Evidence map›Paper›PMID 41981754›Full record

ArticleNeuro-oncology2026

Laser interstitial thermal therapy enhances bidirectional blood-brain barrier permeability in glioblastoma.

Ryan T Cleary, Yiwei Fu, David Giles, Jinyun Yuan, Diogo P Moniz Garcia, Danny Palmer, Rowland H Han, Timothy Woodiwiss, Alicia B Yang, Dimitrios Mathios and 2 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. Review
  2. Review
  3. Review
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

12 authors.

Ryan T ClearyTaylor Family Department of Neurosurgery, WashU Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-2018-3559
Yiwei FuTaylor Family Department of Neurosurgery, WashU Medicine, St. Louis, Missouri, USA.
David GilesTaylor Family Department of Neurosurgery, WashU Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-2745-4374
Jinyun YuanTaylor Family Department of Neurosurgery, WashU Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-6559-1599
Diogo P Moniz GarciaTaylor Family Department of Neurosurgery, WashU Medicine, St. Louis, Missouri, USA.
Danny PalmerUniversity of Denver, Denver, Colorado, USA.ORCID 0009-0004-0633-6258
Rowland H HanTaylor Family Department of Neurosurgery, WashU Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-8615-8532
Timothy WoodiwissTaylor Family Department of Neurosurgery, WashU Medicine, St. Louis, Missouri, USA.ORCID 0009-0001-5192-2342
Alicia B YangIcahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0009-0005-9312-7899
Dimitrios MathiosTaylor Family Department of Neurosurgery, WashU Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-0792-6880
Hong ChenTaylor Family Department of Neurosurgery, WashU Medicine, St. Louis, Missouri, USA.ORCID 0000-0003-1904-0857
Albert H KimTaylor Family Department of Neurosurgery, WashU Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-1751-8493

Funding

Duesenberg Family FundSally Jungclaus FundSchnucks FundSiteman Cancer Center
6 · The paper itself

Abstract

backgroundLaser interstitial thermal therapy (LITT) is a minimally invasive treatment for glioblastoma that increases blood-brain barrier (BBB) permeability. However, the mechanisms and spatiotemporal features of this effect remain unclear. It is also unknown whether LITT promotes release of circulating tumor DNA (ctDNA).

methodsUsing our previously developed LITT mouse model, we employed single-cell RNA-sequencing (scRNA-seq) to investigate gene expression changes in endothelial cells following LITT in the naive mouse brain. Brains were also harvested at multiple time points to assess LITT effects on tight junction (TJ) integrity and transcytosis via immunofluorescence and transmission electron microscopy. Human glioblastoma tissues were analyzed to monitor ambient caveolae-mediated transcytosis in tumor regions. Finally, ctDNA levels in mouse plasma were quantified using digital-droplet PCR following LITT.

resultsLITT triggered downregulation of pathways related to cell-cell junctions and upregulation of transcytosis. LITT transiently disrupted TJ integrity for 7 days up to 100 µm away from the ablation zone. Further, LITT increased caveolae-mediated transcytosis in endothelial cells for 21 days, peaking at 14 days, in part due to suppression of the transcytosis inhibitor Mfsd2a. LITT facilitated ctDNA detection in mouse plasma at 1 h, 3 days, 7 days, and 14 days post-procedure.

conclusionsOur study demonstrates that LITT transiently disrupts the BBB in the periphery of the ablation with endothelial TJ disruption and transcytosis upregulation following distinct time courses. LITT effects on the BBB are bidirectional and enhance ctDNA release in addition to enabling brain entry of agents.

Indexed as

Blood-Brain BarrierBrain NeoplasmsCapillary PermeabilityGlioblastomaLaser TherapyAnimalsEndothelial CellsHumansMiceMice, Inbred C57BLTranscytosiscaveolae-mediated transcytosisctDNAglioblastomalaser interstitial thermal therapy

Identifiers

PMID41981754
PMCPMC13338339

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.