MENINGIOMAS ARE PRIMARY brain tumors arising from meningothelial cells
. They usually grow slowly and are surgically easy to separate from th
e brain. A recent clonal analysis of meningiomas, using methylation-se
nsitive restriction fragment length polymorphisms, suggested a monoclo
nal origin. Using the same technique but with a highly informative X c
hromosome probe (M27 beta), we found that 17 (85%) of the 20 meningiom
as analyzed were informative. Of the 17 informative tumors, 8 (47%) we
re monoclonal, 3 (18%) had loss of heterozygosity on the X chromosome,
and, unexpectedly, 6 (35%) had a polyclonal pattern. Samples from two
areas of one tumor showed a monoclonal pattern and loss of heterozygo
sity, respectively, on the X chromosome. A review of the histopatholog
ical and radiological features of the 17 informative tumors did not he
lp to distinguish the clonal from the polyclonal tumors. We conclude t
hat meningiomas are heterogeneous in clonal composition.