Evidence map›Paper›PMID 36124685›Full record

ArticleNeuro-oncology2023

Integrated longitudinal analysis of adult grade 4 diffuse gliomas with long-term relapse interval revealed upregulation of TGF-β signaling in recurrent tumors.

Elham Kashani, Désirée Schnidrig, Ali Hashemi Gheinani, Martina Selina Ninck, Philipp Zens, Theoni Maragkou, Ulrich Baumgartner, Philippe Schucht, Gunnar Rätsch, Mark A Rubin and 4 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.1field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 3 countries.

Elham KashaniInstitute of Pathology, University of Bern, Bern, Switzerland.ORCID 0000-0002-4221-4926
Désirée SchnidrigDepartment for BioMedical Research, University of Bern, Bern, Switzerland.
Ali Hashemi GheinaniUrological Diseases Research Center, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0002-9625-6259
Martina Selina NinckInstitute of Pathology, University of Bern, Bern, Switzerland.
Philipp ZensInstitute of Pathology, University of Bern, Bern, Switzerland.
Theoni MaragkouInstitute of Pathology, University of Bern, Bern, Switzerland.
Ulrich BaumgartnerCell and Molecular Biology Department, QIMR Berghofer Medical Research Institute, Sid Faithfull Brain Cancer Laboratory, Brisbane, Australia.ORCID 0000-0001-8170-0567
Philippe SchuchtDepartment of Neurosurgery, University Hospital Bern, Bern, Switzerland.
Gunnar RätschSIB Swiss Institute of Bioinformatics, Lausanne, Switzerland.ORCID 0000-0001-5486-8532
Mark A RubinDepartment for BioMedical Research, University of Bern, Bern, Switzerland.
SOCIBP consortium
Sabina BerezowskaInstitute of Pathology, University of Bern, Bern, Switzerland.
Charlotte K Y NgDepartment for BioMedical Research, University of Bern, Bern, Switzerland.ORCID 0000-0002-6100-0026
Erik VassellaInstitute of Pathology, University of Bern, Bern, Switzerland.ORCID 0000-0001-7982-8713
University of Bern · CHSIB Swiss Institute of Bioinformatics · CHBroad Institute · USThe University of Queensland · AUUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdult-type diffuse gliomas, CNS WHO grade 4 are the most aggressive primary brain tumors and represent a particular challenge for therapeutic intervention.

methodsIn a single-center retrospective study of matched pairs of initial and post-therapeutic glioma cases with a recurrence period greater than 1 year, we performed whole exome sequencing combined with mRNA and microRNA expression profiling to identify processes that are altered in recurrent gliomas.

resultsMutational analysis of recurrent gliomas revealed early branching evolution in 75% of the patients. High plasticity was confirmed at the mRNA and miRNA levels. SBS1 signature was reduced and SBS11 was elevated, demonstrating the effect of alkylating agent therapy on the mutational landscape. There was no evidence for secondary genomic alterations driving therapy resistance. ALK7/ACVR1C and LTBP1 were upregulated, whereas LEFTY2 was downregulated, pointing towards enhanced Tumor Growth Factor β (TGF-β) signaling in recurrent gliomas. Consistently, altered microRNA expression profiles pointed towards enhanced Nuclear Factor Kappa B and Wnt signaling that, cooperatively with TGF-β, induces epithelial to mesenchymal transition (EMT), migration, and stemness. TGF-β-induced expression of pro-apoptotic proteins and repression of antiapoptotic proteins were uncoupled in the recurrent tumor.

conclusionsOur results suggest an important role of TGF-β signaling in recurrent gliomas. This may have clinical implications since TGF-β inhibitors have entered clinical phase studies and may potentially be used in combination therapy to interfere with chemoradiation resistance. Recurrent gliomas show high incidence of early branching evolution. High tumor plasticity is confirmed at the level of microRNA and mRNA expression profiles.

Indexed as

Brain NeoplasmsGliomaMicroRNAsActivin Receptors, Type IAdultCell Line, TumorEpithelial-Mesenchymal TransitionHumansRecurrenceRetrospective StudiesRNA, MessengerTransforming Growth Factor betaUp-RegulationActivin Receptors, Type IACVR1C protein, humanMicroRNAsRNA, MessengerTransforming Growth Factor betaGlioblastomalongitudinal analysismiRNATGF-β signalingtumor evolution

Identifiers

PMID36124685
PMCPMC10076939
OpenAlexW4296777466

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.