Evidence map›Paper›PMID 21148333›Full record

ReviewBlood2011

Cellular origin(s) of chronic lymphocytic leukemia: cautionary notes and additional considerations and possibilities.

Nicholas Chiorazzi, Manlio Ferrarini

Open access · bronzeAbstract readReview
In one paragraph

Review in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 131 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed, 1 pooled it
12.7field-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.

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

131 citing papers in PubMed, 1 synthesis or guideline pooled it, 257 citations in OpenAlex.

  1. Pooled it
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  11. Stereotyped B-Cell Receptor Immunoglobulins in B-Cell Lymphomas.Methods in molecular biology (Clifton, N.J.) · 2025
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71 more citing papers are in PubMed but not listed here.

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

2 authors at 1 institution in 1 country.

Nicholas ChiorazziFeinstein Institute for Medical Research and Department of Medicine, North Shore University Hospital and Albert Einstein College of Medicine, Manhasset, NY 11030, USA. NChizzi@NSHS.edu
Manlio Ferrarini
Feinstein Institute for Medical Research · US

Funding

WHITE MATTER STRUCTURAL DEFICITS IN HIGH FUNCTIONING CHILDREN WITH AUTISM SPEM01RR018535 · NCRR · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI SCHWARTZ, GUY · 2003 to 2010
$19.5M
B CELL REPERTOIRES IN CHRONIC LYMPHOCYTIC LEUKEMIAR01CA081554 · NCI · NORTH SHORE UNIVERSITY HOSPITAL · PI CHIORAZZI, NICHOLAS · 2000 to 2012
$2.7M
NCI NIH HHS CA81554NCI NIH HHS R01 CA081554NCRR NIH HHS M01 RR018535NCRR NIH HHS RR018535
6 · The paper itself

Abstract

Several cell types have been suggested as giving rise to chronic lymphocytic leukemia (CLL), and these suggestions have reflected the sophistication of technology available at the time. Although there is no consensus as to the normal cellular counterpart(s) in the disease, an antigen-experienced B lymphocyte appears required based on surface membrane phenotypes and gene expression profiles. However, what is still unclear is whether a single or multiple normal precursors were stimulated to evolve into CLL and at what stage(s) this occurred. A unifying, parsimonious theory is that CLL clones with either mutated or unmutated IGHVs derive from marginal zone B cells. However, evidence for remarkably similar B-cell receptor amino acid sequence and striking differences in polyantigen and autoantigen-binding activity, found in some but not all CLL clones, challenge a single-cell derivation for CLL. In this Perspective, we summarize data regarding normal counterparts of CLL cells and suggest that a multistep process of leukemogenesis is important to consider when assigning a cellular origin for this disease. Finally, although available data do not definitively identify the cell(s) of origin, we offer possibilities for single- and multiple-cell origin models as straw men that can be improved on and hopefully lead to final answers to this puzzle.

Indexed as

B-LymphocytesCell LineageEpigenesis, GeneticHumansImmunoglobulin Heavy ChainsLeukemia, Lymphocytic, Chronic, B-CellMicroRNAsModels, BiologicalMutationReceptors, Antigen, B-CellRNA, NeoplasmImmunoglobulin Heavy ChainsMicroRNAsReceptors, Antigen, B-CellRNA, Neoplasm

Identifiers

PMID21148333
PMCPMC3056635
OpenAlexW2077980507

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.