Evidence map›Paper›PMID 18618497›Full record

ArticleCancer2008

Hypoxia-regulated protein expression, patient characteristics, and preoperative imaging as predictors of survival in adults with glioblastoma multiforme.

Jeannette R Flynn, Libo Wang, David L Gillespie, Gregory J Stoddard, Jason K Reid, Jason Owens, Grant B Ellsworth, Karen L Salzman, Anita Y Kinney, Randy L Jensen

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 132 citations in OpenAlex.

  1. Trial
  2. Trial
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  4. A Tissue Engineering's Guide to Biomimicry.Macromolecular bioscience · 2025
    Review
  5. Article
  6. Serendipity in Neuro-Oncology: The Evolution of Chemotherapeutic Agents.International journal of molecular sciences · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
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  16. Article
  17. Article
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  19. TRP Channels in Brain Tumors.Frontiers in cell and developmental biology · 2021
    Review
  20. Influence of the scan time point when assessing hypoxia inEuropean journal of nuclear medicine and molecular imaging · 2020
    Article

10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Jeannette R FlynnCenter for Children, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah , USA.
Libo Wang
David L Gillespie
Gregory J Stoddard
Jason K Reid
Jason Owens
Grant B Ellsworth
Karen L Salzman
Anita Y Kinney
Randy L Jensen
University of Utah · US

Funding

MULTIDISCIPLINARY CANCER RESEARCH TRAINING PROGRAMT32CA093247 · NCI · UNIVERSITY OF UTAH · PI AYER, DONALD E · 2002 to 2011
$5.2M
NCI NIH HHS T32 CA093247
6 · The paper itself

Abstract

backgroundRegions of hypoxia within glioblastoma multiforme (GBM) are common and may influence a tumor's aggressiveness, response to treatment, and the patient's overall survival. In this study, the authors examined 4 markers of hypoxia (hypoxia-inducible factor 1 [HIF-1alpha], glucose transporter 1 [GLUT-1], vascular endothelial growth factor [VEGF], and carbonic anhydrase 9 [CA IX]), cellular proliferation and microvascular density (MVD) indices, extent of surgical resection, and preoperative imaging characteristics and compared them with the overall survival rates of adults with GBM.

methodsIn this retrospective cohort study, patients who had lower grade astrocytomas were compared with patients who had GBM to verify that the methods used could establish differences between tumor grades. By using preoperative imaging, the amount of necrosis was established versus the overall tumor area. The authors also compared preoperative images with postoperative images to define the amount of tumor resected; and they compared molecular markers, proliferation, MVD, and imaging studies with survival among patients who had GBM.

resultsThe hypoxia-regulated molecules (HRMs) and indices for MVD and cellular proliferation were associated significantly with tumor grade. Survival was improved when >or=95% of the tumor was resected. Although the total tumor area was associated with overall survival, no differences were observed when the amount of necrosis or a tumor necrosis index (area of necrosis/area of tumor) was compared with survival. The findings indicated that GLUT-1 and VEGF were correlated with survival after controlling for age.

conclusionsTumor grade was differentiated with HRMs, MVD, and proliferation, but only GLUT-1 predicted survival in this group of patients with GBM. The results suggested that GLUT-1 may be an important independent prognostic indicator.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorBrain NeoplasmsCell ProliferationDiagnostic ImagingDisease-Free SurvivalFemaleGlioblastomaHumansHypoxia-Inducible Factor 1, alpha SubunitMaleMiddle AgedNeovascularization, PathologicPrognosisBiomarkers, TumorHypoxia-Inducible Factor 1, alpha Subunit

Identifiers

PMID18618497
PMCPMC2574798
OpenAlexW2035182290

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.