008', (123, 134)) ('IDH1', 'Gene', '3417', (41, 45)) ('ependymomas', 'Disease', (225, 236)) ('mutations', 'Var', (46, 55)) ('tumors', 'Disease', 'MESH:D009369', (10, 16)) ('dysembryoplastic neuroepithelial tumors', 'Disease', (82, 121)) ('meningiomas', 'Disease', 'MESH:D008577', (136, 147)) ('tumors', 'Phenotype', 'HP:0002664', (115, 121)) ('medulloblastomas', 'Disease', 'MESH:D008527', (64, 80)) ('meningiomas', 'Phenotype', 'HP:0002858', (136, 147)) ('medulloblastomas', 'Disease', (64, 80)) ('schwannomas', 'Disease', 'MESH:D009442', (123, 134)) ('tumor', 'Phenotype', 'HP:0002664', (115, 120)) ('meningiomas', 'Disease', (136, 147)) ('tumors', 'Disease', (115, 121)) ('subependymal giant cell astrocytomas', 'Disease', (182, 218)) ('pleomorphic xanthoastrocytomas', 'Disease', 'MESH:D008228', (149, 179)) ('schwannomas', 'Disease', (123, 134)) ('tumor', 'Phenotype', 'HP:0002664', (10, 15)) ('dysembryoplastic neuroepithelial tumors', 'Disease', 'MESH:D018302', (82, 121)) ('tumors', 'Phenotype', 'HP:0002664', (10, 16)) ('tumors', 'Disease', 'MESH:D009369', (115, 121)) ('neuroepithelial tumors', 'Phenotype', 'HP:0030063', (99, 121)) ('IDH1', 'Gene', (41, 45)) ('ependymomas', 'Disease', 'MESH:D004806', (225, 236)) ('subependymal giant cell astrocytomas', 'Phenotype', 'HP:0009718', (182, 218)) ('pleomorphic xanthoastrocytomas', 'Disease', (149, 179)) 15461 22748659 IDH1 mutations have been found with moderate frequency within gangliogliomas, and have been shown to confer a poorer prognosis in these patients. ('gliomas', 'Disease', 'MESH:D005910', (69, 76)) ('gliomas', 'Phenotype', 'HP:0009733', (69, 76)) ('gliomas', 'Disease', (69, 76)) ('mutations', 'Var', (5, 14)) ('patients', 'Species', '9606', (136, 144)) ('glioma', 'Phenotype', 'HP:0009733', (69, 75)) ('IDH1', 'Gene', (0, 4)) ('IDH1', 'Gene', '3417', (0, 4)) 15462 22748659 In a large-scale multi-institutional analysis of 98 gangliogliomas, Horbinski and colleagues found that 8.2% (8/98) of the gangliogliomas harbored the R132H IDH1 mutation, and that these patients were older (46.1 vs 25.5 years of age), had greater risks of adverse outcomes (high-grade transformation or death), and shorter recurrence-free survival. ('patients', 'Species', '9606', (187, 195)) ('death', 'Disease', 'MESH:D003643', (304, 309)) ('death', 'Disease', (304, 309)) ('R132H', 'Var', (151, 156)) ('R132H', 'Mutation', 'rs121913500', (151, 156)) ('shorter', 'NegReg', (316, 323)) ('gliomas', 'Disease', 'MESH:D005910', (130, 137)) ('harbored', 'Reg', (138, 146)) ('gliomas', 'Disease', (130, 137)) ('gliomas', 'Phenotype', 'HP:0009733', (130, 137)) ('glioma', 'Phenotype', 'HP:0009733', (130, 136)) ('glioma', 'Phenotype', 'HP:0009733', (59, 65)) ('IDH1', 'Gene', (157, 161)) ('gliomas', 'Disease', (59, 66)) ('recurrence-free survival', 'CPA', (324, 348)) ('IDH1', 'Gene', '3417', (157, 161)) ('gliomas', 'Disease', 'MESH:D005910', (59, 66)) ('gliomas', 'Phenotype', 'HP:0009733', (59, 66)) 15463 22748659 On multivariate analysis, the presence of the IDH1 mutation was found to be the most powerful risk factor after age. ('IDH1', 'Gene', (46, 50)) ('presence', 'Var', (30, 38)) ('IDH1', 'Gene', '3417', (46, 50)) 15464 22748659 Pediatric gliomas have