Evidence map›Paper›PMID 23382473›Full record

SynthesisJournal of clinical oncology : official journal of the American Society of Clinical Oncology2013

Identification of a 24-gene prognostic signature that improves the European LeukemiaNet risk classification of acute myeloid leukemia: an international collaborative study.

Zejuan Li, Tobias Herold, Chunjiang He, Peter J M Valk, Ping Chen, Vindi Jurinovic, Ulrich Mansmann, Michael D Radmacher, Kati S Maharry, Miao Sun and 22 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 132 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed, 2 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.

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

132 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The M2 macrophage markerOncoimmunology · 2020
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  18. The role of SLC22A4 in Acute Myeloid Leukaemia.Mediterranean journal of hematology and infectious diseases · 2025
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72 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

32 authors.

Zejuan LiUniversity of Chicago, Chicago, IL 60637, USA.
Tobias Herold
Chunjiang He
Peter J M Valk
Ping Chen
Vindi Jurinovic
Ulrich Mansmann
Michael D Radmacher
Kati S Maharry
Miao Sun
Xinan Yang
Hao Huang
Xi Jiang
Maria-Cristina Sauerland
Thomas Büchner
Wolfgang Hiddemann
Abdel Elkahloun
Mary Beth Neilly
Yanming Zhang
Richard A Larson
Michelle M Le Beau
Michael A Caligiuri
Konstanze Döhner
Lars Bullinger
Paul P Liu
Ruud Delwel
Guido Marcucci
Bob Lowenberg
Clara D Bloomfield
Janet D Rowley
Stefan K Bohlander
Jianjun Chen

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Jennifer A. Woyach · 1985 to 2026
$132.3M
VIRAL ONCOLOGY CORE FACILITYP30CA014599 · NCI · UNIVERSITY OF CHICAGO · PI CHIEN-MIN KAO · 1985 to 2026
$122.1M
UCCRC--ETIOLOGY OF TREATMENT-INDUCED SECONDARY LEUKEMIAP01CA040046 · NCI · UNIVERSITY OF CHICAGO · PI LARSON, RICHARD A · 1985 to 2012
$19.9M
MOLECULAR PATHOGENESIS OF CHROMOSOME 16 INVERSION INHUMAN LEUKEMIAZIAHG000030 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI LIU, PAUL · 2009 to 2025
$15.8M
SPORE Leukemia Tissue BankP50CA140158 · NCI · OHIO STATE UNIVERSITY · PI MARCUCCI, GUIDO · 2009 to 2013
$11.2M
Cancer and Leukemia Group B - Leukemia Correlative SciencesU10CA101140 · NCI · OHIO STATE UNIVERSITY · PI MARCUCCI, GUIDO · 2003 to 2013
$10.3M
NHGRI/DIR Microarray CoreZICHG200365 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI ELKAHLOUN, ABDEL · 2011 to 2025
$9.0M
The role and functional mechanism of a miRNA cluster, mir-17-92 in leukemogenesisR01CA127277 · NCI · UNIVERSITY OF CHICAGO · PI CHEN, JIANJUN · 2008 to 2012
$1.4M
NCI NIH HHS P01 CA040046NCI NIH HHS P01CA40046NCI NIH HHS P30 CA014599NCI NIH HHS P30 CA016058NCI NIH HHS P50 CA140158NCI NIH HHS P50CA140158NCI NIH HHS R01 CA127277NCI NIH HHS U10 CA101140
6 · The paper itself

Abstract

purposeTo identify a robust prognostic gene expression signature as an independent predictor of survival of patients with acute myeloid leukemia (AML) and use it to improve established risk classification. PATIENTS AND

methodsFour independent sets totaling 499 patients with AML carrying various cytogenetic and molecular abnormalities were used as training sets. Two independent patient sets composed of 825 patients were used as validation sets. Notably, patients from different sets were treated with different protocols, and their gene expression profiles were derived using different microarray platforms. Cox regression and Kaplan-Meier methods were used for survival analyses.

resultsA prognostic signature composed of 24 genes was derived from a meta-analysis of Cox regression values of each gene across the four training sets. In multivariable models, a higher sum value of the 24-gene signature was an independent predictor of shorter overall (OS) and event-free survival (EFS) in both training and validation sets (P < .01). Moreover, this signature could substantially improve the European LeukemiaNet (ELN) risk classification of AML, and patients in three new risk groups classified by the integrated risk classification showed significantly (P < .001) distinct OS and EFS.

conclusionDespite different treatment protocols applied to patients and use of different microarray platforms for expression profiling, a common prognostic gene signature was identified as an independent predictor of survival of patients with AML. The integrated risk classification incorporating this gene signature provides a better framework for risk stratification and outcome prediction than the ELN classification.

Indexed as

Gene Expression ProfilingHumansInternational CooperationKaplan-Meier EstimateLeukemia, Myeloid, AcuteMicroarray AnalysisMiddle AgedPrognosisProportional Hazards Models

Identifiers

PMID23382473
PMCPMC3595425

What OpenQuestion holds

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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.