Evidence map›Paper›PMID 26210286›Full record

ArticleOncotarget2015

IDH mutation, 1p19q codeletion and ATRX loss in WHO grade II gliomas.

Heather E Leeper, Alissa A Caron, Paul A Decker, Robert B Jenkins, Daniel H Lachance, Caterina Giannini

Abstract read
In one paragraph

Article in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 3 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

84 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

24 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

6 authors.

Heather E LeeperNeuro-Oncology, Advocate Medical Group, Park Ridge, IL 60068, USA.
Alissa A CaronExperimental Pathology, Mayo Clinic SW, Rochester, MN 55905, USA.
Paul A DeckerBiomedical Statistics and Informatics, Mayo Clinic SW, Rochester, MN 55905, USA.
Robert B JenkinsAnatomic Pathology, Mayo Clinic SW, Rochester, MN 55905, USA.
Daniel H LachanceNeurology, Mayo Clinic SW, Rochester, MN 55905, USA.
Caterina GianniniAnatomic Pathology, Mayo Clinic SW, Rochester, MN 55905, USA.

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
Targeted MV-CEA as a Potent Antitumor Agent against GBMP50CA108961 · NCI · MAYO CLINIC ROCHESTER · PI O'NEILL, BRIAN PATRICK · 2004 to 2015
$22.5M
NCATS NIH HHS UL1 TR000135NCI NIH HHS P30 CA015083NCI NIH HHS P50 CA108961NCI NIH HHS P50CA108961
6 · The paper itself

Abstract

backgroundEpigenetic, genetic, and molecular studies have identified several diagnostic and prognostic markers in diffuse gliomas. Their importance for evaluating WHO grade II gliomas has yet to be specifically delineated.

methodsWe analyzed markers, including IDH mutation(IDHmut), 1p19q codeletion(1p19qcodel), ATRX expression loss(ATRX loss) and p53 overexpression, and outcomes in 159 patients with WHO grade II oligodendroglioma, oligoastrocytoma, and astrocytoma (2003-2012).

resultsIDHmut was found in 141(91%) and ATRX loss in 64(87%) of IDHmut-noncodel tumors (p = 0.003). All codeleted tumors (n = 66) were IDHmut. Four subgroups were identified: IDHmut-codel, 66(43%); IDHmut-noncodel-ATRX loss, 60(39%); IDHmut-noncodel-ATRXwt, 9(6%); IDHwt, 14(9%). Median survival among 4 groups was significantly different (p = 0.038), particularly in IDHmut-codel (median survival 15.6 years) compared to the remaining 3 groups (p = 0.025). Survival by histology was not significant. Overall (OS), but not progression-free (PFS), survival was significantly longer with gross total resection vs. biopsy only (p = 0.042). Outcomes for patients with subtotal resection were not significantly different from those with biopsy only. Among these uniformly treated patients, OS far exceeds PFS, particularly in those with 1p/19q codeletion.

conclusionsFor WHO grade II diffuse glioma, molecular classification using 1p/19qcodel, IDHmut, and ATRX loss more accurately predicts outcome and should be incorporated in the neuropathologic evaluation.

Indexed as

Chromosome DeletionChromosomes, Human, Pair 1MutationAdolescentAdultAgedAged, 80 and overBiomarkers, TumorBiopsyBrain NeoplasmsDisease-Free SurvivalDisease ProgressionDNA HelicasesDNA Mutational AnalysisFemaleGenetic Predisposition to DiseaseATRX protein, humanBiomarkers, TumorDNA HelicasesIsocitrate DehydrogenaseNuclear ProteinsTP53 protein, humanTumor Suppressor Protein p53X-linked Nuclear Protein1p19q codeletionATRXdiffuse gliomasIDH mutationWHO grade II

Identifiers

PMID26210286
PMCPMC4745799

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.