Evidence map›Paper›PMID 30500933›Full record

ArticleJournal of neuropathology and experimental neurology2019

MGMT: Immunohistochemical Detection in High-Grade Astrocytomas.

Eric S Lipp, Patrick Healy, Alan Austin, Alysha Clark, Tara Dalton, Kathryn Perkinson, James E Herndon, Henry S Friedman, Allan H Friedman, Darell D Bigner and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neuropathology and experimental neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. A Glioblastoma Genomics Primer for Clinicians.Medical research archives · 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

11 authors at 4 institutions in 1 country.

Eric S LippThe Preston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Patrick HealyDuke Cancer Institute Biostatistics, Duke University Medical Center, Durham, NC.
Alan AustinDepartment of Pathology, Duke University Health System, Durham, NC.
Alysha ClarkThe Preston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Tara DaltonThe Preston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Kathryn PerkinsonDepartment of Pathology, Duke University Health System, Durham, NC.
James E HerndonDuke Cancer Institute Biostatistics, Duke University Medical Center, Durham, NC.
Henry S FriedmanThe Preston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Allan H FriedmanThe Preston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Darell D BignerThe Preston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Roger E McLendonThe Preston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Duke Medical Center · USDuke University Health System · USDuke University Hospital · USDuke University · US

Funding

Oncolytic Polovirus, Immunotoxin, and Checkpoint Inhibitor Therapy of GliomasR35CA197264 · NCI · DUKE UNIVERSITY · PI BIGNER, DARELL D · 2015 to 2021
$6.1M
NCI NIH HHS R35 CA197264
6 · The paper itself

Abstract

Glioma therapeutic resistance to alkylating chemotherapy is mediated via O6-methylguanine-DNA methyltransferase (MGMT). We hypothesized that a CD45/HAM56/MGMT double-stained cocktail would improve MGMT discrimination in tumor cells versus inflammatory and endothelial cells (IEC). Total MGMT protein was quantified by IHC on 982 glioblastomas (GBM) and 199 anaplastic astrocytomas. Correcting for IEC was done by a CD45/HAM56/MGMT 2-color cocktail. Lowest IEC infiltrates (IEC "cold spots") were identified to quantitate MGMT as well as the percentage of IEC% in the IEC cold spots. MGMT promoter methylation (PM) was also determined. Among the GBM biopsies, mean uncorrected and corrected MGMT% were 19.87 (range 0-90) and 16.67; mean IEC% was 18.65 (range 1-80). Four hundred and fifty one (45.9%) GBM biopsies were positive MGMT PM. Both uncorrected and corrected MGMT% positivity correlated with PM. All 3 MGMT scores correlated with overall survival (OS) in GBM's. Cold spot IEC% was also positively associated with OS. These effects remained in a multivariate model after adjusting for age and disease status. Prognosis determined by correcting MGMT% score for IEC% is not improved in this analysis. However, IEC COLD SPOT score does provide additional prognostic information that can be gained from this correction method.

Indexed as

AdultAgedAstrocytomaBiomarkers, TumorBrain NeoplasmsDNA MethylationDNA Modification MethylasesDNA Repair EnzymesFemaleHumansImmunohistochemistryMaleMiddle AgedTumor Suppressor ProteinsBiomarkers, TumorDNA Modification MethylasesDNA Repair EnzymesMGMT protein, humanTumor Suppressor Proteins

Identifiers

PMID30500933
PMCPMC7967844
OpenAlexW2902913810

What OpenQuestion holds

Textmetadata
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.