Dose-dependent seizure control with MEK inhibitor therapy for progressive glioma in a child with neurofibromatosis type 1

Background Low-grade gliomas (LGGs) occurring in children can result in many different neurologic complications, including seizures. MEK inhibitors are increasingly being used to treat LGG, but their effect on associated neurologic symptoms has not been established. Results Here, we report a patient...

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Published inChild's nervous system Vol. 38; no. 11; pp. 2245 - 2249
Main Authors Cantor, Evan, Meyer, Ashley, Morris, Stephanie M., Weisenberg, Judith L. Z., Brossier, Nicole M.
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.11.2022
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Abstract Background Low-grade gliomas (LGGs) occurring in children can result in many different neurologic complications, including seizures. MEK inhibitors are increasingly being used to treat LGG, but their effect on associated neurologic symptoms has not been established. Results Here, we report a patient with neurofibromatosis type 1 (NF1), medically refractory epilepsy (MRE), and an extensive optic pathway glioma (OPG) who developed dose-dependent seizure control while being treated with selumetinib. Seizure frequency rebounded after dose reduction for cardiac toxicity, then improved, and finally ceased after restarting full dosing, allowing confidence in the cause of improvement. Conclusion Selumetinib may have promise in epilepsy management in other children with NF1 or LGG.
AbstractList BACKGROUNDLow-grade gliomas (LGGs) occurring in children can result in many different neurologic complications, including seizures. MEK inhibitors are increasingly being used to treat LGG, but their effect on associated neurologic symptoms has not been established. RESULTSHere, we report a patient with neurofibromatosis type 1 (NF1), medically refractory epilepsy (MRE), and an extensive optic pathway glioma (OPG) who developed dose-dependent seizure control while being treated with selumetinib. Seizure frequency rebounded after dose reduction for cardiac toxicity, then improved, and finally ceased after restarting full dosing, allowing confidence in the cause of improvement. CONCLUSIONSelumetinib may have promise in epilepsy management in other children with NF1 or LGG.
Abstract Background Low-grade gliomas (LGGs) occurring in children can result in many different neurologic complications, including seizures. MEK inhibitors are increasingly being used to treat LGG, but their effect on associated neurologic symptoms has not been established. Results Here, we report a patient with neurofibromatosis type 1 (NF1), medically refractory epilepsy (MRE), and an extensive optic pathway glioma (OPG) who developed dose-dependent seizure control while being treated with selumetinib. Seizure frequency rebounded after dose reduction for cardiac toxicity, then improved, and finally ceased after restarting full dosing, allowing confidence in the cause of improvement. Conclusion Selumetinib may have promise in epilepsy management in other children with NF1 or LGG.
Background Low-grade gliomas (LGGs) occurring in children can result in many different neurologic complications, including seizures. MEK inhibitors are increasingly being used to treat LGG, but their effect on associated neurologic symptoms has not been established. Results Here, we report a patient with neurofibromatosis type 1 (NF1), medically refractory epilepsy (MRE), and an extensive optic pathway glioma (OPG) who developed dose-dependent seizure control while being treated with selumetinib. Seizure frequency rebounded after dose reduction for cardiac toxicity, then improved, and finally ceased after restarting full dosing, allowing confidence in the cause of improvement. Conclusion Selumetinib may have promise in epilepsy management in other children with NF1 or LGG.
Low-grade gliomas (LGGs) occurring in children can result in many different neurologic complications, including seizures. MEK inhibitors are increasingly being used to treat LGG, but their effect on associated neurologic symptoms has not been established. Here, we report a patient with neurofibromatosis type 1 (NF1), medically refractory epilepsy (MRE), and an extensive optic pathway glioma (OPG) who developed dose-dependent seizure control while being treated with selumetinib. Seizure frequency rebounded after dose reduction for cardiac toxicity, then improved, and finally ceased after restarting full dosing, allowing confidence in the cause of improvement. Selumetinib may have promise in epilepsy management in other children with NF1 or LGG.
