4.6 Article

CSF neopterin level as a diagnostic marker in primary central nervous system lymphoma

Journal

NEURO-ONCOLOGY
Volume 17, Issue 11, Pages 1497-1503

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1093/neuonc/nov092

Keywords

biomarker; cerebrospinal fluid; neopterin; primary central nervous system lymphoma; space-occupying brain lesion

Ask authors/readers for more resources

The diagnosis of primary central nervous system lymphoma (PCNSL) can be challenging. PCNSL lesions are frequently located deep within the brain, and performing a cerebral biopsy is not always feasible. The aim of this study was to investigate the diagnostic value of CSF neopterin, a marker of neuroinflammation, in immunocompetent patients with suspected PCNSL. We retrospectively reviewed the characteristics of 124 patients with brain tumor (n = 82) or an inflammatory CNS disorder (n = 42) in whom CSF neopterin levels were assessed. Twenty-eight patients had PCNSL, 54 patients had another type of brain tumor (glioma n = 36, metastasis n = 13, other n = 5), and 13 patients had a pseudotumoral inflammatory brain lesion. CSF neopterin levels were significantly higher in the patients with PCNSL than in those with other brain tumors (41.8 vs 5.1 nmol/L, P < .001), those with pseudotumoral inflammatory brain lesions (41.8 vs 4.3 nmol/L, P < .001), and those with nontumefactive inflammatory CNS disorders (41.8 vs 3.8 nmol/L, P < .001). In the 95 patients with space-occupying brain lesions, at a cutoff of 10 nmol/L, the sensitivity of this approach was 96% and the specificity was 93% for the diagnosis of PCNSL. The positive and negative predictive values were 84% and 98%, respectively. Assessing CSF neopterin levels in patients with a suspected brain tumor might be helpful for the positive and differential diagnosis of PCNSL. A prospective study is warranted to confirm these results.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Clinical Neurology

Characteristics and management of hydrocephalus in adult patients with cerebellar glioblastoma: lessons from a French nationwide series of 118 cases

Thiebaud Picart, Chloe Dumot, David Meyronet, Johan Pallud, Philippe Metellus, Sonia Zouaoui, Francois Ducray, Isabelle Pelissou-Guyotat, Moncef Berhouma, Luc Bauchet, Jacques Guyotat

Summary: This study investigated the occurrence of hydrocephalus in adult patients with cGB, finding that patients with hydrocephalus were younger and more likely to undergo tumor resection. Different cerebrospinal-fluid diversion options had comparable functional results and complication rates. Management strategies for postoperative hydrocephalus need to be carefully considered to avoid interfering with adjuvant oncological treatments.

NEUROSURGICAL REVIEW (2022)

Article Oncology

Molecular profile to guide personalized medicine in adult patients with primary brain tumors: results from the ProfiLER trial

Alice Bonneville-Levard, Didier Frappaz, Olivier Tredan, Emilie Lavergne, Veronique Corset, Vincent Agrapart, Sylvie Chabaud, Daniel Pissaloux, Qing Wang, Valery Attignon, Stephanie Cartalat, Francois Ducray, Laure Thomas-Maisonneuve, Jerome Honnorat, David Meyronet, Luc Taillandier, Marie Blonski, Alain Viari, Christian Baudet, Emilie Sohier, Sylvie Lantuejoul, Sandrine Paindavoine, Isabelle Treilleux, Christine Rodriguez, David Perol, Jean-Yves Blay

Summary: Immunohistochemistry and recent molecular technologies have led to personalized anti-tumoral therapies for patients with advanced brain tumors. This study explored molecular profiling in these patients and identified actionable molecular alterations in some cases. However, only a small percentage of patients ultimately received molecular-based recommended therapy, with reasons including early death, lack of suitable clinical trials, or inappropriate results.

