Evidence map›Paper›PMID 30992437›Full record

ArticleNature communications2019

Stem cell-associated heterogeneity in Glioblastoma results from intrinsic tumor plasticity shaped by the microenvironment.

Anne Dirkse, Anna Golebiewska, Thomas Buder, Petr V Nazarov, Arnaud Muller, Suresh Poovathingal, Nicolaas H C Brons, Sonia Leite, Nicolas Sauvageot, Dzjemma Sarkisjan and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06492486 (Glioma Adaptive Radiotherapy With Development of an Artificial Intelligence Workflow), which is not on this map. Cited by 347 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
347citing papers in PubMed, 1 pooled it
32.4field-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.

NCT06492486 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Glioma Adaptive Radiotherapy With Development of an Artificial Intelligence Workflow

TypeinterventionalSponsorTata Memorial CentreRan2026 to 2028Enrolled60ConditionsDiffuse Glioma, Glioblastoma, Adaptive Radiotherapy, Artificial IntelligenceArmsAdaptive radiotherapy
3 · Its place in the literature

Who cites it

347 citing papers in PubMed, 1 synthesis or guideline pooled it, 535 citations in OpenAlex.

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  7. Chromosomal Instability Drives Glioblastoma Heterogeneity and Therapeutic Opportunities.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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287 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

22 authors at 6 institutions in 3 countries.

Anne DirkseNorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, L-1526, Luxembourg, Luxembourg.
Anna GolebiewskaNorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, L-1526, Luxembourg, Luxembourg.ORCID http://orcid.org/0000-0002-4160-2521
Thomas BuderZentrum für Informationsdienste und Hochleistungsrechnen, Technische Universität Dresden, D-01069, Dresden, Germany.
Petr V NazarovProteome and Genome Research Unit, Department of Oncology, Luxembourg Institute of Health, L-1526, Luxembourg, Luxembourg.ORCID http://orcid.org/0000-0003-3443-0298
Arnaud MullerProteome and Genome Research Unit, Department of Oncology, Luxembourg Institute of Health, L-1526, Luxembourg, Luxembourg.
Suresh PoovathingalLuxembourg Centre for Systems Biomedicine, University of Luxembourg, L-4367, Belvaux, Luxembourg.
Nicolaas H C BronsNational Cytometry Platform, Luxembourg Institute of Health, L-1526, Luxembourg, Luxembourg.
Sonia LeiteCentre of Competence for Methodology and Statistics, Luxembourg Institute of Health, L-1445, Strassen, Luxembourg.
Nicolas SauvageotCentre of Competence for Methodology and Statistics, Luxembourg Institute of Health, L-1445, Strassen, Luxembourg.
Dzjemma SarkisjanNorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, L-1526, Luxembourg, Luxembourg.
Mathieu SeyfridNorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, L-1526, Luxembourg, Luxembourg.
Sabrina FritahNorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, L-1526, Luxembourg, Luxembourg.
Daniel StieberNorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, L-1526, Luxembourg, Luxembourg.
Alessandro MichelucciNorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, L-1526, Luxembourg, Luxembourg.ORCID http://orcid.org/0000-0003-1230-061X
Frank HertelDepartment of Neurosurgery, Centre Hospitalier Luxembourg, L-1210, Luxembourg, Luxembourg.
Christel Herold-MendeDivision of Neurosurgical Research, Department of Neurosurgery, University of Heidelberg, 69120, Heidelberg, Germany.
Francisco AzuajeProteome and Genome Research Unit, Department of Oncology, Luxembourg Institute of Health, L-1526, Luxembourg, Luxembourg.ORCID http://orcid.org/0000-0002-9207-9072
Alexander SkupinLuxembourg Centre for Systems Biomedicine, University of Luxembourg, L-4367, Belvaux, Luxembourg.
Rolf BjerkvigNorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, L-1526, Luxembourg, Luxembourg.
Andreas DeutschZentrum für Informationsdienste und Hochleistungsrechnen, Technische Universität Dresden, D-01069, Dresden, Germany.
Anja Voss-BöhmeZentrum für Informationsdienste und Hochleistungsrechnen, Technische Universität Dresden, D-01069, Dresden, Germany.
Simone P NiclouNorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, L-1526, Luxembourg, Luxembourg. simone.niclou@lih.lu.ORCID http://orcid.org/0000-0002-3417-9534
Luxembourg Institute of Health · LUUniversity of Luxembourg · LUHTW Berlin - University of Applied Sciences · DECentre Hospitalier de Luxembourg · LUHeidelberg University · DETechnische Universität Dresden · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The identity and unique capacity of cancer stem cells (CSC) to drive tumor growth and resistance have been challenged in brain tumors. Here we report that cells expressing CSC-associated cell membrane markers in Glioblastoma (GBM) do not represent a clonal entity defined by distinct functional properties and transcriptomic profiles, but rather a plastic state that most cancer cells can adopt. We show that phenotypic heterogeneity arises from non-hierarchical, reversible state transitions, instructed by the microenvironment and is predictable by mathematical modeling. Although functional stem cell properties were similar in vitro, accelerated reconstitution of heterogeneity provides a growth advantage in vivo, suggesting that tumorigenic potential is linked to intrinsic plasticity rather than CSC multipotency. The capacity of any given cancer cell to reconstitute tumor heterogeneity cautions against therapies targeting CSC-associated membrane epitopes. Instead inherent cancer cell plasticity emerges as a novel relevant target for treatment.

Indexed as

AnimalsAntineoplastic Agents, AlkylatingBiopsyBrain NeoplasmsCell Line, TumorCell PlasticityCohort StudiesDrug Resistance, NeoplasmGene Expression ProfilingGlioblastomaHumansMiceMice, Inbred NODMice, SCIDNeoplastic Stem CellsTemozolomideAntineoplastic Agents, AlkylatingTemozolomide

Identifiers

PMID30992437
PMCPMC6467886
OpenAlexW2936375023

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.