[PDF][PDF] Intertumoral heterogeneity within medulloblastoma subgroups

FMG Cavalli, M Remke, L Rampasek, J Peacock… - Cancer cell, 2017 - cell.com
FMG Cavalli, M Remke, L Rampasek, J Peacock, DJH Shih, B Luu, L Garzia, J Torchia
Cancer cell, 2017cell.com
While molecular subgrouping has revolutionized medulloblastoma classification, the extent
of heterogeneity within subgroups is unknown. Similarity network fusion (SNF) applied to
genome-wide DNA methylation and gene expression data across 763 primary samples
identifies very homogeneous clusters of patients, supporting the presence of
medulloblastoma subtypes. After integration of somatic copy-number alterations, and clinical
features specific to each cluster, we identify 12 different subtypes of medulloblastoma …
Summary
While molecular subgrouping has revolutionized medulloblastoma classification, the extent of heterogeneity within subgroups is unknown. Similarity network fusion (SNF) applied to genome-wide DNA methylation and gene expression data across 763 primary samples identifies very homogeneous clusters of patients, supporting the presence of medulloblastoma subtypes. After integration of somatic copy-number alterations, and clinical features specific to each cluster, we identify 12 different subtypes of medulloblastoma. Integrative analysis using SNF further delineates group 3 from group 4 medulloblastoma, which is not as readily apparent through analyses of individual data types. Two clear subtypes of infants with Sonic Hedgehog medulloblastoma with disparate outcomes and biology are identified. Medulloblastoma subtypes identified through integrative clustering have important implications for stratification of future clinical trials.
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