been reported to possess IDH mutations less frequently than their adult counterparts. ('mutations', 'Var', (52, 61)) ('gliomas', 'Phenotype', 'HP:0009733', (10, 17)) ('Pediatric gliomas', 'Disease', (0, 17)) ('IDH', 'Gene', (48, 51)) ('glioma', 'Phenotype', 'HP:0009733', (10, 16)) ('IDH', 'Gene', '3417', (48, 51)) ('Pediatric gliomas', 'Disease', 'MESH:D005910', (0, 17)) 15466 22748659 This finding was highlighted in a study by Pollack and colleagues whereby 100% of their IDH mutations were in children aged older than 14 years (7/20, 35%), whereas none of their patients aged younger than 14 years were positive for the mutation. ('children', 'Species', '9606', (110, 118)) ('mutations', 'Var', (92, 101)) ('IDH', 'Gene', (88, 91)) ('patients', 'Species', '9606', (179, 187)) ('IDH', 'Gene', '3417', (88, 91)) ('Pollack', 'Species', '185739', (43, 50)) 15467 22748659 Given the paucity of studies, further reports will be needed before the exact frequency and prognostic value of IDH1 mutations in the pediatric population can be determined. ('mutations', 'Var', (117, 126)) ('IDH1', 'Gene', (112, 116)) ('IDH1', 'Gene', '3417', (112, 116)) 15468 22748659 The discovery of IDH1/2 mutations in gliomas was arguably one of the most significant breakthroughs in our understanding of the oncogenesis and classification of gliomas in the past decade. ('gliomas', 'Phenotype', 'HP:0009733', (162, 169)) ('gliomas', 'Disease', (162, 169)) ('IDH1/2', 'Gene', '3417;3418', (17, 23)) ('gliomas', 'Disease', 'MESH:D005910', (162, 169)) ('gliomas', 'Disease', 'MESH:D005910', (37, 44)) ('gliomas', 'Phenotype', 'HP:0009733', (37, 44)) ('gliomas', 'Disease', (37, 44)) ('IDH1/2', 'Gene', (17, 23)) ('mutations', 'Var', (24, 33)) ('glioma', 'Phenotype', 'HP:0009733', (162, 168)) ('glioma', 'Phenotype', 'HP:0009733', (37, 43)) 15469 22748659 The presence of the mutation in both astrocytic and oligodendroglial tumor types suggests that it is an early event in the pathogenesis of brain tumors and has added novel insight in the way we view gliomas and their origins. ('tumor', 'Phenotype', 'HP:0002664', (69, 74)) ('brain tumors', 'Disease', 'MESH:D001932', (139, 151)) ('brain tumors', 'Phenotype', 'HP:0030692', (139, 151)) ('glioma', 'Phenotype', 'HP:0009733', (199, 205)) ('brain tumor', 'Phenotype', 'HP:0030692', (139, 150)) ('oligodendroglial tumor', 'Disease', (52, 74)) ('tumor', 'Phenotype', 'HP:0002664', (145, 150)) ('mutation', 'Var', (20, 28)) ('oligodendroglial tumor', 'Disease', 'MESH:D009369', (52, 74)) ('brain tumors', 'Disease', (139, 151)) ('tumors', 'Phenotype', 'HP:0002664', (145, 151)) ('gliomas', 'Phenotype', 'HP:0009733', (199, 206)) ('gliomas', 'Disease', (199, 206)) ('gliomas', 'Disease', 'MESH:D005910', (199, 206)) 15474 22748659 Isocitrate dehydrogenase-1 (IDH1) mutations are highly conserved to R132 within the enzyme's active site, suggesting that the mutation may have an oncogenic gain of function. ('IDH1', 'Gene', '3417', (28, 32)) ('gain of function', 'PosReg', (157, 173)) ('Isocitrate dehydrogenase-1', 'Gene', '3417', (0, 26)) ('Isocitrate dehydrogenase-1', 'Gene', (0, 26)) ('R132', 'Chemical', '-', (68, 72)) ('mutations', 'Var', (34, 43)) ('IDH1', 'Gene', (28, 32)) 15475 