Evidence map›Paper›PMID 37185778›Full record

ArticleScientific reports2023

Genomic profiles of IDH-mutant gliomas: MYCN-amplified IDH-mutant astrocytoma had the worst prognosis.

Kwanghoon Lee, Seong-Ik Kim, Eric Eunshik Kim, Yu-Mi Shim, Jae-Kyung Won, Chul-Kee Park, Seung Hong Choi, Hongseok Yun, Hyunju Lee, Sung-Hye Park

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Definition of parameters and thresholds to detect MYCN amplification in retinoblastomas.Virchows Archiv : an international journal of pathology · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. MYCN amplification defines an aggressive phenotype in IDH-mutant gliomas.The journal of pathology. Clinical research · 2025
    Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Prognostic Impact ofCancers · 2024
    Article
  16. Review
  17. Article
  18. Prognostic implication ofNeuro-oncology advances
    Article
  19. Article
  20. Molecular alterations inNeuro-oncology advances
    Article
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

10 authors at 3 institutions in 1 country.

Kwanghoon LeeDepartment of Pathology, College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Seong-Ik KimDepartment of Pathology, College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Eric Eunshik KimDepartment of Pathology, College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Yu-Mi ShimDepartment of Pathology, College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Jae-Kyung WonDepartment of Pathology, College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Chul-Kee ParkDepartment of Neurosurgery, College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Seung Hong ChoiDepartment of Radiology, College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Hongseok YunDepartment of Genomic Medicine, College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Hyunju LeeSchool of Electrical Engineering and Computer Science, Gwangju Institute of Science and Technology, Gwangju, 61005, Republic of Korea.
Sung-Hye ParkDepartment of Pathology, College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea. shparknp@snu.ac.kr.
Seoul National University Hospital · KRGwangju Institute of Science and Technology · KRSeoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to find any ambiguous genetic outlier for "oligodendroglioma, IDH-mutant and 1p/19q-codeleted (O_IDH_mut)" and "astrocytoma, IDH-mutant (A_IDH_mut)" and to redefine the genetic landscape and prognostic factors of IDH-mutant gliomas. Next-generation sequencing (NGS) using a brain tumor-targeted gene panel, methylation profiles, and clinicopathological features were analyzed for O_IDH_mut (n = 74) in 70 patients and for A_IDH_mut (n = 95) in 90 patients. 97.3% of O_IDH_mut and 98.9% of A_IDH_mut displayed a classic genomic landscape. Combined CIC (75.7%) and/or FUBP1 (45.9%) mutations were detected in 93.2% and MGMTp methylation in 95.9% of O_IDH_mut patients. In A_IDH_mut, TP53 mutations were found in 86.3% and combined ATRX (82.1%) and TERTp (6.3%) mutations in 88.4%. Although there were 3 confusing cases, NOS (not otherwise specified) category, based on genetic profiles, but they were clearly classified by combining histopathology and DKFZ methylation classifier algorithms. The patients with MYCN amplification and/or CDKN2A/2B homozygous deletion in the A_IDH_mut category had a worse prognosis than those without these gene alterations and MYCN-amplified A_IDH_mut showed the worst prognosis. However, there was no prognostic genetic marker in O_IDH_mut. In histopathologically or genetically ambiguous cases, methylation profiles can be used as an objective tool to avoid a diagnosis of NOS or NEC (not elsewhere classified), as well as for tumor classification. The authors have not encountered a case of true mixed oligoastrocytoma using an integrated diagnosis of histopathological, genetic and methylation profiles. MYCN amplification, in addition to CDKN2A/2B homozygous deletion, should be included in the genetic criteria for CNS WHO grade 4 A_IDH_mut.

Indexed as

AstrocytomaBrain NeoplasmsGliomaDNA-Binding ProteinsGenetic ProfileHomozygoteHumansIsocitrate DehydrogenaseMutationN-Myc Proto-Oncogene ProteinPrognosisRNA-Binding ProteinsSequence DeletionDNA-Binding ProteinsFUBP1 protein, humanIsocitrate DehydrogenaseMYCN protein, humanN-Myc Proto-Oncogene ProteinRNA-Binding Proteins

Identifiers

PMID37185778
PMCPMC10130138
OpenAlexW4366984801

What OpenQuestion holds

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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.