Evidence map›Paper›PMID 28851427›Full record

ArticleActa neuropathologica communications2017

The frequency and prognostic effect of TERT promoter mutation in diffuse gliomas.

Yujin Lee, Jaemoon Koh, Seong-Ik Kim, Jae Kyung Won, Chul-Kee Park, Seung Hong Choi, Sung-Hye Park

Open access · goldAbstract read
In one paragraph

Article in Acta neuropathologica communications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
6.0field-weighted citation impact, top 3% 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

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 104 citations in OpenAlex.

  1. Molecular Biomarker Testing for the Diagnosis of Diffuse Gliomas.Archives of pathology & laboratory medicine · 2022
    Guideline
  2. Pooled it
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  11. International journal of molecular sciences · 2025
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  16. Practical immunomodulatory landscape of glioblastoma multiforme (GBM) therapy.Journal of the Egyptian National Cancer Institute · 2024
    Review
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  18. Prognostic Impact ofCancers · 2024
    Article
  19. Article
  20. Article

5 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

7 authors at 2 institutions in 2 countries.

Yujin LeeDepartment of Pathology, Seoul National University Hospital, 103 Daehak-ro, Jongno-gu, Seoul, 110-799, Republic of Korea.
Jaemoon KohDepartment of Pathology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Seong-Ik KimDepartment of Pathology, Seoul National University Hospital, 103 Daehak-ro, Jongno-gu, Seoul, 110-799, Republic of Korea.
Jae Kyung WonDepartment of Pathology, Seoul National University Hospital, 103 Daehak-ro, Jongno-gu, Seoul, 110-799, Republic of Korea.
Chul-Kee ParkDepartment of Neurosurgery, Seoul National University, College of Medicine, Seoul, Republic of Korea.
Seung Hong ChoiDepartment of Radiology, Seoul National University, College of Medicine, Seoul, Republic of Korea.
Sung-Hye ParkDepartment of Pathology, Seoul National University Hospital, 103 Daehak-ro, Jongno-gu, Seoul, 110-799, Republic of Korea. shparknp@snu.ac.kr.ORCID 0000-0002-8681-1597
Seoul National University · KRSeoul National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations in the telomerase reverse transcriptase gene promoter (TERTp) are common in glioblastomas (GBMs) and oligodendrogliomas (ODGs), and therefore, have a key role in tumorigenesis and may be of prognostic value. However, the extent of their prognostic importance in various gliomas is controversial. We studied 168 patients separated into five groups: Group 1: 65 patients with ODG carrying an IDH1 or IDH2 mutation (IDH-mutant) and 1p/19q-codeletion, Group 2: 23 patients with anaplastic astrocytoma (AA), IDH-mutant, Group 3: 13 patients with GBM, IDH-mutant, Group 4: 15 patients with AA, IDH-wildtype (WT), and Group 5: 52 patients with GBM, IDH-WT. TERTp mutations were found in 96.9%, 4.4%, 76.9%, 20.0%, and 84.6% of patients in Groups 1, 2, 3, 4, and 5, respectively. The R132H mutation in IDH1 was found in 60.5% (23/38) of patients in the AA cohort (Groups 2 and 4) and 20.0% (13/65) of patients from our GBM cohort (Groups 3 and 5), whereas all patients with ODG (Group 1) had a mutation either in IDH1 (n = 62) or IDH2 (n = 3). Using Kaplan Meier survival analysis, we found that the TERTp mutation was correlated with poor overall survival (OS) in Groups 2 and 4 combined (P = 0.001) and in Group 4 (P = 0.113), and in multivariate analysis, the TERTp mutant group was associated with significantly poor survival in Group 5 (P = 0.045). However, IDH mutation, MGMT methylation, and younger patient age (<55 years old) were significantly correlated with favorable OS (all P < 0.05) in our cohort of astrocytic and ODGs. In patients with ODG (Group 1), mutant IDH and TERTp did not have prognostic value because these mutations were universally present. Based on the revised 2016 WHO classification of gliomas, we found that TERTp mutation was frequently present in patients with GBM or ODG and because it was strongly correlated with poor survival outcome in patients with IDH-WT GBM in multivariate analysis, it may be of prognostic value in this subgroup of patients with gliomas.

Indexed as

Genetic Predisposition to DiseaseMutationPromoter Regions, GeneticAdultAgedAge FactorsBrainBrain NeoplasmsCohort StudiesDNA Modification MethylasesDNA Repair EnzymesFemaleGliomaHumansIsocitrate DehydrogenaseMaleDNA Modification MethylasesDNA Repair EnzymesIDH1 protein, humanIDH2 protein, humanIsocitrate DehydrogenaseMGMT protein, humanTelomeraseTERT protein, humanTumor Suppressor ProteinsAlpha-thalassemia/mental retardation syndrome X-linked (ATRX)Anaplastic astrocytomaGlioblastomaIsocitrate dehydrogenase (IDH)OligodendrogliomaTelomerase reverse transcriptase

Identifiers

PMID28851427
PMCPMC5574236
OpenAlexW2751210549

What OpenQuestion holds

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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.