Evidence map›Paper›PMID 26817999›Full record

ArticleDiagnostic pathology2016

Case Report: Next generation sequencing identifies a NAB2-STAT6 fusion in Glioblastoma.

Phedias Diamandis, Ruben Ferrer-Luna, Raymond Y Huang, Rebecca D Folkerth, Azra H Ligon, Patrick Y Wen, Rameen Beroukhim, Keith L Ligon, Shakti H Ramkissoon

Open access · goldAbstract readCase Reports
In one paragraph

Article in Diagnostic pathology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Molecular Testing of Brain Tumor.Journal of pathology and translational medicine · 2017
    Review
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

9 authors at 5 institutions in 2 countries.

Phedias DiamandisNeuropathology Program, Department of Laboratory Medicine and Pathobiology, University of Toronto, 27 King's College Circle, Toronto, ON, M5S, Canada. p.diamandis@mail.utoronto.ca.
Ruben Ferrer-LunaCancer Program, Broad Institute of MIT and Harvard, 415 Main St, Cambridge, MA, 02142, USA. rferrer@broadinstitute.org.
Raymond Y HuangDepartment of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. ryhuang@partners.org.
Rebecca D FolkerthDepartment of Pathology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. rfolkerth@partners.org.
Azra H LigonDepartment of Pathology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. aligon@partners.org.
Patrick Y WenDepartment of Medical Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02115, USA. Patrick_Wen@dfci.harvard.edu.
Rameen BeroukhimCancer Program, Broad Institute of MIT and Harvard, 415 Main St, Cambridge, MA, 02142, USA. Rameen_Beroukhim@dfci.harvard.edu.
Keith L LigonDepartment of Pathology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. Keith_Ligon@dfci.harvard.edu.
Shakti H RamkissoonDepartment of Pathology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. sramkissoon@partners.org.
Brigham and Women's Hospital · USBroad Institute · USDana-Farber Cancer Institute · USHarvard University · USUniversity of Toronto · CA

Funding

ALK signaling in CNS development, ischemic brain injury and gliomagenesisK08NS087118 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI RAMKISSOON, SHAKTI H · 2014 to 2015
$387k
NINDS NIH HHS K08 NS087118
6 · The paper itself

Abstract

backgroundMolecular profiling has uncovered genetic subtypes of glioblastoma (GBM), including tumors with IDH1 mutations that confer increase survival and improved response to standard-of-care therapies.  By mapping the genetic landscape of brain tumors in routine clinical practice, we enable rapid identification of targetable genetic alterations. CASE PRESENTATION: A 29-year-old male presented with new onset seizures prompting neuroimaging studies, which revealed an enhancing 5 cm intra-axial lesion involving the right parietal lobe. He underwent a subtotal resection and pathologic examination revealed glioblastoma with mitoses, microvascular proliferation and necrosis. Immunohistochemical (IHC) analysis showed diffuse expression of GFAP, OLIG2 and SOX2 consistent with a tumor of glial lineage. Tumor cells were positive for IDH1(R132H) and negative for ATRX. Clinical targeted-exome sequencing (DFBWCC Oncopanel) identified multiple functional variants including IDH1 (p.R132H), TP53 (p.Y126_splice), ATRX (p.R1302fs*), HNF1A (p.R263H) and NF1 (p.H2592del) variants and a NAB2-STAT6 gene fusion event involving NAB2 exon 3 and STAT6 exon 18. Array comparative genomic hybridization (aCGH) further revealed a focal amplification of NAB2 and STAT6.  IHC analysis demonstrated strong heterogenous STAT6 nuclear localization (in 20 % of tumor cells).

conclusionsWhile NAB2:STAT6 fusions are common in solitary fibrous tumors (SFT), we report this event for the first time in a newly diagnosed, secondary-type GBM or any other non-SFT. Our study further highlights the value of comprehensive genomic analyses in identifying patient-specific targetable mutations and rearrangements.

Indexed as

Gene FusionHigh-Throughput Nucleotide SequencingParietal LobeAdultBiomarkers, TumorBrain NeoplasmsComparative Genomic HybridizationGenetic Predisposition to DiseaseGlioblastomaHumansImmunohistochemistryMagnetic Resonance ImagingMalePhenotypePredictive Value of TestsRepressor ProteinsBiomarkers, TumorNAB2 protein, humanRepressor ProteinsSTAT6 protein, humanSTAT6 Transcription Factor

Identifiers

PMID26817999
PMCPMC4729030
OpenAlexW2270933071

What OpenQuestion holds

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LicenceCC BY
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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.