The integrated multiomic diagnosis of sporadic meningiomas: a review of its clinical implications.

Authors

• Stephanie M Robert
• Shaurey Vetsa
• Arushii Nadar
• Sagar Vasandani
• Mark W Youngblood
• Evan Gorelick
• Lan Jin
• Neelan Marianayagam
• E Zeynep Erson-Omay
• Murat Günel
• Jennifer Moliterno

Publication/Presentation Date

1-1-2022

Abstract

INTRODUCTION: Meningiomas are generally considered "benign," however, these tumors can demonstrate variability in behavior and a surprising aggressiveness with elevated rates of recurrence. The advancement of next-generation molecular technologies have led to the understanding of the genomic and epigenomic landscape of meningiomas and more recent correlations with clinical characteristics and behavior.

METHODS: Based on a thorough review of recent peer-reviewed publications (PubMed) and edited texts, we provide a molecular overview of meningiomas with a focus on relevant clinical implications.

RESULTS: The identification of specific somatic driver mutations has led to the classification of several major genomic subgroups, which account for more than 80% of sporadic meningiomas, and can be distinguished using noninvasive clinical variables to help guide management decisions. Other somatic genomic modifications, including non-coding alterations and copy number variations, have also been correlated with tumor characteristics. Furthermore, epigenomic modifications in meningiomas have recently been described, with DNA methylation being the most widely studied and potentially most clinically relevant. Based on these molecular insights, several clinical trials are currently underway in an effort to establish effective medical therapeutic options for meningioma.

CONCLUSION: As we enhance our multiomic understanding of meningiomas, our ability to care for patients with these tumors will continue to improve. Further biological insights will lead to additional progress in precision medicine for meningiomas.

Volume

156

Issue

2

First Page

205

Last Page

214

ISSN

1573-7373

Published In/Presented At

Robert, S. M., Vetsa, S., Nadar, A., Vasandani, S., Youngblood, M. W., Gorelick, E., Jin, L., Marianayagam, N., Erson-Omay, E. Z., Günel, M., & Moliterno, J. (2022). The integrated multiomic diagnosis of sporadic meningiomas: a review of its clinical implications. Journal of neuro-oncology, 156(2), 205–214. https://doi.org/10.1007/s11060-021-03874-9

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

34846640

Department(s)

Administration and Leadership

Document Type

Article