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Abstract
Pineoblastoma is a rare and highly aggressive brain cancer of childhood, histologically belonging to the spectrum of primitive neuroectodermal tumors. Patients with germline mutations in DICER1, a ribonuclease involved in microRNA processing, have increased risk of pineoblastoma, but genetic drivers of sporadic pineoblastoma remain unknown. Here, we analyzed pediatric and adult pineoblastoma samples (n = 23) using a combination of genome-wide DNA methylation profiling and whole-exome sequencing or whole-genome sequencing. Pediatric and adult pineoblastomas showed distinct methylation profiles, the latter clustering with lower-grade pineal tumors and normal pineal gland. Recurrent variants were found in genes involved in PKA- and NF-κB signaling, as well as in chromatin remodeling genes. We identified recurrent homozygous deletions of DROSHA, acting upstream of DICER1 in microRNA processing, and a novel microduplication involving chromosomal region 1q21 containing PDE4DIP (myomegalin), comprising the ancient DUF1220 protein domain. Expresion of PDE4DIP and DUF1220 proteins was present exclusively in pineoblastoma with PDE4DIP gain.
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1 Division of Neuropathology, NYU Langone Health, New York, NY, USA; Laura and Isaac Perlmutter Cancer Center, NYU Langone Health, New York, NY, USA; Department of Neurology, NYU Langone Health, New York, NY, USA; Department of Pathology, NYU Langone Health, New York, NY, USA
2 Division of Neuropathology, NYU Langone Health, New York, NY, USA; Department of Pathology, NYU Langone Health, New York, NY, USA
3 Hopp Children’s Cancer Center at the NCT Heidelberg (KiTZ), Heidelberg, Germany; Division of Pediatric Neurooncology, German Cancer Research Center (DKFZ), Heidelberg, Germany; Department of Pediatric Oncology, Hematology & Immunology, Heidelberg, University Hospital, Heidelberg, Germany
4 Division of Pediatric Hematology/Oncology, NYU Langone Health, New York, NY, USA
5 Department of Biochemistry and Molecular Pharmacology, NYU Langone Health, New York, NY, USA
6 Genome Technology Center, NYU Langone Health, New York, NY, USA
7 Laura and Isaac Perlmutter Cancer Center, NYU Langone Health, New York, NY, USA; Department of Pathology, NYU Langone Health, New York, NY, USA; Genome Technology Center, NYU Langone Health, New York, NY, USA
8 Department of Neurology, NYU Langone Health, New York, NY, USA; Department of Pathology, NYU Langone Health, New York, NY, USA
9 Department of Pathology, NYU Langone Health, New York, NY, USA; Genome Technology Center, NYU Langone Health, New York, NY, USA
10 Johns Hopkins All Children’s Hospital, Cancer and Blood Disorders Institute, St Petersburg, FL, USA
11 Division of Neuropathology, NYU Langone Health, New York, NY, USA; Laura and Isaac Perlmutter Cancer Center, NYU Langone Health, New York, NY, USA; Department of Neurosurgery, NYU Langone Health, New York, NY, USA
12 Department of Pathology, NYU Langone Health, New York, NY, USA
13 Laura and Isaac Perlmutter Cancer Center, NYU Langone Health, New York, NY, USA; Division of Pediatric Hematology/Oncology, NYU Langone Health, New York, NY, USA
14 Department of Neurosurgery, NYU Langone Health, New York, NY, USA; Division of Pediatric Neurosurgery, NYU Langone Health, New York, NY, USA
15 Department of Neurosurgery, NYU Langone Health, New York, NY, USA
16 Department of Neuropathology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany; Clinical Cooperation Unit Neuropathology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany; Charité — Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Neuropathology, Berlin, Germany
17 Division of Molecular Genetics, German Cancer Research Center (DKFZ), Heidelberg, Germany
18 Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
19 Johns Hopkins All Children’s Hospital, Cancer and Blood Disorders Institute, St Petersburg, FL, USA; Neuroscience Institute and Kimmel Center for Stem Cell Biology, NYU Langone Health, New York, NY, USA
20 Division of Pediatric Neurooncology, German Cancer Research Center (DKFZ), Heidelberg, Germany
21 Division of Pediatric Oncology, Johns Hopkins Hospital, Baltimore, MD, USA
22 Department of Pathology, Johns Hopkins Hospital, Baltimore, MD, USA
23 Hopp Children’s Cancer Center at the NCT Heidelberg (KiTZ), Heidelberg, Germany; Division of Pediatric Neurooncology, German Cancer Research Center (DKFZ), Heidelberg, Germany
24 Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA