Mitochondrial DNA mutations in Medulloblastoma
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Mitochondrial DNA mutations in Medulloblastoma. / Funke, Viktoria L E; Sandmann, Sarah; Melcher, Viktoria; Seggewiss, Jochen; Horvath, Judit; Jäger, Natalie; Kool, Marcel; Jones, David T W; Pfister, Stefan M; Milde, Till; Rutkowski, Stefan; Mynarek, Martin; Varghese, Julian; Sträter, Ronald; Rust, Stephan; Seelhöfer, Anja; Reunert, Janine; Fiedler, Barbara; Schüller, Ulrich; Marquardt, Thorsten; Kerl, Kornelius.
In: ACTA NEUROPATHOL COM, Vol. 11, No. 1, 27.07.2023, p. 124.Research output: SCORING: Contribution to journal › Case report › Research › peer-review
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TY - JOUR
T1 - Mitochondrial DNA mutations in Medulloblastoma
AU - Funke, Viktoria L E
AU - Sandmann, Sarah
AU - Melcher, Viktoria
AU - Seggewiss, Jochen
AU - Horvath, Judit
AU - Jäger, Natalie
AU - Kool, Marcel
AU - Jones, David T W
AU - Pfister, Stefan M
AU - Milde, Till
AU - Rutkowski, Stefan
AU - Mynarek, Martin
AU - Varghese, Julian
AU - Sträter, Ronald
AU - Rust, Stephan
AU - Seelhöfer, Anja
AU - Reunert, Janine
AU - Fiedler, Barbara
AU - Schüller, Ulrich
AU - Marquardt, Thorsten
AU - Kerl, Kornelius
N1 - © 2023. The Author(s).
PY - 2023/7/27
Y1 - 2023/7/27
N2 - To date, several studies on genomic events underlying medulloblastoma (MB) biology have expanded our understanding of this tumour entity and led to its division into four groups-WNT, SHH, group 3 (G3) and group 4 (G4). However, there is little information about the relevance of pathogenic mitochondrial DNA (mtDNA) mutations and their consequences across these. In this report, we describe the case of a female patient with MB and a mitochondriopathy, followed by a study of mtDNA variants in MB groups. After being diagnosed with G4 MB, the index patient was treated in line with the HIT 2000 protocol with no indications of relapse after five years. Long-term side effects of treatment were complemented by additional neurological symptoms and elevated lactate levels ten years later, resulting in suspected mitochondrial disease. This was confirmed by identifying a mutation in the MT-TS1 gene which appeared homoplasmic in patient tissue and heteroplasmic in the patient's mother. Motivated by this case, we explored mtDNA mutations across 444 patients from ICGC and HIT cohorts. While there was no statistically significant enrichment of mutations in one MB group, both cohorts encompassed a small group of patients harbouring potentially deleterious mtDNA variants. The case presented here highlights the possible similarities between sequelae caused by MB treatment and neurological symptoms of mitochondrial dysfunction, which may apply to patients across all MB groups. In the context of the current advances in characterising and interpreting mtDNA aberrations, recognising affected patients could enhance our future knowledge regarding the mutations' impact on carcinogenesis and cancer treatment.
AB - To date, several studies on genomic events underlying medulloblastoma (MB) biology have expanded our understanding of this tumour entity and led to its division into four groups-WNT, SHH, group 3 (G3) and group 4 (G4). However, there is little information about the relevance of pathogenic mitochondrial DNA (mtDNA) mutations and their consequences across these. In this report, we describe the case of a female patient with MB and a mitochondriopathy, followed by a study of mtDNA variants in MB groups. After being diagnosed with G4 MB, the index patient was treated in line with the HIT 2000 protocol with no indications of relapse after five years. Long-term side effects of treatment were complemented by additional neurological symptoms and elevated lactate levels ten years later, resulting in suspected mitochondrial disease. This was confirmed by identifying a mutation in the MT-TS1 gene which appeared homoplasmic in patient tissue and heteroplasmic in the patient's mother. Motivated by this case, we explored mtDNA mutations across 444 patients from ICGC and HIT cohorts. While there was no statistically significant enrichment of mutations in one MB group, both cohorts encompassed a small group of patients harbouring potentially deleterious mtDNA variants. The case presented here highlights the possible similarities between sequelae caused by MB treatment and neurological symptoms of mitochondrial dysfunction, which may apply to patients across all MB groups. In the context of the current advances in characterising and interpreting mtDNA aberrations, recognising affected patients could enhance our future knowledge regarding the mutations' impact on carcinogenesis and cancer treatment.
KW - Humans
KW - Female
KW - Medulloblastoma/genetics
KW - Mutation/genetics
KW - DNA, Mitochondrial/genetics
KW - Mitochondrial Diseases
KW - Cerebellar Neoplasms/genetics
U2 - 10.1186/s40478-023-01602-0
DO - 10.1186/s40478-023-01602-0
M3 - Case report
C2 - 37501103
VL - 11
SP - 124
JO - ACTA NEUROPATHOL COM
JF - ACTA NEUROPATHOL COM
SN - 2051-5960
IS - 1
ER -