Evidence map›Paper›PMID 31177992›Full record

ArticleActa neuropathologica communications2019

Total copy number variation as a prognostic factor in adult astrocytoma subtypes.

Kanish Mirchia, Adwait Amod Sathe, Jamie M Walker, Yelena Fudym, Kristyn Galbraith, Mariano S Viapiano, Robert J Corona, Matija Snuderl, Chao Xing, Kimmo J Hatanpaa and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Acta neuropathologica communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 2% of its field
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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. Molecular Biomarker Testing for the Diagnosis of Diffuse Gliomas.Archives of pathology & laboratory medicine · 2022
    Guideline
  2. Pooled it
  3. Article
  4. Article
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  6. Article
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  10. T2-FLAIR Mismatch Sign Predicts DNA Methylation Subclass and CDKN2A/B Status in IDH-Mutant Astrocytomas.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  11. Review
  12. Review
  13. Tumor Volume Growth Rates and Doubling Times during Active Surveillance of IDH-mutant Low-Grade Glioma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  14. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Kanish MirchiaDepartment of Pathology, State University of New York, Upstate Medical University, Syracuse, NY, 13210, USA.
Adwait Amod SatheEugene McDermott Center for Human Growth & Development, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Jamie M WalkerDepartment of Pathology, University of Texas Health Science Center, San Antonio, TX, 78229, USA.
Yelena FudymDepartment of Pathology, State University of New York, Upstate Medical University, Syracuse, NY, 13210, USA.
Kristyn GalbraithDepartment of Pathology, State University of New York, Upstate Medical University, Syracuse, NY, 13210, USA.
Mariano S ViapianoDepartment of Neuroscience and Physiology, State University of New York, Upstate Medical University, Syracuse, NY, 13210, USA.
Robert J CoronaDepartment of Pathology, State University of New York, Upstate Medical University, Syracuse, NY, 13210, USA.
Matija SnuderlDepartment of Pathology, New York University Langone Medical Center, New York City, NY, 10016, USA.
Chao XingEugene McDermott Center for Human Growth & Development, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Kimmo J HatanpaaDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Timothy E RichardsonDepartment of Pathology, State University of New York, Upstate Medical University, Syracuse, NY, 13210, USA. RichaTim@Upstate.edu.
SUNY Upstate Medical University · USThe University of Texas Southwestern Medical Center · USNYU Langone Health · USThe University of Texas Health Science Center at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the discovery that IDH1/2 mutations confer a significantly better prognosis in astrocytomas, much work has been done to identify other molecular signatures to help further stratify lower-grade astrocytomas and glioblastomas, with the goal of accurately predicting clinical outcome and identifying potentially targetable mutations. In the present study, we subclassify 135 astrocytomas (67 IDH-wildtype and 68 IDH-mutant) from The Cancer Genome Atlas dataset (TCGA) on the basis of grade, IDH-status, and the previously established prognostic factors, CDK4 amplification and CDKN2A/B deletion, within the IDH-mutant groups. We analyzed these groups for total copy number variation (CNV), total mutation burden, chromothripsis, specific mutations, and amplifications/deletions of specific genes/chromosomal regions. Herein, we demonstrate that across all of these tumor groups, total CNV level is a relatively consistent prognostic factor. We also identified a trend towards increased levels of chromothripsis in tumors with lower progression-free survival (PFS) and overall survival (OS) intervals. While no significant differences were identified in overall mutation load, we did identify a significantly higher number of cases with mutations in genes with functions related to maintaining genomic stability in groups with higher mean CNV and worse PFS and OS intervals, particularly in the IDH-mutant groups. Our data further support the case for total CNV level as a potential prognostic factor in astrocytomas, and suggest mutations in genes responsible for overall genomic instability as a possible underlying mechanism for some astrocytomas with poor clinical outcome.

Indexed as

AdultAstrocytomaBrain NeoplasmsDNA Copy Number VariationsFemaleHumansMaleMiddle AgedPrognosisSurvival RateAstrocytomaCNVCopy number variationGBMGlioblastomaGliomaTCGA

Identifiers

PMID31177992
PMCPMC6556960
OpenAlexW2948665439

What Socratic 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 Socratic graph.