Evidence map›Paper›PMID 39227460›Full record

ArticleJournal of neurology2024

Metabolomic profile of cerebrospinal fluid from patients with diffuse gliomas.

Nora Möhn, Harold F Hounchonou, Sandra Nay, Philipp Schwenkenbecher, Lea Grote-Levi, Fadi Al-Tarawni, Majid Esmaeilzadeh, Sven Schuchardt, Kerstin Schwabe, Herbert Hildebrandt and 5 more

Erratum issuedAbstract read
In one paragraph

Article in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. [Liquid Biopsy Revolutionizes the Precise Management of Tumors Across the Entire Course: Current Situation and Future Prospects].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Nora Möhn *Department of Neurology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.ORCID http://orcid.org/0000-0002-9102-124X
Harold F Hounchonou *Department of Neurosurgery, Hannover Medical School, Hannover, Germany.
Sandra NayDepartment of Neurology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Philipp SchwenkenbecherDepartment of Neurology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Lea Grote-LeviDepartment of Neurology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Fadi Al-TarawniDepartment of Neurosurgery, Hannover Medical School, Hannover, Germany.
Majid EsmaeilzadehDepartment of Neurosurgery, Hannover Medical School, Hannover, Germany.
Sven SchuchardtFraunhofer Institute of Toxicology and Experimental Medicine, Hannover, Germany.
Kerstin SchwabeDepartment of Neurosurgery, Hannover Medical School, Hannover, Germany.
Herbert HildebrandtInstitute of Clinical Biochemistry, Hannover Medical School, Hannover, Germany.
Hauke ThieslerInstitute of Clinical Biochemistry, Hannover Medical School, Hannover, Germany.
Friedrich FeuerhakeDepartment of Neuropathology, Institute of Pathology, Hannover Medical School, Hannover, Germany.
Christian HartmannDepartment of Neuropathology, Institute of Pathology, Hannover Medical School, Hannover, Germany.
Thomas Skripuletz *Department of Neurology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany. skripuletz.thomas@mh-hannover.de.ORCID http://orcid.org/0000-0001-8550-335X
Joachim K Krauss *Department of Neurosurgery, Hannover Medical School, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiffuse gliomas are among the most common brain tumors in adults and are associated with a dismal prognosis, especially in patients with glioblastoma. To date, tumor tissue acquisition is mandatory for conclusive diagnosis and therapeutic decision-making. In this study, we aimed to identify possible diagnostic and prognostic biomarkers in cerebrospinal fluid (CSF) and blood.

methodsDuring glioma surgery at our institution, CSF and blood samples were collected from patients. Subsequently, targeted metabolomics analysis was used to detect and quantify circulating metabolites. The metabolome profiles of glioma patients were compared with those of patients in a control group who had undergone neurosurgery for other entities, such as nonglial tumors or hydrocephalus, and were correlated with established glioma diagnostic molecular markers.

resultsIn this study, a total of 30 glioma patients were included, along with a control group of 21 patients without glioma. Serum metabolomic analysis did not detect any significant differences between the groups, whereas CSF-metabolome analysis revealed increased levels of six metabolites in glioma patients. Among these, the most pronounced differences were found for the biogenic amine putrescine (p = 0.00005). p-Cresol sulfate was identified as a potential CSF marker for determining isocitrate dehydrogenase (IDH) status in glioma patients (p = 0.0037).

conclusionCSF-metabolome profiling, unlike blood profiling, shows promise as a diagnostic tool for glioma patients with the potential to assign molecular subtypes. The next step will involve a larger multicenter study to validate these findings, with the ultimate objective of integrating CSF metabolomics analysis into clinical practice.

Indexed as

Brain NeoplasmsGliomaMetabolomicsAdultAgedBiomarkers, TumorFemaleHumansMaleMetabolomeMiddle AgedBiomarkers, TumorBiomarkersCerebrospinal fluidGliomasMetabolomic profilePutrescine

Identifiers

PMID39227460
PMCPMC11446983

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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.