RT Journal Article T1 Alterations in ALK/ROS1/NTRK/MET drive a group of infantile hemispheric gliomas. A1 Guerreiro Stucklin, Ana S A1 Ryall, Scott A1 Fukuoka, Kohei A1 Zapotocky, Michal A1 Lassaletta, Alvaro A1 Li, Christopher A1 Bridge, Taylor A1 Kim, Byungjin A1 Arnoldo, Anthony A1 Kowalski, Paul E A1 Zhong, Yvonne A1 Johnson, Monique A1 Li, Claire A1 Ramani, Arun K A1 Siddaway, Robert A1 Nobre, Liana Figueiredo A1 de Antonellis, Pasqualino A1 Dunham, Christopher A1 Cheng, Sylvia A1 Boué, Daniel R A1 Finlay, Jonathan L A1 Coven, Scott L A1 de Prada, Inmaculada A1 Perez-Somarriba, Marta A1 Faria, Claudia C A1 Grotzer, Michael A A1 Rushing, Elisabeth A1 Sumerauer, David A1 Zamecnik, Josef A1 Krskova, Lenka A1 Garcia Ariza, Miguel A1 Cruz, Ofelia A1 Morales La Madrid, Andres A1 Solano, Palma A1 Terashima, Keita A1 Nakano, Yoshiko A1 Ichimura, Koichi A1 Nagane, Motoo A1 Sakamoto, Hiroaki A1 Gil-da-Costa, Maria Joao A1 Silva, Roberto A1 Johnston, Donna L A1 Michaud, Jean A1 Wilson, Bev A1 van Landeghem, Frank K H A1 Oviedo, Angelica A1 McNeely, P Daniel A1 Crooks, Bruce A1 Fried, Iris A1 Zhukova, Nataliya A1 Hansford, Jordan R A1 Nageswararao, Amulya A1 Garzia, Livia A1 Shago, Mary A1 Brudno, Michael A1 Irwin, Meredith S A1 Bartels, Ute A1 Ramaswamy, Vijay A1 Bouffet, Eric A1 Taylor, Michael D A1 Tabori, Uri A1 Hawkins, Cynthia AB Infant gliomas have paradoxical clinical behavior compared to those in children and adults: low-grade tumors have a higher mortality rate, while high-grade tumors have a better outcome. However, we have little understanding of their biology and therefore cannot explain this behavior nor what constitutes optimal clinical management. Here we report a comprehensive genetic analysis of an international cohort of clinically annotated infant gliomas, revealing 3 clinical subgroups. Group 1 tumors arise in the cerebral hemispheres and harbor alterations in the receptor tyrosine kinases ALK, ROS1, NTRK and MET. These are typically single-events and confer an intermediate outcome. Groups 2 and 3 gliomas harbor RAS/MAPK pathway mutations and arise in the hemispheres and midline, respectively. Group 2 tumors have excellent long-term survival, while group 3 tumors progress rapidly and do not respond well to chemoradiation. We conclude that infant gliomas comprise 3 subgroups, justifying the need for specialized therapeutic strategies. YR 2019 FD 2019-09-25 LK http://hdl.handle.net/10668/14546 UL http://hdl.handle.net/10668/14546 LA en DS RISalud RD Apr 17, 2025