Genomic copy number variation correlates with survival outcomes in WHO grade IV glioma

Zachary S. Buchwald, Sibo Tian, Michael Rossi, Geoffrey H. Smith, Jeffrey Switchenko, Jennifer E. Hauenstein, Carlos S. Moreno, Robert H. Press, Roshan S. Prabhu, Jim Zhong, Debra F. Saxe, Stewart G. Neill, Jeffrey J. Olson, Ian R. Crocker, Walter J. Curran, Hui Kuo G. Shu

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Allele-specific copy number analysis of tumors (ASCAT) assesses copy number variations (CNV) while accounting for aberrant cell fraction and tumor ploidy. We evaluated if ASCAT-assessed CNV are associated with survival outcomes in 56 patients with WHO grade IV gliomas. Tumor data analyzed by Affymetrix OncoScan FFPE Assay yielded the log ratio (R) and B-allele frequency (BAF). Input into ASCAT quantified CNV using the segmentation function to measure copy number inflection points throughout the genome. Quantified CNV was reported as log R and BAF segment counts. Results were confirmed on The Cancer Genome Atlas (TCGA) glioblastoma dataset. 25 (44.6%) patients had MGMT hyper-methylated tumors, 6 (10.7%) were IDH1 mutated. Median follow-up was 36.4 months. Higher log R segment counts were associate with longer progression-free survival (PFS) [hazard ratio (HR) 0.32, p < 0.001], and overall survival (OS) [HR 0.45, p = 0.01], and was an independent predictor of PFS and OS on multivariable analysis. Higher BAF segment counts were linked to longer PFS (HR 0.49, p = 0.022) and OS (HR 0.49, p = 0.052). In the TCGA confirmation cohort, longer 12-month OS was seen in patients with higher BAF segment counts (62.3% vs. 51.9%, p = 0.0129) and higher log R (63.6% vs. 55.2%, p = 0.0696). Genomic CNV may be a novel prognostic biomarker for WHO grade IV glioma patient outcomes.

Original languageEnglish
Article number7355
JournalScientific Reports
Volume10
Issue number1
DOIs
StatePublished - 1 Dec 2020
Externally publishedYes

Fingerprint

Dive into the research topics of 'Genomic copy number variation correlates with survival outcomes in WHO grade IV glioma'. Together they form a unique fingerprint.

Cite this