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Biallelic loss of GNAS in a patient with pediatric medulloblastoma

  • Mari J Tokita
  • , Shareef Nahas
  • , Benjamin Briggs
  • , Denise M Malicki
  • , Jill P Mesirov
  • , Iris Anne C Reyes
  • , Lauge Farnaes
  • , Michael L Levy
  • , Stephen F Kingsmore
  • , David Dimmock
  • , John R Crawford
  • , Robert J Wechsler-Reya

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Genome sequencing was performed on matched normal and tumor tissue from a 6.5-yr-old boy with a diagnosis of recurrent medulloblastoma. A pathogenic heterozygous c.432+1G>A canonical splice donor site variant in GNAS was detected on analysis of blood DNA. Analysis of tumor DNA showed the same splice variant along with copy-neutral loss of heterozygosity on Chromosome 20 encompassing GNAS, consistent with predicted biallelic loss of GNAS in the tumor specimen. This case strengthens the evidence implicating GNAS as a tumor-suppressor gene in medulloblastoma and highlights a scenario in which therapeutics targeting the cAMP pathway may be of great utility.

Original languageEnglish
JournalCold Spring Harbor Molecular Case Studies
Volume5
Issue number5
DOIs
StatePublished - Oct 2019

Keywords

  • Alleles
  • Brain Neoplasms/genetics
  • Cerebellar Neoplasms/genetics
  • Child
  • Chromogranins/genetics
  • GTP-Binding Protein alpha Subunits, Gs/genetics
  • Heterozygote
  • Humans
  • Male
  • Medulloblastoma/genetics

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