Evidence map›Paper›PMID 31534219›Full record

ArticleNature2019

Glutamatergic synaptic input to glioma cells drives brain tumour progression.

Varun Venkataramani, Dimitar Ivanov Tanev, Christopher Strahle, Alexander Studier-Fischer, Laura Fankhauser, Tobias Kessler, Christoph Körber, Markus Kardorff, Miriam Ratliff, Ruifan Xie and 19 more

2 registry-linked trialsOpen access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Nature, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 746 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
746citing papers in PubMed, 1 pooled it
50.5field-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.

NCT04224441 phase2unknown statusnot on this map

Repurposing the Antipsychotic Drug Chlorpromazine as a Therapeutic Agent in the Combined Treatment of Newly Diagnosed Glioblastoma Multiforme

TypeinterventionalSponsorMarco G Paggi, MD, PhDRan2019 to 2022Enrolled41ConditionsGlioblastoma Multiforme, MGMT-Unmethylated GlioblastomaArmsChlorpromazine Pill
NCT06617208 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Prognostic IntraOperative Biomarkers ideNtification in Tumor rElatEd suRgery (PIONEER Study)

TypeinterventionalSponsorErasmus Medical CenterRan2025 to 2029Enrolled10ConditionsGlioma, Glioblastoma (GBM), Brain Tumor-GliomaArmsNeuropixel probe recording
3 · Its place in the literature

Who cites it

746 citing papers in PubMed, 1 synthesis or guideline pooled it, 1,100 citations in OpenAlex.

  1. Pooled it
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  6. [Journal of neuro-oncology · 2026
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  7. Pervasive Somatic Mutations inbioRxiv : the preprint server for biology · 2026
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  13. Next-generation therapeutics for glioblastoma: Challenges and future directions.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
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686 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors at 9 institutions in 4 countries.

Varun VenkataramaniDepartment of Functional Neuroanatomy, Institute for Anatomy and Cell Biology, Heidelberg University, Heidelberg, Germany. varun.venkataramani@med.uni-heidelberg.de.
Dimitar Ivanov TanevDepartment of Functional Neuroanatomy, Institute for Anatomy and Cell Biology, Heidelberg University, Heidelberg, Germany.
Christopher StrahleDepartment of Functional Neuroanatomy, Institute for Anatomy and Cell Biology, Heidelberg University, Heidelberg, Germany.
Alexander Studier-FischerNeurology Clinic and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Laura FankhauserNeurology Clinic and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Tobias KesslerNeurology Clinic and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Christoph KörberDepartment of Functional Neuroanatomy, Institute for Anatomy and Cell Biology, Heidelberg University, Heidelberg, Germany.
Markus KardorffDepartment of Functional Neuroanatomy, Institute for Anatomy and Cell Biology, Heidelberg University, Heidelberg, Germany.
Miriam RatliffClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Ruifan XieNeurology Clinic and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Heinz HorstmannDepartment of Functional Neuroanatomy, Institute for Anatomy and Cell Biology, Heidelberg University, Heidelberg, Germany.
Mirko MesserNeurology Clinic and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Sang Peter PaikDepartment of Functional Neuroanatomy, Institute for Anatomy and Cell Biology, Heidelberg University, Heidelberg, Germany.
Johannes KnabbeDepartment of Functional Neuroanatomy, Institute for Anatomy and Cell Biology, Heidelberg University, Heidelberg, Germany.
Felix SahmDepartment of Neuropathology, Institute of Pathology, Ruprecht-Karls University Heidelberg, Heidelberg, Germany.
Felix T KurzDepartment of Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany.
Azer Aylin AcikgözDivision of Molecular Neurogenetics, DKFZ-ZMBH Alliance, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Frank HerrmannsdörferDepartment of Functional Neuroanatomy, Institute for Anatomy and Cell Biology, Heidelberg University, Heidelberg, Germany.
Amit AgarwalThe Solomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Dwight E BerglesCHS Research Group, Institute for Anatomy and Cell Biology, Heidelberg University, Heidelberg, Germany.
Anthony ChalmersInstitute of Cancer Sciences, University of Glasgow, Glasgow, UK.
Hrvoje MileticDepartment of Biomedicine, University of Bergen, Bergen, Norway.
Sevin TurcanNeurology Clinic and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Christian MawrinInstitute for Neuropathology, Otto-von-Guericke University, Magdeburg, Germany.
Daniel HänggiNeurosurgery Clinic, University Hospital Mannheim, Mannheim, Germany.
Hai-Kun LiuDivision of Molecular Neurogenetics, DKFZ-ZMBH Alliance, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Wolfgang WickNeurology Clinic and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Frank WinklerNeurology Clinic and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany. frank.winkler@med.uni-heidelberg.de.
Thomas KunerDepartment of Functional Neuroanatomy, Institute for Anatomy and Cell Biology, Heidelberg University, Heidelberg, Germany. thomas.kuner@uni-heidelberg.de.
Heidelberg University · DEUniversity Hospital Heidelberg · DEGerman Cancer Research Center · DENational Center for Tumor Diseases · DEHaukeland University Hospital · NOJohns Hopkins University · USOtto-von-Guericke University Magdeburg · DEUniversity Medical Centre Mannheim · DEUniversity of Glasgow · GB

Funding

Medical Research Council G0802755Medical Research Council MR/R009473/1National Centre for the Replacement, Refinement and Reduction of Animals in Research NC/P001335/1
6 · The paper itself

Abstract

A network of communicating tumour cells that is connected by tumour microtubes mediates the progression of incurable gliomas. Moreover, neuronal activity can foster malignant behaviour of glioma cells by non-synaptic paracrine and autocrine mechanisms. Here we report a direct communication channel between neurons and glioma cells in different disease models and human tumours: functional bona fide chemical synapses between presynaptic neurons and postsynaptic glioma cells. These neurogliomal synapses show a typical synaptic ultrastructure, are located on tumour microtubes, and produce postsynaptic currents that are mediated by glutamate receptors of the AMPA subtype. Neuronal activity including epileptic conditions generates synchronised calcium transients in tumour-microtube-connected glioma networks. Glioma-cell-specific genetic perturbation of AMPA receptors reduces calcium-related invasiveness of tumour-microtube-positive tumour cells and glioma growth. Invasion and growth are also reduced by anaesthesia and the AMPA receptor antagonist perampanel, respectively. These findings reveal a biologically relevant direct synaptic communication between neurons and glioma cells with potential clinical implications.

Indexed as

Disease ProgressionAnimalsBrain NeoplasmsDisease Models, AnimalGliomaHumansMiceMicroscopy, Electron, TransmissionNeuronsReceptors, AMPASynapsesReceptors, AMPA

Identifiers

PMID31534219
OpenAlexW2973686658

What OpenQuestion holds

Textmetadata
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.