Evidence map›Paper›PMID 38760585›Full record

ArticleNature medicine2024

A prognostic neural epigenetic signature in high-grade glioma.

Richard Drexler, Robin Khatri, Thomas Sauvigny, Malte Mohme, Cecile L Maire, Alice Ryba, Yahya Zghaibeh, Lasse Dührsen, Amanda Salviano-Silva, Katrin Lamszus and 36 more

Abstract read
In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers.

0numbers the graph read from it
0cells of the map it votes in
79citing 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

79 citing papers in PubMed.

  1. Trial
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  9. Contemporary surgical strategies for resection of intracranial gliomas.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  10. Review
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  12. Article
  13. A BBB-permeable βScience advances · 2026
    Article
  14. Review
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  16. Article
  17. Article
  18. Article
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  20. Article

19 more citing papers are in PubMed but not listed here.

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

46 authors.

Richard Drexler *Department of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Robin Khatri *Institute of Medical Systems Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0009-0006-5311-1718
Thomas SauvignyDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Malte MohmeDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-0627-9092
Cecile L MaireDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Alice RybaDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Yahya ZghaibehDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Lasse DührsenDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Amanda Salviano-SilvaDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-2741-7028
Katrin LamszusDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Manfred WestphalDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jens GemptDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Annika K WefersInstitute of Neuropathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-9394-8519
Julia E NeumannInstitute of Neuropathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-1162-8771
Helena BodeResearch Institute Children's Cancer Center Hamburg, Hamburg, Germany.
Fabian HausmannInstitute of Medical Systems Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-6110-5824
Tobias B HuberIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-7175-5062
Stefan BonnInstitute of Medical Systems Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Kerstin JüttenDepartment of Neurosurgery, University Hospital Aachen, Aachen, Germany.
Daniel DelevDepartment of Neurosurgery, University Hospital Aachen, Aachen, Germany.
Katharina J WeberNeurological Institute (Edinger Institute), University Hospital Frankfurt, Frankfurt am Main, Germany.
Patrick N HarterNeurological Institute (Edinger Institute), University Hospital Frankfurt, Frankfurt am Main, Germany.
Julia OnkenDepartment of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Peter VajkoczyDepartment of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
David CapperDepartment of Neuropathology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0000-0003-1945-497X
Benedikt WiestlerDepartment of Neuroradiology, Klinikum rechts der Isar, School of Medicine, Technical University Munich, Munich, Germany.ORCID 0000-0002-2963-7772
Michael WellerDepartment of Neurology, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-1748-174X
Berend SnijderInstitute of Molecular Systems Biology, ETH Zurich, Zurich, Switzerland.ORCID 0000-0003-3386-6583
Alicia BuckDepartment of Neurology, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0001-9922-4474
Tobias WeissDepartment of Neurology, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-5533-9429
Pauline C GöllerHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.ORCID 0009-0007-2909-1611
Felix SahmHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.ORCID 0000-0001-5441-1962
Joelle Aline MenstelDepartment of Neurosurgery, Medical Center University of Freiburg, Freiburg, Germany.
David Niklas ZimmerDepartment of Neurosurgery, Medical Center University of Freiburg, Freiburg, Germany.
Michael B KeoughDepartment of Neurology, Stanford University, Stanford, CA, USA.
Lijun NiDepartment of Neurology, Stanford University, Stanford, CA, USA.
Michelle MonjeDepartment of Neurology, Stanford University, Stanford, CA, USA.ORCID 0000-0002-3547-237X
Dana SilverbushDepartment of Cancer Biology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Volker HovestadtBroad Institute of Harvard and MIT, Cambridge, MA, USA.ORCID 0000-0002-3480-6649
Mario L SuvàBroad Institute of Harvard and MIT, Cambridge, MA, USA.ORCID 0000-0001-9898-5351
Saritha KrishnaDepartment of Neurological Surgery, University of California, San Francisco, CA, USA.
Shawn L Hervey-JumperDepartment of Neurological Surgery, University of California, San Francisco, CA, USA.ORCID 0000-0003-4699-260X
Ulrich SchüllerInstitute of Neuropathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-8731-1121
Dieter H HeilandDepartment of Neurosurgery, University Clinic Erlangen, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Germany.ORCID 0000-0002-9258-3033
Sonja HänzelmannInstitute of Medical Systems Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-4953-0101
Franz L RicklefsDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. f.ricklefs@uke.de.ORCID 0000-0002-1321-6930

