Evidence map›Paper›PMID 33876327›Full record

ArticleActa neuropathologica2021

Glioblastomas with primitive neuronal component harbor a distinct methylation and copy-number profile with inactivation of TP53, PTEN, and RB1.

Abigail K Suwala, Damian Stichel, Daniel Schrimpf, Sybren L N Maas, Martin Sill, Hildegard Dohmen, Rouzbeh Banan, Annekathrin Reinhardt, Philipp Sievers, Felix Hinz and 30 more

Open access · hybridAbstract read
In one paragraph

Article in Acta neuropathologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 52 citations in OpenAlex.

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  7. DNA Methylation-Based Classification of Kidney Neoplasms.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2025
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  17. Glioblastoma: An Update in Pathology, Molecular Mechanisms and Biomarkers.International journal of molecular sciences · 2024
    Review
  18. Article
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  20. Review
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

40 authors at 20 institutions in 9 countries.

Abigail K SuwalaDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Damian StichelDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Daniel SchrimpfDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Sybren L N MaasDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Martin SillHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Hildegard DohmenInstitute of Neuropathology, University of Giessen, Giessen, Germany.
Rouzbeh BananDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Annekathrin ReinhardtDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Philipp SieversDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Felix HinzDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Mirjam Blattner-JohnsonHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Christian HartmannDepartment of Neuropathology, Institute of Pathology, Hannover Medical School, Hannover, Germany.
Leonille SchweizerDepartment of Neuropathology, Berlin Institute of Health, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
Henning B BoldtDepartment of Pathology, Odense University Hospital, Odense, Denmark.
Bjarne Winther KristensenDepartment of Pathology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Jens SchittenhelmInstitute of Pathology and Neuropathology, Department of Neuropathology, University Hospital Tübingen, Tübingen, Germany.
Matthew D WoodDepartment of Pathology, Oregon Health and Science University, Portland, OR, USA.
Guillaume ChotardDepartment of Pathology, Hospital Center University of Bordeaux, Bordeaux, France.
Rolf BjergvigDepartment of Biomedicine, University of Bergen, Bergen, Norway.
Anirban DasDivision of Haematology/Oncology, The Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.
Uri TaboriDivision of Haematology/Oncology, The Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.
Martin HasselblattInstitute of Neuropathology, University Hospital Münster, Munster, Germany.
Andrey KorshunovDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Zied AbdullaevLaboratory of Pathology, National Cancer Institute Centre for Cancer Research, Bethesda, MD, USA.
Martha QuezadoLaboratory of Pathology, National Cancer Institute Centre for Cancer Research, Bethesda, MD, USA.
Kenneth AldapeLaboratory of Pathology, National Cancer Institute Centre for Cancer Research, Bethesda, MD, USA.
Patrick N HarterNeurological Institute (Edinger Institute), Goethe-University Frankfurt am Main, Frankfurt am Main, Germany.
Matija SnuderlDivision of Neuropathology, NYU Langone Health, New York, USA.
Jürgen HenchDivision of Neuropathology, Institute of Pathology, Basel University Hospital, Basel, Switzerland.
Stephan FrankDivision of Neuropathology, Institute of Pathology, Basel University Hospital, Basel, Switzerland.
Till AckerInstitute of Neuropathology, University of Giessen, Giessen, Germany.
Sebastian BrandnerDivision of Neuropathology, The National Hospital for Neurology and Neurosurgery, University College London Hospitals, London, UK.
Frank WinklerClinical Cooperation Unit Neurooncology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Pieter WesselingPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Stefan M PfisterHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
David E ReussDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Wolfgang WickClinical Cooperation Unit Neurooncology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Andreas von DeimlingDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
David T W JonesHopp Children's Cancer Center (KiTZ), Heidelberg, Germany.
Felix SahmDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. Felix.Sahm@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0001-5441-1962
German Cancer Research Center · DENational Cancer Institute · USJustus-Liebig-Universität Gießen · DEUniversity Hospital of Basel · CHGoethe University Frankfurt · DEHeidelberg University · DEHospital for Sick Children · CAMedizinische Hochschule Hannover · DENYU Langone Health · USOregon Health & Science University · USPrincess Máxima Center · NLRoyal London Hospital · GBUniversité de Bordeaux · FRUniversity Children's Hospital Tübingen · DEUniversity Hospital Münster · DEUniversity of Bergen · NOUniversity of Copenhagen · DKUniversity of Southern Denmark · DKUniversity of Toronto · CAUtrecht University · NL

Funding

Single-cell DNA methylation analysis of human cancerZIABC011846 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ALDAPE, KENNETH · 2018 to 2025
$8.4M
Methylation Array Profiling as a New Clinical Diagnostic TestZIDBC011929 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI XI, LIQIANG · 2019 to 2021
$3.2M
Medical Research Council G0701018Medical Research Council G1100578Medical Research Council MR/N004272/1
6 · The paper itself

Abstract

Glioblastoma IDH-wildtype presents with a wide histological spectrum. Some features are so distinctive that they are considered as separate histological variants or patterns for the purpose of classification. However, these usually lack defined (epi-)genetic alterations or profiles correlating with this histology. Here, we describe a molecular subtype with overlap to the unique histological pattern of glioblastoma with primitive neuronal component. Our cohort consists of 63 IDH-wildtype glioblastomas that harbor a characteristic DNA methylation profile. Median age at diagnosis was 59.5 years. Copy-number variations and genetic sequencing revealed frequent alterations in TP53, RB1 and PTEN, with fewer gains of chromosome 7 and homozygous CDKN2A/B deletions than usually described for IDH-wildtype glioblastoma. Gains of chromosome 1 were detected in more than half of the cases. A poorly differentiated phenotype with frequent absence of GFAP expression, high proliferation index and strong staining for p53 and TTF1 often caused misleading histological classification as carcinoma metastasis or primitive neuroectodermal tumor. Clinically, many patients presented with leptomeningeal dissemination and spinal metastasis. Outcome was poor with a median overall survival of only 12 months. Overall, we describe a new molecular subtype of IDH-wildtype glioblastoma with a distinct histological appearance and genetic signature.

Indexed as

DNA MethylationBrain NeoplasmsChromosomes, Human, Pair 1Chromosomes, Human, Pair 7Cohort StudiesCyclin-Dependent Kinase Inhibitor p16DNA Copy Number VariationsFemaleGene DeletionGlial Fibrillary Acidic ProteinGlioblastomaHumansMaleMiddle AgedNeuroectodermal Tumors, PrimitivePTEN PhosphohydrolaseCDKN2A protein, humanCyclin-Dependent Kinase Inhibitor p16GFAP protein, humanGlial Fibrillary Acidic ProteinPTEN PhosphohydrolasePTEN protein, humanRB1 protein, humanRetinoblastoma Binding ProteinsTP53 protein, humanTumor Suppressor Protein p53Ubiquitin-Protein LigasesClassificationDNA methylationGBMPhenotypePlasticityPNET

Identifiers

PMID33876327
PMCPMC8217054
OpenAlexW3152824761

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