Author Cantor, Evan
Weisenberg, Judith L. Z.
Meyer, Ashley
Brossier, Nicole M.
Morris, Stephanie M.
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Cites_doi 10.1016/j.eplepsyres.2022.106890
10.2217/cns-2018-0007
10.1111/ejn.13652
10.1016/j.neuroscience.2008.07.010
10.1136/adc.67.2.178
10.1016/S0022-3476(95)70159-1
10.1146/annurev.genom.6.080604.162305
10.1111/epi.12348
10.1111/jnc.12982
10.1093/neuonc/noab047
10.1212/WNL.0000000000009458
10.1016/j.pharep.2018.02.021
10.1212/WNL.0000000000003881
10.1038/s41591-018-0172-x
10.1007/s00381-020-04710-7
10.1111/j.1468-1331.2010.03151.x
10.1093/cercor/bhaa413
10.1111/neup.12242
10.1038/ng.2646
10.1016/S1474-4422(07)70103-5
10.1038/sj.emboj.7601911
10.1016/S1470-2045(19)30277-3
10.3390/brainsci10050311
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Issue 11
Keywords NF1
Seizure
MEK inhibitor
Selumetinib
Epilepsy
Neurofibromatosis
Language English
License 2022. The Author(s).
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References Mahdi, Shah, Sato, Morris, McKinstry, Listernick, Packer, Fisher, Gutmann (CR6) 2017; 88
Tartaglia, Gelb (CR9) 2005; 6
Holter, Hewitt, Nishimura, Knowles, Bjorklund, Shah, Fry, Rees, Gupta, Daniels, Li, Marsh, Treiman, Olive, Anderson, Sanabria, Snider, Newbern (CR20) 2021; 31
Houser, Huang, Peng (CR16) 2008; 156
CR18
Soffietti, Baumert, Bello, Von Deimling, Duffau, Frénay, Grisold, Grant, Graus, Hoang-Xuan, Klein, Melin, Rees, Siegal, Smits, Stupp, Wick (CR8) 2010; 17
Bernardo, Cinalli, Santoro (CR4) 2020; 36
Patil, Guzman, Carter, Rathore, Yoshor, Curry, Wilfong, Agadi, Swann, Adesina, Bhattacharjee, Anderson (CR10) 2016; 36
Fangusaro, Onar-Thomas, Poussaint, Wu, Ligon, Lindeman, Campagne, Banerjee, Gururangan, Kilburn, Goldman, Qaddoumi, Baxter, Vezina, Bregman, Patay, Jones, Stewart, Fisher, Doyle, Smith, Dunkel, Fouladi (CR21) 2021; 23
Nguyen, Leiser, Song, Brunner, Roberds, Wong, Bordey (CR11) 2022; 181
Nateri, Raivich, Gebhardt, Da Costa, Naumann, Vreugdenhil, Makwana, Brandner, Adams, Jefferys, Kann, Behrens (CR19) 2007; 26
Chukwueke, Wen (CR23) 2019; 8
Koh, Kim, Jang, Kim, Han, Lim, Son, Choi, Park, Heo, Han, Lee, Lee, Kang, Shong, Paik, Kim, Lee (CR2) 2018; 24
Mahdi, Goyal, Griffith, Morris, Gutmann (CR7) 2020; 95
Ostendorf, Gutmann, Weisenberg (CR3) 2013; 54
Kopanitsa, Gou, Afinowi, Bayés, Grant, Komiyama (CR12) 2018; 70
Fangusaro, Onar-Thomas, Young Poussaint, Wu, Ligon, Lindeman, Banerjee, Packer, Kilburn, Goldman, Pollack, Qaddoumi, Jakacki, Fisher, Dhall, Baxter, Kreissman, Stewart, Jones, Pfister, Vezina, Stern, Panigrahy, Patay, Tamrazi, Jones, Haque, Enterline, Cha, Fisher, Doyle, Smith, Dunkel, Fouladi (CR22) 2019; 20
van Breemen, Wilms, Vecht (CR1) 2007; 6
Listernick, Darling, Greenwald, Strauss, Charrow (CR5) 1995; 127
Carvill, Heavin, Yendle, McMahon, O'Roak, Cook, Khan, Dorschner, Weaver, Calvert, Malone, Wallace, Stanley, Bye, Bleasel, Howell, Kivity, Mackay, Rodriguez-Casero, Webster, Korczyn, Afawi, Zelnick, Lerman-Sagie, Lev, Møller, Gill, Andrade, Freeman, Sadleir, Shendure, Berkovic, Scheffer, Mefford (CR13) 2013; 45
