Evidence map›Paper›PMID 36744399›Full record

ReviewExpert opinion on therapeutic targets2023

H3K27-altered diffuse midline glioma: a paradigm shifting opportunity in direct delivery of targeted therapeutics.

Julian S Rechberger, Blake T Power, Erica A Power, Cody L Nesvick, David J Daniels

Open access · greenAbstract readReview
In one paragraph

Review in Expert opinion on therapeutic targets, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.3field-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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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  6. 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

5 authors at 2 institutions in 1 country.

Julian S RechbergerDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-0855-3297
Blake T PowerDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
Erica A PowerLoyola University Chicago Stritch School of Medicine, Maywood, IL, USA.
Cody L NesvickDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
David J DanielsDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic · USLoyola University Chicago · US

Funding

Working towards targeted therapy in H3K27M tumors: Aurora Kinase Inhibitors and the role of epigenome programmingR01NS117432 · NINDS · MAYO CLINIC ROCHESTER · PI DANIELS, DAVID · 2020 to 2024
$1.8M
Research Training Program in Neuro-OncologyT32CA217836 · NCI · MAYO CLINIC ROCHESTER · PI O'NEILL, BRIAN PATRICK, VILE, RICHARD G. · 2018 to 2022
$1.4M
NCI NIH HHS T32 CA217836NINDS NIH HHS R01 NS117432
6 · The paper itself

Abstract

introductionDespite much progress, the prognosis for H3K27-altered diffuse midline glioma (DMG), previously known as diffuse intrinsic pontine glioma when located in the brainstem, remains dark and dismal. AREAS COVERED: A wealth of research over the past decade has revolutionized our understanding of the molecular basis of DMG, revealing potential targetable vulnerabilities for treatment of this lethal childhood cancer. However, obstacles to successful clinical implementation of novel therapies remain, including effective delivery across the blood-brain barrier (BBB) to the tumor site. Here, we review relevant literature and clinical trials and discuss direct drug delivery via convection-enhanced delivery (CED) as a promising treatment modality for DMG. We outline a comprehensive molecular, pharmacological, and procedural approach that may offer hope for afflicted patients and their families. EXPERT OPINION: Challenges remain in successful drug delivery to DMG. While CED and other techniques offer a chance to bypass the BBB, the variables influencing successful intratumoral targeting are numerous and complex. We discuss these variables and potential solutions that could lead to the successful clinical implementation of preclinically promising therapeutic agents.

Indexed as

Brain Stem NeoplasmsGliomaBlood-Brain BarrierChildDrug Delivery SystemsHumansPrognosisblood–brain barrierconvection-enhanced deliverydiffuse intrinsic pontine gliomaDiffuse midline gliomaH3 K27-alteredH3 K27Mpharmacokineticstargeted therapeutics

Identifiers

PMID36744399
PMCPMC10165636
OpenAlexW4319295277

What OpenQuestion holds

Textmetadata
LicenceTDM
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.