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HENDRYCH, Michal (203 Česká republika, garant, domácí), Peter SOLÁR (703 Slovensko, domácí), Markéta HERMANOVÁ (203 Česká republika, domácí), Ondřej SLABÝ (203 Česká republika, domácí), Hana VALEKOVÁ (703 Slovensko, domácí), Marek VEČEŘA (703 Slovensko, domácí), Alena KOPKOVÁ (203 Česká republika, domácí), Zdeněk MACKERLE (203 Česká republika, domácí), Tomáš KAZDA (203 Česká republika, domácí), Petr POSPÍŠIL (203 Česká republika, domácí), Radek LAKOMÝ (203 Česká republika, domácí), Jan CHRASTINA (203 Česká republika, domácí), Jiří ŠÁNA (203 Česká republika, domácí) a Radim JANČÁLEK (203 Česká republika, domácí)
Vydání
Diagnostics, Basel, MDPI, 2023, 2075-4418
Návaznosti
LX22NPO5102, projekt VaV. MUNI/A/1408/2021, interní kód Repo. MUNI/A/1645/2020, interní kód Repo. NV18-03-00398, projekt VaV.
V originále
Glioblastoma (GBM) is regarded as an aggressive brain tumor that rarely develops extracranial metastases. Despite well-investigated molecular alterations in GBM, there is a limited understanding of these associated with the metastatic potential. We herein present a case report of a 43-year-old woman with frontal GBM with primitive neuronal component who underwent gross total resection followed by chemoradiation. Five months after surgery, the patient was diagnosed with an intraspinal GBM metastasis. Next-generation sequencing analysis of both the primary and metastatic GBM tissues was performed using the Illumina TruSight Tumor 170 assay. The number of single nucleotide variants observed in the metastatic sample was more than two times higher. Mutations in TP53, PTEN, and RB1 found in the primary and metastatic tissue samples indicated the mesenchymal molecular GBM subtype. Among others, there were two inactivating mutations (Arg1026Ile, Trp1831Ter) detected in the NF1 gene, two novel NOTCH3 variants of unknown significance predicted to be damaging (Pro1505Thr, Cys1099Tyr), one novel ARID1A variant of unknown significance (Arg1046Ser), and one gene fusion of unknown significance, EIF2B5-KIF5B, in the metastatic sample. Based on the literature evidence, the alterations of NF1, NOTCH3, and ARID1A could explain, at least in part, the acquired invasiveness and metastatic potential in this particular GBM case.