Funding

Tissue CoreP50CA097257 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Joseph F Costello · 2002 to 2026
$57.4M
Targeting the Vasular SystemP50CA165962 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Tracy T Batchelor · 2013 to 2026
$33.5M
Targeting the neuronal microenvironment in glioblastomaU19CA264504 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Michelle Monje-Deisseroth · 2021 to 2026
$6.4M
Glioma Circuitry: Bridging Systems Neuroscience and CancerDP1NS111132 · NINDS · STANFORD UNIVERSITY · PI MONJE-DEISSEROTH, MICHELLE · 2018 to 2022
$5.7M
Neuronal Regulation of Low-Grade GliomagenesisR01CA258384 · NCI · STANFORD UNIVERSITY · PI David H Gutmann, Michelle Monje-Deisseroth · 2022 to 2026
$3.1M
Neuronal activity-regulated mechanisms of glioma growthR01NS092597 · NINDS · STANFORD UNIVERSITY · PI MONJE-DEISSEROTH, MICHELLE · 2016 to 2021
$2.1M
Cortical information loss in diffuse low-grade glioma infiltrated cortexR01NS137950 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Shawn L. Hervey-Jumper · 2024 to 2026
$1.2M
Intratumoral functional connectivity with implications on synaptogenesis and aphasia recovery in adult astrocytic WHO II-III gliomaK08NS110919 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HERVEY-JUMPER, SHAWN L. · 2019 to 2023
$1.0M
A deep-transfer-learning framework to transfer clinical information to single cells and spatial locations in cancer tissuesR21CA264339 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI JOHNSON, TRAVIS STEELE, ZHANG, JIE · 2022 to 2023
$394k
Deutsche Forschungsgemeinschaft (German Research Foundation) DFG RI2616/3-1Deutsche Forschungsgemeinschaft (German Research Foundation) HE 8145/5-1Deutsche Forschungsgemeinschaft (German Research Foundation) HE 8145/6-1Deutsche Forschungsgemeinschaft (German Research Foundation) SFB 1192 B8Deutsche Forschungsgemeinschaft (German Research Foundation) SFB 1192 C3Deutsche Forschungsgemeinschaft (German Research Foundation) SFB 1389Deutsche Forschungsgemeinschaft (German Research Foundation) SFB 824 B12NCI NIH HHS P50 CA097257NCI NIH HHS P50 CA165962NCI NIH HHS R01 CA258384NCI NIH HHS R21 CA264339NCI NIH HHS U19 CA264504NINDS NIH HHS DP1 NS111132NINDS NIH HHS K08 NS110919NINDS NIH HHS R01 NS092597NINDS NIH HHS R01 NS137950Robert Wood Johnson Foundation (RWJF) 74259Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) 310030 185155/1U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R01NS092597U.S. Department of Health & Human Services | NIH | NCI | Division of Cancer Epidemiology and Genetics, National Cancer Institute (National Cancer Institute Division of Cancer Epidemiology and Genetics) K08NS110919U.S. Department of Health & Human Services | NIH | NCI | Division of Cancer Epidemiology and Genetics, National Cancer Institute (National Cancer Institute Division of Cancer Epidemiology and Genetics) P50CA097257U.S. Department of Health & Human Services | NIH | NCI | Division of Cancer Epidemiology and Genetics, National Cancer Institute (National Cancer Institute Division of Cancer Epidemiology and Genetics) R01CA258384U.S. Department of Health & Human Services | NIH | NCI | Division of Cancer Epidemiology and Genetics, National Cancer Institute (National Cancer Institute Division of Cancer Epidemiology and Genetics) U19CA264504
6 · The paper itself

Abstract

Neural-tumor interactions drive glioma growth as evidenced in preclinical models, but clinical validation is limited. We present an epigenetically defined neural signature of glioblastoma that independently predicts patients' survival. We use reference signatures of neural cells to deconvolve tumor DNA and classify samples into low- or high-neural tumors. High-neural glioblastomas exhibit hypomethylated CpG sites and upregulation of genes associated with synaptic integration. Single-cell transcriptomic analysis reveals a high abundance of malignant stemcell-like cells in high-neural glioblastoma, primarily of the neural lineage. These cells are further classified as neural-progenitor-cell-like, astrocyte-like and oligodendrocyte-progenitor-like, alongside oligodendrocytes and excitatory neurons. In line with these findings, high-neural glioblastoma cells engender neuron-to-glioma synapse formation in vitro and in vivo and show an unfavorable survival after xenografting. In patients, a high-neural signature is associated with decreased overall and progression-free survival. High-neural tumors also exhibit increased functional connectivity in magnetencephalography and resting-state magnet resonance imaging and can be detected via DNA analytes and brain-derived neurotrophic factor in patients' plasma. The prognostic importance of the neural signature was further validated in patients diagnosed with diffuse midline glioma. Our study presents an epigenetically defined malignant neural signature in high-grade gliomas that is prognostically relevant. High-neural gliomas likely require a maximized surgical resection approach for improved outcomes.

Indexed as

Brain NeoplasmsEpigenesis, GeneticGliomaAdultAnimalsCell Line, TumorDNA MethylationFemaleGene Expression Regulation, NeoplasticGlioblastomaHumansMaleMiceMiddle AgedNeoplasm GradingNeurons

Identifiers

PMID38760585
PMCPMC11186787

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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.