Evidence map›Paper›PMID 32583303›Full record

ArticleJournal of neuro-oncology2020

Molecular genetic profiling reveals novel association between FLT3 mutation and survival in glioma.

Kevin Shee, Meagan Chambers, Edward G Hughes, Damian A Almiron, Sophie J Deharvengt, Donald Green, Joel A Lefferts, Angeline S Andrew, William F Hickey, Gregory J Tsongalis

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Functional 3D Human Neuron-Glioblastoma Model Reveals Cellular Interactions Enabling Drug Safety Assessments.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  3. Article
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

10 authors at 2 institutions in 1 country.

Kevin SheeGeisel School of Medicine At Dartmouth, Hanover, NH, Germany. Kevin.Shee.MED@dartmouth.edu.
Meagan ChambersGeisel School of Medicine At Dartmouth, Hanover, NH, Germany.
Edward G HughesDepartment of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, 03756, Lebanon, NH, Germany.
Damian A Almiron
Sophie J DeharvengtGeisel School of Medicine At Dartmouth, Hanover, NH, Germany.
Donald GreenDepartment of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, 03756, Lebanon, NH, Germany.
Joel A LeffertsGeisel School of Medicine At Dartmouth, Hanover, NH, Germany.
Angeline S AndrewGeisel School of Medicine At Dartmouth, Hanover, NH, Germany.
William F HickeyGeisel School of Medicine At Dartmouth, Hanover, NH, Germany.
Gregory J TsongalisGeisel School of Medicine At Dartmouth, Hanover, NH, Germany. Gregory.J.Tsongalis@hitchcock.org.ORCID http://orcid.org/0000-0002-0792-3196
Dartmouth College · USDartmouth–Hitchcock Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecent molecular characterization of gliomas has uncovered somatic gene variation and DNA methylation changes that are associated with etiology, prognosis, and therapeutic response. Here we describe genomic profiling of gliomas assessed for associations between genetic mutations and patient outcomes, including overall survival (OS) and recurrence-free survival (RFS).

methodsMutations in a 50-gene cancer panel, 1p19q co-deletion, and MGMT promoter methylation (MGMT methylation) status were obtained from tumor tissue of 293 glioma patients. Multivariable regression models for overall survival (OS) and recurrence-free survival (RFS) were constructed for MGMT methylation, 1p19q co-deletion, and gene mutations controlling for age, treatment status, and WHO grade.

resultsMutational profiles of gliomas significantly differed based on WHO Grade, such as high prevalence of BRAF V600E, IDH1, and PTEN mutations in WHO Grade I, II/III, and IV tumors, respectively. In multivariate regression analysis, MGMT methylation and IDH1 mutations were significantly associated with improved OS (HR = 0.44, p = 0.0004 and HR = 0.21, p = 0.007, respectively), while FLT3 and TP53 mutations were significantly associated with poorer OS (HR = 19.46, p < 0.0001 and HR = 1.67, p = 0.014, respectively). MGMT methylation and IDH1 mutations were the only significant alterations associated with improved RFS in the model (HR = 0.42, p < 0.0001 and HR = 0.37, p = 0.002, respectively). These factors were then included in a combined model, which significantly exceeded the predictive value of the base model alone (age, surgery, radiation, chemo, grade) (likelihood ratio test OS p = 1.64 × 10

conclusionsThis study highlights the genomic landscape of gliomas in a single-institution cohort and identifies a novel association between FLT3 mutation and OS in gliomas.

Indexed as

DNA MethylationMutationAgedBiomarkers, TumorBrain NeoplasmsCohort StudiesCombined Modality Therapyfms-Like Tyrosine Kinase 3Follow-Up StudiesGene Expression ProfilingGene Expression Regulation, NeoplasticGliomaHumansMiddle AgedPrognosisSurvival RateBiomarkers, TumorFLT3 protein, humanfms-Like Tyrosine Kinase 3GliomaMolecular profilesNext generation sequencingTargeted therapy

Identifiers

PMID32583303
OpenAlexW3037889243

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.