Evidence map›Paper›PMID 22568867›Full record

ArticleBrain pathology (Zurich, Switzerland)2012

Nestin expression identifies ependymoma patients with poor outcome.

Till Milde, Thomas Hielscher, Hendrik Witt, Marcel Kool, Stephen C Mack, Hedwig E Deubzer, Ina Oehme, Marco Lodrini, Axel Benner, Michael D Taylor and 5 more

Open access · greenAbstract read
In one paragraph

Article in Brain pathology (Zurich, Switzerland), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  11. Prognostic and microRNA profile analysis for CD44 positive expression pediatric posterior fossa ependymoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2018
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  17. Posterior fossa ependymoma: current insights.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2015
    Review
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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

15 authors at 5 institutions in 3 countries.

Till MildeClinical Cooperation Unit Pediatric Oncology, German Cancer Research Center, Heidelberg, Germany. t.milde@dkfz.de
Thomas Hielscher
Hendrik Witt
Marcel Kool
Stephen C Mack
Hedwig E Deubzer
Ina Oehme
Marco Lodrini
Axel Benner
Michael D Taylor
Andreas von Deimling
Andreas E Kulozik
Stefan M Pfister
Olaf Witt
Andrey Korshunov
German Cancer Research Center · DEHeidelberg University · DETranslational Research in Oncology · FRUniversity Hospital Heidelberg · DEUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ependymomas are primary brain tumors found throughout the central nervous system (CNS) in children and adults. Currently, many treatment protocols stratify grade I and II ependymomas as low-risk tumors, whereas grade III anaplastic ependymomas are considered high-risk tumors. The prognostic significance of World Health Organization (WHO) grade II or III, however, remains debated, and it is furthermore increasingly recognized that the pathologic differentiation between grades II and III is arbitrary in daily practice, thus resulting in imprecise risk stratification. Therefore, prognostic markers enabling more precise stratification to guide treatment decisions are urgently needed. An analysis of n = 379 tumor samples revealed that protein expression of nestin, a marker for neural stem and progenitor cells established as a routine staining in most neuropathology centers, is associated with poor outcome in intracranial ependymomas. Most importantly, nestin-positive grade II ependymomas have the same prognosis as grade III ependymomas. Multivariable analysis demonstrates that nestin positivity is an independent marker for poor progression-free survival (PFS) and overall survival (OS). Gene expression analysis for transcriptionally co-regulated genes revealed a strong association of developmental and epigenetic processes with nestin. In summary, our data implicate nestin as a useful novel marker for intracranial ependymoma risk stratification easily implementable in routine diagnostics.

Indexed as

AdolescentBiomarkers, TumorBrain NeoplasmsChildChild, PreschoolDisease-Free SurvivalEpendymomaFemaleHumansIntermediate Filament ProteinsKaplan-Meier EstimateMaleNerve Tissue ProteinsNestinPrognosisProportional Hazards ModelsBiomarkers, TumorIntermediate Filament ProteinsNerve Tissue ProteinsNES protein, humanNestin

Identifiers

PMID22568867
PMCPMC8057643
OpenAlexW1938258468

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.