Evidence map›Paper›PMID 39530475›Full record

ArticleNeuro-oncology2025

The prognostic impact of CDKN2A/B hemizygous deletions in IDH-mutant glioma.

Franziska M Ippen, Thomas Hielscher, Dennis Friedel, Kirsten Göbel, David Reuss, Christel Herold-Mende, Sandro Krieg, Andreas V Deimling, Wolfgang Wick, Felix Sahm and 1 more

Abstract read
In one paragraph

Article in Neuro-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Association of CDKN2A/B and MTAP deletions in adult-type diffuse gliomas.Journal of neuropathology and experimental neurology · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Loss ofJournal of Cancer · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. IDH mutant high-grade gliomas.Frontiers in molecular neuroscience · 2025
    Review
  20. 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

11 authors.

Franziska M IppenNational Center for Tumor Diseases (NCT), NCT Heidelberg, A Partnership Between DKFZ and University Hospital Heidelberg, Heidelberg, Germany.
Thomas HielscherDepartment of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Dennis FriedelFaculty of Bioscience, Heidelberg University, Heidelberg, Germany.
Kirsten GöbelDepartment of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.
David ReussDepartment of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0003-2269-5192
Christel Herold-MendeDepartment of Neurosurgery, University Hospital Heidelberg, Heidelberg, Germany.
Sandro KriegDepartment of Neurosurgery, University Hospital Heidelberg, Heidelberg, Germany.
Andreas V DeimlingDepartment of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.
Wolfgang WickClinical Cooperation Unit Neurooncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-6171-634X
Felix SahmDepartment of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0001-5441-1962
Abigail K SuwalaDepartment of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0009-0003-8394-1905

Funding

National Center for Tumor Diseases
6 · The paper itself

Abstract

backgroundHomozygous deletions of CDKN2A/B are known to predict poor prognosis in gliomas, but the impact of hemizygous deletions is less clear. This study aimed to evaluate the prognostic significance of hemizygous CDKN2A/B deletions in IDH-mutant low-grade astrocytomas and oligodendrogliomas.

methodsTissue samples diagnosed as astrocytoma, IDH-mutant and oligodendroglioma, IDH-mutant, 1p/19q co-deleted CNS WHO grade 2 and 3 were collected from the archives of the Institute of Neuropathology in Heidelberg. DNA methylation analysis was performed on formalin-fixed paraffin-embedded samples. Evaluation of the CDKN2A/B locus was performed by visual inspection of copy-number plots derived from methylation-array data for each case. Hemizygous and homozygous losses were assessed in relation to whole chromosomal or larger segmental losses and gains in the chromosomal profile. Survival probabilities were assessed using the Kaplan-Meier method.

resultsA total of 334 low-grade glioma cases were identified, including 173 astrocytomas and 161 oligodendrogliomas. Hemizygous deletions in CDKN2A/B (37/173 in astrocytomas, 15/161 in oligodendrogliomas) did not confer significantly worse survival outcomes compared to CDKN2A/B wild-type cases in neither low-grade astrocytoma (log-rank P = .2556; HR 2.29, 95% CI [0.76; 6.40], P = .135) nor oligodendroglioma (log-rank P = .2760; HR 0.17; 95% CI [0.01; 5.05]; P = .305), regardless of CNS WHO grade, which was further demonstrated on a subgroup of astrocytoma, IDH mutant CNS WHO 4 cases (log-rank P = .1680; HR 4.55, 95% CI [0.88; 24.51], P = .0689).

conclusionsHemizygous CDKN2A/B deletions do not significantly worsen OS or progression-free survival in IDH-mutant astrocytomas and oligodendrogliomas, CNS WHO grades 2 and 3.

Indexed as

Biomarkers, TumorBrain NeoplasmsCyclin-Dependent Kinase Inhibitor p15Cyclin-Dependent Kinase Inhibitor p16GliomaIsocitrate DehydrogenaseMutationOligodendrogliomaAdolescentAdultAgedAstrocytomaDNA MethylationFemaleFollow-Up StudiesGene DeletionBiomarkers, TumorCDKN2A protein, humanCDKN2B protein, humanCyclin-Dependent Kinase Inhibitor p15Cyclin-Dependent Kinase Inhibitor p16Isocitrate DehydrogenaseCDKN2A/Bhemizygous deletionIDH-mutant gliomasurvival

Identifiers

PMID39530475
PMCPMC11889711

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.