Evidence map›Paper›PMID 30150718›Full record

ArticleNature medicine2018

The DNA methylation landscape of glioblastoma disease progression shows extensive heterogeneity in time and space.

Johanna Klughammer, Barbara Kiesel, Thomas Roetzer, Nikolaus Fortelny, Amelie Nemc, Karl-Heinz Nenning, Julia Furtner, Nathan C Sheffield, Paul Datlinger, Nadine Peter and 44 more

Abstract read
In one paragraph

Article in Nature medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 200 papers.

0numbers the graph read from it
0cells of the map it votes in
200citing papers in PubMed
13.1field-weighted citation impact, top 1% 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

200 citing papers in PubMed, 322 citations in OpenAlex.

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  12. Promoter Methylation-Expression Coupling of Gliogenesis Genes inInternational journal of molecular sciences · 2026
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140 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

54 authors at 12 institutions in 3 countries.

Johanna Klughammer *CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Barbara Kiesel *Department of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Thomas RoetzerComprehensive Cancer Center, Central Nervous System Tumor Unit, Medical University of Vienna, Vienna, Austria.
Nikolaus FortelnyCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Amelie NemcCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Karl-Heinz NenningDepartment of Biomedical Imaging and Image-guided Therapy, Computational Imaging Research Lab, Medical University of Vienna, Vienna, Austria.
Julia FurtnerComprehensive Cancer Center, Central Nervous System Tumor Unit, Medical University of Vienna, Vienna, Austria.
Nathan C SheffieldCenter for Public Health Genomics, University of Virginia, Charlottesville, VA, USA.
Paul DatlingerCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Nadine PeterComprehensive Cancer Center, Central Nervous System Tumor Unit, Medical University of Vienna, Vienna, Austria.
Martha NowosielskiDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Marco AugustinCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Mario MischkulnigDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Thomas StröbelComprehensive Cancer Center, Central Nervous System Tumor Unit, Medical University of Vienna, Vienna, Austria.
Donat AlparCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Bekir ErgünerCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Martin SenekowitschCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Patrizia MoserDepartment of Pathology, Medical University of Innsbruck, Innsbruck, Austria.
Christian F FreyschlagDepartment of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria.
Johannes KerschbaumerDepartment of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria.
Claudius ThoméDepartment of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria.
Astrid E GramsDepartment of Neuroradiology, Medical University of Innsbruck, Innsbruck, Austria.
Günther StockhammerDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Melitta KitzwoegererDepartment of Pathology, University Hospital of St. Poelten, Karl Landsteiner University of Health Sciences, St. Poelten, Austria.
Stefan OberndorferDepartment of Neurology, University Hospital of St. Poelten, Karl Landsteiner University of Health Sciences, St. Poelten, Austria.
Franz MarholdDepartment of Neurosurgery, University Hospital of St. Poelten, Karl Landsteiner University of Health Sciences, St. Poelten, Austria.
Serge WeisDepartment of Neuropathology, Neuromed Campus Wagner-Jauregg, Kepler University Hospital, Johannes Kepler University of Linz, Linz, Austria.
Johannes TrenklerDepartment of Neuroradiology, Neuromed Campus Wagner-Jauregg, Kepler University Hospital, Johannes Kepler University of Linz, Linz, Austria.
Johanna BuchroithnerDepartment of Neurosurgery, Neuromed Campus Wagner-Jauregg, Kepler University Hospital, Johannes Kepler University of Linz, Linz, Austria.
Josef PichlerDepartment of Internal Medicine, Neuromed Campus Wagner-Jauregg, Kepler University Hospital, Johannes Kepler University of Linz, Linz, Austria.
Johannes HaybaeckDepartment of Pathology, Medical University of Innsbruck, Innsbruck, Austria.
Stefanie KrassnigDiagnostic & Research Center for Molecular BioMedicine, Department of Neuropathology, Institute of Pathology, Medical University of Graz, Graz, Austria.
Kariem Mahdy AliDepartment of Neurosurgery, Medical University of Graz, Graz, Austria.
Gord von CampeDepartment of Neurosurgery, Medical University of Graz, Graz, Austria.
Franz PayerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Camillo SherifDepartment of Neurosurgery, Krankenanstalt Rudolfstiftung, Vienna, Austria.
Julius PreiserDepartment of Pathology, Krankenanstalt Rudolfstiftung, Vienna, Austria.
Thomas HauserDepartment of Neurosurgery, Christian-Doppler-Klinik, Paracelsus Private Medical University, Salzburg, Austria.
Peter A WinklerDepartment of Neurosurgery, Christian-Doppler-Klinik, Paracelsus Private Medical University, Salzburg, Austria.
Waltraud KleindienstDepartment of Neurology, Christian-Doppler-Klinik, Paracelsus Private Medical University, Salzburg, Austria.
Franz WürtzInstitute of Pathology, State Hospital Klagenfurt, Klagenfurt, Austria.
Tanisa Brandner-KokaljInstitute of Pathology, State Hospital Klagenfurt, Klagenfurt, Austria.
Martin StultschnigDepartment of Neurology, State Hospital Klagenfurt, Klagenfurt, Austria.
Stefan SchweigerDepartment of Neurosurgery, General Hospital Wiener Neustadt, Wiener Neustadt, Austria.
Karin DieckmannComprehensive Cancer Center, Central Nervous System Tumor Unit, Medical University of Vienna, Vienna, Austria.
Matthias PreusserComprehensive Cancer Center, Central Nervous System Tumor Unit, Medical University of Vienna, Vienna, Austria.
Georg LangsDepartment of Biomedical Imaging and Image-guided Therapy, Computational Imaging Research Lab, Medical University of Vienna, Vienna, Austria.
Bernhard BaumannCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Engelbert KnospDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Georg WidhalmDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Christine MarosiComprehensive Cancer Center, Central Nervous System Tumor Unit, Medical University of Vienna, Vienna, Austria.
Johannes A HainfellnerComprehensive Cancer Center, Central Nervous System Tumor Unit, Medical University of Vienna, Vienna, Austria.
Adelheid WoehrerComprehensive Cancer Center, Central Nervous System Tumor Unit, Medical University of Vienna, Vienna, Austria. adelheid.woehrer@meduniwien.ac.at.
Christoph BockCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.ORCID http://orcid.org/0000-0001-6091-3088
Comprehensive Cancer Center Vienna · ATAustrian Academy of Sciences · ATInnsbruck Medical University · ATJohannes Kepler University of Linz · ATMedical University of Graz · ATMedical University of Vienna · ATChristian Doppler Klinik · ATKarl Landsteiner University of Health Sciences · ATKlinikum Klagenfurt · ATKrankenanstalt Rudolfstiftung der Stadt Wien · ATFachhochschule Wiener Neustadt · ATUniversity of Virginia · US

