Evidence map›Paper›PMID 34417833›Full record

ArticleActa neuropathologica2021

PATZ1 fusions define a novel molecularly distinct neuroepithelial tumor entity with a broad histological spectrum.

Karam T Alhalabi, Damian Stichel, Philipp Sievers, Heike Peterziel, Alexander C Sommerkamp, Dominik Sturm, Andrea Wittmann, Martin Sill, Natalie Jäger, Pengbo Beck and 52 more

Open access · hybridAbstract read
In one paragraph

Article in Acta neuropathologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
6.7field-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

51 citing papers in PubMed, 75 citations in OpenAlex.

  1. Article
  2. "Updates on diagnostic and prognostic molecular biomarkers of CNS tumors".Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

62 authors at 20 institutions in 14 countries.

Karam T AlhalabiHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Damian StichelDepartment of Neuropathology, Heidelberg University Hospital, Heidelberg, Germany.
Philipp SieversDepartment of Neuropathology, Heidelberg University Hospital, Heidelberg, Germany.
Heike PeterzielHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Alexander C SommerkampHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Dominik SturmHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Andrea WittmannHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Martin SillDivision of Pediatric Neurooncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Natalie JägerHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Pengbo BeckHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Kristian W PajtlerHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Matija SnuderlDivision of Neuropathology, NYU Langone Health, New York, NY, USA.
George JourDepartment of Pathology, NYU Langone Health, New York, NY, USA.
Michael DelorenzoDepartment of Pathology, NYU Langone Health, New York, NY, USA.
Allison M MartinDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, New York, USA.
Adam LevyDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, New York, USA.
Nagma DalviIsabel Rapin Division of Child Neurology, Albert Einstein College of Medicine, Bronx, New York, USA.
Jordan R HansfordDepartment of Pediatrics, Children's Cancer Centre, Royal Children's Hospital, Murdoch Children's Research Institute, University of Melbourne, Melbourne, VIC, Australia.
Nicholas G GottardoDepartment of Oncology and Haematology, Perth Children's Hospital, Perth, WA, Australia.
Emmanuelle Uro-CosteDepartment of Pathology, IUCT-Oncopole, Toulouse University Hospital, Toulouse, France.
Claude-Alain MaurageDepartment of Pathology, Lille University Hospital, Lille, France.
Catherine GodfraindLaboratory of Pathology, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France.
Fanny VandenbosHuman Molecular Genetics, de Duve Institute, Université Catholique de Louvain, Brussels, Belgium.
Torsten PietschInstitute of Neuropathology, Brain Tumor Reference Center of the Society for Neuropathology and Neuroanatomy, University of Bonn Medical Center, Bonn, Germany.
Christof KrammDivision of Pediatric Hematology and Oncology, University Medical Center Göttingen, Gottingen, Germany.
Maria FilippidouHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Antonis KattamisDivision of Pediatric Hematology-Oncology, First Department of Pediatrics, National and Kapodistrian University of Athens, Athens, Greece.
Chris JonesDivision of Molecular Pathology, Institute of Cancer Research, London, UK.
Ingrid ØraChildren's Hospital, Paediatric Oncology, Skåne University Hospital, Lund, Sweden.
Torben Stamm MikkelsenPaediatric and Adolescent Medicine, Department of Clinical Medicine, Aarhus University Hospital, Aarhus, Denmark.
Michal ZapotockyDepartment of Pediatric Hematology and Oncology, Second Faculty of Medicine, University Hospital Motol, Charles University, Prague, Czech Republic.
David SumerauerDepartment of Pediatric Hematology and Oncology, Second Faculty of Medicine, University Hospital Motol, Charles University, Prague, Czech Republic.
David ScheieDepartment of Clinical Medicine, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Martin McCabeDivision of Cancer Sciences, University of Manchester, Manchester, UK.
Pieter WesselingDepartment of Pathology, Brain Tumor Center Amsterdam University Medical Center, Amsterdam Universities Medical Centers/VUmc, Amsterdam, The Netherlands.
Bastiaan B J TopsPrincess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Mariëtte E G KranendonkPrincess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Matthias A KarajannisDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, USA.
Nancy BouvierMarie-Josée and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Elli PapaemmanuilComputational Oncology Service, Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Hildegard DohmenDepartment of Neuropathology, University Giessen, Giessen, Germany.
Till AckerDepartment of Neuropathology, University Giessen, Giessen, Germany.
Katja von HoffDepartment of Pediatric Oncology and Hematology, Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Simone SchmidDepartment of Pediatric Oncology and Hematology, Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Evelina MieleDepartment of Oncology, Hematology, Cell Therapy, Gene Therapy and Haemopoietic Transplant, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Katharina FilipskiNeurological Institute (Edinger Institute), University Hospital, Frankfurt, Germany.
Lidija KitanovskiDivision of Paediatrics, Department of Haematooncology, University Medical Center Ljubljana, Ljubljana, Slovenia.
Lenka KrskovaDepartment of Pathology and Molecular Medicine, Second Faculty of Medicine, Charles University, Prague, Czech Republic.
Johannes GojoHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Christine HaberlerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Frank AlvaroUniversity of Newcastle, Newcastle, NSW, Australia.
Jonas EckerHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Florian SeltHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Till MildeHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Olaf WittHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Ina OehmeHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Marcel KoolHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Andreas von DeimlingHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Andrey KorshunovHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Stefan M PfisterHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Felix Sahm *Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
David T W JonesHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany. david.jones@kitz-heidelberg.de.ORCID 0000-0002-2036-5141
German Cancer Research Center · DEAlbert Einstein College of Medicine · USCharles University · CZMemorial Sloan Kettering Cancer Center · USNYU Langone Health · USUniversity Medical Center Utrecht · NLGiessen School of Theology · DEHumboldt-Universität zu Berlin · DEInserm · FRAarhus University Hospital · DKBambino Gesù Children's Hospital · ITde Duve Institute · BEGoethe University Frankfurt · DEHeidelberg University · DEInstitute of Cancer Research · GBJohn Hunter Children's Hospital · AULjubljana University Medical Centre · SIMedical University of Vienna · ATNational and Kapodistrian University of Athens · GRPrincess Margaret Hospital for Children · AU

