Evidence map›Paper›PMID 26810070›Full record

ArticleActa neuropathologica2016

Genetic alterations in uncommon low-grade neuroepithelial tumors: BRAF, FGFR1, and MYB mutations occur at high frequency and align with morphology.

Ibrahim Qaddoumi, Wilda Orisme, Ji Wen, Teresa Santiago, Kirti Gupta, James D Dalton, Bo Tang, Kelly Haupfear, Chandanamali Punchihewa, John Easton and 30 more

Open access · greenAbstract read
In one paragraph

Article in Acta neuropathologica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 217 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
217citing papers in PubMed, 5 pooled it
28.0field-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

217 citing papers in PubMed, 5 syntheses or guidelines pooled it, 394 citations in OpenAlex.

  1. Pooled it
  2. Molecular features in gangliogliomas: a systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Pooled it
  3. Pooled it
  4. Molecular Biomarker Testing for the Diagnosis of Diffuse Gliomas.Archives of pathology & laboratory medicine · 2022
    Guideline
  5. Guideline
  6. Trial
  7. Trial
  8. Pediatric low-grade glial, glioneuronal and neuronal tumors: a retrospective study of 85 cases.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  9. Review
  10. Article
  11. Ganglioglioma and gangliocytoma: a review for pathologists.Journal of pathology and translational medicine · 2026
    Article
  12. Review
  13. Review
  14. Article
  15. Long-term follow-up of dysembryoplastic neuroepithelial tumour (DNET) with recurrent bleeds: a case report and review of literature.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

157 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

40 authors at 9 institutions in 3 countries.

Ibrahim QaddoumiDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, USA.
Wilda OrismeDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, USA.
Ji WenDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, USA.
Teresa SantiagoDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, USA.
Kirti GuptaDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, USA.
James D DaltonDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, USA.
Bo TangDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, USA.
Kelly HaupfearDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, USA.
Chandanamali PunchihewaDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, USA.
John EastonDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, USA.
Heather MulderDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, USA.
Kristy BoggsDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, USA.
Ying ShaoDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, USA.
Michael RuschDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, USA.
Jared BecksfortDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, USA.
Pankaj GuptaDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, USA.
Shuoguo WangDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, USA.
Ryan P LeeDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, USA.
Daniel BratDepartment of Pathology, Emory University School of Medicine, Atlanta, USA.
V Peter CollinsDepartment of Pathology, University of Cambridge, Cambridge, UK.
Sonika DahiyaDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, USA.
David GeorgeDepartment of Pathology, Foothills Medical Center, Las Cruces, USA.
William KonomosDepartment of Pathology, Innovative Pathology Services Knoxville, Knoxville, USA.
Kathreena M KurianDepartment of Pathology, Frenchay Hospital, Bristol, UK.
Kathryn McFaddenDepartment of Pathology, University of Pittsburgh, Pittsburgh, USA.
Luciano Neder SerafiniDepartment of Pathology, University of São Paulo, Ribeirão Preto School of Medicine, São Paulo, Brazil.
Hilary NickolsDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University, Nashville, USA.
Arie PerryDepartment of Pathology, University of California, San Francisco, San Francisco, USA.
Sheila ShurtleffDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, USA.
Amar GajjarDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, USA.
Fredrick A BoopDepartment of Surgery, St. Jude Children's Research Hospital, Memphis, USA.
Paul D KlimoDepartment of Surgery, St. Jude Children's Research Hospital, Memphis, USA.
Elaine R MardisDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, USA.
Richard K WilsonDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, USA.
Suzanne J BakerDepartment of Developmental Neurobiology, St. Jude Children's Research Hospital, Memphis, USA.
Jinghui ZhangDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, USA.
Gang WuDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, USA.
James R DowningDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, USA.
Ruth G TatevossianDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, USA.
David W EllisonDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, USA. david.ellison@stjude.org.
St. Jude Children's Research Hospital · USWashington University in St. Louis · USEmory University · USFrenchay Hospital · GBUniversidade de São Paulo · BRUniversity of California, San Francisco · USUniversity of Cambridge · GBUniversity of Pittsburgh · USVanderbilt University · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
The DNA Damage Response and Tumorigenesis in the BrainP01CA096832 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI BAKER, SUZANNE J. · 2003 to 2025
$38.0M
NCI NIH HHS P01 CA096832NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

Low-grade neuroepithelial tumors (LGNTs) are diverse CNS tumors presenting in children and young adults, often with a history of epilepsy. While the genetic profiles of common LGNTs, such as the pilocytic astrocytoma and 'adult-type' diffuse gliomas, are largely established, those of uncommon LGNTs remain to be defined. In this study, we have used massively parallel sequencing and various targeted molecular genetic approaches to study alterations in 91 LGNTs, mostly from children but including young adult patients. These tumors comprise dysembryoplastic neuroepithelial tumors (DNETs; n = 22), diffuse oligodendroglial tumors (d-OTs; n = 20), diffuse astrocytomas (DAs; n = 17), angiocentric gliomas (n = 15), and gangliogliomas (n = 17). Most LGNTs (84 %) analyzed by whole-genome sequencing (WGS) were characterized by a single driver genetic alteration. Alterations of FGFR1 occurred frequently in LGNTs composed of oligodendrocyte-like cells, being present in 82 % of DNETs and 40 % of d-OTs. In contrast, a MYB-QKI fusion characterized almost all angiocentric gliomas (87 %), and MYB fusion genes were the most common genetic alteration in DAs (41 %). A BRAF:p.V600E mutation was present in 35 % of gangliogliomas and 18 % of DAs. Pathogenic alterations in FGFR1/2/3, BRAF, or MYB/MYBL1 occurred in 78 % of the series. Adult-type d-OTs with an IDH1/2 mutation occurred in four adolescents, the youngest aged 15 years at biopsy. Despite a detailed analysis, novel genetic alterations were limited to two fusion genes, EWSR1-PATZ1 and SLMAP-NTRK2, both in gangliogliomas. Alterations in BRAF, FGFR1, or MYB account for most pathogenic alterations in LGNTs, including pilocytic astrocytomas, and alignment of these genetic alterations and cytologic features across LGNTs has diagnostic implications. Additionally, therapeutic options based upon targeting the effects of these alterations are already in clinical trials.

Indexed as

Genes, mybGenetic Predisposition to DiseaseAdolescentAdultAstrocytomaBrain NeoplasmsChildChild, PreschoolDNA-Binding ProteinsFemaleGangliogliomaGliomaHumansInfantMaleMutationBRAF protein, humanDNA-Binding ProteinsFGFR1 protein, humanMYBBP1A protein, humanMYBL1 protein, humanNuclear ProteinsNucleocytoplasmic Transport ProteinsProto-Oncogene ProteinsProto-Oncogene Proteins B-rafReceptor, Fibroblast Growth Factor, Type 1RNA-Binding ProteinsTrans-ActivatorsTranscription FactorsBRAFFGFR1GliomaGlioneuronalMYBRNA-seq

Identifiers

PMID26810070
PMCPMC4866893
OpenAlexW2263522623

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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.