Salman, Sheilabi, Bhattacharyya, Kitchen, Conner, Bill, Woodroofe, Conner, Princivalle (CR15) 2017; 46
Sharland, Burch, McKenna, Paton (CR14) 1992; 67
Glazova, Nikitina, Hudik, Kirillova, Dorofeeva, Korotkov, Chernigovskaya (CR17) 2015; 132
VV Patil (5571_CR10) 2016; 36
J Fangusaro (5571_CR22) 2019; 20
R Listernick (5571_CR5) 1995; 127
M Tartaglia (5571_CR9) 2005; 6
M Sharland (5571_CR14) 1992; 67
MM Salman (5571_CR15) 2017; 46
MC Holter (5571_CR20) 2021; 31
MV Glazova (5571_CR17) 2015; 132
P Bernardo (5571_CR4) 2020; 36
5571_CR18
MS van Breemen (5571_CR1) 2007; 6
MV Kopanitsa (5571_CR12) 2018; 70
UN Chukwueke (5571_CR23) 2019; 8
J Mahdi (5571_CR7) 2020; 95
GL Carvill (5571_CR13) 2013; 45
AS Nateri (5571_CR19) 2007; 26
J Mahdi (5571_CR6) 2017; 88
CR Houser (5571_CR16) 2008; 156
LH Nguyen (5571_CR11) 2022; 181
R Soffietti (5571_CR8) 2010; 17
AP Ostendorf (5571_CR3) 2013; 54
J Fangusaro (5571_CR21) 2021; 23
HY Koh (5571_CR2) 2018; 24
References_xml – volume: 181
  start-page: 106890
  year: 2022
  ident: CR11
  article-title: Inhibition of MEK-ERK signaling reduces seizures in two mouse models of tuberous sclerosis complex
  publication-title: Epilepsy Res
  doi: 10.1016/j.eplepsyres.2022.106890
  contributor:
    fullname: Bordey
– ident: CR18
– volume: 8
  start-page: Cns28
  year: 2019
  ident: CR23
  article-title: Use of the Response Assessment in Neuro-Oncology (RANO) criteria in clinical trials and clinical practice
  publication-title: CNS Oncol
  doi: 10.2217/cns-2018-0007
  contributor:
    fullname: Wen
– volume: 46
  start-page: 2121
  year: 2017
  end-page: 2132
  ident: CR15
  article-title: Transcriptome analysis suggests a role for the differential expression of cerebral aquaporins and the MAPK signalling pathway in human temporal lobe epilepsy
  publication-title: Eur J Neurosci
  doi: 10.1111/ejn.13652
  contributor:
    fullname: Princivalle
– volume: 156
  start-page: 222
  year: 2008
  end-page: 237
  ident: CR16
  article-title: Dynamic seizure-related changes in extracellular signal-regulated kinase activation in a mouse model of temporal lobe epilepsy
  publication-title: Neuroscience
  doi: 10.1016/j.neuroscience.2008.07.010
  contributor:
    fullname: Peng
– volume: 67
  start-page: 178
  year: 1992
  end-page: 183
  ident: CR14
  article-title: A clinical study of Noonan syndrome
  publication-title: Arch Dis Child
  doi: 10.1136/adc.67.2.178
  contributor:
    fullname: Paton
– volume: 127
  start-page: 718
  year: 1995
  end-page: 722
  ident: CR5
  article-title: Optic pathway tumors in children: the effect of neurofibromatosis type 1 on clinical manifestations and natural history
  publication-title: J Pediatr
  doi: 10.1016/S0022-3476(95)70159-1
  contributor:
    fullname: Charrow
– volume: 6
  start-page: 45
  year: 2005
  end-page: 68
  ident: CR9
  article-title: Noonan syndrome and related disorders: genetics and pathogenesis
  publication-title: Annu Rev Genomics Hum Genet
  doi: 10.1146/annurev.genom.6.080604.162305
  contributor:
    fullname: Gelb
– volume: 54
  start-page: 1810
  year: 2013
  end-page: 1814
  ident: CR3
