Evidence map›Paper›PMID 35881312›Full record

ArticleActa neurochirurgica2022

Landscape of genetic variants in sporadic meningiomas captured with clinical genomics.

Nathan K Leclair, Erica Shen, Qian Wu, Leo Wolansky, Kevin Becker, Lei Li, Ketan R Bulsara

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Article in Acta neurochirurgica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 36% 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

3 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

7 authors at 3 institutions in 1 country.

Nathan K LeclairSchool of Medicine, University of Connecticut, 263 Farmington Ave, Farmington, CT, 06030, USA.
Erica ShenDivision of Neurosurgery, Department of Surgery, UConn Health, 263 Farmington Ave, Farmington, CT, 06030, USA.
Qian WuDepartment of Pathology and Laboratory Medicine, UConn Health, 263 Farmington Ave, Farmington, CT, 06030, USA.
Leo WolanskyDepartment of Radiology, UConn Health, 263 Farmington Ave, Farmington, CT, 06030, USA.
Kevin BeckerDepartment of Oncology, UConn Health, 263 Farmington Ave, Farmington, CT, 06030, USA.
Lei LiThe Jackson Laboratory for Genomic Medicine, 10 Discovery Drive, Farmington, CT, 06030, USA.
Ketan R BulsaraDivision of Neurosurgery, Department of Surgery, UConn Health, 263 Farmington Ave, Farmington, CT, 06030, USA. bulsara@uchc.edu.
UConn Health · USJackson Laboratory · USUniversity of Connecticut · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeningiomas are the most common primary central nervous system tumor. Previous studies have characterized recurrent genetic alterations that can predict patient prognosis and potentially provide new avenues for therapeutic intervention. Continued efforts to characterize the genomic changes in meningioma samples can aid in the discovery of therapeutic targets and appropriate patient stratification.

methodsWe performed targeted genomic sequencing on 25 primary and 2 recurrent meningiomas using a 500-gene panel, including canonical meningioma drivers. We further detail the genomic profiles and relevant clinical findings in three cases of angiomatous meningiomas and two recurrent atypical meningiomas.

resultsOur approach uncovers a diverse landscape of genomic variants in meningioma samples including mutations in established meningioma-related genes NF2, AKT1, PIK3CA, and TRAF7. In addition to known meningioma drivers, we uncover variants in genes encoding other PI3K subunits, Notch/hedgehog/Wnt signaling pathway components, and chromatin regulators. We additionally identify 22 genes mutated across multiple samples. Three patients included in the study were diagnosed with angiomatous WHO grade I meningiomas, all three of which contained variants in the PI3K-AKT signaling pathway previously described to regulate tumor angiogenesis. Analysis of patient-matched primary and recurrent atypical meningiomas revealed clonal enrichment for mutations in the SWI/SNF complex subunits ARID1A and SMARCA4.

conclusionsTargeted genomics implemented in neuro-oncology care can enhance our understanding of the genetic underpinnings of central nervous system tumors, including meningiomas. These molecular signatures may be clinically useful in dictating treatment strategies and patient follow-up.

Indexed as

Meningeal NeoplasmsMeningiomaDNA HelicasesGenomicsHumansNeoplasm Recurrence, LocalNuclear ProteinsPhosphatidylinositol 3-KinasesTranscription FactorsDNA HelicasesNuclear ProteinsPhosphatidylinositol 3-KinasesSMARCA4 protein, humanTranscription FactorsAtypical meningiomaGeneticsGenomicsMeningiomaTargeted therapies

Identifiers

PMID35881312
OpenAlexW4288039629

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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.