Evidence map›Paper›PMID 38466086›Full record

ArticleNeuro-oncology2024

Comprehensive analysis of MYB/MYBL1-altered pediatric-type diffuse low-grade glioma.

Daniel C Moreira, Ibrahim Qaddoumi, Susan Spiller, Thomas W Bouldin, Alan Davidson, Nasjla Saba-Silva, Daniel V Sullivan, Ryuma Tanaka, Aaron S Wagner, Matthew Wood and 7 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

17 authors.

Daniel C MoreiraDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID 0000-0003-4082-156X
Ibrahim QaddoumiDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Susan SpillerDepartment of Pediatric Hematology/Oncology, East Tennessee Children's Hospital, Knoxville, Tennessee, USA.
Thomas W BouldinDepartment of Pathology, University of North Carolina, Chapel Hill, North Carolina, USA.
Alan DavidsonDepartment of Pediatric Hematology/Oncology, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
Nasjla Saba-SilvaDepartment of Pediatric Oncology, Grupo de Apoio ao Adolescente e à Criança com Câncer (GRAACC), São Paulo, Brazil.
Daniel V SullivanDepartment of Pathology, University of California San Francisco, San Francisco, California, USA.
Ryuma TanakaDepartment of Pediatric Hematology/Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Aaron S WagnerDepartment of Pathology, Orlando Health, Orlando, Florida, USA.
Matthew WoodDepartment of Pathology, Oregon Health & Science University, Portland, Oregon, USA.
Paul KlimoDepartment of Surgery, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Godwin JobDepartment of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Meenakshi DevidasDepartment of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Xiaoyu LiDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Amar GajjarDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Giles W RobinsonDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Jason ChiangDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID 0000-0003-3623-8996

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
The DNA Damage Response and Tumorigenesis in the BrainP01CA096832 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI BAKER, SUZANNE J. · 2003 to 2025
$38.0M
American Lebanese Syrian Associated CharitiesNCI NIH HHS P01 CA096832NCI NIH HHS P30CA021765V Foundation
6 · The paper itself

Abstract

backgroundPediatric-type diffuse low-grade gliomas (pLGG) harboring recurrent genetic alterations involving MYB or MYBL1 are closely related tumors. Detailed treatment and outcome data of large cohorts are still limited. This study aimed to comprehensively evaluate pLGG with these alterations to define optimal therapeutic strategies.

methodsWe retrospectively reviewed details of pLGG with MYB or MYBL1 alterations from patients treated or referred for pathologic review at St. Jude Children's Research Hospital. Tumor specimens were centrally reviewed, and clinical data were collated.

resultsThirty-three patients (18 male; median age, 5 years) were identified. Two tumors had MYBL1 alterations; 31 had MYB alterations, MYB::QKI fusion being the most common (n = 10, 30%). Most tumors were in the cerebral hemispheres (n = 22, 67%). Two patients (6%) had metastasis at diagnosis. The median follow-up was 6.1 years. The 5-year event-free survival (EFS) rate was 81.3% ± 8.3%; the 5-year overall survival (OS) rate was 96.4% ± 4.1%. Patients receiving a near-total or gross-total resection had a 5-year EFS of 100%; those receiving a biopsy or subtotal resection had a 5-year EFS rate of 56.6% ± 15.2% (P < .01). No difference in EFS was observed based on location, histology, or molecular alterations. However, the tumors that progressed or metastasized may have distinct methylation profiles with evidence of activation of the MAPK and PI3K/AKT/mTOR pathways.

conclusionspLGG with MYB/MYBL1 alterations have good outcomes. Our findings suggest that surgical resectability is a crucial determinant of EFS. Further characterization is required to identify optimal treatment strategies for progressive tumors.

Indexed as

Brain NeoplasmsGliomaProto-Oncogene Proteins c-mybBiomarkers, TumorChildChild, PreschoolFemaleFollow-Up StudiesHumansMaleNeoplasm GradingPrognosisProto-Oncogene ProteinsRetrospective StudiesSurvival RateTrans-ActivatorsBiomarkers, TumorMYBL1 protein, humanMYB protein, humanProto-Oncogene ProteinsProto-Oncogene Proteins c-mybTrans-ActivatorsMYB/MYBL1 alterationsoutcomepediatric diffuse low-grade gliomasurvivaltreatment

Identifiers

PMID38466086
PMCPMC11226882

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.