Evidence map›Paper›PMID 29947810›Full record

ArticleJournal of the National Cancer Institute2019

The Role of Fibrinogen-Like Protein 2 on Immunosuppression and Malignant Progression in Glioma.

Khatri Latha, Jun Yan, Yuhui Yang, Loyola V Gressot, Ling-Yuan Kong, Ganiraju Manyam, Ravesanker Ezhilarasan, Qianghu Wang, Erik P Sulman, R Eric Davis and 6 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04113278 (Role of Fibirnogen Like Protein 2 as Aprognostic Factor in High Grade Glioma), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
2.1field-weighted citation impact, top 13% 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.

NCT04113278 unknown statusnot on this map

Role of Fibirnogen Like Protein 2 as Aprognostic Factor in High Grade Glioma

TypeobservationalSponsorsohaila EssamRan2019 to 2021Enrolled1ConditionsBrain Tumor AdultArmsFGL2 immunohisyochemistry
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 60 citations in OpenAlex.

  1. Article
  2. Article
  3. Gene-Modulated Network Diffusion for Improved Modeling of Amyloid-bioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Article
  6. Fibrinogen superfamily proteins: Key regulators in hepatic disorders.World journal of experimental medicine · 2025
    Review
  7. Article
  8. FGL2Oncoimmunology · 2024
    Article
  9. CD8Nature communications · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
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

16 authors at 1 institution in 1 country.

Khatri LathaDepartments of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX.
Jun YanPediatric Research, The University of Texas MD Anderson Cancer Center, Houston, TX.
Yuhui YangDepartments of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX.
Loyola V GressotDepartments of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX.
Ling-Yuan KongDepartments of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX.
Ganiraju ManyamBioinformatics and Computational Biology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Ravesanker EzhilarasanRadiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Qianghu WangBioinformatics and Computational Biology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Erik P SulmanRadiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.
R Eric DavisLymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX.
Suyun HuangDepartments of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX.
Gregory N FullerPathology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Arvind RaoBioinformatics and Computational Biology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Amy B HeimbergerDepartments of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX.
Shulin LiPediatric Research, The University of Texas MD Anderson Cancer Center, Houston, TX.
Ganesh RaoDepartments of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX.
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Tropism Enhanced Oncolytic Adenovirus for the Treatment of Brain TumorsP50CA127001 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI FREDERICK F LANG · 2008 to 2026
$41.2M
Synthesizing Image-derived Heterogeneity with Genomic measurements for Assessing Disease Aggressiveness in Lower Grade GliomasR37CA214955 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KURTEK, SEBASTIAN, RAO, ARVIND · 2018 to 2024
$3.9M
Fgl-2 targeted therapy for reversing multi-modality immune suppressionR01CA203493 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HEIMBERGER, AMY BETH, LI, SHULIN · 2016 to 2020
$1.8M
MODELING MALIGNANT PROGRESSION IN GLIOMAR01NS094615 · NINDS · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI RAO, GANESH · 2016 to 2020
$1.8M
Modeling Apoptotic Suppression in a Mouse Model of Brain TumorsK08NS070928 · NINDS · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI RAO, GANESH · 2011 to 2015
$913k
NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA127001NCI NIH HHS R01 CA203493NCI NIH HHS R37 CA214955NINDS NIH HHS K08 NS070928NINDS NIH HHS R01 NS094615
6 · The paper itself

Abstract

backgroundVirtually all low-grade gliomas (LGGs) will progress to high-grade gliomas (HGGs), including glioblastoma, the most common malignant primary brain tumor in adults. A key regulator of immunosuppression, fibrinogen-like protein 2 (FGL2), may play an important role in the malignant transformation of LGG to HGG. We sought to determine the mechanism of FGL2 on tumor progression and to show that inhibiting FGL2 expression had a therapeutic effect.

methodsWe analyzed human gliomas that had progressed from low- to high-grade for FGL2 expression. We modeled FGL2 overexpression in an immunocompetent genetically engineered mouse model to determine its effect on tumor progression. Tumors and their associated microenvironments were analyzed for their immune cell infiltration. Mice were treated with an FGL2 antibody to determine a therapeutic effect. Statistical tests were two-sided.

resultsWe identified increased expression of FGL2 in surgically resected tumors that progressed from low to high grade (n = 10). The Cancer Genome Atlas data showed that LGG cases with overexpression of FGL2 (n = 195) had statistically significantly shorter survival (median = 62.9 months) compared with cases with low expression (n = 325, median = 94.4 months, P < .001). In a murine glioma model, HGGs induced with FGL2 exhibited a mesenchymal phenotype and increased CD4+ forkhead box P3 (FoxP3)+ Treg cells, implicating immunosuppression as a mechanism for tumor progression. Macrophages in these tumors were skewed toward the immunosuppressive M2 phenotype. Depletion of Treg cells with anti-FGL2 statistically significantly prolonged survival in mice compared with controls (n = 11 per group, median survival = 90 days vs 62 days, P = .004), shifted the phenotype from mesenchymal HGG to proneural LGG, and decreased M2 macrophage skewing.

conclusionsFGL2 facilitates glioma progression from low to high grade. Suppressing FGL2 expression holds therapeutic promise for halting malignant transformation in glioma.

Indexed as

Immunosuppression TherapyAdultAgedAged, 80 and overAnimalsCell Transformation, NeoplasticDisease ProgressionFibrinogenGliomaHumansMiceMice, Inbred C57BLMiddle AgedPrognosisSurvival RateT-Lymphocytes, RegulatoryFGL2 protein, humanFibrinogen

Identifiers

PMID29947810
PMCPMC6410946
OpenAlexW2810304969

What OpenQuestion holds

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Registered trials

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.