Evidence map›Paper›PMID 30894200›Full record

ArticleJournal of translational medicine2019

Longitudinal heterogeneity in glioblastoma: moving targets in recurrent versus primary tumors.

Niklas Schäfer, Gerrit H Gielen, Laurèl Rauschenbach, Sied Kebir, Andreas Till, Roman Reinartz, Matthias Simon, Pitt Niehusmann, Christoph Kleinschnitz, Ulrich Herrlinger and 3 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. A Sequential Targeting Strategy Interrupts AKT-Driven Subclone-Mediated Progression in Glioblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  15. The glioblastoma multiforme tumor site promotes the commitment of tumor-infiltrating lymphocytes to the TProceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  16. Chromosomal instability in adult-type diffuse gliomas.Acta neuropathologica communications · 2022
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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

13 authors.

Niklas SchäferDivision of Clinical Neurooncology, Department of Neurology, University Hospital Bonn, 53127, Bonn, Germany.ORCID 0000-0002-2258-0275
Gerrit H GielenInstitute of Neuropathology, Medical Center Bonn, 53127, Bonn, Germany.
Laurèl RauschenbachStem Cell Pathologies, Institute for Reconstructive Neurobiology, University of Bonn, 53127, Bonn, Germany.
Sied KebirDivision of Clinical Neurooncology, Department of Neurology, University Hospital Bonn, 53127, Bonn, Germany.
Andreas TillStem Cell Pathologies, Institute for Reconstructive Neurobiology, University of Bonn, 53127, Bonn, Germany.
Roman ReinartzStem Cell Pathologies, Institute for Reconstructive Neurobiology, University of Bonn, 53127, Bonn, Germany.
Matthias SimonDepartment of Neurosurgery, Medical Center Bonn, 53127, Bonn, Germany.
Pitt NiehusmannInstitute of Neuropathology, Medical Center Bonn, 53127, Bonn, Germany.
Christoph KleinschnitzDepartment of Neurology, University Hospital Essen, University Duisburg-Essen, 45147, Essen, Germany.
Ulrich HerrlingerDivision of Clinical Neurooncology, Department of Neurology, University Hospital Bonn, 53127, Bonn, Germany.
Torsten PietschInstitute of Neuropathology, Medical Center Bonn, 53127, Bonn, Germany.
Björn SchefflerStem Cell Pathologies, Institute for Reconstructive Neurobiology, University of Bonn, 53127, Bonn, Germany.
Martin GlasDivision of Clinical Neurooncology, Department of Neurology, University Hospital Bonn, 53127, Bonn, Germany. martin.glas@uk-essen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMolecularly targeted therapies using receptor inhibitors, small molecules or monoclonal antibodies are routinely applied in oncology. Verification of target expression should be mandatory prior to initiation of therapy, yet, determining the expression status is most challenging in recurrent glioblastoma (GBM) where most patients are not eligible for second-line surgery. Because very little is known on the consistency of expression along the clinical course we here explored common drug targets in paired primary vs. recurrent GBM tissue samples.

methodsPaired surgical tissue samples were derived from a homogeneously treated cohort of 34 GBM patients. All patients received radiotherapy and temozolomide chemotherapy. Verification of common drug targets included immunohistological analysis of PDGFR-β, FGFR-2, FGFR-3, and mTOR-pathway component (phospho-mTOR

resultsPaired tumor tissue exhibited significant changes of expression in 9 of the 10 investigated druggable targets (90%). Only one target (FGFR1) was found "unchanged", since dissimilar expression was observed in only one of the 34 paired tumor tissue samples. All other targets were variably expressed with an 18-56% discordance rate between primary and recurrent tissue.

conclusionsThe high incidence of dissimilar target expression status in clinical samples from primary vs. recurrent GBM suggests clinically relevant heterogeneity along the course of disease. Molecular target expression, as determined at primary diagnosis, may not necessarily present rational treatment clues for the clinical care of recurrent GBM. Further studies need to analyze the therapeutic impact of longitudinal heterogeneity in GBM.

Indexed as

Genetic HeterogeneityAdultAgedAntineoplastic AgentsAntineoplastic Agents, ImmunologicalBiomarkers, TumorBrain NeoplasmsDisease ProgressionEpigenesis, GeneticFemaleGlioblastomaHumansLongitudinal StudiesMaleMiddle AgedMolecular Targeted TherapyAntineoplastic AgentsAntineoplastic Agents, ImmunologicalBiomarkers, TumorEGFRGlioblastomaHeterogeneityMLPATargeted therapy

Identifiers

PMID30894200
PMCPMC6425567

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Registered trials

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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.