Evidence map›Paper›PMID 17340137›Full record

Trial reportAnnals of hematology2007

CD34-related coexpression of MDR1 and BCRP indicates a clinically resistant phenotype in patients with acute myeloid leukemia (AML) of older age.

Marry M van den Heuvel-Eibrink, Bronno van der Holt, Alan K Burnett, Wolfgang U Knauf, Martin F Fey, Gregor E G Verhoef, Edo Vellenga, Gert J Ossenkoppele, Bob Löwenberg, Pieter Sonneveld

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Annals of hematology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 105 citations in OpenAlex.

  1. Trial
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  4. Understanding and overcoming multidrug resistance in cancer.Nature reviews. Clinical oncology · 2025
    Review
  5. Article
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  8. ABCG2 in Acute Myeloid Leukemia: Old and New Perspectives.International journal of molecular sciences · 2023
    Review
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  20. YFrontiers in pharmacology · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 5 countries.

Marry M van den Heuvel-EibrinkDepartment of Hematology, P.O. Erasmus MC, Dr. Molewaterplein 40, 3015 GJ, Rotterdam, The Netherlands.
Bronno van der Holt
Alan K Burnett
Wolfgang U Knauf
Martin F Fey
Gregor E G Verhoef
Edo Vellenga
Gert J Ossenkoppele
Bob Löwenberg
Pieter Sonneveld
Erasmus MC · NLAmsterdam UMC Location VUmc · NLCardiff University · GBErasmus MC - Sophia Children’s Hospital · NLErasmus University Rotterdam · NLFreie Universität Berlin · DEUniversitair Ziekenhuis Leuven · BEUniversity Hospital of Bern · CHUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical resistance to chemotherapy in acute myeloid leukemia (AML) is associated with the expression of the multidrug resistance (MDR) proteins P-glycoprotein, encoded by the MDR1/ABCB1 gene, multidrug resistant-related protein (MRP/ABCC1), the lung resistance-related protein (LRP), or major vault protein (MVP), and the breast cancer resistance protein (BCRP/ABCG2). The clinical value of MDR1, MRP1, LRP/MVP, and BCRP messenger RNA (mRNA) expression was prospectively studied in 154 newly diagnosed AML patients >or=60 years who were treated in a multicenter, randomized phase 3 trial. Expression of MDR1 and BCRP showed a negative whereas MRP1 and LRP showed a positive correlation with high white blood cell count (respectively, p < 0.05, p < 0.001, p < 0.001 and p < 0.001). Higher BCRP mRNA was associated with secondary AML (p < 0.05). MDR1 and BCRP mRNA were highly significantly associated (p < 0.001), as were MRP1 and LRP mRNA (p < 0.001) expression. Univariate regression analyses revealed that CD34 expression, increasing MDR1 mRNA as well as MDR1/BCRP coexpression, were associated with a lower complete response (CR) rate and with worse event-free survival and overall survival. When adjusted for other prognostic actors, only CD34-related MDR1/BCRP coexpression remained significantly associated with a lower CR rate (p = 0.03), thereby identifying a clinically resistant subgroup of elderly AML patients.

Indexed as

Acute DiseaseAgedAge FactorsAntigens, CD34ATP-Binding Cassette, Sub-Family C ProteinsATP-Binding Cassette TransportersATP Binding Cassette Transporter, Subfamily G, Member 2Disease-Free SurvivalDrug Resistance, NeoplasmHumansLeukemia, MyeloidMajor Vault ProteinMiddle AgedNeoplasm ProteinsPhenotypeProspective StudiesABCG2 protein, humanAntigens, CD34ATP-Binding Cassette, Sub-Family C ProteinsATP-Binding Cassette TransportersATP Binding Cassette Transporter, Subfamily G, Member 2Major Vault Proteinmultidrug resistance-associated protein 1Neoplasm ProteinsRNA, MessengerVault Ribonucleoprotein Particles

Identifiers

PMID17340137
PMCPMC1914243
OpenAlexW2024937262

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.