Evidence map›Paper›PMID 34714520›Full record

ArticleJournal of neuro-oncology2021

History of atopy confers improved outcomes in IDH mutant and wildtype lower grade gliomas.

Emade Jaman, Xiaoran Zhang, Poorva Sandlesh, Ahmed Habib, Jordan Allen, Raj G Saraiya, Nduka M Amankulor, Pascal O Zinn

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Article in Journal of neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Emade JamanUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Xiaoran ZhangDepartment of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Poorva SandleshHillman Cancer Center, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Ahmed HabibDepartment of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Jordan AllenHillman Cancer Center, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Raj G SaraiyaDietrich School of Arts and Science, University of Pittsburgh, Pittsburgh, PA, USA.
Nduka M AmankulorDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Pascal O ZinnDepartment of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. zinnpo@upmc.edu.ORCID http://orcid.org/0000-0003-0091-5887
UPMC Hillman Cancer Center · USUniversity of Pittsburgh · USHospital of the University of Pennsylvania · USUniversity of Pittsburgh Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA history of atopy or allergy has been shown to be protective against the development of glioma, however the effect of atopy on patient outcomes, especially in conjunction with the survival benefit associated with IDH mutation, has not yet been investigated, and is the focus of the study we present here.

methodsLow grade glioma (LGG) data from the TCGA was downloaded, along with IDH, TERT, 1p/19q and ATRX mutational status and genetic alterations. History of asthma, eczema, hay fever, animal, or food allergies, as documented in TCGA, was used to determine patient atopy status. Patients with missing variables were excluded from the study.

results374 LGG studies were included. Patients with a history of atopy demonstrated longer overall survival (OS) compared to those without (145.3 vs. 81.5 months, p = 00.0195). IDH mutant patients with atopy had longer OS compared those without atopy (158.8 vs. 85 months, p = 0.035). Multivariate cox regression analysis demonstrated that the effects of atopy on survival were independent of IDH and histological grade, (p = 0.002, HR 0.257, 95% 0.109-0.604), (p =  < 0.001, HR 0.217, 95% 0.107-0.444), and (p = 0.004, HR 2.72, 95% 1.373-5.397), respectively. In terms of treatment outcomes, patients with atopy did not differ in treatment response compared to their counterpart. Pathway analysis demonstrated an upstream activation of the BDNF pathway (p = 0.00027).

conclusionA history of atopy confers a survival benefit in patients with diffuse low-grade glioma. Activation of the BDNF pathway may drive the observed differences.

Indexed as

Brain NeoplasmsGliomaIsocitrate DehydrogenaseBrain-Derived Neurotrophic FactorHumansMutationNeoplasm GradingSignal TransductionTreatment OutcomeBrain-Derived Neurotrophic FactorIsocitrate DehydrogenaseAllergyAtopyBDNFIDHLow grade glioma

Identifiers

PMID34714520
OpenAlexW3195199179

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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.