22748659 IDH1 mutations are associated with other prognostically favorable alterations (TP53 mutations and 1p19q codeletions) and certain gene cluster profiles (proneural). ('associated', 'Reg', (19, 29)) ('TP53', 'Gene', '7157', (79, 83)) ('TP53', 'Gene', (79, 83)) ('mutations', 'Var', (5, 14)) ('IDH1', 'Gene', (0, 4)) ('IDH1', 'Gene', '3417', (0, 4)) 15476 22748659 IDH1 mutations are found across different molecular and histologic brain tumor subtypes, suggesting they are early genetic alterations in tumorigenesis. ('tumor', 'Disease', 'MESH:D009369', (73, 78)) ('tumor', 'Disease', (138, 143)) ('brain tumor', 'Phenotype', 'HP:0030692', (67, 78)) ('tumor', 'Phenotype', 'HP:0002664', (73, 78)) ('mutations', 'Var', (5, 14)) ('tumor', 'Phenotype', 'HP:0002664', (138, 143)) ('tumor', 'Disease', (73, 78)) ('IDH1', 'Gene', (0, 4)) ('tumor', 'Disease', 'MESH:D009369', (138, 143)) ('brain tumor', 'Disease', 'MESH:D001932', (67, 78)) ('brain tumor', 'Disease', (67, 78)) ('IDH1', 'Gene', '3417', (0, 4)) 15494 22833841 The loss of either of these cell types could ultimately produce white matter necrosis, but the loss of glial cells was thought to cause necrosis earlier than the loss of vascular endothelial cells. ('necrosis', 'Disease', (136, 144)) ('produce', 'Reg', (56, 63)) ('necrosis', 'Disease', 'MESH:D009336', (77, 85)) ('necrosis', 'Disease', 'MESH:D009336', (136, 144)) ('white matter necrosis', 'Disease', (64, 85)) ('white matter necrosis', 'Disease', 'MESH:D056784', (64, 85)) ('necrosis', 'Disease', (77, 85)) ('loss', 'Var', (4, 8)) 15495 22833841 However, there is a growing awareness that patients receiving fWBI can have significant cognitive impairment at >6 months post-irradiation even when they do not have detectable anatomic abnormalities. ('cognitive impairment', 'Disease', (88, 108)) ('fWBI', 'Var', (62, 66)) ('patients', 'Species', '9606', (43, 51)) ('cognitive impairment', 'Disease', 'MESH:D003072', (88, 108)) ('cognitive impairment', 'Phenotype', 'HP:0100543', (88, 108)) ('WBI', 'Chemical', '-', (63, 66)) 15525 22833841 However, the anti-inflammatory agent, L-158, 809, has no effect on microglial activation, but still prevents radiation-induced cognitive impairment. ('microglial activation', 'CPA', (67, 88)) ('cognitive impairment', 'Phenotype', 'HP:0100543', (127, 147)) ('cognitive impairment', 'Disease', (127, 147)) ('L-158', 'Var', (38, 43)) ('cognitive impairment', 'Disease', 'MESH:D003072', (127, 147)) ('prevents', 'NegReg', (100, 108)) ('L-158', 'Chemical', '-', (38, 43)) 15543 22833841 The majority of >6 month survivors of partial or whole brain irradiation have a symptom cluster consisting of fatigue, changes in mood, and cognitive dysfunction. ('fatigue', 'Disease', 'MESH:D005221', (110, 117)) ('changes in mood', 'MPA', (119, 134)) ('cognitive dysfunction', 'Disease', 'MESH:D003072', (140, 161)) ('fatigue', 'Disease', (110, 117)) ('fatigue', 'Phenotype', 'HP:0012378', (110, 117)) ('cognitive dysfunction', 'Disease', (140, 161)) ('partial or whole brain irradiation', 'Var', (38, 72)) 15560 22833841 The NCI published a study on 15 SCLC patients who were long-term survivors after PCI and found that 12 of these exhibited abnormalities on