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  • A Distinct DNA Methylation ...
    de Souza, Camila Ferreira; Sabedot, Thais S.; Malta, Tathiane M.; Stetson, Lindsay; Morozova, Olena; Sokolov, Artem; Laird, Peter W.; Wiznerowicz, Maciej; Iavarone, Antonio; Snyder, James; deCarvalho, Ana; Sanborn, Zachary; McDonald, Kerrie L.; Friedman, William A.; Tirapelli, Daniela; Poisson, Laila; Mikkelsen, Tom; Carlotti, Carlos G.; Kalkanis, Steven; Zenklusen, Jean; Salama, Sofie R.; Barnholtz-Sloan, Jill S.; Noushmehr, Houtan

    Cell reports (Cambridge), 04/2018, Letnik: 23, Številka: 2
    Journal Article

    Glioma diagnosis is based on histomorphology and grading; however, such classification does not have predictive clinical outcome after glioblastomas have developed. To date, no bona fide biomarkers that significantly translate into a survival benefit to glioblastoma patients have been identified. We previously reported that the IDH mutant G-CIMP-high subtype would be a predecessor to the G-CIMP-low subtype. Here, we performed a comprehensive DNA methylation longitudinal analysis of diffuse gliomas from 77 patients (200 tumors) to enlighten the epigenome-based malignant transformation of initially lower-grade gliomas. Intra-subtype heterogeneity among G-CIMP-high primary tumors allowed us to identify predictive biomarkers for assessing the risk of malignant recurrence at early stages of disease. G-CIMP-low recurrence appeared in 9.5% of all gliomas, and these resembled IDH-wild-type primary glioblastoma. G-CIMP-low recurrence can be characterized by distinct epigenetic changes at candidate functional tissue enhancers with AP-1/SOX binding elements, mesenchymal stem cell-like epigenomic phenotype, and genomic instability. Molecular abnormalities of longitudinal G-CIMP offer possibilities to defy glioblastoma progression. Display omitted •Intra-subtype heterogeneity of initially G-CIMP-high carries worst prognosis•G-CIMP-low is defined by DNA signature motifs for STAT3 and c-JUN/AP-1 at recurrence•G-CIMP-low at recurrence mimics an IDH-wild-type and stem cell-like primary GBM•Predictive biomarkers of glioma malignant transformation and recurrence are observed at diagnosis IDH-mutant lower-grade glioma glioblastoma often progresses to a more aggressive phenotype upon recurrence. de Souza et al. examines the intra-subtype heterogeneity of initial G-CIMP-high and use this information to identify predictive biomarkers for assessing the risk of recurrence and malignant transformation.