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Translational Medicine / 转化医学IDH-Mutant Glioma

W.K. Alfred Yung

MD

🏢The University of Texas MD Anderson Cancer Center🌐USA

Professor, Department of Neuro-Oncology; Chair Emeritus, Department of Neuro-Oncology

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

W.K. Alfred Yung, MD is Professor and Chair Emeritus of the Department of Neuro-Oncology at The University of Texas MD Anderson Cancer Center, where he built one of the world's largest and most productive neuro-oncology programs over more than three decades of leadership. He is a pioneer in glioma molecular biology and one of the architects of the modern molecular classification of gliomas, including foundational work on IDH1/2 mutations, EGFR amplification, PTEN loss, and chromosome 1p/19q co-deletion as defining molecular events in distinct glioma subtypes. Dr. Yung played a central role in the clinical development of temozolomide for recurrent GBM, leading pivotal phase II trials in the late 1990s that demonstrated its activity and favorable tolerability profile compared to procarbazine. These trials were instrumental in gaining FDA approval for temozolomide and set the stage for its subsequent evaluation in newly diagnosed GBM leading to the Stupp protocol. His laboratory simultaneously pursued genomic and epigenomic characterization of gliomas, contributing to large-scale consortium efforts including the TCGA glioma working groups that described the comprehensive molecular landscape of GBM and lower-grade gliomas. As Department Chair at MD Anderson for many years, Dr. Yung oversaw the development of an internationally recognized multidisciplinary neuro-oncology program encompassing surgery, radiation, medical oncology, neuroimaging, and translational research. He has mentored an extraordinary number of academic neuro-oncologists who now lead programs globally. His contributions to glioma biology, clinical trial methodology, and program building represent a foundational legacy to the field.

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🧪Research Fields 研究领域

Glioma Genomics
IDH1/IDH2 Molecular Classification
Temozolomide Clinical Development
EGFR Amplification in GBM
Glioma Molecular Epidemiology

🎓Key Contributions 主要贡献

Temozolomide Clinical Development

Led pivotal phase II clinical trials demonstrating temozolomide activity in recurrent GBM and anaplastic astrocytoma in the late 1990s, providing the efficacy and safety data central to FDA approval of TMZ and its adoption as the backbone of GBM chemotherapy.

Glioma Molecular Classification—TCGA Contributions

Led MD Anderson contributions to The Cancer Genome Atlas (TCGA) glioma studies, including the comprehensive genomic characterization of GBM (2008) and lower-grade gliomas (2015), identifying molecular subgroups defined by IDH mutation, 1p/19q co-deletion, and TERT promoter mutation.

EGFR Amplification and Oncogene Biology in GBM

Conducted foundational studies of EGFR gene amplification and overexpression as key oncogenic drivers in GBM, contributing to the rationale for EGFR-targeted therapies and delineating mechanisms of amplicon heterogeneity and EGFRvIII expression.

IDH Mutation as Defining Glioma Biomarker

Contributed to early clinical translation of IDH1/2 mutation testing, establishing its prognostic significance across glioma grades and laying the groundwork for IDH mutation as the primary classifier in the 2016 and 2021 WHO CNS tumor classifications.

Representative Works 代表性著作

[1]

Temozolomide versus procarbazine, lomustine, and vincristine in recurrent high-grade glioma

Journal of Clinical Oncology (2000)

Randomized phase III trial demonstrating superior progression-free survival and improved quality of life with temozolomide vs. PCV in recurrent GBM, supporting TMZ as the preferred salvage agent.

[2]

Comprehensive genomic characterization defines human glioblastoma genes and core pathways

Nature (2008)

TCGA landmark study of 206 GBMs identifying core mutated pathways (RTK/RAS/PI3K, p53, RB) and characterizing the comprehensive somatic alteration landscape of GBM.

[3]

Comprehensive, integrative genomic analysis of diffuse lower-grade gliomas

New England Journal of Medicine (2015)

TCGA analysis of 293 lower-grade gliomas defining three molecular classes based on IDH mutation and 1p/19q co-deletion with dramatically different prognoses, transforming glioma classification.

[4]

Phase II study of single-agent temozolomide (TMZ) in recurrent glioblastoma multiforme (GBM)

Journal of Clinical Oncology (1999)

Key early phase II trial establishing TMZ activity in recurrent GBM with a 6-month PFS rate of 21% and favorable tolerability, contributing to FDA approval.

🏆Awards & Recognition 奖项与荣誉

🏆American Brain Tumor Association Joel A. Gingras Jr. Award
🏆Society for Neuro-Oncology Distinguished Scientist Award
🏆MD Anderson Physician-Scientist Award
🏆National Brain Tumor Society Research Award

📄Data Sources 数据来源

Last updated: 2026-04-05 | All information from publicly available academic sources

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