Evidence map›Paper›PMID 35287169›Full record

ArticleNeuro-oncology2022

PI3K/AKT/mTOR signaling pathway activity in IDH-mutant diffuse glioma and clinical implications.

Esraa Mohamed, Anupam Kumar, Yalan Zhang, Albert S Wang, Katharine Chen, Yunita Lim, Anny Shai, Jennie W Taylor, Jennifer Clarke, Stephanie Hilz and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
13.2field-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.

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, 73 citations in OpenAlex.

  1. Everolimus for Children With Recurrent or Progressive Low-Grade Glioma: Results From the Phase II PNOC001 Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
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  7. A Genomically Tailored Multiagent Precision Medicine Clinical Trial for Adults with Recurrent Glioblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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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

15 authors at 1 institution in 1 country.

Esraa MohamedDepartment of Neurological Surgery, Brain Tumor Center, University of California, San Francisco, San Francisco, California, USA.
Anupam KumarDepartment of Neurological Surgery, Brain Tumor Center, University of California, San Francisco, San Francisco, California, USA.
Yalan ZhangDepartment of Neurological Surgery, Brain Tumor Center, University of California, San Francisco, San Francisco, California, USA.
Albert S WangDepartment of Neurological Surgery, Brain Tumor Center, University of California, San Francisco, San Francisco, California, USA.
Katharine ChenDepartment of Neurological Surgery, Brain Tumor Center, University of California, San Francisco, San Francisco, California, USA.
Yunita LimDepartment of Neurological Surgery, Brain Tumor Center, University of California, San Francisco, San Francisco, California, USA.
Anny ShaiDepartment of Neurological Surgery, Brain Tumor Center, University of California, San Francisco, San Francisco, California, USA.
Jennie W TaylorDivision of Neuro-Oncology, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California, USA.
Jennifer ClarkeDivision of Neuro-Oncology, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-8054-7342
Stephanie HilzDepartment of Neurological Surgery, Brain Tumor Center, University of California, San Francisco, San Francisco, California, USA.
Mitchel S BergerDepartment of Neurological Surgery, Brain Tumor Center, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0003-1983-4892
David A SolomonDepartment of Neurology, University of California, San Francisco, San Francisco, California, USA.
Joseph F CostelloDepartment of Neurological Surgery, Brain Tumor Center, University of California, San Francisco, San Francisco, California, USA.
Annette M MolinaroDepartment of Neurological Surgery, Brain Tumor Center, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-9854-7404
Joanna J PhillipsDepartment of Neurological Surgery, Brain Tumor Center, University of California, San Francisco, San Francisco, California, USA.
University of California, San Francisco · US

Funding

Translational InformaticsP30CA082103 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Kate Taylor Shumate · 1999 to 2026
$209.7M
Tissue CoreP50CA097257 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Susan M Chang · 2002 to 2026
$57.4M
Training Program in Translational Brain Tumor ResearchT32CA151022 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Joseph F Costello · 2010 to 2026
$6.6M
3-D spatial approach to discover genomic effectors of immunosuppression during malignant transformationR01CA244838 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COSTELLO, JOSEPH F · 2020 to 2024
$2.7M
Extracellular Sulfatases As Novel Biomarkers For Early Detection of CancerU01CA168878 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEMJABBAR-ALAOUI, HASSAN, PHILLIPS, JOANNA · 2012 to 2016
$2.2M
Mitigation of preanalytic factors influencing brain tumor protein phosphorylationU01CA229345 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PHILLIPS, JOANNA · 2019 to 2023
$1.8M
NCI NIH HHS P30 CA082103NCI NIH HHS P50 CA097257NCI NIH HHS R01 CA244838NCI NIH HHS T32 CA151022NCI NIH HHS U01 CA168878NCI NIH HHS U01 CA229345
6 · The paper itself

Abstract

backgroundIDH-mutant diffuse gliomas are heterogeneous, and improved methods for optimal patient therapeutic stratification are needed. PI3K/AKT/mTOR signaling activity can drive disease progression and potential therapeutic inhibitors of the pathway are available. Yet, the prevalence of PI3K/AKT/mTOR signaling pathway activity in IDH-mutant glioma is unclear and few robust strategies to assess activity in clinical samples exist.

methodsPI3K/AKT/mTOR signaling pathway activity was evaluated in a retrospective cohort of 132 IDH-mutant diffuse glioma (91 astrocytoma and 41 oligodendroglioma, 1p/19q-codeleted) through quantitative multiplex immunoprofiling using phospho-specific antibodies for PI3K/AKT/mTOR pathway members, PRAS40, RPS6, and 4EBP1, and tumor-specific anti-IDH1 R132H. Expression levels were correlated with genomic evaluation of pathway intrinsic genes and univariate and multivariate Cox proportional hazard regression models were used to evaluate the relationship with outcome.

resultsTumor-specific expression of p-PRAS40, p-RPS6, and p-4EBP1 was common in IDH-mutant diffuse glioma and increased with CNS WHO grade from 2 to 3. Genomic analysis predicted pathway activity in 21.7% (13/60) while protein evaluation identified active PI3K/AKT/mTOR signaling in 56.6% (34/60). Comparison of expression in male versus female patients suggested sexual dimorphism. Of particular interest, when adjusting for clinical prognostic factors, the level of phosphorylation of RPS6 was strongly associated with PFS (P < .005). Phosphorylation levels of both PRAS40 and RPS6 showed an association with PFS in univariate analysis.

conclusionsOur study emphasizes the value of proteomic assessment of signaling pathway activity in tumors as a means to identify relevant oncogenic pathways and potentially as a biomarker for identifying aggressive disease.

Indexed as

Brain NeoplasmsGliomaFemaleHumansIsocitrate DehydrogenaseMaleMutationPhosphatidylinositol 3-KinasesProteomicsProto-Oncogene Proteins c-aktRetrospective StudiesSignal TransductionTOR Serine-Threonine KinasesIsocitrate DehydrogenaseMTOR protein, humanPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktTOR Serine-Threonine KinasesbiomarkergliomaoutcomePI3K/AKT/mTORquantitative immunoprofiling

Identifiers

PMID35287169
PMCPMC9435510
OpenAlexW4221061350

What OpenQuestion holds

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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.