Evidence map›Paper›PMID 41761580›Full record

ArticleNeuro-oncology2026

DNA copy number patterns reveal prognostic markers and elucidate mechanisms of evolution in IDH-mutant astrocytoma.

Kristen L Drucker, Arijit Panda, Paul A Decker, Matt L Kosel, Thomas M Kollmeyer, Terry C Burns, Muhammad Asad Maqbool, Shameel Shafqat, Milovan Suvakov, Gelareh Zadeh and 10 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

20 authors.

Kristen L DruckerDepartment of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-6244-5863
Arijit PandaDepartment of Quantitative Health Science, Mayo Clinic, Rochester, Minnesota, USA.
Paul A DeckerDepartment of Quantitative Health Science, Mayo Clinic, Rochester, Minnesota, USA.
Matt L KoselDepartment of Quantitative Health Science, Mayo Clinic, Rochester, Minnesota, USA.
Thomas M KollmeyerDepartment of Lab Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Terry C BurnsDepartment of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Muhammad Asad MaqboolComprehensive Cancer Center, Mayo Clinic, Rochester, Minnesota, USA.
Shameel ShafqatComprehensive Cancer Center, Mayo Clinic, Rochester, Minnesota, USA.
Milovan SuvakovDepartment of Quantitative Health Science, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-5839-9611
Gelareh ZadehDepartment of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Caterina GianniniDepartment of Lab Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Rachael VaubelDepartment of Lab Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-8842-5975
Aditya RaghunathanDepartment of Lab Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-6198-7441
Ian F ParneyDepartment of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Sani H KizilbashDepartment of Oncology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-8568-1519
Cristiane M IdaDepartment of Lab Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Alexej AbyzovDepartment of Quantitative Health Science, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-5405-6729
Daniel H LachanceDepartment of Neurology, Division of Neuro-Oncology, Mayo Clinic, Rochester, Minnesota, USA.
Jeanette E Eckel-PassowDepartment of Quantitative Health Science, Mayo Clinic, Rochester, Minnesota, USA.
Robert B JenkinsDepartment of Lab Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI AKHILESH PANDEY · 1985 to 2026
$151.3M
UNDERSTANDING THE INTERACTIONS BETWEEN GERMLINE AND SOMATIC ALTERATIONS in the PATHOGENESIS OF GLIOMASR01CA230712 · NCI · MAYO CLINIC ROCHESTER · PI JENKINS, ROBERT B. · 2018 to 2022
$3.3M
Diagnosis of indeterminate brain lesions using MRI-based machine learning and polygenic risk modelsR01NS113803 · NINDS · MAYO CLINIC ROCHESTER · PI ECKEL PASSOW, JEANETTE E, TOBIN, W. OLIVER · 2020 to 2024
$3.1M
Detection of somatic, subclonal and mosaic CNVs from sequencingU24CA220242 · NCI · MAYO CLINIC ROCHESTER · PI ABYZOV, ALEXEJ · 2018 to 2022
$2.6M
Bernard E. and Edith B. Waterman FoundationMayo Clinic Center for Individualized Medicine and Mayo Clinic Comprehensive Cancer Center P30 CA15083Mayo Clinic FoundationNCI NIH HHS P30 CA015083NCI NIH HHS R01 CA230712NCI NIH HHS U24 CA220242NIH HHS R01CA230712NIH HHS R01NS113803NIH HHS U24CA220242NINDS NIH HHS R01 NS113803Regeneron Genetics CenterTing Tsung and Wei Fong Chao Family Foundation
6 · The paper itself

Abstract

backgroundCurrent literature suggestsisocitrate dehydrogenase (IDH)-mutant astrocytoma contains several molecular subgroups. In this study, we are interested in determining the connection between different molecular subgroups with grade and/or survival.

methodsA cohort of 470 Mayo Clinic adult patients (≥18 years, 56.2% male) with primary IDH-mutant astrocytoma diagnosed by World Health Organization (WHO) 2021 criteria were examined. Results were validated in an independent cohort of 614 Mayo Clinic Neuropathology consult patients and 235 The Cancer Genome Atlas (TCGA) patients.

resultsThe Mayo Clinic Practice cohort confirmed the association of CDKN2A/B deletion with overall survival (OS, homozygous vs hemizygous vs intact, 2.7 vs 9.6 vs 17.2 years, P < .001). Phosphatase and tensin homolog (PTEN) deletion was also associated with poor OS (7.3 vs 17.4 years, P < .001). Increased number of copy number alterations was associated with OS (continuous variable, HR = 1.027, P < .001). Carrying one or more copies of the germline risk allele at rs55705857 was associated with earlier age of onset (median age 33 vs 35 years, P = .01), and a shorter OS after adjusting for age, grade, sex and treatment (HR = 1.81, P = .007). The Mayo Clinic Neuropathology Consult cohort and TCGA were utilized to validate age of onset and survival, respectively. Unsupervised clustering of the copy number alterations identified several clinically significant groups that may define pathways to disease progression. Losses of chromosomes 11p, 13q, 1p, and 10q were all associated with reduced overall survival in the Mayo Clinic cohort.

conclusionsPatients with hemizygous loss of CDKN2A/B, loss of PTEN, increased number of copy number alterations, specific chromosomal arm losses or rs55705857 germline risk allele have reduced overall survival.

Indexed as

AstrocytomaBiomarkers, TumorBrain NeoplasmsDNA Copy Number VariationsIsocitrate DehydrogenaseMutationAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisPTEN PhosphohydrolaseSurvival RateBiomarkers, TumorIDH1 protein, humanIsocitrate DehydrogenasePTEN PhosphohydrolasePTEN protein, human8q24 rs55705857CDKN2A/Bcopy number complexityIDH-mutant ­astrocytomaPTEN

Identifiers

PMID41761580
PMCPMC13051352

What Socratic holds

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Registered trials

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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.