Evidence map›Paper›PMID 22289983›Full record

ArticleLeukemia2012

The role of minor subpopulations within the leukemic blast compartment of AML patients at initial diagnosis in the development of relapse.

C Bachas, G J Schuurhuis, Y G Assaraf, Z J Kwidama, A Kelder, F Wouters, A N Snel, G J L Kaspers, J Cloos

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In one paragraph

Article in Leukemia, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

39 citing papers in PubMed, 97 citations in OpenAlex.

  1. Trial
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  7. Autophagy in acute myeloid leukemia: a paradoxical role in chemoresistance.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2022
    Review
  8. Article
  9. Put in a "CaCells · 2022
    Review
  10. Review
  11. Article
  12. Article
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  14. Article
  15. Article
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  17. CD34Leukemia · 2019
    Article
  18. Article
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  20. 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

9 authors at 2 institutions in 2 countries.

C BachasDepartment of Pediatric Oncology/Hematology, Amsterdam, The Netherlands.
G J Schuurhuis
Y G Assaraf
Z J Kwidama
A Kelder
F Wouters
A N Snel
G J L Kaspers
J Cloos
Amsterdam UMC Location VUmc · NLTechnion – Israel Institute of Technology · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The majority of pediatric and younger adult (<60 years) AML patients achieve complete remission. However, 30-40% of patients relapse and display a dismal outcome. Recently we described a frequent instability of type I/II mutations between diagnosis and relapse. Here, we explored the hypothesis that these mutational shifts originate from clonal selection during treatment/disease progression. Subfractions of blasts from initial diagnosis samples were cell sorted and their mutational profiles were compared with those of the corresponding relapse samples of 7 CD34(+) AML patients. At diagnosis, subfractions of the CD45(dim)CD34(+)CD38(dim/-) compartment were heterogeneous in the distribution of mutations, when compared to the whole CD45(dim)CD34(+) blast compartment in 6 out of 7 patients. Moreover, within CD45(dim)CD34(+)CD38(dim/-) fraction of initial samples of 5 of these 6 AML patients, we found evidence for the presence of a minor, initially undetected subpopulation with a specific mutational profile that dominated the bulk of leukemic blasts at relapse. In conclusion, our findings lend support to the AML oligoclonality concept and provide molecular evidence for selection and expansion of a chemo-resistant subpopulation towards development of relapse. These results imply that early detection of pre-existing drug-resistant leukemic subpopulations is crucial for relapse prevention by proper timing of targeted treatment.

Indexed as

AdolescentADP-ribosyl Cyclase 1AdultAntigens, CD34Biomarkers, TumorClone CellsDNA Mutational AnalysisFemaleFlow Cytometryfms-Like Tyrosine Kinase 3Genes, rasHumansImmunophenotypingLeukemia, Myeloid, AcuteMaleMiddle AgedADP-ribosyl Cyclase 1Antigens, CD34Biomarkers, TumorFLT3 protein, humanfms-Like Tyrosine Kinase 3KRAS protein, humanNuclear ProteinsNucleophosminProto-Oncogene ProteinsProto-Oncogene Proteins p21(ras)ras ProteinsWT1 Proteins

Identifiers

PMID22289983
OpenAlexW1976003274

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.