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STK11 mutation status is associated with decreased survival in meningiomas

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Abstract

Background

Emerging evidence suggests that STK11 mutations may influence clinical outcome and response to immunotherapy in cancer.

Materials and methods

Next-generation targeted sequencing of STK11 mutation status in a large cohort of 188 meningiomas.

Results

STK11 loss-of-function mutations were identified in 3.7% of meningiomas. STK11 mutations were found in both low- and high-grade lesions and samples from primary and recurrent disease. There was a 2.8-fold increased risk of death for patients whose meningioma harbored an STK11 mutation, after controlling for lesion grade and occurrence status. The median overall survival for patients with STK11-mutated meningiomas was 4.4 years compared with 16.8 years.

Conclusion

These data identify recurrent STK11 mutations in a subset of meningiomas. Genotyping of STK11 is encouraged for meningioma patients undergoing immunotherapy-based therapy.

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Correspondence to Corey M. Gill.

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This study was reviewed and approved by the human subjects’ institutional review board and complied with HIPAA (Health Insurance Portability and Accountability Act of 1996) guidelines. Informed consent was waived.

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Gill, C.M., Loewenstern, J., Rutland, J.W. et al. STK11 mutation status is associated with decreased survival in meningiomas. Neurol Sci 41, 2585–2589 (2020). https://doi.org/10.1007/s10072-020-04372-y

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