Evidence map›Paper›PMID 36382110›Full record

ArticleNeuro-oncology advances

Leveraging the CSF proteome toward minimally-invasive diagnostics surveillance of brain malignancies.

Nicholas Mikolajewicz, Shahbaz Khan, Mara Trifoi, Anna Skakdoub, Vladmir Ignatchenko, Sheila Mansouri, Jeffrey Zuccatto, Brad E Zacharia, Michael Glantz, Gelareh Zadeh and 3 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Neuro-oncology advances. 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.2field-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, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Nicholas MikolajewiczTerrence Donnelly Centre for Cellular and Biomolecular Research, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-7525-0384
Shahbaz KhanPrincess Margaret Cancer Centre, Toronto, Ontario, Canada.
Mara TrifoiDepartment of Neurosurgery, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania,USA.
Anna SkakdoubDepartment of Neurosurgery, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania,USA.
Vladmir IgnatchenkoPrincess Margaret Cancer Centre, Toronto, Ontario, Canada.
Sheila MansouriMacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada.
Jeffrey ZuccattoMacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada.
Brad E ZachariaDepartment of Neurosurgery, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania,USA.
Michael GlantzDepartment of Neurosurgery, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania,USA.
Gelareh ZadehMacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-6637-4502
Jason MoffatTerrence Donnelly Centre for Cellular and Biomolecular Research, University of Toronto, Toronto, Ontario, Canada.
Thomas KislingerPrincess Margaret Cancer Centre, Toronto, Ontario, Canada.
Alireza MansouriDepartment of Neurosurgery, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania,USA.ORCID https://orcid.org/0000-0002-7442-7539
Penn State Milton S. Hershey Medical Center · USUniversity Health Network · CAUniversity of Toronto · CAPrincess Margaret Cancer Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diagnosis and prognostication of intra-axial brain tumors hinges on invasive brain sampling, which carries risk of morbidity. Minimally-invasive sampling of proximal fluids, also known as liquid biopsy, can mitigate this risk. Our objective was to identify diagnostic and prognostic cerebrospinal fluid (CSF) proteomic signatures in glioblastoma (GBM), brain metastases (BM), and primary central nervous system lymphoma (CNSL). Methods: CSF samples were retrospectively retrieved from the Penn State Neuroscience Biorepository and profiled using shotgun proteomics. Proteomic signatures were identified using machine learning classifiers and survival analyses. Results: Using 30 µL CSF volumes, we recovered 755 unique proteins across 73 samples. Proteomic-based classifiers identified malignancy with area under the receiver operating characteristic (AUROC) of 0.94 and distinguished between tumor entities with AUROC ≥0.95. More clinically relevant triplex classifiers, comprised of just three proteins, distinguished between tumor entities with AUROC of 0.75-0.89. Novel biomarkers were identified, including GAP43, TFF3 and CACNA2D2, and characterized using single cell RNA sequencing. Survival analyses validated previously implicated prognostic signatures, including blood-brain barrier disruption. Conclusions: Reliable classification of intra-axial malignancies using low CSF volumes is feasible, allowing for longitudinal tumor surveillance.

Indexed as

biomarkersbrain metastasiscerebrospinal fluiddisease surveillanceglioblastoma

Identifiers

PMID36382110
PMCPMC9639356
OpenAlexW4303411525

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.