  article-title: Epilepsy in individuals with neurofibromatosis type 1
  publication-title: Epilepsia
  doi: 10.1111/epi.12348
  contributor:
    fullname: Weisenberg
– volume: 132
  start-page: 218
  year: 2015
  end-page: 229
  ident: CR17
  article-title: Inhibition of ERK1/2 signaling prevents epileptiform behavior in rats prone to audiogenic seizures
  publication-title: J Neurochem
  doi: 10.1111/jnc.12982
  contributor:
    fullname: Chernigovskaya
– volume: 23
  start-page: 1777
  year: 2021
  end-page: 1788
  ident: CR21
  article-title: A phase II trial of selumetinib in children with recurrent optic pathway and hypothalamic low-grade glioma without NF1: a Pediatric Brain Tumor Consortium study
  publication-title: Neuro Oncol
  doi: 10.1093/neuonc/noab047
  contributor:
    fullname: Fouladi
– volume: 95
  start-page: e1052
  year: 2020
  end-page: e1059
  ident: CR7
  article-title: Nonoptic pathway tumors in children with neurofibromatosis type 1
  publication-title: Neurology
  doi: 10.1212/WNL.0000000000009458
  contributor:
    fullname: Gutmann
– volume: 70
  start-page: 777
  year: 2018
  end-page: 783
  ident: CR12
  article-title: Chronic treatment with a MEK inhibitor reverses enhanced excitatory field potentials in Syngap1(+/-) mice
  publication-title: Pharmacol Rep
  doi: 10.1016/j.pharep.2018.02.021
  contributor:
    fullname: Komiyama
– volume: 88
  start-page: 1584
  year: 2017
  end-page: 1589
  ident: CR6
  article-title: A multi-institutional study of brainstem gliomas in children with neurofibromatosis type 1
  publication-title: Neurology
  doi: 10.1212/WNL.0000000000003881
  contributor:
    fullname: Gutmann
– volume: 24
  start-page: 1662
  year: 2018
  end-page: 1668
  ident: CR2
  article-title: BRAF somatic mutation contributes to intrinsic epileptogenicity in pediatric brain tumors
  publication-title: Nat Med
  doi: 10.1038/s41591-018-0172-x
  contributor:
    fullname: Lee
– volume: 36
  start-page: 2333
  year: 2020
  end-page: 2350
  ident: CR4
  article-title: Epilepsy in NF1: a systematic review of the literature
  publication-title: Childs Nerv Syst
  doi: 10.1007/s00381-020-04710-7
  contributor:
    fullname: Santoro
– volume: 17
  start-page: 1124
  year: 2010
  end-page: 1133
  ident: CR8
  article-title: Guidelines on management of low-grade gliomas: report of an EFNS–EANO* Task Force
  publication-title: Eur J Neurol
  doi: 10.1111/j.1468-1331.2010.03151.x
  contributor:
    fullname: Wick
– volume: 31
  start-page: 3064
  year: 2021
  end-page: 3081
  ident: CR20
  article-title: Hyperactive MEK1 signaling in cortical GABAergic neurons promotes embryonic parvalbumin neuron loss and defects in behavioral inhibition
  publication-title: Cereb Cortex
  doi: 10.1093/cercor/bhaa413
  contributor:
    fullname: Newbern
– volume: 36
  start-page: 146
  year: 2016
  end-page: 156
  ident: CR10
  article-title: Activation of extracellular regulated kinase and mechanistic target of rapamycin pathway in focal cortical dysplasia
  publication-title: Neuropathology
  doi: 10.1111/neup.12242
  contributor:
    fullname: Anderson
