Evidence map›Paper›PMID 30415456›Full record

ArticleJournal of neuro-oncology2019

Imaging tryptophan uptake with positron emission tomography in glioblastoma patients treated with indoximod.

Rimas V Lukas, Csaba Juhász, Derek A Wainwright, Charles David James, Eugene Kennedy, Roger Stupp, Maciej S Lesniak

Abstract read
In one paragraph

Article in Journal of neuro-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

17 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
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  8. Tryptophan metabolism in brain tumors - IDO and beyond.Current opinion in immunology · 2021
    Review
  9. Article
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  11. Review
  12. Review
  13. PET imaging of medulloblastoma with anScientific reports · 2020
    Article
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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 3 institutions in 1 country.

Rimas V LukasDepartment of Neurology, Northwestern University, 710 N. Lake Shore Drive, Abbott Hall 1114, Chicago, IL, 60611, USA. rimas.lukas@nm.org.ORCID http://orcid.org/0000-0002-9352-5396
Csaba JuhászNeurology, and Neurosurgery, Department of Pediatrics, Wayne State University, Detroit, USA.
Derek A WainwrightDepartment of Neurosurgery, Northwestern University, Chicago, USA.
Charles David JamesDepartment of Neurosurgery, Northwestern University, Chicago, USA.
Eugene KennedyNewLink Genetics, Ames, USA.
Roger StuppDepartment of Neurology, Northwestern University, 710 N. Lake Shore Drive, Abbott Hall 1114, Chicago, IL, 60611, USA.
Maciej S LesniakDepartment of Neurosurgery, Northwestern University, Chicago, USA.
Northwestern University · USNewLink Genetics (United States) · USWayne State University · US

Funding

STINGing GBM: A First-in- Man Clinical Trial in Surgical Resectable Recurrent GBMP50CA221747 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MACIEJ S LESNIAK · 2018 to 2026
$21.4M
IDO1 and Immunotolerance in GlioblastomaR01NS097851 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SCHILTZ, GARY E, WAINWRIGHT, DEREK ALAN · 2016 to 2025
$4.6M
Tryptophan Metabolism in Human Brain TumorsR01CA123451 · NCI · WAYNE STATE UNIVERSITY · PI JUHASZ, CSABA, MITTAL, SANDEEP · 2008 to 2018
$3.1M
Metabolic Control of Immune Suppression in GliomasR01NS093903 · NINDS · UNIVERSITY OF CHICAGO · PI LESNIAK, MACIEJ S · 2015 to 2019
$2.3M
The interaction of IDO and Tregs Leads to Immunosuppression in GliomaR00NS082381 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WAINWRIGHT, DEREK ALAN · 2014 to 2016
$735k
The interaction of IDO and Tregs Leads to Immunosuppression in GliomaK99NS082381 · NINDS · UNIVERSITY OF CHICAGO · PI WAINWRIGHT, DEREK ALAN · 2013 to 2014
$173k
The role of IDO and Th17 in an experimental mouse model of gliomaF32NS073366 · NINDS · UNIVERSITY OF CHICAGO · PI WAINWRIGHT, DEREK ALAN · 2011 to 2012
$86k
NCI NIH HHS P50 CA221747NCI NIH HHS P50CA221747NCI NIH HHS R01 CA123451NCI NIH HHS R01CA123451NINDS NIH HHS F32 NS073366NINDS NIH HHS K99 NS082381NINDS NIH HHS R00 NS082381NINDS NIH HHS R01 NS093903NINDS NIH HHS R01NS093903NINDS NIH HHS R01 NS097851NINDS NIH HHS R01NS097851
6 · The paper itself

Abstract

introductionGlioblastoma (GBM) is the most frequent and aggressive primary tumor of the central nervous system, accounting for over 50% of all primary malignant gliomas arising in the adult brain. Even after surgical resection, adjuvant radiotherapy (RT) and temozolomide (TMZ) chemotherapy, as well as tumor-treating fields, the median survival is only 15-20 months. We have identified a pathogenic mechanism that contributes to the tumor-induced immunosuppression in the form of increased indoleamine 2,3 dioxygenase 1 (IDO1) expression; an enzyme that metabolizes the essential amino acid, tryptophan (Trp), into kynurenine (Kyn). However, real-time measurements of IDO1 activity has yet to become mainstream in clinical protocols for assessing IDO1 activity in GBM patients.

methodsPre-treatment and on-treatment α-[

resultsRegional intratumoral variability of AMT within enhancing and non-enhancing tumor was noted at baseline. On treatment imaging revealed decreased regional uptake suggesting IDO1 pathway modulation with treatment.

conclusionsHere, we have validated the ability to use PET of the Trp probe, AMT, for use in visualizing and quantifying intratumoral Trp uptake in GBM patients treated with an IDO1 pathway inhibitor. These data serve as rationale to utilize AMT-PET imaging in the future evaluation of GBM patients treated with IDO1 enzyme inhibitors.

Indexed as

AdultBrainBrain NeoplasmsFemaleGlioblastomaHumansIndoleamine-Pyrrole 2,3,-DioxygenaseMagnetic Resonance ImagingMaleMiddle AgedPositron-Emission TomographyTryptophan1-methyltryptophanIDO1 protein, humanIndoleamine-Pyrrole 2,3,-DioxygenaseTryptophan1-MTAMTBiomarkerGlioblastomaIDOIndoximodPET

Identifiers

PMID30415456
PMCPMC6414051
OpenAlexW2900353031

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.