Evidence map›Paper›PMID 37818983›Full record

ArticleNeuro-oncology2024

Mean global DNA methylation serves as independent prognostic marker in IDH-wildtype glioblastoma.

Alicia Eckhardt, Richard Drexler, Melanie Schoof, Nina Struve, David Capper, Claudius Jelgersma, Julia Onken, Patrick N Harter, Katharina J Weber, Iris Divé and 8 more

Abstract read
In one paragraph

Article in Neuro-oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Neurooncology: 2025 update.Free neuropathology · 2025
    Review
  16. Review
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Alicia EckhardtDepartment of Radiotherapy & Radiation Oncology, Hubertus Wald Tumor Center - University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Richard DrexlerDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-4830-3671
Melanie SchoofResearch Institute Children's Cancer Center Hamburg, Hamburg, Germany.
Nina StruveDepartment of Radiotherapy & Radiation Oncology, Hubertus Wald Tumor Center - University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
David CapperDepartment of Neuropathology, Charité University Medicine Berlin, Berlin, Germany.ORCID 0000-0003-1945-497X
Claudius JelgersmaDepartment of Neurosurgery, Charité University Medicine Berlin, Berlin, Germany.
Julia OnkenDepartment of Neurosurgery, Charité University Medicine Berlin, Berlin, Germany.
Patrick N HarterNeurological Institute (Edinger Institute), University Hospital, Frankfurt am Main, Germany.
Katharina J WeberNeurological Institute (Edinger Institute), University Hospital, Frankfurt am Main, Germany.
Iris DivéUniversity Cancer Center Frankfurt (UCT), Goethe University Frankfurt, Frankfurt am Main, Germany.
Kai RothkammDepartment of Radiotherapy & Radiation Oncology, Hubertus Wald Tumor Center - University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Konstantin HofferDepartment of Radiotherapy & Radiation Oncology, Hubertus Wald Tumor Center - University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Lukas KlumppDepartment of Radiation Oncology, University of Tübingen, Tübingen, Germany.
Katrin GanserDepartment of Radiation Oncology, University of Tübingen, Tübingen, Germany.
Cordula PetersenDepartment of Radiotherapy & Radiation Oncology, Hubertus Wald Tumor Center - University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Franz RicklefsDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-1321-6930
Malte KriegsDepartment of Radiotherapy & Radiation Oncology, Hubertus Wald Tumor Center - University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ulrich SchüllerResearch Institute Children's Cancer Center Hamburg, Hamburg, Germany.ORCID 0000-0002-8731-1121

Funding

Deutsche KrebshilfeLandesforschungsförderung Hamburg
6 · The paper itself

Abstract

backgroundThe IDH-wildtype glioblastoma (GBM) patients have a devastating prognosis. Here, we analyzed the potential prognostic value of global DNA methylation of the tumors.

methodsDNA methylation of 492 primary samples and 31 relapsed samples, each treated with combination therapy, and of 148 primary samples treated with radiation alone were compared with patient survival. We determined the mean methylation values and estimated the immune cell infiltration from the methylation data. Moreover, the mean global DNA methylation of 23 GBM cell lines was profiled and correlated to their cellular radiosensitivity as measured by colony formation assay.

resultsHigh mean DNA methylation levels correlated with improved survival, which was independent from known risk factors (MGMT promoter methylation, age, extent of resection; P = 0.009) and methylation subgroups. Notably, this correlation was also independent of immune cell infiltration, as higher number of immune cells indeed was associated with significantly better OS but lower mean methylation. Radiosensitive GBM cell lines had a significantly higher mean methylation than resistant lines (P = 0.007), and improved OS of patients treated with radiotherapy alone was also associated with higher DNA methylation (P = 0.002). Furthermore, specimens of relapsed GBM revealed a significantly lower mean DNA methylation compared to the matching primary tumor samples (P = 0.041).

conclusionsOur results indicate that mean global DNA methylation is independently associated with outcome in glioblastoma. The data also suggest that a higher DNA methylation is associated with better radiotherapy response and less aggressive phenotype, both of which presumably contribute to the observed correlation with OS.

Indexed as

Brain NeoplasmsGlioblastomaBiomarkers, TumorDNA MethylationDNA Modification MethylasesDNA Repair EnzymesHumansPrognosisTumor Suppressor ProteinsBiomarkers, TumorDNA Modification MethylasesDNA Repair EnzymesTumor Suppressor ProteinsDNA methylationglioblastomaoverall survivalradiotherapy response

Identifiers

PMID37818983
PMCPMC10912005

What OpenQuestion holds

Textmetadata
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.