MEDICAL ONCOLOGY (2022)

Article Oncology

Trabectedin for recurrent WHO grade 2 or 3 meningioma: A randomized phase II study of the EORTC Brain Tumor Group (EORTC-1320-BTG)

Matthias Preusser, Antonio Silvani, Emilie Le Rhun, Riccardo Soffietti, Giuseppe Lombardi, Juan Manuel Sepulveda, Petter Brandal, Lucy Brazil, Alice Bonneville-Levard, Veronique Lorgis, Elodie Vauleon, Jacoline Bromberg, Sara Erridge, Alison Cameron, Florence Lefranc, Paul M. Clement, Sarah Dumont, Marc Sanson, Charlotte Bronnimann, Carmen Balana, Niklas Thon, Joanne Lewis, Maximilian J. Mair, Philipp Sievers, Julia Furtner, Josef Pichler, Jordi Bruna, Francois Ducray, Jaap C. Reijneveld, Christian Mawrin, Martin Bendszus, Christine Marosi, Vassilis Golfinopoulos, Corneel Coens, Thierry Gorlia, Michael Weller, Felix Sahm, Wolfgang Wick

Summary: This randomized study on recurrent WHO grade 2 or 3 meningioma patients showed that intravenous trabectedin did not improve progression-free survival (PFS) and overall survival (OS) compared to local standard of care (LOC), and was associated with higher toxicity. Tumor DNA methylation class was identified as an independent prognostic factor for OS.

NEURO-ONCOLOGY (2022)

Article Clinical Neurology

Contribution of diffusion-weighted imaging to distinguish herpetic encephalitis from auto-immune encephalitis at an early stage

Alexandre Bani-Sadr, Marie-Camille Ruitton-Allinieu, Jean-Christophe Brisset, Francois Ducray, Bastien Joubert, Geraldine Picard, Francois Cotton

Summary: This study aimed to determine whether diffusion-weighted imaging (DWI) can help distinguish early-stage autoimmune (AI) encephalitis from herpes simplex virus (HSV) encephalitis. By comparing the MRIs of patients from a multi-center cohort of AI encephalitis and a single-center of HSV encephalitis, it was found that restricted diffusion lesions in the medial temporal lobe are a characteristic of HSV encephalitis and can aid in distinguishing it from early-stage AI encephalitis.

JOURNAL OF NEURORADIOLOGY (2023)

Article Neurosciences

The Clinical Concept of LTDpathy: Is Dysregulated LTD Responsible for Prodromal Cerebellar Symptoms?

Hiroshi Mitoma, Kazuhiko Yamaguchi, Jerome Honnorat, Mario Manto

Summary: Long-term depression at parallel fibers-Purkinje cells (PF-PC LTD) is crucial for cerebellar motor learning and control. Dysregulation of PF-PC LTD has been identified as a factor in immune-mediated cerebellar ataxias and spinocerebellar ataxias, leading to impaired adaptive behaviors. LTDpathy is a clinical concept that encompasses these conditions characterized by PF-PC LTD dysfunction and related adaptive behavior impairments.

BRAIN SCIENCES (2022)

Article Oncology

Incidence and characteristics of pseudoprogression in IDH-mutant high-grade gliomas: A POLA network study

Antoine Seyve, Caroline Dehais, Olivier Chinot, Apolline Djelad, Elisabeth Cohen-Moyal, Charlotte Bronnimann, Carole Gourmelon, Evelyne Emery, Philippe Colin, Mathieu Boone, Elodie Vauleon, Olivier Langlois, Anna-Luisa Di Stefano, Romuald Seizeur, Francois Ghiringhelli, Anne D'Hombres, Loic Feuvret, Jacques Guyotat, Laurent Capelle, Catherine Carpentier, Louis Garnier, Jerome Honnorat, David Meyronet, Karima Mokhtari, Dominique Figarella-Branger, Francois Ducray

Summary: This study investigates the incidence and characteristics of pseudoprogression in isocitrate dehydrogenase-mutant high-grade gliomas (IDHmt HGG). It suggests that pseudoprogression is not only frequent but also frequently misdiagnosed in IDHmt HGG patients. The study highlights the importance of considering pseudoprogression within the first 2 years after radiotherapy.

NEURO-ONCOLOGY (2023)

Article Clinical Neurology

Cerebellar Ataxia With Anti-DNER Antibodies Outcomes and Immunologic Features

Elise Peter, Le Duy Do, Salem Hannoun, Sergio Muniz-Castrillo, Alberto Vogrig, Valentin Wucher, Anne-Laurie Pinto, Naura Chounlamountri, Walaa Zakaria, Veronique Rogemond, Geraldine Picard, Julien-Jacques Hedou, Aditya Ambati, Agusti Alentorn, Alexandra Traverse-Glehen, Mario Manto, Dimitri Psimaras, Emmanuel Mignot, Francois Cotton, Virginie Desestret, Jerome Honnorat, Bastien Joubert

Summary: This study describes the clinical-immunologic features and long-term outcomes of patients with anti-DNER antibodies. Most patients had cerebellar ataxia and became moderately to severely disabled. Half of the patients improved, and younger age, milder clinical presentations, and less decrease of cerebellar gray matter volumes were associated with a better outcome.

