Evidence map›Paper›PMID 40588233›Full record

ArticleBrain pathology (Zurich, Switzerland)2025

Multi-pronged analysis of pediatric low-grade glioma and ganglioglioma reveals a unique tumor microenvironment associated with BRAF alterations.

Shadi Zahedi, Kent Riemondy, Tian Liu, Andrea M Griesinger, Andrew M Donson, April A Apfelbaum, Rui Fu, Julian Grandvallet Contreras, Michele Crespo, John DeSisto and 10 more

Abstract read
In one paragraph

Article in Brain pathology (Zurich, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. BRAF mutation and tumor immune microenvironment in new era.American journal of cancer research · 2026
    Review
  5. Article
  6. Article
  7. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Shadi ZahediDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0009-0006-9245-7252
Kent RiemondyRNA Bioscience Initiative, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Tian LiuDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Andrea M GriesingerDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Andrew M DonsonDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
April A ApfelbaumDepartment of Pediatric Oncology, Broad Institute Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Dana-Farber Cancer/Boston Children's Cancer and Blood Disorders Center, Boston, Massachusetts, USA.
Rui FuRNA Bioscience Initiative, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Julian Grandvallet ContrerasDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0001-8021-070X
Michele CrespoDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
John DeSistoDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Madeline M GroatDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Emil BratbakDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Adam GreenDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Todd C HankinsonDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0002-6288-9496
Michael HandlerDepartment of Pediatrics, Morgan Adams Foundation Pediatric Brain Tumor Research Program, Children's Hospital Colorado, Aurora, Colorado, USA.
Rajeev VibhakarDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Nicholas WillardDepartment of Pathology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Nicholas K ForemanDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Tzu PhangDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Jean Mulcahy LevyDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0002-3022-4246

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Colorado Clinical and Translational Sciences Institute (CCTSI)UM1TR004399 · NCATS · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS, RONALD J. SOKOL · 2023 to 2026
$30.7M
Optimization of Autophagy Inhibition as a Clinical Target for Brain TumorsR01NS107313 · NINDS · UNIVERSITY OF COLORADO DENVER · PI MULCAHY LEVY, JEAN MARIE · 2019 to 2023
$1.7M
Alex's Lemonade Stand Foundation for Childhood CancerAmazon Goes Gold for Kids with CancerNCATS NIH HHS UM1 TR004399NCI NIH HHS P30 CA046934NINDS NIH HHS R01 NS107313Olivia Caldwell FoundationPeter Barton Family Fund for Clinical and Translational Cancer Research at The Children's Hospital Colorado Foundationthe Morgan Adams FoundationsUniversity of Colorado Cancer Center Support P30CA046934
6 · The paper itself

Abstract

Pediatric low-grade gliomas (pLGG) comprise 35% of all brain tumors. Despite favorable survival, patients experience significant morbidity from disease and treatments. A deeper understanding of pLGG biology is essential to identify novel, more effective, and less toxic therapies. We utilized single-cell RNA sequencing (scRNA-seq), spatial transcriptomics, and cytokine analyses to characterize and understand tumor and immune cell heterogeneity of pilocytic astrocytoma (PA) and ganglioglioma (GG). scRNA-seq revealed tumor and immune cells within the tumor microenvironment (TME). Tumor cell subsets include both progenitor and mature cell populations. Immune cells included myeloid and lymphocytic cells. There was a significant difference between the prevalence of two major myeloid subclusters between PA and GG. Bulk and single-cell cytokine analyses evaluated the immune cell signaling cascade with distinct immune phenotypes among tumor samples. KIAA1549-BRAF tumors appeared more immunogenic, secreting higher levels of immune cell activators and chemokines, compared to BRAF V600E tumors. Spatial transcriptomics revealed the differential gene expression of these chemokines and their location within the TME. A multi-pronged analysis demonstrated the complexity of the PA and GG TME and differences between genetic drivers that may influence their response to immunotherapy. Further investigation of immune cell infiltration and tumor-immune interactions is warranted.

Indexed as

Brain NeoplasmsGangliogliomaGliomaProto-Oncogene Proteins B-rafTumor MicroenvironmentAdolescentAstrocytomaChildChild, PreschoolFemaleHumansMaleMutationTranscriptomeBRAF protein, humanProto-Oncogene Proteins B-rafchemokinegangliogliomaPilocytic astrocytomascRNA‐sequencingspatial transcriptomics

Identifiers

PMID40588233
PMCPMC12488260

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.