Phylogenies of IDH-mutant astrocytoma and oligodendroglioma PDCs, scPDCs, and PDX integrated with spatiotemporal tumor tissue samples. (A, upper panel): The clinical timeline of astrocytoma Patient 137, drawn to scale. Vertical lines indicate surgical resection; stars represent radiographic progression; filled rectangles indicate treatment period and fill color indicates treatment type (see key at bottom). Months between surgical resections are provided below the timeline. The tumor classification is listed above each surgical time point, and surgeries from which samples were sequenced are designated with an SF number. Lower panel: A tumor phylogeny was constructed from single-nucleotide somatic mutations. Line length is proportional to the number of mutations. Lowest panel: A zoomed-in view of the shaded portion of the tree showing the relationship between samples of the non-HM first tumor recurrence (SF10071) and the HM samples of the second recurrence (SF10602). (B, upper panel): The clinical timeline of oligodendroglioma Patient 278. Lower panel: A tumor phylogeny of tumor tissue and PDCs of Patient 278. FBS, cells cultured in media containing fetal bovine serum; GNS, cells cultured in glioma neural stem cell media; PDCs, patient-derived cells; scPDCs, single-cell-derived patient-derived cells; PDC-LUC, luciferase-modified PDC; T1, T2, T3, spatially distinct pieces of tumor tissue; PDX, patient-derived intracranial xenograft; PDX-PDC, PDC derived from PDX; A, astrocytoma; O, oligodendroglioma; TMZ, temozolomide; XRT, radiation therapy; CCNU, lomustine; P#, passage number.