Evidence map›Paper›PMID 29869738›Full record

ArticleJournal of neuro-oncology2018

Rethinking medulloblastoma from a targeted therapeutics perspective.

Yuuri Hashimoto, Marta Penas-Prado, Shouhao Zhou, Jun Wei, Soumen Khatua, Tiffany R Hodges, Nader Sanai, Joanne Xiu, Zoran Gatalica, Lyndon Kim and 4 more

Open access · hybridAbstract read
In one paragraph

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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

18 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Medulloblastoma: biology and immunotherapy.Frontiers in immunology · 2025
    Review
  5. Article
  6. Review
  7. Evolution of neurosurgical advances and nuances in medulloblastoma therapy.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Review
  8. Review
  9. Pediatric medulloblastoma express immune checkpoint B7-H3.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Precision Revisited: Targeting Microcephaly Kinases in Brain Tumors.International journal of molecular sciences · 2019
    Review
  17. Medulloblastoma: optimizing care with a multidisciplinary approach.Journal of multidisciplinary healthcare · 2019
    Review
  18. Dual targeting ofNeuro-oncology advances
    Article
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

14 authors at 5 institutions in 1 country.

Yuuri HashimotoDepartment of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Marta Penas-PradoDepartment of Neuro-Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Shouhao ZhouDepartment of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Jun WeiDepartment of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Soumen KhatuaDepartment of Pediatrics, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Tiffany R HodgesDepartment of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Nader SanaiDivision of Neurosurgical Oncology, Barrow Neurological Institute, Phoenix, AZ, USA.
Joanne XiuCaris Life Sciences, Phoenix, AZ, USA.
Zoran GatalicaCaris Life Sciences, Phoenix, AZ, USA.
Lyndon KimDepartment of Neurological Surgery and Medical Oncology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Santosh KesariDepartment of Translational Neurosciences and Neurotherapeutics, Pacific Neuroscience Institute and John Wayne Cancer Institute at Providence Saint John's Health Center, Santa Monica, CA, USA.
Ganesh RaoDepartment of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
David SpetzlerCaris Life Sciences, Phoenix, AZ, USA.
Amy HeimbergerDepartment of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA. aheimber@mdanderson.org.ORCID http://orcid.org/0000-0002-9970-8695
The University of Texas MD Anderson Cancer Center · USCaris Life Sciences (United States) · USBarrow Neurological Institute · USSaint John's Health Center · USThomas Jefferson University Hospital · US

Funding

National Institutes of Health CA1208113National Institutes of Health P30CA16672University of Texas MD Anderson Cancer Center Provost Funds - Ethan Dmitrovsky
6 · The paper itself

Abstract

introductionMedulloblastoma is an aggressive but potentially curable central nervous system tumor that remains a treatment challenge. Analysis of therapeutic targets can provide opportunities for the selection of agents.

methodsUsing multiplatform analysis, 36 medulloblastomas were extensively profiled from 2009 to 2015. Immunohistochemistry, next generation sequencing, chromogenic in situ hybridization, and fluorescence in situ hybridization were used to identify overexpressed proteins, immune checkpoint expression, mutations, tumor mutational load, and gene amplifications.

resultsHigh expression of MRP1 (89%, 8/9 tumors), TUBB3 (86%, 18/21 tumors), PTEN (85%, 28/33 tumors), TOP2A (84%, 26/31 tumors), thymidylate synthase (TS; 80%, 24/30 tumors), RRM1 (71%, 15/21 tumors), and TOP1 (63%, 19/30 tumors) were found in medulloblastoma. TOP1 was found to be enriched in metastatic tumors (90%; 9/10) relative to posterior fossa cases (50%; 10/20) (p = 0.0485, Fisher exact test), and there was a positive correlation between TOP2A and TOP1 expression (p = 0.0472). PD-1 + T cell tumor infiltration was rare, PD-L1 tumor expression was uncommon, and TML was low, indicating that immune checkpoint inhibitors as a monotherapy should not necessarily be prioritized for therapeutic consideration based on biomarker expression. Gene amplifications such as those of Her2 or EGFR were not found. Several unique mutations were identified, but their rarity indicates large-scale screening efforts would be necessary to identify sufficient patients for clinical trial inclusion.

conclusionsTherapeutics are available for several of the frequently expressed targets, providing a justification for their consideration in the setting of medulloblastoma.

Indexed as

AdolescentAdultBiomarkers, TumorCerebellar NeoplasmsChildChild, PreschoolFemaleHumansInfratentorial NeoplasmsMaleMedulloblastomaMiddle AgedPrecision MedicineYoung AdultBiomarkers, TumorMedulloblastomaMolecular profilingTargeted therapy

Identifiers

PMID29869738
PMCPMC6132970
OpenAlexW2806876117

What OpenQuestion holds

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LicenceCC BY
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.