neuropsychiatric testing, while seven performed below the normal range on the MMSE test. ('psychiatric', 'Disease', (144, 155)) ('SCLC', 'Disease', (32, 36)) ('patients', 'Species', '9606', (37, 45)) ('SCLC', 'Disease', 'MESH:D018288', (32, 36)) ('abnormalities', 'Var', (122, 135)) ('PCI', 'Chemical', '-', (81, 84)) ('exhibited', 'Reg', (112, 121)) ('psychiatric', 'Disease', 'MESH:D001523', (144, 155)) 15569 22833841 In a seminal publication by, cognitive outcomes of patients with low-grade glioma were compared to both patients with indolent lymphomas that had no CNS disease and healthy controls. ('lymphomas', 'Disease', 'MESH:D008223', (127, 136)) ('glioma', 'Phenotype', 'HP:0009733', (75, 81)) ('low-grade', 'Var', (65, 74)) ('lymphomas', 'Phenotype', 'HP:0002665', (127, 136)) ('glioma', 'Disease', (75, 81)) ('patients', 'Species', '9606', (51, 59)) ('lymphomas', 'Disease', (127, 136)) ('patients', 'Species', '9606', (104, 112)) ('glioma', 'Disease', 'MESH:D005910', (75, 81)) 15584 22833841 Prior studies have suggested that partial brain irradiation may not cause the same degree of cognitive impairment as WBI. ('WBI', 'Chemical', '-', (117, 120)) ('partial brain irradiation', 'Var', (34, 59)) ('cognitive impairment', 'Phenotype', 'HP:0100543', (93, 113)) ('cognitive impairment', 'Disease', (93, 113)) ('cognitive impairment', 'Disease', 'MESH:D003072', (93, 113)) 15619 22833841 Gln and mI are predominantly glial cell markers; changes in their concentrations have been associated with glial damage after fWBI. ('mI', 'Chemical', 'MESH:D007294', (8, 10)) ('glial damage', 'Disease', 'MESH:D004194', (107, 119)) ('glial damage', 'Disease', (107, 119)) ('associated with', 'Reg', (91, 106)) ('WBI', 'Chemical', '-', (127, 130)) ('changes', 'Var', (49, 56)) ('Gln', 'Chemical', 'MESH:D005973', (0, 3)) ('rat', 'Species', '10116', (73, 76)) ('concentrations', 'MPA', (66, 80)) 15678 22833841 When young adult mice received 10 Gy of focal irradiation to the hippocampus, a significant decrease in neurogenesis and cell proliferation was detected 3 months post-irradiation; this reduction correlated to a decline in cognitive function as assessed by the Barnes maze. ('mice', 'Species', '10090', (17, 21)) ('decrease', 'NegReg', (92, 100)) ('decline', 'NegReg', (211, 218)) ('rat', 'Species', '10116', (133, 136)) ('cell proliferation', 'CPA', (121, 139)) ('focal irradiation', 'Var', (40, 57)) ('decline in cognitive function', 'Phenotype', 'HP:0001268', (211, 240)) ('cognitive function', 'CPA', (222, 240)) ('neurogenesis', 'CPA', (104, 116)) 15719 22833841 It is hypothesized that blocking this receptor blocks ischemia-induced NMDA excitation and thus, may be neuroprotective if radiation-induced ischemia occurs after fWBI. ('ischemia', 'Disease', (54, 62)) ('NMDA', 'Chemical', 'MESH:D016202', (71, 75)) ('blocks', 'NegReg', (47, 53)) ('ischemia', 'Disease', 'MESH:D007511', (141, 149)) ('ischemia', 'Disease', 'MESH:D007511', (54, 62)) ('blocking', 'Var', (24, 32)) ('WBI', 'Chemical', '-', (164, 167)) ('NMDA excitation', 'MPA', (71, 86)) ('ischemia', 'Disease', (141, 149)) 15753 20626198 Rsize = 2* Vsmallest /(V1t +V2t) where V1t is the averaged size of the activated volume for threshold, t, in scan1 and V2t is the averaged size of the activated volume for threshold, t, in the corresponding scan 2. ('scan1', 'Gene', '124583', (109, 114)) ('scan1', 'Gene', (109, 114)) ('V1t', 'Var', (39, 42)) 15785 31040521 Tc-99m GHA has shown high accuracy in discriminating tumor recurrence from treatment-related changes. ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('Tc-99m', 'Var', (0, 6)) ('Tc-99', 'Chemical', '-', (0, 5)) ('tumor', 'Disease', (53, 58)) 15814 31040521 For semiquantitative analysis, ROIs were drawn surrounding the abnormal uptake/primary tumor site/CT lesion in the consequent SPECT-CT slices spanning the full extent of the abnormal uptake/primary tumor site/CT lesion but excluding the first and last slices. ('tumor', 'Phenotype', 'HP:0002664', (87, 92)) ('abnormal', 'Var', (63, 71)) ('tumor', 'Disease', 'MESH:D009369', (198, 203)) ('tumor', 'Disease', (87, 92)) ('tumor', 'Phenotype', 'HP:0002664', (198, 203)) ('tumor', 'Disease', 'MESH:D009369', (87, 92)) ('tumor', 'Disease', (198, 203)) ('S', 'Chemical', 'MESH:D013455', (126, 127)) 15838 31040521 On subgroup analysis, Tc-99m GHA SPECT-CT was positive in 17/37 low-grade glioma patients (with 2 false positives) and 11/18 high-grade glioma patients (with 2 false positives). ('glioma', 'Disease', 'MESH:D005910', (74, 80)) ('glioma', 'Disease', 'MESH:D005910', (136, 142)) ('Tc-99m', 'Var', (22, 28)) ('Tc-99', 'Chemical', '-', (22, 27)) ('patients', 'Species', '9606', (81, 89)) ('patients', 'Species', '9606', (143, 151)) ('S', 'Chemical', 'MESH:D013455', (33, 34)) ('glioma', 'Disease', (74, 80)) ('glioma', 'Disease', (136, 142)) ('positive', 'Reg', (46, 54)) ('glioma', 'Phenotype', 'HP:0009733', (74, 80)) ('glioma', 'Phenotype', 'HP:0009733', (136, 142)) 15851 31040521 Both N-13 NH3 PET-CT and Tc-99m GHA SPECT-CT had high overall diagnostic accuracies of 83.6% and 85.5%, respectively, the difference being not statistically significant on McNemar test (P = 0.508). ('N', 'Chemical', 'MESH:D009584', (5, 6)) ('N-13 NH3', 'Chemical', '-', (5, 13)) ('N-13', 'Var', (5, 9)) ('N', 'Chemical', 'MESH:D009584', (174, 175)) ('N', 'Chemical', 'MESH:D009584', (10, 11)) ('Tc-99m', 'Var', (25, 31)) ('S', 'Chemical', 'MESH:D013455', (36, 37)) ('Tc-99', 'Chemical', '-', (25, 30)) 15855 31040521 The patient with false-positive finding on N-13 NH3 PET-CT only (anaplastic astrocytoma) had diffuse uptake in the occipitotemporal lobes without any CT lesion or significant edema, which was subsequently proven as radiation necrosis on reoperation [Figure 3]. ('edema', 'Disease', (175, 180)) ('N-13 NH3', 'Var', (43, 51)) ('astrocytoma', 'Disease', 'MESH:D001254', (76, 87)) ('N-13 NH3', 'Chemical', '-', (43, 51)) ('astrocytoma', 'Disease', (76, 87)) ('patient', 'Species', '9606', (4, 11)) ('astrocytoma', 'Phenotype', 'HP:0009592', (76, 87)) ('edema', 'Disease', 'MESH:D004487', (175, 180)) ('edema', 'Phenotype', 'HP:0000969', (175, 180)) ('radiation necrosis', 'Disease', 'MESH:D004194', (215, 233)) ('radiation necrosis', 'Disease', (215, 233)) 15864 31040521 Of the 4 patients with false-negative finding on N-13 NH3 PET-CT only, one patient with astrocytoma was found to have recurrent tumor on reoperation with change