Evidence map›Paper›PMID 26195750›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2015

Detection of tumor-derived DNA in cerebrospinal fluid of patients with primary tumors of the brain and spinal cord.

Yuxuan Wang, Simeon Springer, Ming Zhang, K Wyatt McMahon, Isaac Kinde, Lisa Dobbyn, Janine Ptak, Henry Brem, Kaisorn Chaichana, Gary L Gallia and 21 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 270 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
270citing papers in PubMed, 4 pooled it
10.3field-weighted citation impact, top 1% 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

270 citing papers in PubMed, 4 syntheses or guidelines pooled it, 461 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
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  9. Article
  10. SDS-CRISPR for Single-Nucleotide Variant Detection.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  11. Review
  12. Article
  13. Disease insights from brain somatic mosaicism.Experimental & molecular medicine · 2026
    Review
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  16. Article
  17. Extracellular vesicles in spine tumors: biological roles, immune modulation, and therapeutic implications.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  18. Review
  19. Article
  20. Review

210 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

31 authors at 5 institutions in 2 countries.

Yuxuan WangLudwig Center, Howard Hughes Medical Institute and the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Simeon SpringerLudwig Center, Howard Hughes Medical Institute and the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Ming ZhangLudwig Center, Howard Hughes Medical Institute and the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
K Wyatt McMahonLudwig Center, Howard Hughes Medical Institute and the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Isaac KindeLudwig Center, Howard Hughes Medical Institute and the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Lisa DobbynLudwig Center, Howard Hughes Medical Institute and the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Janine PtakLudwig Center, Howard Hughes Medical Institute and the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Henry BremDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Kaisorn ChaichanaDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Gary L GalliaDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Ziya L GokaslanDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Mari L GrovesDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
George I JalloDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Michael LimDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Alessandro OliviDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Alfredo Quinones-HinojosaDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Daniele RigamontiDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Greg J RigginsDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Daniel M SciubbaDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Jon D WeingartDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Jean-Paul WolinskyDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Xiaobu YeDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Sueli Mieko Oba-ShinjoDepartment of Neurology and Pathology, School of Medicine, University of Sao Paulo, Sao Paulo, SP 01246-903, Brazil;
Suely K N MarieDepartment of Neurology and Pathology, School of Medicine, University of Sao Paulo, Sao Paulo, SP 01246-903, Brazil;
Matthias HoldhoffDepartment of Oncology, Brain Cancer Division, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Nishant AgrawalLudwig Center, Howard Hughes Medical Institute and the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287; Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287.
Luis A DiazLudwig Center, Howard Hughes Medical Institute and the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Nickolas PapadopoulosLudwig Center, Howard Hughes Medical Institute and the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Kenneth W KinzlerLudwig Center, Howard Hughes Medical Institute and the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287;
Bert VogelsteinLudwig Center, Howard Hughes Medical Institute and the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287; bertvog@gmail.com cbetteg1@jhmi.edu.
Chetan BettegowdaLudwig Center, Howard Hughes Medical Institute and the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287; Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287; bertvog@gmail.com cbetteg1@jhmi.edu.
Johns Hopkins University · USJohns Hopkins Medicine · USHoward Hughes Medical Institute · USSidney Kimmel Comprehensive Cancer Center · USUniversidade de São Paulo · BR

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007309 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI COX, ANDREA L · 1985 to 2019
$43.2M
Predoctoral Training Program in Human GeneticsT32GM007814 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI VALLE, DAVID · 1985 to 2021
$10.6M
MOLECULAR GENETIC ANALYSIS OF COLORECTAL CANCERR37CA043460 · NCI · JOHNS HOPKINS UNIVERSITY · PI VOGELSTEIN, BERT · 1997 to 2016
$7.4M
Role of NKCC1 on Brain Tumor Stem Cell Migration After EGF and Slit-2 StimulationR01NS070024 · NINDS · JOHNS HOPKINS UNIVERSITY · PI QUINONES-HINOJOSA, ALFREDO · 2010 to 2014
$2.4M
THE P53 GENE IN HUMAN NEOPLASIAR01CA043460 · NCI · JOHNS HOPKINS UNIVERSITY · PI VOGELSTEIN, BERT · 1986 to 1995
–
Howard Hughes Medical InstituteNCI NIH HHS CA43460NCI NIH HHS R37 CA043460NIGMS NIH HHS T32 GM007309NIGMS NIH HHS T32 GM007814NINDS NIH HHS NS70024NINDS NIH HHS R01 NS070024
6 · The paper itself

Abstract

Cell-free DNA shed by cancer cells has been shown to be a rich source of putative tumor-specific biomarkers. Because cell-free DNA from brain and spinal cord tumors cannot usually be detected in the blood, we studied whether the cerebrospinal fluid (CSF) that bathes the CNS is enriched for tumor DNA, here termed CSF-tDNA. We analyzed 35 primary CNS malignancies and found at least one mutation in each tumor using targeted or genome-wide sequencing. Using these patient-specific mutations as biomarkers, we identified detectable levels of CSF-tDNA in 74% [95% confidence interval (95% CI) = 57-88%] of cases. All medulloblastomas, ependymomas, and high-grade gliomas that abutted a CSF space were detectable (100% of 21 cases; 95% CI = 88-100%), whereas no CSF-tDNA was detected in patients whose tumors were not directly adjacent to a CSF reservoir (P < 0.0001, Fisher's exact test). These results suggest that CSF-tDNA could be useful for the management of patients with primary tumors of the brain or spinal cord.

Indexed as

AdolescentAdultAgedAged, 80 and overBrain NeoplasmsChildChild, PreschoolDemographyDNA Mutational AnalysisDNA, NeoplasmExonsFemaleGenome, HumanHumansMagnetic Resonance ImagingMaleDNA, NeoplasmbiomarkerCNS tumorsCSF-tDNA

Identifiers

PMID26195750
PMCPMC4534284
OpenAlexW1857083380

What OpenQuestion holds

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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.