NEUROLOGY-NEUROIMMUNOLOGY & NEUROINFLAMMATION (2022)

Article Pathology

Molecular Characterization of Adult Tumors Diagnosed as Cerebellar Glioblastomas Identifies Subgroups Associated With Prognosis

Thiebaud Picart, Delphine Poncet, Marc Barritault, Luc Bauchet, Sonia Zouaoui, Jacques Guyotat, Mathieu Gabut, Frederic Fina, Jerome Honnorat, Dominique Figarella-Branger, Johan Pallud, Francois Ducray, David Meyronet

Summary: The aim of this study was to identify subgroups of cerebellar glioblastoma (cGBM) based on targeted molecular analysis. Eighty-three cGBM cases were included and classified into 6 mutually exclusive subgroups associated with age at diagnosis and prognosis. MAPK pathway-activating alterations were found to be associated with a better outcome.

AMERICAN JOURNAL OF SURGICAL PATHOLOGY (2023)

Review Biochemistry & Molecular Biology

Neurodegenerative Diseases: From Dysproteostasis, Altered Calcium Signalosome to Selective Neuronal Vulnerability to AAV-Mediated Gene Therapy

Tam T. Quach, Harrison J. Stratton, Rajesh Khanna, Sabrina Mackey-Alfonso, Nicolas Deems, Jerome Honnorat, Kathrin Meyer, Anne-Marie Duchemin

Summary: This article provides an overview of neurodegenerative diseases and explores new therapeutic approaches. The accumulation of misfolded/aggregated proteins in the brain is a common pathological feature. The authors suggest a multiplexed gene transfer strategy to extend brain health span and improve chronic disease states.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2022)

Article Multidisciplinary Sciences

RSL24D1 sustains steady-state ribosome biogenesis and pluripotency translational programs in embryonic stem cells

Sebastien Durand, Marion Bruelle, Fleur Bourdelais, Bigitha Bennychen, Juliana Blin-Gonthier, Caroline Isaac, Aurelia Huyghe, Sylvie Martel, Antoine Seyve, Christophe Vanbelle, Annie Adrait, Yohann Coute, David Meyronet, Frederic Catez, Jean-Jacques Diaz, Fabrice Lavial, Emiliano P. Ricci, Francois Ducray, Mathieu Gabut

Summary: The study reveals that RSL24D1 is highly expressed in both mouse and human pluripotent stem cells and is involved in the biogenesis of 60S subunits. Depletion of RSL24D1 impairs global translation, particularly of pluripotency factors and components from the Polycomb Repressive Complex 2 (PRC2), leading to altered self-renewal and lineage commitment choices in embryonic stem cells.

NATURE COMMUNICATIONS (2023)

Article Oncology

Characteristics, Patterns of Care and Predictive Geriatric Factors in Elderly Patients Treated for High-Grade IDH-Mutant Gliomas: A French POLA Network Study

Coline Montegut, Jean-Sebastien Guillamo, Francois Ducray, Caroline Dehais, Elisabeth Cohen-Jonathan Moyal, Christine Desenclos, Antoine Petit, Romuald Seizeur, Lien Bekaert, Claude Gaultier, Marie Jeannette Motuo Fotso, Marie Blonski, Jean-Sebastien Frenel, Elodie Vauleon, Olivier Langlois, Georges Noel, Antoine F. Carpentier, Anna Luisa Di Stefano, Charlotte Bronnimann, Dominique Figarella-Branger, Olivier Chinot, Emeline Tabouret

Summary: The study found that elderly IDH-mutated gliomas have similar characteristics to younger IDH-mutated gliomas but are significantly different from elderly IDH wild-type gliomas. The management of these elderly patients is suboptimal, with less frequent gross total resection and radiotherapy. An optimal therapeutic combination of radio-chemotherapy is safe and feasible for these elderly patients, and specific geriatric prognostic factors have been identified.

