Evidence map›Paper›PMID 20519626›Full record

ArticleBlood2010

Recurrent BRAF mutations in Langerhans cell histiocytosis.

Gayane Badalian-Very, Jo-Anne Vergilio, Barbara A Degar, Laura E MacConaill, Barbara Brandner, Monica L Calicchio, Frank C Kuo, Azra H Ligon, Kristen E Stevenson, Sarah M Kehoe and 5 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Blood, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 487 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
487citing papers in PubMed, 2 pooled it
20.5field-weighted citation impact, top 1% 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.

NCT04943198 phase2recruitingnot on this mapstarted 2021, after this paper: background citation

Optimization of the Time and Dosage of Vemurafenib in BRAF Positive Juvenile Patients With Refractory Histiocytosis

TypeinterventionalSponsorAnna RaciborskaRan2021 to 2027Enrolled25ConditionsHistiocytosisArmsVemurafenib
NCT04943211 phase3recruitingnot on this mapstarted 2021, after this paper: background citation

Determination of Molecular Status, as Well as the Efficacy and Safety of Fluorodeoxyglucose (18F-FDG) in PET-CT Imaging in Juvenile Patients With Histiocytosis

TypeinterventionalSponsorAnna RaciborskaRan2021 to 2027Enrolled150ConditionsHistiocytosisArmsfluorodeoxyglucose (18F-FDG)
3 · Its place in the literature

Who cites it

487 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1,219 citations in OpenAlex.

  1. Isolated clival Langerhans cell histiocytosis in a pediatric patient: systematic review and illustrative case report.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Pooled it
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  16. Origin, diagnosis and treatment of periocular Histiocytic disorders- state-of-the-art review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  17. Article
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  20. Cell-free BRAFHaematologica · 2026
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 1 country.

Gayane Badalian-VeryDepartment of Medical Oncology, Dana-Farber Cancer Institute, 44 Binney St., Boston, MA 02115, USA.
Jo-Anne Vergilio
Barbara A Degar
Laura E MacConaill
Barbara Brandner
Monica L Calicchio
Frank C Kuo
Azra H Ligon
Kristen E Stevenson
Sarah M Kehoe
Levi A Garraway
William C Hahn
Matthew Meyerson
Mark D Fleming
Barrett J Rollins
Harvard University · USDana-Farber Cancer Institute · USBoston Children's Museum · USBrigham and Women's Hospital · USBroad Institute · US

Funding

VectorP30CA006516 · NCI · DANA-FARBER CANCER INSTITUTE · PI A. Heather Eliassen · 1985 to 2026
$330.6M
Molecular Pathobiology of Langerhans Cell HistiocytosisR01AI050225 · NIAID · DANA-FARBER CANCER INSTITUTE · PI ROLLINS, BARRETT J. · 2003 to 2007
$1.8M
Molecular Pathobiology of Langerhans Cell HistiocytosisR21AI050225 · NIAID · DANA-FARBER CANCER INSTITUTE · PI ROLLINS, BARRETT J. · 2002 to 2002
$320k
NCI NIH HHS P30 CA006516NCI NIH HHS P30 CA06516NIAID NIH HHS AI050225NIAID NIH HHS R01 AI050225NIAID NIH HHS R21 AI050225
6 · The paper itself

Abstract

Langerhans cell histiocytosis (LCH) has a broad spectrum of clinical behaviors; some cases are self-limited, whereas others involve multiple organs and cause significant mortality. Although Langerhans cells in LCH are clonal, their benign morphology and their lack (to date) of reported recurrent genomic abnormalities have suggested that LCH may not be a neoplasm. Here, using 2 orthogonal technologies for detecting cancer-associated mutations in formalin-fixed, paraffin-embedded material, we identified the oncogenic BRAF V600E mutation in 35 of 61 archived specimens (57%). TP53 and MET mutations were also observed in one sample each. BRAF V600E tended to appear in younger patients but was not associated with disease site or stage. Langerhans cells stained for phospho-mitogen-activated protein kinase kinase (phospho-MEK) and phospho-extracellular signal-regulated kinase (phospho-ERK) regardless of mutation status. High prevalence, recurrent BRAF mutations in LCH indicate that it is a neoplastic disease that may respond to RAF pathway inhibitors.

Indexed as

Genetic Predisposition to DiseaseMutationAdolescentAdultAmino Acid SubstitutionAntigens, CD1ChildChild, PreschoolDNA Mutational AnalysisExtracellular Signal-Regulated MAP KinasesFemaleFluorescent Antibody TechniqueGenotypeHistiocytosis, Langerhans-CellHumansInfantAntigens, CD1BRAF protein, humanCD1a antigenExtracellular Signal-Regulated MAP KinasesProto-Oncogene Proteins B-raf

Identifiers

PMID20519626
PMCPMC3173987
OpenAlexW2048765718

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.