Evidence map›Paper›PMID 26780338›Full record

ArticleJournal of neuro-oncology2016

IDH mutation is associated with higher risk of malignant transformation in low-grade glioma.

Severina Leu, Stefanie von Felten, Stephan Frank, Jean-Louis Boulay, Luigi Mariani

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In one paragraph

Article in Journal of neuro-oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Severina LeuNeurosurgery Clinic, University Hospital Basel, Basel, Switzerland.
Stefanie von FeltenClinical Trial Unit, University Hospital Basel, Basel, Switzerland.
Stephan FrankDivision of Neuropathology, Institute of Pathology, University Hospital Basel, Basel, Switzerland.
Jean-Louis BoulayLaboratory of Brain Tumor Biology, Department of Biomedicine, University Hospital Basel, Room 7009, PharmaCenter, Klingelbergstrasse 50-70, 4056, Basel, Switzerland. jean-louis.boulay@unibas.ch.
Luigi MarianiLaboratory of Brain Tumor Biology, Department of Biomedicine, University Hospital Basel, Room 7009, PharmaCenter, Klingelbergstrasse 50-70, 4056, Basel, Switzerland.
University Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acquisition of IDH1 or IDH2 mutation (IDHmut) is among the earliest genetic events that take place in the development of most low-grade glioma (LGG). IDHmut has been associated with longer overall patient survival. However, its impact on malignant transformation (MT) remains to be defined. A collection of 210 archived adult LGG previously stratified by IDHmut, MGMT methylation (MGMTmet), 1p/19q combined loss of heterozygosity (1p19qloh) and TP53 immunopositivity (TP53pos) status was analyzed. We used multistate models to assess MT-free survival, considering one initial, one transient (MT), and one absorbing state (death). Missing explanatory variables were multiply imputed. Overall, although associated with a lower risk of death (HR(DEATH) = 0.35, P = 0.0023), IDHmut had a non-significantly higher risk of MT (HR(MT) = 1.84; P = 0.1683) compared to IDH wild type (IDHwt). The double combination of IDHmut and MGMTmet and the triple combination of IDHmut, MGMTmet and 1p/19qloh, despite significantly lower hazards for death (HR(DEATH) versus IDHwt: 0.35, P = 0.0194 and 0.15, P = 0.0008, respectively), had non-significantly different hazards for MT. Conversely, the triple combination of IDHmut/MGMTmet/TP53pos, with a non-significantly different hazard for death, had a significantly higher hazard for MT than IDHwt (HR(MT) versus IDHwt: 2.83; P = 0.0452). Although IDHmut status is associated with longer overall patient survival, all IDHmut/MGMTmet subsets consistently showed higher risks of MT than of death, compared to IDHwt LGG. This supports the findings that molecular events relevant to IDH mutations impact early glioma development prior to malignant transformation.

Indexed as

AdultBrain NeoplasmsCell Transformation, NeoplasticDNA MethylationDNA Modification MethylasesDNA Repair EnzymesFemaleFollow-Up StudiesGliomaHumansIsocitrate DehydrogenaseMaleMutationNeoplasm StagingPrognosisSurvival RateDNA Modification MethylasesDNA Repair EnzymesIDH1 protein, humanIDH2 protein, humanIsocitrate DehydrogenaseMGMT protein, humanTumor Suppressor ProteinsBiomarkerBrain tumorGliomagenesisMGMTSurvival

Identifiers

PMID26780338
OpenAlexW2289712349

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.