Evidence map›Paper›PMID 22797070›Full record

ArticleOncogene2013

EGFRvIII gene rearrangement is an early event in glioblastoma tumorigenesis and expression defines a hierarchy modulated by epigenetic mechanisms.

C A Del Vecchio, C P Giacomini, H Vogel, K C Jensen, T Florio, A Merlo, J R Pollack, A J Wong

Abstract read
PubMed Publisher
In one paragraph

Article in Oncogene, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

92 citing papers in PubMed, 138 citations in OpenAlex.

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  15. New approaches to overcome radioresistance in glioblastoma: mechanisms, targets and role of innovative therapies, new particles and non-photon radiotherapy in 2024. A systematic review.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
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32 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

8 authors at 4 institutions in 3 countries.

C A Del VecchioDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.
C P Giacomini
H Vogel
K C Jensen
T Florio
A Merlo
J R Pollack
A J Wong
Stanford Medicine · USStanford University · USUniversity of Basel · CHUniversity of Genoa · IT

Funding

NOVEL EFFECTORS OF GRB2 IN HUMAN GLIAL TUMORSR01CA069495 · NCI · THOMAS JEFFERSON UNIVERSITY · PI WONG, ALBERT J. · 1996 to 2009
$2.8M
A Phase I Study of EGFRvIII Peptide Vaccination (CDX-110) after Conventional RadiRC2CA148491 · NCI · STANFORD UNIVERSITY · PI FISHER, PAUL GRAHAM, WONG, ALBERT J. · 2009 to 2010
$1.5M
Using Insights from EGFRvIII to Improve EGFR Directed Therapy in Human GliomasR01CA124832 · NCI · STANFORD UNIVERSITY · PI WONG, ALBERT J. · 2007 to 2011
$1.5M
NCI NIH HHS CA124832NCI NIH HHS R01 CA069495NCI NIH HHS R01 CA124832NCI NIH HHS RC2 CA148491NCI NIH HHS RC2 CA14891
6 · The paper itself

Abstract

Amplification and rearrangements of the epidermal growth factor receptor (EGFR) gene are frequently found in glioblastoma multiforme (GBM). The most common variant is EGFR variant III (EGFRvIII). Research suggests that EGFRvIII could be a marker for a cancer stem cell or tumor-initiating population. If amplification and rearrangement are early events in tumorigenesis, this implies that they should be preserved throughout the tumor. However, in primary GBM, EGFRvIII expression is focal and sporadic. Unexpectedly, we found EGFR amplification and rearrangement throughout the tumor, including regions with no EGFRvIII expression, suggesting that mechanisms exist to modulate EGFRvIII expression even in the presence of high gene amplification. To study this phenomenon, we characterized three GBM cell lines with endogenous EGFRvIII. EGFRvIII expression was heterogeneous, with both positive and negative populations maintaining the genetic alterations, akin to primary tumors. Furthermore, EGFRvIII defined a hierarchy where EGFRvIII-positive cells gave rise to additional positive and negative cells. Only cells that had recently lost EGFRvIII expression could re-express EGFRvIII, providing an important buffer for maintaining EGFRvIII-positive cell numbers. Epigenetic mechanisms had a role in maintaining heterogeneous EGFRvIII expression. Demethylation induced a 20-60% increase in the percentage of EGFRvIII-positive cells, indicating that some cells could re-express EGFRvIII. Surprisingly, inhibition of histone deacetylation resulted in a 50-80% reduction in EGFRvIII expression. Collectively, this data demonstrates that EGFR amplification and rearrangement are early events in tumorigenesis and EGFRvIII follows a model of hierarchical expression. Furthermore, EGFRvIII expression is restricted by epigenetic mechanisms, suggesting that drugs that modulate the epigenome might be used successfully in glioblastoma tumors.

Indexed as

Cell Transformation, NeoplasticEpigenesis, GeneticErbB ReceptorsGene Expression Regulation, EnzymologicGene Expression Regulation, NeoplasticGene RearrangementGlioblastomaCell Line, TumorGene AmplificationHumansEGFR protein, humanErbB Receptors

Identifiers

PMID22797070
OpenAlexW1969731848

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.