Evidence map›Paper›PMID 27613640›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2016

Spontaneous involution of pediatric low-grade gliomas: high expression of cannabinoid receptor 1 (CNR1) at the time of diagnosis may indicate involvement of the endocannabinoid system.

Simone Treiger Sredni, Chiang-Ching Huang, Mario Suzuki, Tatiana Pundy, Pauline Chou, Tadanori Tomita

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

20 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Review
  3. The evolution of pediatric neurosurgery: reflection of personal experience of the last half-century.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
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  8. Article
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  11. Medical Cannabis in Pediatric Oncology: Friend or Foe?Pharmaceuticals (Basel, Switzerland) · 2022
    Review
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  16. The Epigenetics of the Endocannabinoid System.International journal of molecular sciences · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Simone Treiger SredniAnn and Robert H. Lurie Children's Hospital of Chicago, Division of Pediatric Neurosurgery, Hospital of Chicago, 225 E Chicago Ave., Chicago, IL, 60611, USA. ssredni@luriechildrens.org.
Chiang-Ching HuangJoseph J. Zilber School of Public Health, University of Wisconsin, 1240 N 10th St, Milwaukee, WI, 53205, USA.
Mario SuzukiAnn and Robert H. Lurie Children's Hospital of Chicago, Division of Pediatric Neurosurgery, Hospital of Chicago, 225 E Chicago Ave., Chicago, IL, 60611, USA.
Tatiana PundyAnn and Robert H. Lurie Children's Hospital of Chicago, Division of Pediatric Neurosurgery, Hospital of Chicago, 225 E Chicago Ave., Chicago, IL, 60611, USA.
Pauline ChouAnn and Robert H. Lurie Children's Hospital of Chicago, Department of Pathology and Laboratory Medicine, Hospital of Chicago, 225 E Chicago Ave., Chicago, IL, 60611, USA.
Tadanori TomitaAnn and Robert H. Lurie Children's Hospital of Chicago, Division of Pediatric Neurosurgery, Hospital of Chicago, 225 E Chicago Ave., Chicago, IL, 60611, USA.
Lurie Children's Hospital · USNorthwestern University · USJuntendo University · JPUniversity of Wisconsin–Milwaukee · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric low-grade gliomas (P-LGG) consist of a mixed group of brain tumors that correspond to the majority of CNS tumors in children. Notably, they may exhibit spontaneous involution after subtotal surgical removal (STR). In this study, we investigated molecular indicators of spontaneous involution in P-LGG.

methodsWe performed an integrated molecular analysis including high throughput gene expression (GE), microRNA (miRNA) expression data of primary, untreated tumors from patients with P-LGG who underwent STR at our institution, with at least 10 years follow-up.

resultsWe identified a set of protein-coding genes and miRNAs significantly differentially expressed in P-LGG that presented spontaneous involution (involution-I) or without progression (stable-S) after STR alone. The cannabinoid receptor 1 (CNR1 or CB1) gene (FC = 2.374; p value = 0.007) was at the top of the list and predicted to be regulated by hsa-miR-29b-3p (FC = -2.353, p value = 0.0001). CNR1 also showed a trend to be higher expressed in S/I by immunohistochemistry.

conclusionsThe P-LGG, which remained stable or that presented spontaneous involution after STR, showed significantly higher CNR1 expression at the time of diagnosis. We hypothesize that high expression levels of CNR1 provide tumor susceptibility to the antitumor effects of circulating endocannabinoids like anandamide, resulting in tumor involution. This corroborates with reports suggesting that CNR1 agonists and activators of the endocannabinoid system may represent therapeutic opportunities for children with LGG. We also suggest that CNR1 may be a prognostic marker for P-LGG. This is the first time spontaneous involution of P-LGG has been suggested to be induced by endocannabinoids.

Indexed as

AdolescentBiomarkers, TumorBrain NeoplasmsChildChild, PreschoolEndocannabinoidsFemaleGliomaHigh-Throughput Nucleotide SequencingHumansInfantMaleNeoplasm GradingReceptor, Cannabinoid, CB1Remission InductionBiomarkers, TumorCNR1 protein, humanEndocannabinoidsReceptor, Cannabinoid, CB1AnandamideBrain neoplasmCB1ChildrenmiR-29bPrognosis

Identifiers

PMID27613640
OpenAlexW2513937336

What OpenQuestion holds

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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.