Evidence map›Paper›PMID 40489430›Full record

ArticleCancer2025

Intratumoral heterogeneity of cancer driver genomic alterations in myxoid liposarcomas.

Adrian Schmid, Anja E Eisenhardt, Balazs Bogner, Alexander Runkel, Ute Lausch, Thomas Pauli, Laura N Antolini, Anika Boneberg, Jurij Kiefer, Peter Bronsert and 3 more

Abstract read
In one paragraph

Article in Cancer, 2025. 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
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  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

13 authors.

Adrian SchmidDepartment of Plastic and Hand Surgery, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.ORCID https://orcid.org/0009-0001-4018-1702
Anja E EisenhardtDepartment of Plastic and Hand Surgery, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Balazs BognerDepartment of Radiology, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.ORCID https://orcid.org/0009-0004-8578-295X
Alexander RunkelDepartment of Plastic and Hand Surgery, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.ORCID https://orcid.org/0000-0002-5283-2322
Ute LauschDepartment of Plastic and Hand Surgery, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Thomas PauliInstitute of Medical Bioinformatics and Systems Medicine, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Laura N AntoliniDepartment of Plastic and Hand Surgery, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Anika BonebergDepartment of Plastic and Hand Surgery, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Jurij KieferDepartment of Plastic and Hand Surgery, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Peter BronsertInstitute for Surgical Pathology, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Melanie BoerriesInstitute of Medical Bioinformatics and Systems Medicine, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Steffen U EisenhardtDepartment of Plastic and Hand Surgery, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
David BraigDepartment of Plastic and Hand Surgery, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.

Funding

Berta-Ottenstein-Programme for Advanced Clinician ScientistsBerta-Ottenstein-Programme for Clinician ScientistsDeutsche Forschungsgemeinschaft 396168587Dres. Bayer Stiftung
6 · The paper itself

Abstract

backgroundMyxoid liposarcomas (MLS) are rare malignant mesenchymal tumors characterized by specific translocations t(12;16) and t(12;22) with limited additional driver mutations, most notably in PIK3CA and the TERT promoter. PIK3CA is considered a promising therapeutic target. However, effective treatments require the uniform presence of mutation throughout the tumor. Therefore, this study evaluated intratumoral heterogeneity of driver mutations in MLS.

methodsIn total, 170 samples from 20 tumors (12 patients) were analyzed using an MLS-specific next-generation sequencing (NGS) panel. This included detecting the t(12;16) and t(12;22) translocations and known driver mutations.

resultsPatient-specific t(12;16) or t(12;22) translocations were detected in all 20 tumors (159 of 170 samples; 94%) and remained identical in primary tumors, recurrences, and metastases. TERT promoter mutations were identified in 17 of 20 tumors (85%) and were distributed similarly across samples. In contrast, PIK3CA mutations were present in only 66 of 170 samples (39%), with these and the remaining driver mutations localized only in subclones within individual tumors.

conclusionsTherapies that target PIK3CA are unlikely to succeed because of its limited subclonal distribution. In contrast, the ubiquitous presence of t(12;16), t(12;22), and TERT promoter mutations across MLS tumors suggests that these are more effective therapeutic targets for future treatment strategies.

Indexed as

Liposarcoma, MyxoidTelomeraseAdultAgedAged, 80 and overClass I Phosphatidylinositol 3-KinasesFemaleGenetic HeterogeneityHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedMutationPromoter Regions, GeneticTranslocation, GeneticClass I Phosphatidylinositol 3-KinasesPIK3CA protein, humanTelomeraseTERT protein, humanclonal evolutionmyxoid liposarcomanext‐generation sequencingsoft tissue sarcomatumor heterogeneity

Identifiers

PMID40489430
PMCPMC12148203

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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.