in grade to anaplastic astrocytoma and patient subsequently received radiotherapy. ('N-13', 'Var', (49, 53)) ('patients', 'Species', '9606', (9, 17)) ('tumor', 'Disease', 'MESH:D009369', (128, 133)) ('astrocytoma', 'Phenotype', 'HP:0009592', (184, 195)) ('astrocytoma', 'Phenotype', 'HP:0009592', (88, 99)) ('astrocytoma', 'Disease', 'MESH:D001254', (184, 195)) ('tumor', 'Phenotype', 'HP:0002664', (128, 133)) ('astrocytoma', 'Disease', (184, 195)) ('astrocytoma', 'Disease', 'MESH:D001254', (88, 99)) ('tumor', 'Disease', (128, 133)) ('patient', 'Species', '9606', (9, 16)) ('N-13 NH3', 'Chemical', '-', (49, 57)) ('astrocytoma', 'Disease', (88, 99)) ('patient', 'Species', '9606', (200, 207)) ('patient', 'Species', '9606', (75, 82)) ('NH3', 'Gene', (54, 57)) 15876 31040521 In the other patient, active disease was detected only on N-13 NH3 PET-CT (baseline MRI was also negative). ('patient', 'Species', '9606', (13, 20)) ('active disease', 'Disease', 'OMIM:612348', (22, 36)) ('N-13 NH3', 'Var', (58, 66)) ('active disease', 'Disease', (22, 36)) ('N-13 NH3', 'Chemical', '-', (58, 66)) 15879 31040521 On the other hand, Tc-99m GHA SPECT-CT had high accuracies in both low-grade and high-grade tumors with a better performance inclining toward the latter subgroup (low grade, 83.8% and high grade, 88.9%). ('Tc-99m', 'Var', (19, 25)) ('Tc-99', 'Chemical', '-', (19, 24)) ('low-grade', 'Disease', (67, 76)) ('tumor', 'Phenotype', 'HP:0002664', (92, 97)) ('tumors', 'Disease', (92, 98)) ('S', 'Chemical', 'MESH:D013455', (30, 31)) ('tumors', 'Phenotype', 'HP:0002664', (92, 98)) ('tumors', 'Disease', 'MESH:D009369', (92, 98)) 15890 31040521 In the present study, N-13 NH3 PET-CT was found to have high diagnostic accuracy (overall, 83.6%; low grade, 89.2%; high grade, 72.2%). ('N-13 NH3', 'Chemical', '-', (22, 30)) ('N-13', 'Var', (22, 26)) ('NH3', 'Gene', (27, 30)) 15896 31040521 The false-negative findings of N-13 NH3 PET-CT in 6 patients could be due to the high normal background activity in the brain rendering the target-to-background ratio suboptimal. ('NH3', 'Gene', (36, 39)) ('N-13', 'Var', (31, 35)) ('patients', 'Species', '9606', (52, 60)) ('N-13 NH3', 'Chemical', '-', (31, 39)) 15902 31040521 The possibility of intact BBB in low-grade astrocytomas could be an explanation for the absence of uptake in these patients on the modality as disruption of BBB is the main mechanism for the uptake of Tc-99m GHA. ('Tc-99m', 'Var', (201, 207)) ('patients', 'Species', '9606', (115, 123)) ('astrocytoma', 'Phenotype', 'HP:0009592', (43, 54)) ('BBB', 'Protein', (157, 160)) ('Tc-99', 'Chemical', '-', (201, 206)) ('astrocytomas', 'Disease', (43, 55)) ('disruption', 'Var', (143, 153)) ('astrocytomas', 'Disease', 'MESH:D001254', (43, 55)) 15923 31040521 The authors reported the superiority of N-13 NH3 PET-CT over F-18 FDG PET-CT in detecting high-grade glioma. ('N-13 NH3', 'Var', (40, 48)) ('F-18', 'Gene', '10046', (61, 65)) ('glioma', 'Disease', (101, 107)) ('N-13 NH3', 'Chemical', '-', (40, 48)) ('glioma', 'Disease', 'MESH:D005910', (101, 107)) ('glioma', 'Phenotype', 'HP:0009733', (101, 107)) ('F-18', 'Gene', (61, 65)) 15930 31040521 reported superiority of N-13 NH3 PET over F-18 FDG