Evidence map›Paper›PMID 32991787›Full record

ArticleCancer medicine2020

Methylome analyses of three glioblastoma cohorts reveal chemotherapy sensitivity markers within DDR genes.

Tobias Kessler, Anne Berberich, Ahmed Sadik, Felix Sahm, Thierry Gorlia, Christoph Meisner, Dirk C Hoffmann, Antje Wick, Philipp Kickingereder, Petra Rübmann and 10 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

19 citing papers in PubMed, 24 citations in OpenAlex.

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  11. Association of human telomerase reverse transcriptase promoter mutation with unfavorable prognosis in glioma: A systematic review and meta-analysis.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2023
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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

20 authors at 8 institutions in 7 countries.

Tobias KesslerClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0001-8350-7074
Anne BerberichClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Ahmed SadikBrain Tumor Metabolism, DKTK, DKFZ, Heidelberg, Germany.ORCID 0000-0002-0328-1990
Felix SahmDepartment of Neuropathology, Heidelberg University Hospital, Heidelberg, Germany.
Thierry GorliaEuropean Organization for Research and Treatment of Cancer Headquarters, Brussels, Belgium.
Christoph MeisnerInstitute for Clinical Epidemiology and Biometry, Tübingen, Germany.
Dirk C HoffmannClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0003-1370-1933
Antje WickDepartment of Neurology and Neurooncology Program of the National Center for Tumor Diseases, Heidelberg University Hospital, Heidelberg, Germany.
Philipp KickingerederDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Petra RübmannClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Martin BendszusDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Christiane OpitzBrain Tumor Metabolism, DKTK, DKFZ, Heidelberg, Germany.
Michael WellerDepartment of Neurology, University Hospital and University of Zurich, Zurich, Switzerland.
Martin van den BentThe Brain Tumor Center, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Roger StuppFeinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Frank WinklerClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Alba BrandesDepartment of Medical Oncology, Azienda USL-IRCCS Institute of Neurological Sciences, Bologna, Italy.ORCID 0000-0002-2503-9089
Andreas von DeimlingDepartment of Neuropathology, Heidelberg University Hospital, Heidelberg, Germany.
Michael PlattenClinical Cooperation Unit Neuroimmunology and Brain Tumor Immunology, DKTK, DKFZ, Heidelberg, Germany.ORCID 0000-0002-4746-887X
Wolfgang WickClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-6171-634X
German Cancer Research Center · DEHeidelberg University · DEAzienda USL di Bologna · ITErasmus MC Cancer Institute · NLEuropean Organisation for Research and Treatment of Cancer · BENorthwestern University · USUniversity of Zurich · CHZimmer Biomet (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGliomas evade current therapies through primary and acquired resistance and the effect of temozolomide is mainly restricted to methylguanin-O6-methyltransferase promoter (MGMT) promoter hypermethylated tumors. Further resistance markers are largely unknown and would help for better stratification.

methodsClinical data and methylation profiles from the NOA-08 (104, elderly glioblastoma) and the EORTC 26101 (297, glioblastoma) studies and 398 patients with glioblastoma from the Heidelberg Neuro-Oncology center have been analyzed focused on the predictive effect of DNA damage response (DDR) gene methylation. Candidate genes were validated in vitro.

resultsTwenty-eight glioblastoma 5'-cytosine-phosphat-guanine-3' (CpGs) from 17 DDR genes negatively correlated with expression and were used together with telomerase reverse transcriptase (TERT) promoter mutations in further analysis. CpG methylation of DDR genes shows highest association with the mesenchymal (MES) and receptor tyrosine kinase (RTK) II glioblastoma subgroup. MES tumors have lower tumor purity compared to RTK I and II subgroup tumors. CpG hypomethylation of DDR genes TP73 and PRPF19 correlated with worse patient survival in particular in MGMT promoter unmethylated tumors. TERT promoter mutation is most frequent in RTK I and II subtypes and associated with worse survival. Primary glioma cells show methylation patterns that resemble RTK I and II glioblastoma and long term established glioma cell lines do not match with glioblastoma subtypes. Silencing of selected resistance genes PRPF19 and TERT increase sensitivity to temozolomide in vitro.

conclusionHypomethylation of DDR genes and TERT promoter mutations is associated with worse tumor prognosis, dependent on the methylation cluster and MGMT promoter methylation status in IDH wild-type glioblastoma.

Indexed as

CpG IslandsDNA MethylationDNA RepairEpigenomeAntineoplastic AgentsBrain NeoplasmsCell Line, TumorDatabases, GeneticDNA Modification MethylasesDNA Repair EnzymesDrug Resistance, NeoplasmGlioblastomaHumansNuclear ProteinsProgression-Free SurvivalPromoter Regions, GeneticAntineoplastic AgentsDNA Modification MethylasesDNA Repair EnzymesMGMT protein, humanNuclear ProteinsPRPF19 protein, humanRNA Splicing FactorsTelomeraseTERT protein, humanTP73 protein, humanTumor Protein p73Tumor Suppressor Proteins

Identifiers

PMID32991787
PMCPMC7666733
OpenAlexW3091563785

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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.