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June 5, 2026NatureOpen Access

Acquired genetic and cell-state changes in IDH-mutant glioma progression

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Authors

KJKevin C. JohnsonASAvishay SpitzerFVFrederick S. Varn

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Overview

Randomized trial examines genetic changes in IDH-mutant gliomas, suggesting new insights for treatment strategies.

Key Points

  • The aim is to understand the genetic and cellular changes driving the progression of IDH-mutant gliomas.
  • Integrated analysis of single-nucleus transcriptomic profiles and chromatin accessibility from 75 gliomas.
  • Utilized bulk DNA and RNA sequencing from 35 patients with oligodendroglioma and astrocytoma types.
  • Longitudinal analysis identified patterns of malignant cell-state transitions and genetic alterations.
  • Malignant cell states were transcriptionally similar to stages of normal glial–neuronal lineage development.
  • At recurrence, gliomas showed increased proliferative cells and reduced differentiation linked with genetic changes.
  • Elevated mesenchymal-like cells were found independently of genetic alterations, correlating with macrophage expression.

Cite This Study

Johnson et al. (2026) studied this question.

synapsesocial.com/papers/6a2267a3763171746d5463efhttps://doi.org/10.1038/s41586-026-10612-6
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