Evidence map›Paper›PMID 30736342›Full record

ArticleCancers2019

Intratumoural Heterogeneity Underlies Distinct Therapy Responses and Treatment Resistance in Glioblastoma.

Seçkin Akgül, Ann-Marie Patch, Rochelle C J D'Souza, Pamela Mukhopadhyay, Katia Nones, Sarah Kempe, Stephen H Kazakoff, Rosalind L Jeffree, Brett W Stringer, John V Pearson and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 58 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  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

12 authors at 4 institutions in 1 country.

Seçkin AkgülCell and Molecular Biology Department, QIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia. Seckin.Akgul@qimrberghofer.edu.au.
Ann-Marie PatchGenetics and Computational Biology Department, QIMR Berghofer Medical Research Institute, Brisbane, 4006, QLD, Australia. Ann-Marie.Patch@qimrberghofer.edu.au.
Rochelle C J D'SouzaCell and Molecular Biology Department, QIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia. Rochelle.D'Souza@qimrberghofer.edu.au.
Pamela MukhopadhyayGenetics and Computational Biology Department, QIMR Berghofer Medical Research Institute, Brisbane, 4006, QLD, Australia. Pamela.Mukhopadhyay@qimrberghofer.edu.au.
Katia NonesGenetics and Computational Biology Department, QIMR Berghofer Medical Research Institute, Brisbane, 4006, QLD, Australia. Katia.Nones@qimrberghofer.edu.au.
Sarah KempeGenetics and Computational Biology Department, QIMR Berghofer Medical Research Institute, Brisbane, 4006, QLD, Australia. Sarah.Kempe@qimrberghofer.edu.au.
Stephen H KazakoffGenetics and Computational Biology Department, QIMR Berghofer Medical Research Institute, Brisbane, 4006, QLD, Australia. Stephen.Kazakoff@qimrberghofer.edu.au.
Rosalind L JeffreeDepartment of Neurosurgery, Royal Brisbane and Women's Hospital, Brisbane 4006, QLD, Australia. Lindy.Jeffree@health.qld.gov.au.
Brett W StringerCell and Molecular Biology Department, QIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia. brett.w.stringer@gmail.com.
John V PearsonGenetics and Computational Biology Department, QIMR Berghofer Medical Research Institute, Brisbane, 4006, QLD, Australia. John.Pearson@qimrberghofer.edu.au.
Nicola WaddellGenetics and Computational Biology Department, QIMR Berghofer Medical Research Institute, Brisbane, 4006, QLD, Australia. Nic.Waddell@qimrberghofer.edu.au.
Bryan W DayCell and Molecular Biology Department, QIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia. Bryan.Day@qimrberghofer.edu.au.
QIMR Berghofer Medical Research Institute · AUGriffith University · AUQueensland University of Technology · AURoyal Brisbane and Women's Hospital · AU

Funding

Cure Brain Cancer Foundation *National Health and Medical Research Council 1139071Sid Faithfull Group *
6 · The paper itself

Abstract

Glioblastomas are the most common and lethal neoplasms of the central nervous system. Neighbouring glioma cells maintain extreme degrees of genetic and phenotypic variation that form intratumoural heterogeneity. This genetic diversity allows the most adaptive tumour clones to develop treatment resistance, ultimately leading to disease recurrence. We aimed to model this phenomenon and test the effectiveness of several targeted therapeutic interventions to overcome therapy resistance. Heterogeneous tumour masses were first deconstructed into single tumour cells, which were expanded independently as single-cell clones. Single nucleotide polymorphism arrays, whole-genome and RNA sequencing, and CpG methylation analysis validated the unique molecular profile of each tumour clone, which displayed distinct pathologic features, including cell morphology, growth rate, and resistance to temozolomide and ionizing radiation. We also identified variable sensitivities to AURK, CDK, and EGFR inhibitors which were consistent with the heterogeneous molecular alterations that each clone harboured. These targeted therapies effectively eliminated the temozolomide- and/or irradiation-resistant clones and also parental polyclonal cells. Our findings indicate that polyclonal tumours create a dynamic environment that consists of diverse tumour elements and treatment responses. Designing targeted therapies based on a range of molecular profiles can be a more effective strategy to eradicate treatment resistance, recurrence, and metastasis.

Indexed as

combination therapydrug screensglioblastomaintratumoural heterogeneitypersonalised therapytargeted therapytumour resistance

Identifiers

PMID30736342
PMCPMC6406894
OpenAlexW2913741278

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.