PET in differentiating recurrent astrocytoma from radiation necrosis. ('F-18', 'Gene', (42, 46)) ('astrocytoma', 'Disease', 'MESH:D001254', (84, 95)) ('radiation necrosis', 'Disease', (101, 119)) ('F-18', 'Gene', '10046', (42, 46)) ('radiation necrosis', 'Disease', 'MESH:D004194', (101, 119)) ('astrocytoma', 'Disease', (84, 95)) ('N-13 NH3 PET', 'Var', (24, 36)) ('N-13 NH3', 'Chemical', '-', (24, 32)) ('astrocytoma', 'Phenotype', 'HP:0009592', (84, 95)) 15939 31040521 Despite being highly accurate in detecting recurrent glioma, N-13 NH3 has the drawback of short half-life (10 min) and hence the need for an onsite cyclotron which might not be available in every center. ('glioma', 'Disease', (53, 59)) ('NH3', 'Gene', (66, 69)) ('N-13 NH3', 'Chemical', '-', (61, 69)) ('N-13', 'Var', (61, 65)) ('glioma', 'Disease', 'MESH:D005910', (53, 59)) ('glioma', 'Phenotype', 'HP:0009733', (53, 59)) 15943 31040521 has shown Tc-99m GHA SPECT as superior to F-18 FDG PET-CT in detecting glioma recurrence. ('S', 'Chemical', 'MESH:D013455', (21, 22)) ('glioma', 'Disease', (71, 77)) ('F-18', 'Gene', (42, 46)) ('F-18', 'Gene', '10046', (42, 46)) ('Tc-99m', 'Var', (10, 16)) ('Tc-99', 'Chemical', '-', (10, 15)) ('glioma', 'Phenotype', 'HP:0009733', (71, 77)) ('glioma', 'Disease', 'MESH:D005910', (71, 77)) 15945 31040521 has highlighted the equivalent efficacies of Tc-99m GHA SPECT-CT and F-18 fluorodopa PET-CT. ('S', 'Chemical', 'MESH:D013455', (56, 57)) ('fluorodopa', 'Chemical', 'MESH:C043437', (74, 84)) ('F-18', 'Gene', (69, 73)) ('F-18', 'Gene', '10046', (69, 73)) ('Tc-99m', 'Var', (45, 51)) ('Tc-99', 'Chemical', '-', (45, 50)) 15949 31040521 An active transport mechanism for the uptake of Tc-99m GHA in brain tumors has been suggested, as it is a structural analog to glucose. ('brain tumors', 'Disease', (62, 74)) ('tumors', 'Phenotype', 'HP:0002664', (68, 74)) ('Tc-99', 'Chemical', '-', (48, 53)) ('glucose', 'Chemical', 'MESH:D005947', (127, 134)) ('Tc-99m', 'Var', (48, 54)) ('brain tumors', 'Phenotype', 'HP:0030692', (62, 74)) ('brain tumors', 'Disease', 'MESH:D001932', (62, 74)) ('tumor', 'Phenotype', 'HP:0002664', (68, 73)) ('active transport', 'MPA', (3, 19)) 15968 29383189 Moreover, it was revealed that the expression of HOXD4 have a significant impact on the OS of Grade IV glioma with IDH wild-type and 1p/19q intact according to TCGA data. ('HOXD4', 'Gene', (49, 54)) ('impact', 'Reg', (74, 80)) ('glioma', 'Disease', 'MESH:D005910', (103, 109)) ('glioma', 'Phenotype', 'HP:0009733', (103, 109)) ('HOXD4', 'Gene', '3233', (49, 54)) ('IDH', 'Gene', (115, 118)) ('IDH', 'Gene', '3417', (115, 118)) ('glioma', 'Disease', (103, 109)) ('expression', 'Var', (35, 45)) 16016 29383189 Univariate analysis demonstrated that group with low HOXD4 expression had a considerably better OS than group of high HOXD4 expression in total glioma patients (Figure 3E p<0.001) and WHO II (Figure 3F p<0.001), III (Figure 3G p=0.012). ('better', 'PosReg', (89, 95)) ('glioma', 'Disease', 'MESH:D005910', (144, 150)) ('glioma', 'Phenotype', 'HP:0009733', (144, 150)) ('HOXD4', 'Gene', (53, 58)) ('HOXD4', 'Gene', (118, 123)) ('patients', 'Species', '9606', (151, 159)) ('glioma', 'Disease', (144, 150)) ('HOXD4', 