Evidence map›Paper›PMID 41569358›Full record

ArticleNeuro-oncology2026

Intracranial mesenchymal tumor, FET::CREB fusion-positive: An integrative analysis of 81 cases.

Sharika Rajan, Hye-Jung Chung, Zhichao Wu, Omkar Singh, Karen Dazelle, Zied Abdullaev, Manoj Tyagi, Christina K Ferrone, Mark Raffeld, Ina Lee and 44 more

Abstract read
In one paragraph

Article in Neuro-oncology, 2026. 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. Angiomatoid fibrous histiocytoma: a review.Journal of pathology and translational medicine · 2026
    Article
  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

54 authors.

Sharika RajanLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda.
Hye-Jung ChungLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda.
Zhichao WuLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda.
Omkar SinghLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda.
Karen DazelleLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda.
Zied AbdullaevLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda.
Manoj TyagiLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda.
Christina K FerroneLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda.
Mark RaffeldLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda.
Ina LeeLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda.
Jeffrey GaganLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda.
Jie ChenDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha.ORCID 0000-0001-6280-5320
Sahara CathcartDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha.
Caterina GianniniDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester.ORCID 0000-0003-2757-6782
Aivi NguyenDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester.
Murat GokdenDepartment of Pathology, University of Arkansas for Medical Sciences, Little Rock.
Arie PerryDepartments of Pathology and Neurological Surgery, University of California, San Francisco, San Francisco.ORCID 0000-0002-8300-7261
Igor Lima FernandesLaboratorio Bacchi, São Paulo, Brazil.
Angelica R PutnamDepartment of Pathology, Primary Children's Hospital, Salt Lake City.
Kyle KurekDepartment of Pathology, Primary Children's Hospital, Salt Lake City.
Richard M GreenNeuro-Oncology Program, Kaiser Los Angeles Medical Center, Los Angeles.
Charles EberhartDepartment of Pathology, Johns Hopkins Hospital, Baltimore.
Calixto-Hope LucasDepartment of Pathology, Johns Hopkins Hospital, Baltimore.
Ignacio Gonzalez-GomezDepartment of Pathology, Johns Hopkins All Children's Hospital, Saint Petersburg.
Giselle Yvette LopezDepartment of Pathology, Duke University, Durham.
Karra JonesDepartment of Pathology, Duke University, Durham.
Richard PraysonDepartment of Pathology, Cleveland Clinic, Cleveland.
Gabrielle YeaneyDepartment of Pathology, Cleveland Clinic, Cleveland.
Josephine Kam Tai DermawanDepartment of Pathology, Cleveland Clinic, Cleveland.
Rati ChkheidzeDepartment of Pathology, University of Alabama, Birmingham.ORCID 0000-0002-5679-0692
Christina AppinDepartment of Pathology, University of Alabama, Birmingham.
Erik J UhlmannDepartment of Pathology, Beth Israel Deaconess Medical Center, Boston.
Alisa TalianskyNeuro-Oncology Unit, The Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Melissa BlessingDepartment of Pathology, Texas Children's Hospital, Houston.
Carrie MohilaDepartment of Pathology, Texas Children's Hospital, Houston.
Jennifer CotterDepartment of Pathology and Laboratory Medicine, Children's Hospital Los Angeles, Los Angeles.
Jeremy DeischDepartment of Pathology, Loma Linda University, Loma Linda.ORCID 0000-0002-5261-7470
Felipe AndreiuoloDepartment of Pathology, Rede D'Or, Rio de Janeiro, Rio de Janeiro, Brazil.
John R CrawfordChildren's Hospital of Orange County, Department of Pediatrics, University of California, Irvine, Orange (J.R.C.).
Christopher MountDepartment of Pathology, Massachusetts General Hospital, Boston.
Anat O Stemmer-RachamimovDepartment of Pathology, Massachusetts General Hospital, Boston.
Nelli S LakisDepartment of Pathology and Laboratory Medicine, The University of Kansas Health System, Kansas City.
Robert SchmidtDepartment of Pathology, Washington University Medical Center, St. Louis.
Geeta ChackoDepartment of Pathology, Christian Medical College, Vellore, India.
Robert NewburyDepartment of Pathology, Rady Children's Hospital, San Diego, California, USA (R.N.).
Stewart NeillDepartment of Pathology, Emory University Hospital, Atlanta.
Bryan MoralesDepartment of Pathology, Emory University Hospital, Atlanta.
Roger FecherDepartment of Pathology, Albert Einstein College of Medicine, New York, USA (R.F.).
Emily A SloanDepartment of Pathology, MedStar Georgetown University Hospital, Washington, District of Columbia.
David A SolomonDepartment of Pathology, Stanford University School of Medicine, Stanford.ORCID 0000-0003-4571-7999
MacLean NasrallahDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia.
Martha QuezadoLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda.
Adriana FonsecaBrain Tumor Institute, Children's National Hospital, Washington, District of Columbia, USA.
Kenneth AldapeLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda.ORCID 0000-0001-5119-7550

Funding

NIHNIH HHSU.S. Department of Health and Human Services
6 · The paper itself

Abstract

backgroundIntracranial mesenchymal tumors, FET::CREB fusion-positive (ICMT), show fusions involving FET RNA-binding protein family genes (EWSR1 or FUS) and CREB family of transcription factors (ATF1, CREB1, or CREM). The methylation signature(s), gene expression characteristics, and clinical behavior of this important tumor type require further characterization.

methodsWe study the methylation profiles of 81 ICMT cases (61 newly profiled cases and 20 cases from publicly available sources). Clinicopathologic and genomic data were recorded for each case when available.

resultsICMT showed a relatively distinct methylation signature compared to related tumors. Among the 65 cases where fusion types were documented, the identified fusions included EWSR1::ATF1 (25 cases), EWSR1::CREB1 (12 cases), EWSR1::CREM (21 cases), FUS::CREM (3 cases), and SMARCA2::CREM (4 cases). We confirmed the prior description of 2 distinct subgroups of ICMT (subclasses A and B). The majority of the cases belonged to subclass A (n = 69; 85%), which showed a higher median age compared to subclass B patients (26 years vs. 15 years). Subclass B cases (n = 12; 15%) showed shorter progression-free survival (P < 0.01). Gene expression analysis of ICMT showed key overexpressed markers in ICMT, with significant CREM overexpression regardless of fusion type, when compared to either meningioma alone or a larger group of CNS tumors.

conclusionsThis work provides further characterization of ICMT as an important CNS mesenchymal neoplasm that is prone to tumor recurrence, showing 2 prognostically relevant methylation subclasses and warranting diagnostic distinction from other epigenetically and histologically related tumors. ICMTs show substantial overexpression of the CREM gene, independent of fusion type.

Indexed as

Biomarkers, TumorBrain NeoplasmsCyclic AMP Response Element-Binding ProteinMesenchymomaOncogene Proteins, FusionAdolescentAdultAgedChildChild, PreschoolCyclic AMP Response Element ModulatorDNA MethylationFemaleGene Expression ProfilingHumansMaleBiomarkers, TumorCREB1 protein, humanCyclic AMP Response Element-Binding ProteinCyclic AMP Response Element ModulatorOncogene Proteins, FusionFET::CREB fusion-positiveIntracranial mesenchymal tumor

Identifiers

PMID41569358
PMCPMC13128485

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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.