Molecular determinants of medulloblastoma metastasis and leptomeningeal dissemination
Open accessAbstract
Abstract Medulloblastoma is the most common malignant brain cancer in pediatrics consisting of four molecular subgroups, namely wingless (WNT), sonic hedgehog (SHH), Group 3, and Group 4. One of the biggest challenges in the clinical management of this disease is the leptomeningeal dissemination (LMD) of tumor cells with high morbidity and mortality. Many molecular regulators to date have been identified to participate in medulloblastoma metastasis. In the SHH subgroup, the co-upregulation of CXCR4 and PDGFR, as well as the activation of c-MET, show significant promigratory effects on medulloblastoma cells. Amplification or overexpression of genes on the long arm of chromosome 17, such as LASP1 and WIP1, facilitates tumor invasion in both Group 3 and Group 4 medulloblastomas. PRUNE1, NOTCH1, and MYC interactor JPO2 are more specific genetic drivers of metastatic Group 3 tumors. The RAS/MAPK and PI3K/AKT pathways are two crucial signal transduction pathways that may work as the convergent downstream mechanism of various metastatic drivers. Extracellular signals and cellular components in the tumor microenvironment also play a vital role in promoting the spread and colonization of medulloblastoma cells. For instance, the stromal granule cells and astrocytes support tumor growth and dissemination by secreting PlGF and CCL2, respectively. Importantly, the genetic divergence has been determined between the matched primary and metastatic medulloblastoma samples. However, the difficulty of obtaining metastatic medulloblastoma tissue hinders more profound studies of LMD. Therefore, identifying and analyzing the subclone with the metastatic propensity in the primary tumor is essential for future investigation.
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MYC amplifications represent only a small percentage (17%) of the G3 molecular group.
“Although MYC amplifications are a distinguishing feature of G3 medulloblastoma, they represent only a small percentage (17%) of that molecular group (22).”
From The Medulloblastoma Meta-Analysis Portal Enables Integrative Exploration of Clinical and Genomic Data from Patients (2025) · cites this paper as [22]
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Davare, M. A., Lal, S., Peckham, J. L., et al. (2014) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2014.06.018 · Cited by 6 · see citing works
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Cited by
Sorted by citations
Gangwani, K., Lu, C., Dhanda, S. K., Sioson, E., Zaldívar Peraza, A., Matt, G. Y., Paul, R., Wang, J., Reilly, C., Acić, A., et al. (2025) · Cancer Research · doi:10.1158/0008-5472.can-24-4976 · Cited by 1 · see citing works
“%) of that molecular group (22).”
- Authors
- Li, M., Deng, Y., & Zhang, W.
- Affiliations
- Zhujiang Hospital (CN)
- Department of Pediatrics Neurosurgery, Neurosurgery Center, Guangdong Provincial Key Laboratory on Brain Function Repair and Regeneration, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
- Corresponding author
- Zhang, Wangming
- Venue
- Molecular Cancer Research
- Published
- 2021-02-19
- Volume
- 19
- Issue
- 5
- Pages
- 743-752
- ISSN
- 1541-7786 (ISSN-L)
- 1557-3125
- OpenAlex
- W3131954798
- Cited by
- 37
- References
- 90
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 10 · 2023: 9 · 2022: 6
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Molecular Cancer Research (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- none (none)
- Topics
- Health Sciences › Medicine › Genetics › Glioma Diagnosis and Treatment
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Brain Metastases and Treatment
- Keywords
- medulloblastoma, leptomeningeal dissemination, metastasis, molecular subtypes, sonic hedgehog subgroup, Group 3 medulloblastoma, Group 4 medulloblastoma, WNT subgroup, CXCR4, PDGFR, c-Met, chromosome 17q, LASP1, Wip1, Notch1, c-Myc, RAS/MAPK pathway, PI3K/Akt signaling, tumor microenvironment, granule cells, astrocytes, placental growth factor, MCP-1, tumor subclones, pediatric brain tumors
- MeSH terms
- Humans, Medulloblastoma, Neoplasm Metastasis, Meningeal Carcinomatosis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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