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
SUPPORT FOR THE ROSE F KENNEDY IDDRC P50P50HD105352 · NICHD · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SOPHIE MOLHOLM, Steven Upshaw Walkley · 2021 to 2026
$7.0M
Cancer Research UK 23536NCI NIH HHS P30 CA008748NICHD NIH HHS P50 HD105352
6 · The paper itself

Abstract

Large-scale molecular profiling studies in recent years have shown that central nervous system (CNS) tumors display a much greater heterogeneity in terms of molecularly distinct entities, cellular origins and genetic drivers than anticipated from histological assessment. DNA methylation profiling has emerged as a useful tool for robust tumor classification, providing new insights into these heterogeneous molecular classes. This is particularly true for rare CNS tumors with a broad morphological spectrum, which are not possible to assign as separate entities based on histological similarity alone. Here, we describe a molecularly distinct subset of predominantly pediatric CNS neoplasms (n = 60) that harbor PATZ1 fusions. The original histological diagnoses of these tumors covered a wide spectrum of tumor types and malignancy grades. While the single most common diagnosis was glioblastoma (GBM), clinical data of the PATZ1-fused tumors showed a better prognosis than typical GBM, despite frequent relapses. RNA sequencing revealed recurrent MN1:PATZ1 or EWSR1:PATZ1 fusions related to (often extensive) copy number variations on chromosome 22, where PATZ1 and the two fusion partners are located. These fusions have individually been reported in a number of glial/glioneuronal tumors, as well as extracranial sarcomas. We show here that they are more common than previously acknowledged, and together define a biologically distinct CNS tumor type with high expression of neural development markers such as PAX2, GATA2 and IGF2. Drug screening performed on the MN1:PATZ1 fusion-bearing KS-1 brain tumor cell line revealed preliminary candidates for further study. In summary, PATZ1 fusions define a molecular class of histologically polyphenotypic neuroepithelial tumors, which show an intermediate prognosis under current treatment regimens.

Indexed as

Biomarkers, TumorBrain NeoplasmsChildChild, PreschoolFemaleHumansKruppel-Like Transcription FactorsMaleNeoplasms, NeuroepithelialOncogene FusionOncogene Proteins, FusionRepressor ProteinsBiomarkers, TumorKruppel-Like Transcription FactorsOncogene Proteins, FusionPATZ1 protein, humanRepressor ProteinsBrain tumorEWSR1Gene fusionMN1NeuroepithelialNeurooncologyPATZ1Pediatric

Identifiers

PMID34417833
PMCPMC8500868
OpenAlexW3195044397

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.