Cell Reports (Mar 2018)

Comprehensive Molecular Profiling Identifies FOXM1 as a Key Transcription Factor for Meningioma Proliferation

  • Harish N. Vasudevan,
  • Steve E. Braunstein,
  • Joanna J. Phillips,
  • Melike Pekmezci,
  • Bryan A. Tomlin,
  • Ashley Wu,
  • Gerald F. Reis,
  • Stephen T. Magill,
  • Jie Zhang,
  • Felix Y. Feng,
  • Theodore Nicholaides,
  • Susan M. Chang,
  • Penny K. Sneed,
  • Michael W. McDermott,
  • Mitchel S. Berger,
  • Arie Perry,
  • David R. Raleigh

Journal volume & issue
Vol. 22, no. 13
pp. 3672 – 3683

Abstract

Read online

Summary: Meningioma is the most common primary intracranial tumor, but the molecular drivers of aggressive meningioma are incompletely understood. Using 280 human meningioma samples and RNA sequencing, immunohistochemistry, whole-exome sequencing, DNA methylation arrays, and targeted gene expression profiling, we comprehensively define the molecular profile of aggressive meningioma. Transcriptomic analyses identify FOXM1 as a key transcription factor for meningioma proliferation and a marker of poor clinical outcomes. Consistently, we discover genomic and epigenomic factors associated with FOXM1 activation in aggressive meningiomas. Finally, we define a FOXM1/Wnt signaling axis in meningioma that is associated with a mitotic gene expression program, poor clinical outcomes, and proliferation of primary meningioma cells. In summary, we find that multiple molecular mechanisms converge on a FOXM1/Wnt signaling axis in aggressive meningioma. : Using multiplatform molecular profiling, Vasudevan et al. comprehensively define the molecular profile of aggressive meningioma. They identify genomic, epigenomic, and transcriptomic mechanisms that converge on a FOXM1/Wnt signaling axis in aggressive meningioma that is associated with meningioma cell proliferation and is a marker of poor clinical outcomes across molecular subgroups. Keywords: DNA methylation, epigenome, FOXM1, genome, meningioma, NF2, RNA sequencing, transcriptome, whole-exome sequencing, Wnt