Evidence map›Paper›PMID 35660939›Full record

ArticleActa neuropathologica2022

DNA-methylome-assisted classification of patients with poor prognostic subventricular zone associated IDH-wildtype glioblastoma.

Sebastian Adeberg, Maximilian Knoll, Christian Koelsche, Denise Bernhardt, Daniel Schrimpf, Felix Sahm, Laila König, Semi Ben Harrabi, Juliane Hörner-Rieber, Vivek Verma and 10 more

Open access · hybridAbstract read
In one paragraph

Article in Acta neuropathologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 14 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

20 authors at 2 institutions in 2 countries.

Sebastian Adeberg *German Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany. Sebastian.adeberg@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0001-8463-514X
Maximilian Knoll *German Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany.
Christian KoelscheDepartment of Neuropathology, University Hospital of Heidelberg, Im Neuenheimer Feld 224, 69120, Heidelberg, Germany.
Denise BernhardtGerman Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany.
Daniel SchrimpfDepartment of Neuropathology, University Hospital of Heidelberg, Im Neuenheimer Feld 224, 69120, Heidelberg, Germany.
Felix SahmDepartment of Neuropathology, University Hospital of Heidelberg, Im Neuenheimer Feld 224, 69120, Heidelberg, Germany.
Laila KönigGerman Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany.
Semi Ben HarrabiGerman Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany.
Juliane Hörner-RieberGerman Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany.
Vivek VermaDepartment of Radiation Oncology, University of Texas M.D. Anderson Cancer Center Houston, Houston, TX, USA.
Melanie Bewerunge-HudlerGenomics and Proteomics Core Facility, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 580, 69120, Heidelberg, Germany.
Andreas UnterbergGerman Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany.
Dominik SturmDivision of Pediatric Glioma Research, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany.
Christine JungkGerman Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany.
Christel Herold-MendeGerman Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany.
Wolfgang WickGerman Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany.
Andreas von DeimlingGerman Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany.
Juergen DebusGerman Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany.
Stefan Rieken *German Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany.
Amir Abdollahi *German Cancer Consortium (DKTK), Core Center Heidelberg, Heidelberg, Germany.
German Cancer Research Center · DEThe University of Texas MD Anderson Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glioblastoma (GBM) derived from the "stem cell" rich subventricular zone (SVZ) may constitute a therapy-refractory subgroup of tumors associated with poor prognosis. Risk stratification for these cases is necessary but is curtailed by error prone imaging-based evaluation. Therefore, we aimed to establish a robust DNA methylome-based classification of SVZ GBM and subsequently decipher underlying molecular characteristics. MRI assessment of SVZ association was performed in a retrospective training set of IDH-wildtype GBM patients (n = 54) uniformly treated with postoperative chemoradiotherapy. DNA isolated from FFPE samples was subject to methylome and copy number variation (CNV) analysis using Illumina Platform and cnAnalysis450k package. Deep next-generation sequencing (NGS) of a panel of 130 GBM-related genes was conducted (Agilent SureSelect/Illumina). Methylome, transcriptome, CNV, MRI, and mutational profiles of SVZ GBM were further evaluated in a confirmatory cohort of 132 patients (TCGA/TCIA). A 15 CpG SVZ methylation signature (SVZM) was discovered based on clustering and random forest analysis. One third of CpG in the SVZM were associated with MAB21L2/LRBA. There was a 14.8% (n = 8) discordance between SVZM vs. MRI classification. Re-analysis of these patients favored SVZM classification with a hazard ratio (HR) for OS of 2.48 [95% CI 1.35-4.58], p = 0.004 vs. 1.83 [1.0-3.35], p = 0.049 for MRI classification. In the validation cohort, consensus MRI based assignment was achieved in 62% of patients with an intraclass correlation (ICC) of 0.51 and non-significant HR for OS (2.03 [0.81-5.09], p = 0.133). In contrast, SVZM identified two prognostically distinct subgroups (HR 3.08 [1.24-7.66], p = 0.016). CNV alterations revealed loss of chromosome 10 in SVZM- and gains on chromosome 19 in SVZM- tumors. SVZM- tumors were also enriched for differentially mutated genes (p < 0.001). In summary, SVZM classification provides a novel means for stratifying GBM patients with poor prognosis and deciphering molecular mechanisms governing aggressive tumor phenotypes.

Indexed as

Brain NeoplasmsGlioblastomaAdaptor Proteins, Signal TransducingDNA Copy Number VariationsEpigenomeEye ProteinsHumansIntracellular Signaling Peptides and ProteinsLateral VentriclesPrognosisRetrospective StudiesAdaptor Proteins, Signal TransducingEye ProteinsIntracellular Signaling Peptides and ProteinsLRBA protein, humanMAB21L2 protein, human

Identifiers

PMID35660939
PMCPMC9217840
OpenAlexW4281712442

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.