– volume: 45
  start-page: 825
  year: 2013
  end-page: 830
  ident: CR13
  article-title: Targeted resequencing in epileptic encephalopathies identifies de novo mutations in CHD2 and SYNGAP1
  publication-title: Nat Genet
  doi: 10.1038/ng.2646
  contributor:
    fullname: Mefford
– volume: 6
  start-page: 421
  year: 2007
  end-page: 430
  ident: CR1
  article-title: Epilepsy in patients with brain tumours: epidemiology, mechanisms, and management
  publication-title: Lancet Neurol
  doi: 10.1016/S1474-4422(07)70103-5
  contributor:
    fullname: Vecht
– volume: 26
  start-page: 4891
  year: 2007
  end-page: 4901
  ident: CR19
  article-title: ERK activation causes epilepsy by stimulating NMDA receptor activity
  publication-title: EMBO J
  doi: 10.1038/sj.emboj.7601911
  contributor:
    fullname: Behrens
– volume: 20
  start-page: 1011
  year: 2019
  end-page: 1022
  ident: CR22
  article-title: Selumetinib in paediatric patients with BRAF-aberrant or neurofibromatosis type 1-associated recurrent, refractory, or progressive low-grade glioma: a multicentre, phase 2 trial
  publication-title: Lancet Oncol
  doi: 10.1016/S1470-2045(19)30277-3
  contributor:
    fullname: Fouladi
– volume: 36
  start-page: 2333
  year: 2020
  ident: 5571_CR4
  publication-title: Childs Nerv Syst
  doi: 10.1007/s00381-020-04710-7
  contributor:
    fullname: P Bernardo
– volume: 54
  start-page: 1810
  year: 2013
  ident: 5571_CR3
  publication-title: Epilepsia
  doi: 10.1111/epi.12348
  contributor:
    fullname: AP Ostendorf
– volume: 31
  start-page: 3064
  year: 2021
  ident: 5571_CR20
  publication-title: Cereb Cortex
  doi: 10.1093/cercor/bhaa413
  contributor:
    fullname: MC Holter
– volume: 24
  start-page: 1662
  year: 2018
  ident: 5571_CR2
  publication-title: Nat Med
  doi: 10.1038/s41591-018-0172-x
  contributor:
    fullname: HY Koh
– volume: 6
  start-page: 45
  year: 2005
  ident: 5571_CR9
  publication-title: Annu Rev Genomics Hum Genet
  doi: 10.1146/annurev.genom.6.080604.162305
  contributor:
    fullname: M Tartaglia
– volume: 88
  start-page: 1584
  year: 2017
  ident: 5571_CR6
  publication-title: Neurology
  doi: 10.1212/WNL.0000000000003881
  contributor:
    fullname: J Mahdi
– volume: 132
  start-page: 218
  year: 2015
  ident: 5571_CR17
  publication-title: J Neurochem
  doi: 10.1111/jnc.12982
  contributor:
    fullname: MV Glazova
– volume: 127
  start-page: 718
  year: 1995
  ident: 5571_CR5
  publication-title: J Pediatr
  doi: 10.1016/S0022-3476(95)70159-1
  contributor:
    fullname: R Listernick
– volume: 67
  start-page: 178
  year: 1992
  ident: 5571_CR14
  publication-title: Arch Dis Child
  doi: 10.1136/adc.67.2.178
  contributor:
    fullname: M Sharland
– volume: 23
  start-page: 1777
  year: 2021
  ident: 5571_CR21
  publication-title: Neuro Oncol
  doi: 10.1093/neuonc/noab047
  contributor:
    fullname: J Fangusaro
– volume: 17
  start-page: 1124
  year: 2010
  ident: 5571_CR8
  publication-title: Eur J Neurol
  doi: 10.1111/j.1468-1331.2010.03151.x
  contributor:
    fullname: R Soffietti
– volume: 45
  start-page: 825
