Evidence map›Paper›PMID 42642532›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Molecular predictors of recurrence in vestibular schwannomas: a transcriptomic and RT-qPCR analysis.

Carmen Ruiz-García, Sandra Franco-Caspueñas, Lourdes Rodríguez-de la Rosa, Victor Martinez-Glez, J Manuel Morales-Puebla, Isabel Varela-Nieto, Luis Lassaletta

Abstract read
PubMed Publisher
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Carmen Ruiz-GarcíaDepartment of Otorhinolaryngology, La Paz University Hospital, Paseo de la Castellana 261, 28046, Madrid, Spain. carmen.ruizg@estudiante.uam.es.ORCID http://orcid.org/0000-0003-1529-5721
Sandra Franco-CaspueñasNeurobiology of Hearing and Myelinopathies, Institute for Biomedical Research Sols-Morreale (IIBM), CSIC-UAM, Arturo Duperier 4, 28029, Madrid, Spain.ORCID http://orcid.org/0000-0002-2968-216X
Lourdes Rodríguez-de la RosaNeurobiology of Hearing and Myelinopathies, Institute for Biomedical Research Sols-Morreale (IIBM), CSIC-UAM, Arturo Duperier 4, 28029, Madrid, Spain.ORCID http://orcid.org/0000-0002-7518-6036
Victor Martinez-GlezInstitute of Medical and Molecular Genetics, INGEMM-IdiPAZ, La Paz University Hospital, Paseo de la Castellana 261, 28046, Madrid, Spain.ORCID http://orcid.org/0000-0002-4680-881X
J Manuel Morales-PueblaDepartment of Otorhinolaryngology, La Paz University Hospital, Paseo de la Castellana 261, 28046, Madrid, Spain.ORCID http://orcid.org/0000-0003-3976-4019
Isabel Varela-NietoNeurobiology of Hearing and Myelinopathies, Institute for Biomedical Research Sols-Morreale (IIBM), CSIC-UAM, Arturo Duperier 4, 28029, Madrid, Spain.ORCID http://orcid.org/0000-0003-3077-0500
Luis LassalettaDepartment of Otorhinolaryngology, La Paz University Hospital, Paseo de la Castellana 261, 28046, Madrid, Spain.ORCID http://orcid.org/0000-0002-8260-4523

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVestibular schwannomas (VS) are benign tumors with variable clinical behavior. Recurrence after surgery is uncommon yet sometimes aggressive. Reliable molecular predictors of recurrence are lacking, and the correlation between genotype and phenotype is weak. This study aimed to identify molecular markers associated with recurrence in VS and explore their prognostic potential.

methodsRetrospective case-control study of patients undergoing VS surgery between 2017 and 2024. RNA-Seq was conducted to identify molecular signatures associated with recurrence, and selected genes were validated using RT-qPCR. Recurrence-free and salvage surgery-free survival were analyzed by the extent of resection.

results23 samples from 22 patients were analyzed, including 7 recurrent and 16 non-recurrent cases. 81 differentially expressed genes were identified in recurrent tumors, with enrichment of the MAPK (FDR = 7.9 × 10⁻⁴) and PI3K/AKT/mTOR (FDR = 0.038) pathways. Eight candidate genes were selected for validation: DCN (FC 4.34); DUSP5 (FC 4.20); CXCL8 (FC 3.25); JUND (FC 3.27); MYC (FC 2.45); MAFF (FC 3.79); SOD3 (FC 2.47) (all upregulated), and TNF (FC 0.16) (downregulated). RT-qPCR confirmed that CXCL8 and TNF were significantly elevated in tumors requiring early salvage surgery and in an NF2-associated Schwannomatosis case. No differences in recurrence-free or salvage surgery-free survival were observed between near-total and subtotal resections.

conclusionRecurrent VS exhibit a distinct molecular profile, highlighting IL-8 and TNFα as potential biomarkers and therapeutic targets. These findings support the development of a prognostic panel to guide personalized follow-up and treatment, particularly for high-risk patients. Further studies are needed before clinical implementation.

Indexed as

Acoustic neuromaGene expression profilingInterleukin-8NF2-associated schwannomatosisTumor biologyTumor necrosis factor

Identifiers

What Socratic holds

Textmetadata
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.