CANCERS (2022)

Review Biochemistry & Molecular Biology

Spatial and Ecological Factors Modulate the Incidence of Anti-NMDAR Encephalitis-A Systematic Review

Agusti Alentorn, Giulia Berzero, Harry Alexopoulos, John Tzartos, German Reyes Botero, Andrea Morales Martinez, Sergio Muniz-Castrillo, Alberto Vogrig, Bastien Joubert, Francisco Garcia A. Jimenez, Dagoberto Cabrera, Jose Vladimir Tobon, Carolina Delgado, Patricio Sandoval, Monica Troncoso, Lorna Galleguillos, Marine Giry, Marion Benazra, Isaias Hernandez Verdin, Maelle Dade, Geraldine Picard, Veronique Rogemond, Nicolas Weiss, Marinos C. Dalakas, Pierre-Yves Boelle, Jean-Yves Delattre, Jerome Honnorat, Dimitri Psimaras

Summary: Anti-NMDAR encephalitis is associated with multiple antigenic triggers and this study aimed to explore if geographic and climatic factors may influence disease risk. Through a systematic review and meta-analysis, they found that the incidence of anti-NMDAR encephalitis varies among countries, with higher rates in Oceania and South America compared to Europe and North America. Regression models confirmed a strong negative correlation with latitude and seasonal analyses showed a peak of cases during warm months. Exposure-lag-response models revealed a positive correlation between extreme hot temperatures and disease incidence in France.

BIOMEDICINES (2023)

Review Oncology

Challenges in glioblastoma research: focus on the tumor microenvironment

Andreas Bikfalvi, Cristine Alves da Costa, Tony Avril, Jean-Vianney Barnier, Luc Bauchet, Lucie Brisson, Pierre Francois Cartron, Helene Castel, Eric Chevet, Herve Chneiweiss, Anne Clavreul, Bruno Constantin, Valerie Coronas, Thomas Daubon, Monique Dontenwill, Francois Ducray, Natacha Entz-Werle, Dominique Figarella-Branger, Isabelle Fournier, Jean-Sebastien Frenel, Mathieu Gabut, Thierry Galli, Julie Gavard, Gilles Huberfeld, Jean-Philippe Hugnot, Ahmed Idbaih, Marie-Pierre Junier, Thomas Mathivet, Philippe Menei, David Meyronet, Celine Mirjolet, Fabrice Morin, Jean Mosser, Elisabeth Cohen-Jonathan Moyal, Veronique Rousseau, Michel Salzet, Marc Sanson, Giorgio Seano, Emeline Tabouret, Aurelie Tchoghandjian, Laurent Turchi, Francois M. Vallette, Somya Vats, Maite Verreault, Thierry Virolle

Summary: Glioblastoma (GBM) is a highly lethal brain tumor, and recent studies have emphasized the importance of the tumor microenvironment (TME) as a therapeutic target. However, a comprehensive understanding of the different cellular and molecular components involved in the GBM TME and their interactions is still needed for the development of more effective treatments. This review presents a comprehensive report on the GBM TME, combining the contributions of researchers and physicians in France, and provides a holistic view of the subject by describing the specific features of the GBM TME at the cellular, molecular, and therapeutic levels.

TRENDS IN CANCER (2023)

Article Chemistry, Multidisciplinary

Charge detection mass spectrometry on human-amplified fibrils from different synucleinopathies

Aikaterini Tsirkou, Flora Kaczorowski, Mathieu Verdurand, Rana Raffoul, Jonathan Pansieri, Isabelle Quadrio, Fabien Chauveau, Rodolphe Antoine

Summary: This work demonstrates the feasibility of nanospray-charge-detection-mass-spectrometry (CDMS) for amplifying alpha-synuclein fibrils from Parkinson's disease or Dementia with Lewy bodies patients, and its synergistic combination with RT-QuIC.

CHEMICAL COMMUNICATIONS (2022)

Article Clinical Neurology

Clinical and pathological impact of an optimal assessment of brain invasion for grade 2 meningioma diagnosis: lessons from a series of 291 cases

Thiebaud Picart, Chloe Dumot, Jacques Guyotat, Vladislav Pavlov, Nathalie Streichenberger, Alexandre Vasiljevic, Tanguy Fenouil, Anne Durand, Emmanuel Jouanneau, Francois Ducray, Timothee Jacquesson, Moncef Berhouma, David Meyronet

Summary: Brain invasion was not considered as a criterion for atypical meningioma until 2016, and its assessment is crucial for predicting tumor progression. Collaboration between neurosurgeons and neuropathologists has strengthened the study of brain invasion in meningiomas.

NEUROSURGICAL REVIEW (2022)

No Data Available