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Abstract

Meningiomas are the most common primary tumor in the central nervous system, yet an effective systemic treatment remains a challenge. We present a grade 2 meningioma that resulted in a positive and prolonged response to pembrolizumab. Our case had polybromo-1 (PBRM1) and BAP1 functional loss, tumor mutational burden of 4 Muts/Mb, stable microsatellite status, and a PD-L1 tumor proportion score of <1%. We add to the limited literature regarding PBRM1 mutations in meningiomas. We discuss our findings in relation to the ongoing investigation of immune checkpoint inhibitor therapy in treating higher-grade refractory meningiomas.

Original languageEnglish
Article number1587752
JournalFrontiers in Oncology
Volume15
DOIs
StatePublished - 2025

Bibliographical note

Publisher Copyright:
Copyright © 2025 Reusch, Peh, Morgan, Momo, Orren, Rock, Pittman, Neltner, Kolesar and Villano.

Funding

The author(s) declare financial support was received for the research and/or publication of this article. The Research Communications Office of the University of Kentucky Markey Cancer Center (P30CA177558) supported the publication of the manuscript but did not contribute to the writing of the manuscript.

FundersFunder number
University of Kentucky Markey Comprehensive Cancer CenterP30CA177558

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

    Keywords

    • PBRM1
    • PD-1/L1
    • atypical meningioma
    • grade 2 meningioma
    • immunotherapy

    ASJC Scopus subject areas

    • Oncology
    • Cancer Research

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