Evidence map›Paper›PMID 29404978›Full record

ArticleJournal of neuro-oncology2018

High expression of cystine-glutamate antiporter xCT (SLC7A11) is an independent biomarker for epileptic seizures at diagnosis in glioma.

Mai Froberg Sørensen, Sólborg Berglind Heimisdóttir, Mia Dahl Sørensen, Casper Schau Mellegaard, Helle Wohlleben, Bjarne Winther Kristensen, Christoph Patrick Beier

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Article in Journal of neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 10% 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Mai Froberg SørensenDepartment of Neurology, Odense University Hospital, Sdr. Boulevard 29, 5000, Odense C, Denmark.
Sólborg Berglind HeimisdóttirDepartment of Neurology, Odense University Hospital, Sdr. Boulevard 29, 5000, Odense C, Denmark.
Mia Dahl SørensenDepartment of Pathology, Odense University Hospital, Odense, Denmark.
Casper Schau MellegaardDepartment of Pathology, Odense University Hospital, Odense, Denmark.
Helle WohllebenDepartment of Pathology, Odense University Hospital, Odense, Denmark.
Bjarne Winther KristensenDepartment of Pathology, Odense University Hospital, Odense, Denmark.
Christoph Patrick BeierDepartment of Neurology, Odense University Hospital, Sdr. Boulevard 29, 5000, Odense C, Denmark. cbeier@health.sdu.dk.ORCID http://orcid.org/0000-0001-8268-1492
University of Southern Denmark · DKOdense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epileptic seizures are an important cause of morbidity in glioma patients. Substantial lines of evidence support the concept of the excitatory neurotransmitter glutamate being a crucial mediator of glioma-associated seizures. In gliomas, non-vesicular secretion of glutamate via the cystine-glutamate exchanger (SLC7A11, xCT) constitutes the main mechanism contributing to high extracellular glutamate concentrations. However, a convincing "proof-of-relevance" of this mechanism in patient material is lacking. A cohort of 229 consecutive patients with newly diagnosed glioma was analyzed with respect to presence, time course, and severity of epileptic seizures. 14 patients were excluded due to previous epileptic seizures, insufficient clinical data or insufficient tumor material. The maximal immunohistochemical expression of xCT was determined in 1-3 independent samples from central tumor areas of each tumor using tissue microarrays. In addition to histological grading of the tumors, isocitrate dehydrogenase 1 (IDH1) R132H mutational status was determined by immunohistochemistry. 215 consecutive glioma patients were included in the study (7.4% grade II, 7.0% grade III, 85.6% grade IV). High xCT expression was significantly associated with seizures at onset (p = 0.05) but not with development of seizures or with refractory seizures. Low-grade gliomas (WHO II/III) had lower xCT expression than glioblastoma (p = 0.001), and tumors without IDH1 R132H mutation tended to have higher xCT levels (p = 0.07). In a multivariate analysis, high xCT expression and WHO tumor grade but not IDH1 R132H mutation, were significantly associated with epileptic seizures at diagnosis (odds ratio 2.2, p = 0.02). Further, xCT expression did not correlate with survival (p = 0.27, log-rank test). Thus, high xCT expression is an independent marker for glioma-associated seizures at diagnosis especially in high-grade glioma, but is not associated with worse survival in our cohort.

Indexed as

AgedAmino Acid Transport System y+Brain NeoplasmsCohort StudiesFemaleGene Expression Regulation, NeoplasticGliomaHumansIsocitrate DehydrogenaseMaleMiddle AgedMultivariate AnalysisMutationSeizuresSurvival AnalysisTissue Array AnalysisAmino Acid Transport System y+IDH1 protein, humanIsocitrate DehydrogenaseSLC7A11 protein, humanEpilepsyGliomaIDHSeizureSLC7A11xCT

Identifiers

PMID29404978
OpenAlexW2786271336

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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.