RESEARCH ARTICLE
Frequent BRAF Gain in Low-Grade Diffuse Gliomas with 1p/19q Loss
Article first published online: 1 JUN 2012
DOI: 10.1111/j.1750-3639.2012.00601.x
© 2012 The Authors; Brain Pathology © 2012 International Society of Neuropathology
Additional Information
How to Cite
Kim, Y.-H., Nonoguchi, N., Paulus, W., Brokinkel, B., Keyvani, K., Sure, U., Wrede, K., Mariani, L., Giangaspero, F., Tanaka, Y., Nakazato, Y., Vital, A., Mittelbronn, M., Perry, A. and Ohgaki, H. (2012), Frequent BRAF Gain in Low-Grade Diffuse Gliomas with 1p/19q Loss. Brain Pathology, 22: 834–840. doi: 10.1111/j.1750-3639.2012.00601.x
Publication History
- Issue published online: 11 OCT 2012
- Article first published online: 1 JUN 2012
- Accepted manuscript online: 9 MAY 2012 03:37AM EST
- Received 8 March 2012; Accepted 30 April 2012; Published Online Article Accepted 9 May 2012
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Keywords:
- BRAF gain;
- BRAF-KIAA1549 fusion gene;
- BRAFV600E mutation;
- diffuse astrocytoma;
- oligodendroglioma
Abstract
Chromosomal 7q34 duplication and BRAF-KIAA1549 fusion is a characteristic genetic alteration in pilocytic astrocytomas. 7q34 gain appears to be common in diffuse astrocytomas, but its significance is unclear. We assessed BRAF gain and BRAF mutations in 123 low-grade diffuse gliomas, including 55 diffuse astrocytomas, 18 oligoastrocytomas and 50 oligodendrogliomas. Quantitative polymerase chain reaction (PCR) revealed BRAF gain in 17/50 (34%) oligodendrogliomas, a significantly higher frequency than in diffuse astrocytomas (7/55; 13%; P = 0.0112). BRAF gain was common in low-grade diffuse gliomas with 1p/19q loss (39%) and those lacking any of the genetic alterations analyzed (31%), but was rare in those with TP53 mutations (2%). Logistic regression analysis showed a significant positive association between 1p/19q loss and BRAF gain (P = 0.0032) and a significant negative association between TP53 mutations and BRAF gain (P = 0.0042). Fluorescence in situ hybridization (FISH) analysis of 26 low-grade diffuse gliomas with BRAF gain additionally revealed BRAF-KIAA1549 fusion in one oligodendroglioma. Sequencing of cDNA in 17 low-grade diffuse gliomas showed BRAF-KIAA1549 fusion in another oligodendroglioma. A BRAFV600E mutation was also detected in one oligodendroglioma, and a BRAFA598V in one diffuse astrocytoma. These results suggest that low-grade diffuse gliomas with 1p/19q loss have frequent BRAF gains, and a small fraction of oligodendrogliomas may show BRAF-KIAA1549 fusion.

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