Evidence map›Paper›PMID 33627664›Full record

ArticleNature communications2021

Alternative lengthening of telomeres in childhood neuroblastoma from genome to proteome.

Sabine A Hartlieb, Lina Sieverling, Michal Nadler-Holly, Matthias Ziehm, Umut H Toprak, Carl Herrmann, Naveed Ishaque, Konstantin Okonechnikov, Moritz Gartlgruber, Young-Gyu Park and 20 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06502210 (Identification of New Gene Spliceosomes in Neuroblastoma and Their Translational Application in Clinical Accurate Diagnosis and Therapy), which is not on this map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
10.0field-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.

NCT06502210 unknown statusnot on this mapstarted 2024, after this paper: background citation

Identification of New Gene Spliceosomes in Neuroblastoma and Their Translational Application in Clinical Accurate Diagnosis and Therapy

Typeobservational_patient_registrySponsorAffiliated Hospital of Nantong UniversityRan2024 to 2024Enrolled20ConditionsNeuroblastomaArmsPersonalized surgical therapy of neuroblastoma
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 110 citations in OpenAlex.

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  12. TelomereHunter2: improvedBioinformatics advances · 2026
    Article
  13. Review
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  15. Ganglioside Profiling Uncovers Distinct Patterns in High-Risk Neuroblastoma.International journal of molecular sciences · 2025
    Article
  16. Article
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6 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

30 authors at 8 institutions in 3 countries.

Sabine A Hartlieb *Hopp Children's Cancer Center (KiTZ), Heidelberg, Germany.ORCID 0000-0003-3746-7010
Lina Sieverling *Faculty of Biosciences, Heidelberg University, Heidelberg, Germany.ORCID 0000-0002-0595-4976
Michal Nadler-HollyProteome Dynamics, Max Delbrück Center for Molecular Medicine, Berlin, Germany.
Matthias ZiehmProteome Dynamics, Max Delbrück Center for Molecular Medicine, Berlin, Germany.ORCID 0000-0001-7074-4054
Umut H ToprakHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Carl HerrmannHealth Data Science Unit, Medical Faculty Heidelberg and BioQuant, Heidelberg, Germany.ORCID 0000-0003-4989-4722
Naveed IshaqueDigital Health Centre, Berlin Institute of Health (BIH), Berlin, Germany.ORCID 0000-0002-8426-901X
Konstantin OkonechnikovHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Moritz GartlgruberHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Young-Gyu ParkHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Elisa Maria WechtHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Larissa SavelyevaHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Kai-Oliver HenrichHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Carolina RosswogDepartment of Experimental Pediatric Oncology, University Children's Hospital of Cologne, Medical Faculty, Cologne, Germany.
Matthias FischerDepartment of Experimental Pediatric Oncology, University Children's Hospital of Cologne, Medical Faculty, Cologne, Germany.ORCID 0000-0003-1363-1242
Barbara HeroDepartment of Pediatric Oncology and Hematology, University of Cologne, Cologne, Germany.
David T W JonesHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Elke PfaffHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Olaf WittHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Stefan M PfisterHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Richard VolckmannDepartment of Oncogenomics Amsterdam University Medical Centers (AUMC), Amsterdam, the Netherlands.
Jan KosterDepartment of Oncogenomics Amsterdam University Medical Centers (AUMC), Amsterdam, the Netherlands.ORCID 0000-0002-0890-7585
Katharina KieselChromatin Networks, German Cancer Research Center (DKFZ) and BioQuant, Heidelberg, Germany.
Karsten RippeChromatin Networks, German Cancer Research Center (DKFZ) and BioQuant, Heidelberg, Germany.ORCID 0000-0001-9951-9395
Sabine Taschner-MandlCCRI, St Anna Children's Cancer Research Institute, Vienna, Austria.ORCID 0000-0002-1439-5301
Peter AmbrosCCRI, St Anna Children's Cancer Research Institute, Vienna, Austria.
Benedikt BrorsApplied Bioinformatics, German Cancer Research Center (DKFZ), German Cancer Consortium (DKTK), Heidelberg, Germany.ORCID 0000-0001-5940-3101
Matthias SelbachProteome Dynamics, Max Delbrück Center for Molecular Medicine, Berlin, Germany.ORCID 0000-0003-2454-8751
Lars FeuerbachApplied Bioinformatics, German Cancer Research Center (DKFZ), German Cancer Consortium (DKTK), Heidelberg, Germany.ORCID 0000-0003-1503-437X
Frank WestermannHopp Children's Cancer Center (KiTZ), Heidelberg, Germany. f.westermann@kitz-heidelberg.de.
German Cancer Research Center · DEMax Delbrück Center · DEAmsterdam University Medical Centers · NLSt Anna Children's Hospital · ATUniversity of Cologne · DEBerlin Institute of Health at Charité - Universitätsmedizin Berlin · DEHeidelberg University · DEUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Telomere maintenance by telomerase activation or alternative lengthening of telomeres (ALT) is a major determinant of poor outcome in neuroblastoma. Here, we screen for ALT in primary and relapsed neuroblastomas (n = 760) and characterize its features using multi-omics profiling. ALT-positive tumors are molecularly distinct from other neuroblastoma subtypes and enriched in a population-based clinical sequencing study cohort for relapsed cases. They display reduced ATRX/DAXX complex abundance, due to either ATRX mutations (55%) or low protein expression. The heterochromatic histone mark H3K9me3 recognized by ATRX is enriched at the telomeres of ALT-positive tumors. Notably, we find a high frequency of telomeric repeat loci with a neuroblastoma ALT-specific hotspot on chr1q42.2 and loss of the adjacent chromosomal segment forming a neo-telomere. ALT-positive neuroblastomas proliferate slowly, which is reflected by a protracted clinical course of disease. Nevertheless, children with an ALT-positive neuroblastoma have dismal outcome.

Indexed as

Blotting, WesternExonsFlow CytometryHumansProteomeRetrospective StudiesSequence Analysis, RNATelomereTelomere HomeostasisWhole Genome SequencingX-linked Nuclear ProteinProteomeX-linked Nuclear Protein

Identifiers

PMID33627664
PMCPMC7904810
OpenAlexW3132931888

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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.