Evidence map›Paper›PMID 41290189›Full record

ArticleNMR in biomedicine2026

Magnetic Resonance Spectroscopy of Cystathionine and 2-Hydroxyglutarate in Brain Tumors.

Changho Choi, Mai Huynh, Zoltan Kovacs, William J Behof, Wellington Pham, Sandeep K Ganji, Zhongxu An, Toral R Patel, Elizabeth A Maher, Julia D Berry and 8 more

Abstract read
In one paragraph

Article in NMR in biomedicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Imaging the hallmarks of cancer.Nature reviews. Cancer · 2026
    Review
  2. 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

18 authors.

Changho ChoiVanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Mai HuynhAdvanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Zoltan KovacsAdvanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
William J BehofVanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Wellington PhamVanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0002-8408-7611
Sandeep K GanjiPhilips, Cambridge, Massachusetts, USA.
Zhongxu AnAdvanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0003-3759-5645
Toral R PatelDepartment of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Elizabeth A MaherDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Julia D BerryDepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Bret C MobleyDepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Larry T DavisDepartment of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Colin D McKnightDepartment of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Sumit PruthiDepartment of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Ryan T MerrellDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Alexander C MohlerDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Patrick D KellyDepartment of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Reid C ThompsonDepartment of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
Replacement and Upgrade of a 3T MR Scanner for ResearchS10OD021771 · OD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GORE, JOHN C · 2016 to 2016
$2.0M
Clinical development of cancer-specific MRS biomarkers in malignant gliomasR01CA184584 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI CHOI, CHANGHO · 2014 to 2018
$1.6M
Cancer Prevention and Research Institute of Texas RP130427Cancer Prevention and Research Institute of Texas RP200456NIH HHS R01CA184584NIH HHS S10OD021771NIH HHS UL1TR002243
6 · The paper itself

Abstract

Codeletion of chromosome 1p and 19q arms in a subset of gliomas has been shown to associate with the accumulation of cystathionine in the tumor. Here, we report the analyses of cystathionine and 2-hydroxyglutarate (2HG) in 38 biopsy-proven glioma patients, as measured with TE 97-ms point-resolved spectroscopy (PRESS) at 3 T. Following the confirmation of in-house calculated cystathionine basis signals in a phantom solution, LCModel spectral fitting was performed to decompose metabolite signals, and the millimolar concentrations of metabolites were estimated with reference to water. Cystathionine was estimated to be significantly higher in IDH mutated 1p/19q codeleted gliomas than in noncodeleted gliomas (1.4 ± 1.1 vs. 0.3 ± 0.4 mM; n = 15 and 14; p = 0.002). 2HG estimation was significantly higher in IDH-mutant gliomas compared to IDH-wildtype gliomas (3.7 ± 3.3 vs. 0.1 ± 0.1 mM; n = 29 and 9; p = 0.002). Using cutoff values from receiver operating characteristic curve analysis, the sensitivity and specificity of the cystathionine measures with respect to 1p/19q status were estimated to be 0.8 and 0.79 (cutoff at 0.6 mM), and those of 2HG measures with respect to IDH status were both unity (cutoff at 0.5 mM). A TE 113-ms PRESS sequence was designed to improve detection of the cystathionine C4-proton resonance at 2.72 ppm. Data from two glioma patients showed that cystathionine can be detected with minimal interference from the overlapping aspartate signal. 2D chemical-shift imaging of cystathionine using the TE 113-ms PRESS is demonstrated. Our MRS data confirm elevation of cystathionine in 1p/19q codeleted gliomas, as demonstrated in prior studies, and suggest that relatively high estimates of cystathionine may provide a biomarker of 1p/19q codeleted gliomas.

Indexed as

Brain NeoplasmsCystathionineGlutaratesAdultAgedFemaleGliomaHumansMagnetic Resonance SpectroscopyMaleMiddle AgedYoung Adultalpha-hydroxyglutarateCystathionineGlutarates1p/19q codeletion2‐hydroxyglutarate3 TcystathionineIDH (isocitrate dehydrogenase) mutationmagnetic resonance spectroscopyPRESS (point‐resolved spectroscopy)

Identifiers

PMID41290189
PMCPMC12646717

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.