Evidence map›Paper›PMID 20823417›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2011

Medulloblastoma comprises four distinct molecular variants.

Paul A Northcott, Andrey Korshunov, Hendrik Witt, Thomas Hielscher, Charles G Eberhart, Stephen Mack, Eric Bouffet, Steven C Clifford, Cynthia E Hawkins, Pim French and 3 more

Abstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 766 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
766citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

766 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  8. Pediatric medulloblastoma.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
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706 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Paul A NorthcottHospital for Sick Children, Toronto, Ontario, Canada.
Andrey Korshunov
Hendrik Witt
Thomas Hielscher
Charles G Eberhart
Stephen Mack
Eric Bouffet
Steven C Clifford
Cynthia E Hawkins
Pim French
James T Rutka
Stefan Pfister
Michael D Taylor

Funding

Notch signaling in brain tumorsR01NS055089 · NINDS · JOHNS HOPKINS UNIVERSITY · PI EBERHART, CHARLES G · 2007 to 2016
$3.2M
Canadian Institutes of Health Research
6 · The paper itself

Abstract

purposeRecent genomic approaches have suggested the existence of multiple distinct subtypes of medulloblastoma. We studied a large cohort of medulloblastomas to determine how many subgroups of the disease exist, how they differ, and the extent of overlap between subgroups.

methodsWe determined gene expression profiles and DNA copy number aberrations for 103 primary medulloblastomas. Bioinformatic tools were used for class discovery of medulloblastoma subgroups based on the most informative genes in the data set. Immunohistochemistry for subgroup-specific signature genes was used to determine subgroup affiliation for 294 nonoverlapping medulloblastomas on two independent tissue microarrays.

resultsMultiple unsupervised analyses of transcriptional profiles identified the following four distinct, nonoverlapping molecular variants: WNT, SHH, group C, and group D. Supervised analysis of these four subgroups revealed significant subgroup-specific demographics, histology, metastatic status, and DNA copy number aberrations. Immunohistochemistry for DKK1 (WNT), SFRP1 (SHH), NPR3 (group C), and KCNA1 (group D) could reliably and uniquely classify formalin-fixed medulloblastomas in approximately 98% of patients. Group C patients (NPR3-positive tumors) exhibited a significantly diminished progression-free and overall survival irrespective of their metastatic status.

conclusionOur integrative genomics approach to a large cohort of medulloblastomas has identified four disparate subgroups with distinct demographics, clinical presentation, transcriptional profiles, genetic abnormalities, and clinical outcome. Medulloblastomas can be reliably assigned to subgroups through immunohistochemistry, thereby making medulloblastoma subclassification widely available. Future research on medulloblastoma and the development of clinical trials should take into consideration these four distinct types of medulloblastoma.

Indexed as

Analysis of Variancebeta CateninCerebellar NeoplasmsChildDisease ProgressionDNA Mutational AnalysisGene Expression ProfilingGenomicsHumansImmunohistochemistryIntercellular Signaling Peptides and ProteinsKv1.1 Potassium ChannelMedulloblastomaMembrane ProteinsPrincipal Component AnalysisPrognosisatrial natriuretic factor receptor Cbeta CateninDKK1 protein, humanIntercellular Signaling Peptides and ProteinsKCNA1 protein, humanKv1.1 Potassium ChannelMembrane ProteinsReceptors, Atrial Natriuretic FactorSecreted Frizzled-Related ProteinsSFRP1 protein, human

Identifiers

PMID20823417
PMCPMC4874239

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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.