Evidence map›Paper›PMID 29141672›Full record

ArticleDiagnostic pathology2017

A novel GIT2-BRAF fusion in pilocytic astrocytoma.

Jeffrey Helgager, Hart G Lidov, Navin R Mahadevan, Mark W Kieran, Keith L Ligon, Sanda Alexandrescu

Open access · goldAbstract readCase Reports
In one paragraph

Article in Diagnostic pathology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Treatment of Pediatric Low-Grade Gliomas.Current neurology and neuroscience reports · 2023
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Discovery of a rareCancer biology & therapy · 2021
    Article
  10. Article
  11. Article
  12. Pediatric low-grade glioma in the era of molecular diagnostics.Acta neuropathologica communications · 2020
    Review
  13. Pilocytic astrocytomas: BRAFV600E and BRAF fusion expression patterns in pediatric and adult age groups.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019
    Article
  14. Article
  15. Review
  16. Management of pediatric low-grade glioma.Current opinion in pediatrics · 2019
    Review
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Jeffrey HelgagerDepartment of Pathology, Brigham and Women's Hospital, 55 Francis Street, Boston, MA, 02115, USA.
Hart G LidovDepartment of Pathology, Boston Children's Hospital, 300 Longwood Ave, Bader, Boston, MA, 02115, USA.
Navin R MahadevanDepartment of Pathology, Brigham and Women's Hospital, 55 Francis Street, Boston, MA, 02115, USA.
Mark W KieranDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA, 02115, USA.
Keith L LigonDepartment of Pathology, Boston Children's Hospital, 300 Longwood Ave, Bader, Boston, MA, 02115, USA.
Sanda AlexandrescuDepartment of Pathology, Boston Children's Hospital, 300 Longwood Ave, Bader, Boston, MA, 02115, USA. sanda@erdani.com.ORCID http://orcid.org/0000-0001-9246-4184
Brigham and Women's Hospital · USBoston Children's Hospital · USDana-Farber Cancer Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKIAA1549-BRAF fusion is the most common genetic event in pilocytic astrocytoma (PA), and leads to activation of the mitogen activated protein kinase (MAPK) signaling pathway. Fusions of BRAF with other partner genes, as well as other genetic alterations not involving BRAF but also leading to MAPK pathway activation have been described rarely. CASE PRESENTATION: We present a new fusion partner in the low-grade glioma of a 10-year-old male, who presented with headaches and recent episodes of seizures. Magnetic resonance imaging (MRI) demonstrated a right temporal lobe tumor. Histological and immunohistochemical evaluation, and a next generation sequencing assay (Oncopanel, Illumina, 500 genes) including breaKmer analysis for chromosomal rearrangements were performed. Histology was remarkable for a low-grade glioma composed of mildly atypical astrocytes with piloid processes, in a focally microcystic background. Mitoses were not seen; unequivocal Rosenthal fibers or eosinophilic granular bodies were absent. The tumor was positive for OLIG2 and GFAP and negative for BRAF V600E and IDH1 R132H mutant protein immunostains. Oncopanel showed low SOX2 (3q26.33) copy number gain, and no gains at 7q34. There were no significant single nucleotide variants. BreaKmer detected a GIT2-BRAF fusion with loss of BRAF exons 1-8. The integrated diagnosis was low-grade glioma with piloid features, most consistent with pilocytic astrocytoma, WHO grade I.

conclusionGIT2-BRAF fusion has not been reported in the literature in any tumor. Given that the BRAF sequence deleted is identical to that seen in other fusion events in PA, it most likely acts as tumor driver by activation of the MAPK pathway.

Indexed as

AstrocytesAstrocytomaBiomarkers, TumorBrain NeoplasmsChildGliomaGTPase-Activating ProteinsHumansMaleMutationOncogene Proteins, FusionProto-Oncogene Proteins B-rafBiomarkers, TumorBRAF protein, humanGIT2 protein, humanGTPase-Activating ProteinsOncogene Proteins, FusionProto-Oncogene Proteins B-rafBRAFFusionGIT2-BRAFPilocytic astrocytoma

Identifiers

PMID29141672
PMCPMC5688665
OpenAlexW2768136619

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.