Evidence map›Paper›PMID 36621024›Full record

ArticleNeoplasia (New York, N.Y.)2023

Subclonal evolution and expansion of spatially distinct THY1-positive cells is associated with recurrence in glioblastoma.

Wajd N Al-Holou, Hanxiao Wang, Visweswaran Ravikumar, Sunita Shankar, Morgan Oneka, Ziad Fehmi, Roel Gw Verhaak, Hoon Kim, Drew Pratt, Sandra Camelo-Piragua and 11 more

Open access · goldAbstract read
In one paragraph

Article in Neoplasia (New York, N.Y.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.9field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. A novel HPβCD-Cu(DDC)Scientific reports · 2025
    Article
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  11. Article
  12. Review
  13. Article
  14. Revealing the role of SPP1Cell & bioscience · 2024
    Article
  15. Review
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

21 authors at 4 institutions in 2 countries.

Wajd N Al-HolouDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI 48109, United States.
Hanxiao WangDepartment of Radiation Oncology, University of Michigan, NCRC 520, Room 1342, Ann Arbor, MI 48105, United States; AstraZeneca, United States.
Visweswaran RavikumarDepartment of Computational Medicine & Bioinformatics, The University of Michigan Medical School, Ann Arbor, MI 48109, United States.
Sunita ShankarDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI 48109, United States.
Morgan OnekaDepartment of Computational Medicine & Bioinformatics, The University of Michigan Medical School, Ann Arbor, MI 48109, United States.
Ziad FehmiDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI 48109, United States.
Roel Gw VerhaakThe Jackson Laboratory, Farmington, CT 06032, United States.
Hoon KimThe Jackson Laboratory, Farmington, CT 06032, United States; Department of Biopharmaceutical Convergence, Sungkyunkwan University, South Korea.
Drew PrattDepartment of Pathology, University of Michigan, United States.
Sandra Camelo-PiraguaDepartment of Pathology, University of Michigan, United States.
Corey SpeersDepartment of Radiation Oncology, University of Michigan, NCRC 520, Room 1342, Ann Arbor, MI 48105, United States.
Daniel R WahlDepartment of Radiation Oncology, University of Michigan, NCRC 520, Room 1342, Ann Arbor, MI 48105, United States.
Todd HollonDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI 48109, United States.
Oren SagherDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI 48109, United States.
Jason A HethDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI 48109, United States.
Karin M MuraszkoDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI 48109, United States.
Theodore S LawrenceDepartment of Radiation Oncology, University of Michigan, NCRC 520, Room 1342, Ann Arbor, MI 48105, United States.
Ana C de CarvalhoDepartment of Neurosurgery, Henry Ford Hospital, Detroit, MI 48202, United States.
Tom MikkelsenDepartment of Neurosurgery, Henry Ford Hospital, Detroit, MI 48202, United States.
Arvind RaoDepartment of Radiation Oncology, University of Michigan, NCRC 520, Room 1342, Ann Arbor, MI 48105, United States; Department of Computational Medicine & Bioinformatics, The University of Michigan Medical School, Ann Arbor, MI 48109, United States.
Alnawaz RehemtullaDepartment of Radiation Oncology, University of Michigan, NCRC 520, Room 1342, Ann Arbor, MI 48105, United States. Electronic address: alnawaz@med.umich.edu.
University of Michigan–Ann Arbor · USHenry Ford Hospital · USJackson Laboratory · USSungkyunkwan University · KR

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Alexey I Nesvizhskii · 1988 to 2026
$178.2M
Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
Synthesizing Image-derived Heterogeneity with Genomic measurements for Assessing Disease Aggressiveness in Lower Grade GliomasR37CA214955 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KURTEK, SEBASTIAN, RAO, ARVIND · 2018 to 2024
$3.9M
Proteogenomics of Cancer Training ProgramT32CA140044 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RAO, ARVIND, SARTOR, MAUREEN AGNES · 2010 to 2024
$3.9M
De Novo Nucleotide Synthesis as a Mediator of Radiation Resistance and a Therapeutic Target in GlioblastomaK08CA234416 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WAHL, DANIEL R · 2019 to 2023
$1.1M
NCATS NIH HHS UL1 TR002240NCI NIH HHS K08 CA234416NCI NIH HHS P30 CA046592NCI NIH HHS R37 CA214955NCI NIH HHS T32 CA140044
6 · The paper itself

Abstract

purposeGlioblastoma(GBM) is a lethal disease characterized by inevitable recurrence. Here we investigate the molecular pathways mediating resistance, with the goal of identifying novel therapeutic opportunities. EXPERIMENTAL

designWe developed a longitudinal in vivo recurrence model utilizing patient-derived explants to produce paired specimens(pre- and post-recurrence) following temozolomide(TMZ) and radiation(IR). These specimens were evaluated for treatment response and to identify gene expression pathways driving treatment resistance. Findings were clinically validated using spatial transcriptomics of human GBMs.

resultsThese studies reveal in replicate cohorts, a gene expression profile characterized by upregulation of mesenchymal and stem-like genes at recurrence. Analyses of clinical databases revealed significant association of this transcriptional profile with worse overall survival and upregulation at recurrence. Notably, gene expression analyses identified upregulation of TGFβ signaling, and more than one-hundred-fold increase in THY1 levels at recurrence. Furthermore, THY1-positive cells represented <10% of cells in treatment-naïve tumors, compared to 75-96% in recurrent tumors. We then isolated THY1-positive cells from treatment-naïve patient samples and determined that they were inherently resistant to chemoradiation in orthotopic models. Additionally, using image-guided biopsies from treatment-naïve human GBM, we conducted spatial transcriptomic analyses. This revealed rare THY1+ regions characterized by mesenchymal/stem-like gene expression, analogous to our recurrent mouse model, which co-localized with macrophages within the perivascular niche. We then inhibited TGFBRI activity in vivo which decreased mesenchymal/stem-like protein levels, including THY1, and restored sensitivity to TMZ/IR in recurrent tumors.

conclusionsThese findings reveal that GBM recurrence may result from tumor repopulation by pre-existing, therapy-resistant, THY1-positive, mesenchymal cells within the perivascular niche.

Indexed as

Brain NeoplasmsGlioblastomaAnimalsAntineoplastic Agents, AlkylatingCell Line, TumorDrug Resistance, NeoplasmHumansMiceNeoplasm Recurrence, LocalTemozolomideAntineoplastic Agents, AlkylatingTemozolomideGlioblastomaSubclonal evolutionTreatment resistance

Identifiers

PMID36621024
PMCPMC9841165
OpenAlexW4313597925

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.