'Gene', '3233', (118, 123)) ('HOXD4', 'Gene', '3233', (53, 58)) ('low', 'Var', (49, 52)) 16018 29383189 In a further investigation of TCGA data, we also seek the gene mutation and chromosome gene copy number variation of glioma cohort, and then acquired IDH mutations and 1p19q co-deletion in these samples. ('1p19q', 'Var', (168, 173)) ('glioma', 'Phenotype', 'HP:0009733', (117, 123)) ('glioma cohort', 'Disease', 'MESH:D005910', (117, 130)) ('IDH', 'Gene', (150, 153)) ('mutations', 'Var', (154, 163)) ('glioma cohort', 'Disease', (117, 130)) ('IDH', 'Gene', '3417', (150, 153)) 16038 29383189 In recent years, discovery of IDH mutations is one of the most important findings in glioma genomics. ('glioma', 'Disease', 'MESH:D005910', (85, 91)) ('glioma', 'Phenotype', 'HP:0009733', (85, 91)) ('glioma', 'Disease', (85, 91)) ('IDH', 'Gene', (30, 33)) ('IDH', 'Gene', '3417', (30, 33)) ('mutations', 'Var', (34, 43)) 16039 29383189 IDH mutations have a definite relationship with the survival of glioma patients, which has been widely recognized. ('glioma', 'Phenotype', 'HP:0009733', (64, 70)) ('IDH', 'Gene', (0, 3)) ('patients', 'Species', '9606', (71, 79)) ('IDH', 'Gene', '3417', (0, 3)) ('relationship', 'Reg', (30, 42)) ('glioma', 'Disease', (64, 70)) ('mutations', 'Var', (4, 13)) ('glioma', 'Disease', 'MESH:D005910', (64, 70)) 16072 27845331 Higher BRCA1 positivity is associated with shorter survival of glioma patients and the abrogation of BRCA1 function in GBM enhances RS, DNA damage (DD) accumulation and impairs tumour growth. ('abrogation', 'Var', (87, 97)) ('impairs tumour growth', 'Disease', 'MESH:D006130', (169, 190)) ('patients', 'Species', '9606', (70, 78)) ('impairs tumour growth', 'Disease', (169, 190)) ('GBM', 'Phenotype', 'HP:0012174', (119, 122)) ('shorter', 'NegReg', (43, 50)) ('enhances', 'PosReg', (123, 131)) ('BRCA1', 'Gene', (7, 12)) ('glioma', 'Disease', 'MESH:D005910', (63, 69)) ('DD', 'Disease', 'MESH:C536170', (148, 150)) ('BRCA1', 'Gene', (101, 106)) ('glioma', 'Phenotype', 'HP:0009733', (63, 69)) ('tumour', 'Phenotype', 'HP:0002664', (177, 183)) ('RS', 'Chemical', '-', (132, 134)) ('glioma', 'Disease', (63, 69)) 16073 27845331 Mechanistically, we identify a novel role of BRCA1 as a transcriptional co-activator of RRM2 (catalytic subunit of ribonucleotide reductase), whereby BRCA1-mediated RRM2 expression protects GBM cells from endogenous RS, DD and apoptosis. ('RRM2', 'Gene', (165, 169)) ('GBM', 'Phenotype', 'HP:0012174', (190, 193)) ('BRCA1-mediated', 'Var', (150, 164)) ('DD', 'Disease', 'MESH:C536170', (220, 222)) ('RS', 'Chemical', '-', (216, 218)) ('apoptosis', 'CPA', (227, 236)) ('RRM2', 'Gene', '6241', (88, 92)) ('RRM2', 'Gene', (88, 92)) ('endogenous RS', 'MPA', (205, 218)) ('RRM2', 'Gene', '6241', (165, 169)) 16087 27845331 DSBs trigger the DNA damage response (DDR) network including checkpoints that provide an intrinsic barrier to carcinogenesis. ('checkpoints', 'MPA', (61, 72)) ('DD', 'Disease', 'MESH:C536170', (38, 40)) ('trigger', 'Reg', (5, 12)) ('DSBs', 'Var', (0, 4)) ('DSBs', 'Chemical', '-', (0, 4)) ('carcinogenesis', 'Disease', 'MESH:D063646', (110, 124)) ('carcinogenesis', 'Disease', (110, 124)) 16090 27845331 ), and ger