Tuyu Zheng, David R Ghasemi, Konstantin Okonechnikov, Andrey Korshunov, Martin Sill, Kendra K Maass, Patricia Benites Goncalves da Silva, Marina Ryzhova, Johannes Gojo, Damian Stichel, Amir Arabzade, Robert Kupp, Julia Benzel, Shinichiro Taya, Toma Adachi, Ryo Shiraishi, Nicolas U Gerber, Dominik Sturm, Jonas Ecker, Philipp Sievers, Florian Selt, Rebecca Chapman, Christine Haberler, Dominique Figarella-Branger, Guido Reifenberger, Gudrun Fleischhack, Stefan Rutkowski, Andrew M Donson, Vijay Ramaswamy, David Capper, David W Ellison, Christel C Herold-Mende, Ulrich Schuller, Sebastian Brandner, Pablo Hernaiz Driever, Johan M Kros, Matija Snuderl, Till Milde, Richard G Grundy, Mikio Hoshino, Stephen C Mack, Richard J Gilbertson, David T W Jones, Marcel Kool, Andreas von Deimling, Stefan M Pfister, Felix Sahm, Daisuke Kawauchi, Kristian W Pajtler
Cancer discovery 11(9) 2230-2247 2021年4月20日
Molecular groups of supratentorial ependymomas comprise tumors with ZFTA-RELA or YAP1-involving fusions and fusion-negative subependymoma. However, occasionally supratentorial ependymomas cannot be readily assigned to any of these groups due to lack of detection of a typical fusion and/or ambiguous DNA methylation-based classification. An unbiased approach with a cohort of unprecedented size revealed distinct methylation clusters composed of tumors with ependymal but also various other histological features containing alternative translocations that shared ZFTA as a partner gene. Somatic overexpression of ZFTA-associated fusion genes in the developing cerebral cortex is capable of inducing tumor formation in vivo, and cross-species comparative analyses identified GLI2 as a key downstream regulator of tumorigenesis in all tumors. Targeting GLI2 with arsenic trioxide caused extended survival of tumor-bearing animals, indicating a potential therapeutic vulnerability in ZFTA fusion-positive tumors.