Evidence map›Paper›PMID 34610950›Full record

ArticleCancer discovery2022

Characterization of the Genomic and Immunologic Diversity of Malignant Brain Tumors through Multisector Analysis.

Maximilian O Schaettler, Megan M Richters, Anthony Z Wang, Zachary L Skidmore, Bryan Fisk, Katherine E Miller, Tammi L Vickery, Albert H Kim, Michael R Chicoine, Joshua W Osbun and 10 more

Abstract read
In one paragraph

Article in Cancer discovery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Sometimes Less Is More: On Sample Size in Medical Research.Journal of evaluation in clinical practice · 2026
    Review
  4. Review
  5. Article
  6. Article
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  8. Article
  9. Article
  10. Review
  11. Article
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  14. Mapping T cell infiltration patterns in glioma tumor tissue.medRxiv : the preprint server for health sciences · 2025
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Integrating Multisector Molecular Characterization into Personalized Peptide Vaccine Design for Patients with Newly Diagnosed Glioblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    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

20 authors.

Maximilian O Schaettler *Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-7545-6342
Megan M Richters *Division of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Anthony Z WangDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.
Zachary L SkidmoreDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-1928-7139
Bryan FiskDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Katherine E MillerThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Tammi L VickeryAndrew M. and Jane M. Bursky Center for Human Immunology and Immunotherapy Programs, Washington University School of Medicine, St. Louis, Missouri.
Albert H KimDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.
Michael R ChicoineDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.
Joshua W OsbunDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-4308-9669
Eric C LeuthardtDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.
Joshua L DowlingDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.
Gregory J ZipfelDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-2737-9084
Ralph G DaceyDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.
Hsiang-Chih LuDepartment of Pathology & Immunology, Washington University School of Medicine, St. Louis, Missouri.
Tanner M JohannsDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-1094-1528
Obi L GriffithDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-0843-4271
Elaine R MardisThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children's Hospital, Columbus, Ohio.ORCID 0000-0002-5892-1553
Malachi Griffith *Division of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri. gpdunn@mgh.harvard.edu mgriffit@wustl.edu.ORCID 0000-0002-6388-446X
Gavin P Dunn *Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri. gpdunn@mgh.harvard.edu mgriffit@wustl.edu.

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
NATIONAL RESEARCH SERVICE AWARD-MEDICAL SCIENTISTT32GM007200 · NIGMS · WASHINGTON UNIVERSITY · PI YOKOYAMA, WAYNE M. · 1985 to 2024
$59.8M
TRAINING PROGRAM IN IMMUNOLOGY AND IMMUNOGENETICST32AI007163 · NIAID · WASHINGTON UNIVERSITY · PI Kenneth M Murphy, Kodi S Ravichandran · 1985 to 2026
$14.8M
INSTITUTIONAL TRAINING GRANT IN GENOMIC SCIENCET32HG000045 · NHGRI · WASHINGTON UNIVERSITY · PI MICHAEL R BRENT, Barak A Cohen · 1997 to 2026
$8.4M
Informatics tools for identification, prioritization and clinical application of neoantigensU01CA248235 · NCI · WASHINGTON UNIVERSITY · PI GRIFFITH, MALACHI · 2020 to 2022
$1.3M
Integrated Analysis & Interpretation of Whole Genome Exome & Transcriptome SequenR00HG007940 · NHGRI · WASHINGTON UNIVERSITY · PI GRIFFITH, MALACHI · 2017 to 2019
$724k
NCI NIH HHS P30 CA091842NCI NIH HHS U01 CA248235NHGRI NIH HHS R00 HG007940NHGRI NIH HHS T32 HG000045NIAID NIH HHS T32 AI007163NIGMS NIH HHS T32 GM007200
6 · The paper itself

Abstract

Despite some success in secondary brain metastases, targeted or immune-based therapies have shown limited efficacy against primary brain malignancies such as glioblastoma (GBM). Although the intratumoral heterogeneity of GBM is implicated in treatment resistance, it remains unclear whether this diversity is observed within brain metastases and to what extent cancer cell-intrinsic heterogeneity sculpts the local immune microenvironment. Here, we profiled the immunogenomic state of 93 spatially distinct regions from 30 malignant brain tumors through whole-exome, RNA, and T-cell receptor sequencing. Our analyses identified differences between primary and secondary malignancies, with gliomas displaying more spatial heterogeneity at the genomic and neoantigen levels. In addition, this spatial diversity was recapitulated in the distribution of T-cell clones in which some gliomas harbored highly expanded but spatially restricted clonotypes. This study defines the immunogenomic landscape across a cohort of malignant brain tumors and contains implications for the design of targeted and immune-based therapies against intracranial malignancies. SIGNIFICANCE: This study describes the impact of spatial heterogeneity on genomic and immunologic characteristics of gliomas and brain metastases. The results suggest that gliomas harbor significantly greater intratumoral heterogeneity of genomic alterations, neoantigens, and T-cell clones than brain metastases, indicating the importance of multisector analysis for clinical or translational studies.

Indexed as

Brain NeoplasmsExome SequencingGenomicsGlioblastomaHumansImmunotherapyNeoplasm MetastasisReceptors, Antigen, T-CellTumor MicroenvironmentReceptors, Antigen, T-Cell

Identifiers

PMID34610950
PMCPMC9296070

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.