Funding

Austrian Science Fund FWF I 1575Austrian Science Fund FWF I 2714Austrian Science Fund FWF KLI 394European Research Council 679146
6 · The paper itself

Abstract

Glioblastoma is characterized by widespread genetic and transcriptional heterogeneity, yet little is known about the role of the epigenome in glioblastoma disease progression. Here, we present genome-scale maps of DNA methylation in matched primary and recurring glioblastoma tumors, using data from a highly annotated clinical cohort that was selected through a national patient registry. We demonstrate the feasibility of DNA methylation mapping in a large set of routinely collected FFPE samples, and we validate bisulfite sequencing as a multipurpose assay that allowed us to infer a range of different genetic, epigenetic, and transcriptional characteristics of the profiled tumor samples. On the basis of these data, we identified subtle differences between primary and recurring tumors, links between DNA methylation and the tumor microenvironment, and an association of epigenetic tumor heterogeneity with patient survival. In summary, this study establishes an open resource for dissecting DNA methylation heterogeneity in a genetically diverse and heterogeneous cancer, and it demonstrates the feasibility of integrating epigenomics, radiology, and digital pathology for a national cohort, thereby leveraging existing samples and data collected as part of routine clinical practice.

Indexed as

Chromosome MappingDisease ProgressionDNA MethylationEpigenesis, GeneticFemaleGenetic HeterogeneityGenome, HumanGlioblastomaHigh-Throughput Nucleotide SequencingHumansMaleNeoplasm Recurrence, Local

Identifiers

PMID30150718
PMCPMC6181207
OpenAlexW2949476985

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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.