Evidence mapPaperPMID 41579222Full record

ReviewCellular and molecular neurobiology2026

From Classical to Emerging Biomarkers of Brain and Central Nervous System Tumors. An Evidence-Based Review with a Focus on Gliomas.

Miguel A Ortega, Oscar Fraile-Martinez, Diego Liviu Boaru, Diego De León-Oliva, Patricia De Castro-Martinez, Cielo Garcia-Montero, Beatriz García-González, Isabel Pérez-González, Majd N Michael Alhaddadin, Silvestra Barrena-Blázquez and 7 more

Abstract readReview
In one paragraph

Review in Cellular and molecular neurobiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. IL1B-Expressing Exhausted CD4Cancer genomics & proteomics
    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

17 authors.

Miguel A OrtegaDepartment of Medicine and Medical Specialties, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), Faculty of Medicine and Health Sciences, University of Alcalá, 28801, Alcalá de Henares, Spain. migueangel.ortega@uah.es.
Oscar Fraile-MartinezDepartment of Medicine and Medical Specialties, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), Faculty of Medicine and Health Sciences, University of Alcalá, 28801, Alcalá de Henares, Spain.
Diego Liviu BoaruDepartment of Medicine and Medical Specialties, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), Faculty of Medicine and Health Sciences, University of Alcalá, 28801, Alcalá de Henares, Spain.
Diego De León-OlivaDepartment of Medicine and Medical Specialties, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), Faculty of Medicine and Health Sciences, University of Alcalá, 28801, Alcalá de Henares, Spain.
Patricia De Castro-MartinezDepartment of Medicine and Medical Specialties, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), Faculty of Medicine and Health Sciences, University of Alcalá, 28801, Alcalá de Henares, Spain.
Cielo Garcia-MonteroDepartment of Medicine and Medical Specialties, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), Faculty of Medicine and Health Sciences, University of Alcalá, 28801, Alcalá de Henares, Spain.
Beatriz García-GonzálezDepartment of Medicine and Medical Specialties, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), Faculty of Medicine and Health Sciences, University of Alcalá, 28801, Alcalá de Henares, Spain.
Isabel Pérez-GonzálezDepartment of Medicine and Medical Specialties, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), Faculty of Medicine and Health Sciences, University of Alcalá, 28801, Alcalá de Henares, Spain.
Majd N Michael AlhaddadinDepartment of Medicine and Medical Specialties, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), Faculty of Medicine and Health Sciences, University of Alcalá, 28801, Alcalá de Henares, Spain.
Silvestra Barrena-BlázquezRamón y Cajal Institute of Sanitary Research (IRYCIS), 28034, Madrid, Spain.
Laura Lopez-GonzalezRamón y Cajal Institute of Sanitary Research (IRYCIS), 28034, Madrid, Spain.
María Del Val Toledo-LoboRamón y Cajal Institute of Sanitary Research (IRYCIS), 28034, Madrid, Spain.
Leonel PekarekDepartment of Medicine and Medical Specialties, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), Faculty of Medicine and Health Sciences, University of Alcalá, 28801, Alcalá de Henares, Spain.
Raúl Diaz PedreroRamón y Cajal Institute of Sanitary Research (IRYCIS), 28034, Madrid, Spain.
Melchor Alvarez-MonDepartment of Medicine and Medical Specialties, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), Faculty of Medicine and Health Sciences, University of Alcalá, 28801, Alcalá de Henares, Spain.
David Cobo-PrietoDepartment of Medicine and Medical Specialties, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), Faculty of Medicine and Health Sciences, University of Alcalá, 28801, Alcalá de Henares, Spain.
Miguel A SaezDepartment of Medicine and Medical Specialties, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), Faculty of Medicine and Health Sciences, University of Alcalá, 28801, Alcalá de Henares, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gliomas, including astrocytoma, oligodendrogliomas, and glioblastomas, represent the most common type of primary malignant brain tumors in adults and a significant burden in pediatric neuro-oncology. Despite being traditionally diagnosed according to histopathological features, the classification of gliomas has evolved significantly with the integration of molecular biomarkers, now essential components of the World Health Organization Central Nervous System 5 (WHO CNS5) classification. This review synthesizes key established and emerging molecular markers that define glioma subtypes and impact diagnosis, prognosis, and therapeutic decisions. Core biomarkers include IDH1/2 mutations, which are hallmarks of lower-grade gliomas and confer improved prognosis; 1p/19q codeletion, pathognomonic for oligodendrogliomas; and TERT promoter mutations, often associated with poor outcomes. Additional markers such as TP53, ATRX, and H3K27M mutations provide crucial subtype and grade-specific information, particularly in astrocytic and diffuse midline gliomas. Novel alterations, including BRAF V600E, EGFRvIII, and MET, NTRK, or ALK gene fusions, are increasingly recognized for their therapeutic relevance in targeted treatment approaches. Epigenetic profiling, including DNA methylation signatures, has further refined glioma taxonomy and classification. Emerging markers such as MYCN/MYC amplifications, PIK3CA/PTEN pathway alterations, and ZFTA::RELA fusions, although more prominent in other CNS tumors, may offer insights into tumor biology or therapeutic resistance in gliomas. This review provides an updated evidence-based overview of classical and novel biomarkers, highlighting their biological roles and clinical implications, and guiding future directions for precision neuro-oncology.

Indexed as

Biomarkers, TumorBrain NeoplasmsCentral Nervous System NeoplasmsEvidence-Based MedicineGliomaAnimalsHumansBiomarkers, TumorBiomarkersCNS tumorsGliomasMolecular classificationPrecision medicine

Identifiers

PMID41579222
PMCPMC12891329

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.