Evidence map›Paper›PMID 39786477›Full record

ReviewNeuro-oncology2025

A hitchhiker's guide to cerebrospinal fluid biomarkers for neuro-oncology.

Cecile Riviere-Cazaux, Michael B Keough, Jeffrey A Zuccato, Rahul Kumar, Sebastian Schulz, Arthur E Warrington, Michael W Ruff, Benjamin M Ellingson, Nader Sanai, Jian L Campian and 9 more

Erratum issuedAbstract readReview
In one paragraph

Review in Neuro-oncology, 2025. 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Accelerating discovery: Transformative clinical trial models in neuro-oncology.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Cecile Riviere-CazauxDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-8857-4345
Michael B KeoughDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN, USA.
Jeffrey A ZuccatoDivision of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Rahul KumarDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN, USA.
Sebastian SchulzClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Arthur E WarringtonDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN, USA.
Michael W RuffDepartment of Oncology, Division of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
Benjamin M EllingsonDepartment of Radiological Sciences, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
Nader SanaiIvy Brain Tumor Center, Barrow Neurological Institute, Phoenix, AZ, USA.
Jian L CampianDepartment of Oncology, Division of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
Sani H KizilbashDepartment of Oncology, Division of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
Ian F ParneyDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN, USA.
Gelareh ZadehDivision of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Mustafa KhasrawDepartment of Neurosurgery, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0003-3249-9849
Tobias KesslerClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0001-8350-7074
Ugur SenerDepartment of Oncology, Division of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
Daniel P CahillDepartment of Neurological Surgery, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0003-2552-6546
Alireza MansouriDepartment of Neurosurgery, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.ORCID 0000-0002-7442-7539
Terry C BurnsDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN, USA.

Funding

UCLA SPORE in Brain CancerP50CA211015 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Yvonne Yu-Hsuan Chen · 2017 to 2026
$25.2M
Glioma intelligence from behind enemy linesR37CA276851 · NCI · MAYO CLINIC ROCHESTER · PI Terry Burns · 2023 to 2026
$2.1M
NT-I7, a novel long-acting interleukin-7, in combination with anti-PD-1 checkpoint blockade for the treatment of glioablastomaR01CA288862 · NCI · MAYO CLINIC ROCHESTER · PI Jian Campian · 2025 to 2026
$1.3M
Intracranial D-2-Hydroxyglutarate as a Monitoring Biomarker for IDH-mutant Glioma.R61NS122096 · NINDS · MAYO CLINIC ROCHESTER · PI BURNS, TERRY · 2022 to 2024
$1.2M
Intracranial D-2-Hydroxyglutarate as a Monitoring Biomarker for IDH-mutant Glioma.R33NS122096 · NINDS · MAYO CLINIC ROCHESTER · PI Terry Burns · 2025 to 2026
$756k
National Institute of HealthNCI NIH HHS P50 CA211015NCI NIH HHS R01 CA288862NCI NIH HHS R37 CA276851NINDS NIH HHS R33 NS122096NINDS NIH HHS R61 NS122096
6 · The paper itself

Abstract

Cerebrospinal fluid (CSF) has emerged as a valuable liquid biopsy source for glioma biomarker discovery and validation. CSF produced within the ventricles circulates through the subarachnoid space, where the composition of glioma-derived analytes is influenced by the proximity and anatomical location of sampling relative to tumor, in addition to underlying tumor biology. The substantial gradients observed between lumbar and intracranial CSF compartments for tumor-derived analytes underscore the importance of sampling site selection. Moreover, radiographic features, such as tumor-CSF contact and blood-brain barrier disruption, are critical covariates that may affect biomarker detection and the abundance of plasma-derived analytes in CSF, respectively. Longitudinal intracranial CSF sampling, enabled by access devices like Ommaya reservoirs, may offer a window into treatment response and disease progression, though variability in analyte yield, sample volumes, and the dynamic effects of surgical resection pose challenges. This review critically evaluates the anatomic, radiographic, and longitudinal factors, or "time-space continuum," that impact glioma CSF biomarker abundance. Practical considerations for longitudinal CSF biobanking, including access device placement and collection, are also reviewed. Key takeaways and recommendations for CSF glioma biomarker discovery and validation are provided as a "hitchhiker's guide" based on our collective experience, along with resources for investigators aiming to develop CSF biobanking at their institutions.

Indexed as

Biomarkers, TumorBrain NeoplasmsGliomaHumansLiquid BiopsyBiomarkers, Tumorbiomarkercerebrospinal fluidgliomamonitoringneuro-oncology

Identifiers

PMID39786477
PMCPMC12187377

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.