Evidence map›Paper›PMID 29016808›Full record

ArticleNeuro-oncology2018

Molecular differences in IDH wildtype glioblastoma according to MGMT promoter methylation.

Tobias Kessler, Felix Sahm, Ahmed Sadik, Damian Stichel, Anne Hertenstein, Guido Reifenberger, Angela Zacher, Michael Sabel, Ghazaleh Tabatabai, Joachim Steinbach and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
5.1field-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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  3. Prognostic Markers of DNA Methylation and Next-Generation Sequencing in Progressive Glioblastoma from the EORTC-26101 Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
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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

22 authors at 11 institutions in 2 countries.

Tobias KesslerClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Felix SahmClinical Cooperation Unit Neuropathology, DKTK, DKFZ, Heidelberg, Germany.
Ahmed SadikBrain Tumor Metabolism, DKFZ, Heidelberg, Germany.
Damian StichelClinical Cooperation Unit Neuropathology, DKTK, DKFZ, Heidelberg, Germany.
Anne HertensteinClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Guido ReifenbergerDepartment of Neuropathology, Heinrich Heine University Hospital, Düsseldorf, Germany.
Angela ZacherDepartment of Neuropathology, Heinrich Heine University Hospital, Düsseldorf, Germany.
Michael SabelDepartment of Neurosurgery, Heinrich Heine University Hospital, Düsseldorf, Germany.
Ghazaleh TabatabaiInterdisciplinary Division of Neuro-Oncology, Departments of Vascular Neurology & Neurosurgery, Hertie Institute for Clinical Brain Research, University Hospital Tübingen, Eberhard Karls University Tübingen, DKTK, DKFZ partner site Tübingen.
Joachim SteinbachDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, Frankfurt, Germany.
Ulrich SureDepartment of Neurosurgery, University of Duisburg-Essen, Essen, Germany.
Dietmar KrexDepartment of Neurosurgery, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.
Anca-L GrosuDepartment of Radiation Oncology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Germany, DKTK partner site Freiburg; and DKFZ Heidelberg, Germany.
Melanie Bewerunge-HudlerGenomics and Proteomics Core Facility, Microarray Unit, DKFZ, Heidelberg, Germany.
David JonesDivision of Pediatric Neurooncology, DKTK, DKFZ, Heidelberg, Germany.
Stefan M PfisterDivision of Pediatric Neurooncology, DKTK, DKFZ, Heidelberg, Germany.
Michael WellerDepartment of Neurology, University Hospital Zürich, Zürich, Switzerland.
Christiane OpitzDepartment of Neurology, Heidelberg University Hospital, Germany.
Martin BendszusDepartment of Neuroradiology, Heidelberg University Hospital, Germany.
Andreas von DeimlingClinical Cooperation Unit Neuropathology, DKTK, DKFZ, Heidelberg, Germany.
Michael PlattenDepartment of Neurology, Heidelberg University Hospital, Germany.
Wolfgang WickClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
University Hospital Heidelberg · DEDKFZ-ZMBH Alliance · DEHeidelberg University · DEDüsseldorf University Hospital · DEBernstein Center for Computational Neuroscience Tübingen · DEGerman Cancer Research Center · DEGoethe University Frankfurt · DEHeinrich Heine University Düsseldorf · DEUniversity Hospital Carl Gustav Carus · DEUniversity Hospital of Zurich · CHUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: O6-methylguanine-DNA-methyltransferase (MGMT) promoter methylation status is a predictive biomarker in glioblastoma. We investigated whether this marker furthermore defines a molecularly distinct tumor subtype with clinically different outcome. Methods: We analyzed copy number variation (CNV) and methylation profiles of 1095 primary and 92 progressive isocitrate dehydrogenase wildtype glioblastomas, including paired samples from 49 patients. DNA mutation data from 182 glioblastoma samples of The Cancer Genome Atlas (TCGA) and RNA expression from 107 TCGA and 55 Chinese Glioma Genome Atlas samples were analyzed. Results: Among untreated glioblastomas, MGMT promoter methylated (mMGMT) and unmethylated (uMGMT) tumors did not show different CNV or specific gene mutations, but a higher mutation count in mMGMT tumors. We identified 3 methylation clusters. Cluster 1 showed the highest average methylation and was enriched for mMGMT tumors. Seventeen genes including gastrulation brain homeobox 2 (GBX2) were found to be hypermethylated and downregulated on the mRNA level in mMGMT tumors. In progressive glioblastomas, platelet derived growth factor receptor alpha (PDGFRA) and GLI2 amplifications were enriched in mMGMT tumors. Methylated MGMT tumors gain PDGFRA amplification of PDGFRA, whereas uMGMT tumors with amplified PDGFRA frequently lose this amplification upon progression. Glioblastoma patients surviving <6 months and with mMGMT harbored less frequent epidermal growth factor receptor (EGFR) amplifications, more frequent TP53 mutations, and a higher tumor necrosis factor-nuclear factor-kappaB (TNF-NFκB) pathway activation compared with patients surviving >12 months. Conclusions: MGMT promoter methylation status does not define a molecularly distinct glioblastoma subpopulation among untreated tumors. Progressive mMGMT glioblastomas and mMGMT tumors of patients with short survival tend to have more unfavorable molecular profiles.

Indexed as

DNA MethylationMutationPromoter Regions, GeneticBiomarkers, TumorBrain NeoplasmsDNA Copy Number VariationsDNA Modification MethylasesDNA Repair EnzymesGene Expression ProfilingGlioblastomaHumansIsocitrate DehydrogenasePrognosisSurvival RateTumor Suppressor ProteinsBiomarkers, TumorDNA Modification MethylasesDNA Repair EnzymesIDH1 protein, humanIDH2 protein, humanIsocitrate DehydrogenaseMGMT protein, humanTumor Suppressor Proteins

Identifiers

PMID29016808
PMCPMC5817966
OpenAlexW2748810972

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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.