  year: 2013
  ident: 5571_CR13
  publication-title: Nat Genet
  doi: 10.1038/ng.2646
  contributor:
    fullname: GL Carvill
– volume: 156
  start-page: 222
  year: 2008
  ident: 5571_CR16
  publication-title: Neuroscience
  doi: 10.1016/j.neuroscience.2008.07.010
  contributor:
    fullname: CR Houser
– volume: 8
  start-page: Cns28
  year: 2019
  ident: 5571_CR23
  publication-title: CNS Oncol
  doi: 10.2217/cns-2018-0007
  contributor:
    fullname: UN Chukwueke
– volume: 95
  start-page: e1052
  year: 2020
  ident: 5571_CR7
  publication-title: Neurology
  doi: 10.1212/WNL.0000000000009458
  contributor:
    fullname: J Mahdi
– volume: 181
  start-page: 106890
  year: 2022
  ident: 5571_CR11
  publication-title: Epilepsy Res
  doi: 10.1016/j.eplepsyres.2022.106890
  contributor:
    fullname: LH Nguyen
– volume: 26
  start-page: 4891
  year: 2007
  ident: 5571_CR19
  publication-title: EMBO J
  doi: 10.1038/sj.emboj.7601911
  contributor:
    fullname: AS Nateri
– ident: 5571_CR18
  doi: 10.3390/brainsci10050311
– volume: 20
  start-page: 1011
  year: 2019
  ident: 5571_CR22
  publication-title: Lancet Oncol
  doi: 10.1016/S1470-2045(19)30277-3
  contributor:
    fullname: J Fangusaro
– volume: 70
  start-page: 777
  year: 2018
  ident: 5571_CR12
  publication-title: Pharmacol Rep
  doi: 10.1016/j.pharep.2018.02.021
  contributor:
    fullname: MV Kopanitsa
– volume: 6
  start-page: 421
  year: 2007
  ident: 5571_CR1
  publication-title: Lancet Neurol
  doi: 10.1016/S1474-4422(07)70103-5
  contributor:
    fullname: MS van Breemen
– volume: 36
  start-page: 146
  year: 2016
  ident: 5571_CR10
  publication-title: Neuropathology
  doi: 10.1111/neup.12242
  contributor:
    fullname: VV Patil
– volume: 46
  start-page: 2121
  year: 2017
  ident: 5571_CR15
  publication-title: Eur J Neurosci
  doi: 10.1111/ejn.13652
  contributor:
    fullname: MM Salman
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Snippet Background Low-grade gliomas (LGGs) occurring in children can result in many different neurologic complications, including seizures. MEK inhibitors are...
Low-grade gliomas (LGGs) occurring in children can result in many different neurologic complications, including seizures. MEK inhibitors are increasingly being...
Abstract Background Low-grade gliomas (LGGs) occurring in children can result in many different neurologic complications, including seizures. MEK inhibitors...
BACKGROUNDLow-grade gliomas (LGGs) occurring in children can result in many different neurologic complications, including seizures. MEK inhibitors are...
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SubjectTerms Case Report
Medicine
Medicine & Public Health
Neurosciences
Neurosurgery
Title Dose-dependent seizure control with MEK inhibitor therapy for progressive glioma in a child with neurofibromatosis type 1
URI https://link.springer.com/article/10.1007/s00381-022-05571-y
https://www.ncbi.nlm.nih.gov/pubmed/35648241
https://search.proquest.com/docview/2672319844
https://pubmed.ncbi.nlm.nih.gov/PMC9617819
Volume 38
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