Evidence map›Paper›PMID 38539556›Full record

ArticleCancers2024

Proteomic Profiling of Cerebrospinal Fluid and Its Extracellular Vesicles from Extraventricular Drainage in Pediatric Pilocytic Astrocytoma, towards Precision Oncology.

Sonia Spinelli, Xhuliana Kajana, Andrea Garbarino, Martina Bartolucci, Andrea Petretto, Marco Pavanello, Enrico Verrina, Giovanni Candiano, Isabella Panfoli, Maurizio Bruschi

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Extracellular vesicles in spine tumors: biological roles, immune modulation, and therapeutic implications.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  2. Review
  3. 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 2 institutions in 1 country.

Sonia SpinelliLaboratory of Molecular Nephrology, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.ORCID 0000-0001-9847-4308
Xhuliana KajanaLaboratory of Molecular Nephrology, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.ORCID 0000-0001-7016-7584
Andrea GarbarinoLaboratory of Molecular Nephrology, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.
Martina BartolucciProteomics and Clinical Metabolomics Unit at the Core Facilities of IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.ORCID 0000-0001-5289-4219
Andrea PetrettoProteomics and Clinical Metabolomics Unit at the Core Facilities of IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.ORCID 0000-0001-7811-8517
Marco PavanelloDepartment of Neurosurgery, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.ORCID 0000-0001-7312-0204
Enrico VerrinaUnit of Nephrology and Kidney Transplant, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.
Giovanni CandianoLaboratory of Molecular Nephrology, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.
Isabella PanfoliDepartment of Pharmacy, School of Medical and Pharmaceutical Sciences, University of Genoa, 16126 Genoa, Italy.ORCID 0000-0002-6261-1128
Maurizio BruschiLaboratory of Molecular Nephrology, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.ORCID 0000-0001-6036-1500
Istituto Giannina Gaslini · ITUniversity of Genoa · IT

Funding

Cinque per mille ID 23680420Fondazione Malattie Renali del Bambino ETS ID FMRB 2023Ministero della Salute "Ricerca Corrente" ID RC2023
6 · The paper itself

Abstract

Pediatric pilocytic astrocytoma (PA) is the most common brain tumor in children. Complete resection provides a favorable prognosis, except for unresectable PA forms. There is an incomplete understanding of the molecular and cellular pathogenesis of PA. Potential biomarkers for PA patients, especially the non-BRAF-mutated ones are needed. Cerebrospinal fluid (CSF) is a valuable source of brain tumor biomarkers. Extracellular vesicles (EVs), circulating in CSF, express valuable disease targets. These can be isolated from CSF from waste extraventricular drainage (EVD). We analyzed the proteome of EVD CSF from PA, congenital hydrocephalus (CH, non-tumor control), or medulloblastoma (MB, unrelated tumoral control) patients. A total of 3072 proteins were identified, 47.1%, 65.6%, and 86.2% of which were expressed in the unprocessed total and in its large-EV (LEV), and small-EV (SEV) fractions. Bioinformatics identified 50 statistically significant proteins in the comparison between PA and HC, and PA and MB patients, in the same fractions. Kinase enrichment analysis predicted five enriched kinases involved in signaling. Among these, only Cyclin-dependent kinase 2 (CDK2) kinase was overexpressed in PA samples. PLS-DA highlighted the inactive carboxypeptidase-like protein X2 (CPXM2) and aquaporin-4 (AQP4) as statistically significant in all the comparisons, with CPXM2 being overexpressed (validated by ELISA and Western blot) and AQP4 downregulated in PA. These proteins were considered the most promising potential biomarkers for discriminating among pilocytic astrocytoma and unrelated tumoral (MB) or non-tumoral conditions in all the fractions examined, and are proposed to be prospectively validated in the plasma for translational medicine applications.

Indexed as

cerebrospinal fluidextracellular vesiclesextraventricular drainagelarge extracellular vesiclespilocytic astrocytomaproteomicssmall extracellular vesicles

Identifiers

PMID38539556
PMCPMC10969024
OpenAlexW4392986394

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.