Evidence map›Paper›PMID 18559976›Full record

ArticleBlood2008

Structural profiles of TP53 gene mutations predict clinical outcome in diffuse large B-cell lymphoma: an international collaborative study.

Ken H Young, Karen Leroy, Michael B Møller, Gisele W B Colleoni, Margarita Sánchez-Beato, Fábio R Kerbauy, Corinne Haioun, Jens C Eickhoff, Allen H Young, Philippe Gaulard and 19 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Blood, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05280626 (First-line Treatment of P53 Mutation With PD-L1 Expression in DLBCL With Anti-PD-1 Mab and R-CHOP), which is not on this map. Cited by 109 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT05280626 phase2not yet recruitingnot on this mapstarted 2022, after this paper: background citation

First-line Treatment of P53 Mutation With PD-L1 Expression in DLBCL With Anti-PD-1 Mab and R-CHOP: a Randomized, Open, Multicenter Clinical Study

TypeinterventionalSponsorInnovent Biologics (Suzhou) Co. Ltd.Ran2022 to 2026Enrolled100ConditionsDiffuse Large B-Cell LymphomaArmsSintilimab, Rituximab
3 · Its place in the literature

Who cites it

109 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  8. Review
  9. Article
  10. Correlation ofCurrent oncology (Toronto, Ont.) · 2025
    Article
  11. Immunocytochemical Detection of BCL-2 Protein in Chronic B-Cell Lymphoproliferative Disorders.International journal of hematology-oncology and stem cell research · 2025
    Article
  12. Article
  13. Frontiers in oncology · 2025
    Article
  14. Article
  15. The importance ofMolecular biology research communications · 2025
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

49 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors.

Ken H YoungDepartment of Pathology and Laboratory Medicine, University of Wisconsin School of Medicine and Public Health, University of of Wisconsin Paul P. Carbone Comprehensive Cancer Center, Madison, USA. khyoung@wisc.edu
Karen Leroy
Michael B Møller
Gisele W B Colleoni
Margarita Sánchez-Beato
Fábio R Kerbauy
Corinne Haioun
Jens C Eickhoff
Allen H Young
Philippe Gaulard
Miguel A Piris
Terry D Oberley
William M Rehrauer
Brad S Kahl
James S Malter
Elias Campo
Jan Delabie
Randy D Gascoyne
Andreas Rosenwald
Lisa Rimsza
James Huang
Rita M Braziel
Elaine S Jaffe
Wyndham H Wilson
Louis M Staudt
Julie M Vose
Wing C Chan
Dennis D Weisenburger
Timothy C Greiner

Funding

UNMC/EPPLEY CANCER CENTER SUPPORT GRANTP30CA036727 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI Apar Kishor Ganti · 1985 to 2026
$55.0M
Molecular diagnosis and outcome prediction in lymphomaZIABC011006 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI STAUDT, LOUIS · 2009 to 2025
$21.0M
Lymphoma Disease Discovery and DefintionZIASC000550 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI JAFFE, ELAINE · 2009 to 2025
$16.9M
Hematopathology DiagnosisZIABC011070 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI JAFFE, ELAINE · 2009 to 2025
$14.5M
MOLECULAR CLASSIFICATION OF B-CELL LYMPHOMAU01CA084967 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI CHAN, WING C. · 1999 to 2004
$4.1M
Lymphoma Disease Discovery and DefintionZ01SC000550 · SC · DIVISION OF CLINICAL SCIENCES - NCI · PI JAFFE, ELAINE · 1996 to 2008
$2.3M
Molecular diagnosis and outcome prediction in lymphomaZ01BC011006 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI STAUDT, LOUIS · 2008 to 2008
$770k
Hematopathology diagnosis and educationZ01BC011070 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI JAFFE, ELAINE · 2008 to 2008
$737k
NCI NIH HHS CA36727NCI NIH HHS CA84967NCI NIH HHS P30 CA036727NCI NIH HHS U01 CA084967
6 · The paper itself

Abstract

The purpose of this study is to correlate the presence of TP53 gene mutations with the clinical outcome of a cohort of patients with diffuse large B-cell lymphoma (DLBCL) assembled from 12 medical centers. TP53 mutations were identified in 102 of 477 patients, and the overall survival (OS) of patients with TP53 mutations was significantly worse than those with wild-type TP53 (P < .001). However, subsets of TP53 mutations were found to have different effects on OS. Mutations in the TP53 DNA-binding domains were the strongest predictors of poor OS (P < .001). Mutations in the Loop-Sheet-Helix and Loop-L3 were associated with significantly decreased OS (P = .002), but OS was not significantly affected by mutations in Loop-L2. A subset of missense mutations (His158, His175, Ser245, Gln248, His273, Arg280, and Arg282) in the DNA-binding domains had the worst prognosis. Multivariate analysis confirmed that the International Prognostic Index and mutations in the DNA-binding domains were independent predictors of OS. TP53 mutations also stratified patients with germinal center B cell-like DLBCL, but not nongerminal center B cell-like DLBCL, into molecularly distinct subsets with different survivals. This study shows the prognostic importance of mutations in the TP53 DNA-binding domains in patients with DLBCL.

Indexed as

MutationAgedAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDNA Mutational AnalysisDoxorubicinExonsFemaleHumansInternational CooperationLymphoma, Large B-Cell, DiffuseMaleMiddle AgedPrednisolonePrognosisTreatment OutcomeCyclophosphamideDoxorubicinPrednisoloneTP53 protein, humanTumor Suppressor Protein p53Vincristine

Identifiers

PMID18559976
PMCPMC2569165

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Registered trials

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.