Evidence map›Paper›PMID 26834160›Full record

ArticleThe oncologist2016

Elevation of Urinary 2-Hydroxyglutarate in IDH-Mutant Glioma.

Amir T Fathi, Brian V Nahed, Seth A Wander, A John Iafrate, Darrell R Borger, Ranliang Hu, Ashraf Thabet, Daniel P Cahill, Ashley M Perry, Christelle P Joseph and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The oncologist, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
5.4field-weighted citation impact, top 4% 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, 43 citations in OpenAlex.

  1. Review
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  10. The impact of mitochondria on cancer treatment resistance.Cellular oncology (Dordrecht, Netherlands) · 2021
    Review
  11. Review
  12. Review
  13. Review
  14. 2-Hydroxyglutarate in Cancer Cells.Antioxidants & redox signaling · 2020
    Review
  15. In vivo 2-hydroxyglutarate-proton magnetic resonance spectroscopy (3 T, PRESS technique) in treatment-naïve suspect lower-grade gliomas: feasibility and accuracy in a clinical setting.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Article
  16. Review
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  18. In vivo Metabolic Profiles as Determined byClinical neuroradiology · 2019
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Amir T FathiDivision of Hematology/Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA afathi@partners.org.
Brian V NahedDepartment of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Seth A WanderDivision of Hematology/Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
A John IafrateTranslational Research Laboratory, Cancer Center, Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Darrell R BorgerTranslational Research Laboratory, Cancer Center, Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Ranliang HuDepartment of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Ashraf ThabetDepartment of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Daniel P CahillDepartment of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Ashley M PerryDivision of Hematology/Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Christelle P JosephDivision of Hematology/Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Alona MuzikanskyBiostatistics Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Andrew S ChiDivision of Neuro-Oncology, Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA Division of Hematology/Oncology, Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Massachusetts General Hospital · USHarvard University · USCenter for Cancer Research · US

Funding

Targeting the Vasular SystemP50CA165962 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI DAPHNE A. HAAS-KOGAN · 2013 to 2026
$33.5M
NCI NIH HHS P50 CA165962
6 · The paper itself

Abstract

backgroundRecurrent mutations in the isocitrate dehydrogenase 1 (IDH1) and IDH2 genes, which are frequent in gliomas, result in marked accumulation of the metabolic by-product 2-hydroxyglutarate (2-HG) within tumors. In other malignancies, such as acute myeloid leukemia, presence of IDH mutation is associated with elevated 2-HG levels in serum or urine compartments. Circulating 2-HG in patients with glial malignancies has not been thoroughly investigated.

methodsIn this study, we analyzed 2-HG levels in the serum and urine of a large set of patients with IDH-mutant and IDH-wild-type glioma, and the cerebrospinal fluid (CSF) from a subset of this cohort.

resultsWe found that 2-HG was elevated in the urine of patients with IDH-mutant versus IDH-wild-type glioma, although no significant differences in 2-HG levels were observed in the serum or the small set of CSF samples obtained. Among patients with IDH-mutant glioma, 2-HG levels did not differ based on the histopathologic grade, genetic subtype (TP53 mutant or 1p/19q codeleted), presence of a canonical (IDH1 R132H) or noncanonical (any other IDH variant) mutation, or treatment type.

conclusionOur finding suggests that urinary 2-HG is increased among patients with IDH-mutant gliomas, and may represent a future surrogate, noninvasive biomarker to aid in diagnosis, prognosis, and management. IMPLICATIONS FOR PRACTICE: Patients with glioma who harbor mutations in isocitrate dehydrogenase genes showed selective elevation of the oncometabolite 2-hydroxyglutarate in the urine. Similar elevations were not identified in the serum or cerebrospinal fluid. 2-Hydroxyglutarate may serve as a useful, noninvasive biomarker to stratify patients newly diagnosed with glioma with regard to prognosis and management.

Indexed as

AdultAgedBiomarkers, TumorFemaleGenotypeGliomaGlutaratesHumansIsocitrate DehydrogenaseMaleMiddle AgedMutationalpha-hydroxyglutarateBiomarkers, TumorGlutaratesIDH1 protein, humanIDH2 protein, humanIsocitrate Dehydrogenase2-HydroxyglutarateGliomaIsocitrate dehydrogenaseNovel biomarkersTargeted therapies

Identifiers

PMID26834160
PMCPMC4746092
OpenAlexW2256210708

What OpenQuestion holds

Textmetadata
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.