Recent studies have elucidated the complex molecular mechanisms underlying glioma progression and treatment resistance. Varn et al. analyzed RNA and DNA sequencing data from 304 adult patients with both IDH-wild-type and IDH-mutant gliomas, revealing that tumor recurrence is influenced by genetic evolution and interactions with the tumor microenvironment. Notably, the study highlighted distinct histological changes and somatic alterations that correlate with IDH mutation status, suggesting that tailored therapeutic strategies may be necessary based on these genetic profiles (ref: Varn doi.org/10.1016/j.cell.2022.04.038/). In a related investigation, Adeberg et al. focused on glioblastomas originating from the subventricular zone, proposing a DNA methylome-based classification to improve prognostic stratification, particularly for therapy-refractory cases (ref: Adeberg doi.org/10.1007/s00401-022-02443-2/). Furthermore, Ratliff et al. introduced patient-derived tumor organoids as a promising tool for personalized drug therapy in recurrent glioblastoma, emphasizing the need for functional profiling to identify effective treatments tailored to individual tumor characteristics (ref: Ratliff doi.org/10.3390/ijms23126572/). The genetic landscape of composite pleomorphic xanthoastrocytoma-ganglioglioma was explored by Lucas et al., who reported divergent clonal evolution within tumor components, underscoring the importance of comprehensive genetic analysis in understanding tumor behavior (ref: Lucas doi.org/10.1093/jnen/). Lastly, Tauziède-Espariat et al. identified a distinct DNA methylation profile associated with dural angioleiomyoma, revealing frequent GJA4 mutations that could inform future diagnostic and therapeutic approaches (ref: Tauziède-Espariat doi.org/10.1186/s40478-022-01384-x/).