Evidence map›Paper›PMID 23656643›Full record

ArticleThe New England journal of medicine2013

Oncogenic CSF3R mutations in chronic neutrophilic leukemia and atypical CML.

Julia E Maxson, Jason Gotlib, Daniel A Pollyea, Angela G Fleischman, Anupriya Agarwal, Christopher A Eide, Daniel Bottomly, Beth Wilmot, Shannon K McWeeney, Cristina E Tognon and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in The New England journal of medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 288 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
288citing papers in PubMed, 1 pooled it
28.0field-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

288 citing papers in PubMed, 1 synthesis or guideline pooled it, 562 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
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  5. Efficacy of Ruxolitinib in Patients With Chronic Neutrophilic Leukemia and Atypical Chronic Myeloid Leukemia.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Trial
  6. Trial
  7. Immune Biomarkers of Islet Transplant Rejection Revealed by Synthetic Immunological Niche.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
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  19. Expanding the Spectrum ofJournal of clinical medicine · 2025
    Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 10 institutions in 2 countries.

Julia E MaxsonDivision of Hematology and Medical Oncology, Knight Cancer Institute, Oregon Health and Science University, Portland, OR 97239, USA.
Jason Gotlib
Daniel A Pollyea
Angela G Fleischman
Anupriya Agarwal
Christopher A Eide
Daniel Bottomly
Beth Wilmot
Shannon K McWeeney
Cristina E Tognon
J Blake Pond
Robert H Collins
Basem Goueli
Stephen T Oh
Michael W Deininger
Bill H Chang
Marc M Loriaux
Brian J Druker
Jeffrey W Tyner
OHSU Knight Cancer InstituteCancer Institute (WIA) · INOregon Clinic · USThe University of Texas Southwestern Medical Center · USOregon Health & Science University · USRegional Cancer Center · USStanford University · USUniversity of Colorado Denver · USUniversity of Utah · USWashington University in St. Louis · US

Funding

OREGON CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024140 · NCRR · OREGON HEALTH & SCIENCE UNIVERSITY · PI ORWOLL, ERIC S. · 2006 to 2011
$61.1M
Understanding the origins of rapid recurrence of pancreatic cancer after resectionP30CA069533 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Grace B Gill · 1997 to 2026
$60.5M
PRE-AND POSTGRADUATE TRAINING IN MOLECULAR HEMATOLOGYT32HL007088 · NHLBI · WASHINGTON UNIVERSITY · PI Grant Anthony Challen, Stephen Oh · 1985 to 2026
$14.1M
TRAINING PROGRAM IN MOLECULAR HEMATOLOGYT32HL007781 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI BAGBY, GROVER CARLTON · 1993 to 2012
$5.1M
Program in Molecular and Cellular BiosciencesT32GM071338 · NIGMS · OREGON HEALTH & SCIENCE UNIVERSITY · PI MASLEN, CHERYL L · 2005 to 2020
$3.5M
ROR1 as a Therapeutic Target in Acute Lymphoblastic LeukemiaR00CA151457 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI TYNER, JEFFREY WALLACE · 2012 to 2014
$723k
ABERRANT JAK-STAT SIGNALING DUE TO LNK MUTATIONS IN MYELOPROLIFERATIVE NEOPLASMSK08HL106576 · NHLBI · WASHINGTON UNIVERSITY · PI OH, STEPHEN TRACY · 2012 to 2016
$624k
Role of p27 in chronic myeloid leukemia and its potential as a therapeutic targetK99CA151670 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI AGARWAL, ANUPRIYA · 2011 to 2012
$283k
Howard Hughes Medical InstituteNCI NIH HHS 1-K99-CA151670-01A1NCI NIH HHS 4 R00CA151457-03NCI NIH HHS 5P30CA069533-13NCI NIH HHS K99 CA151670NCI NIH HHS P30 CA069533NCI NIH HHS R00 CA151457NCRR NIH HHS 5UL1RR024140NCRR NIH HHS UL1 RR024140NHLBI NIH HHS 5T32HL007781-20NHLBI NIH HHS K08 HL106576NHLBI NIH HHS T32 HL007088NHLBI NIH HHS T32 HL007781NIGMS NIH HHS T32 GM071338
6 · The paper itself

Abstract

backgroundThe molecular causes of many hematologic cancers remain unclear. Among these cancers are chronic neutrophilic leukemia (CNL) and atypical (BCR-ABL1-negative) chronic myeloid leukemia (CML), both of which are diagnosed on the basis of neoplastic expansion of granulocytic cells and exclusion of genetic drivers that are known to occur in other myeloproliferative neoplasms and myeloproliferative-myelodysplastic overlap neoplasms.

methodsTo identify potential genetic drivers in these disorders, we used an integrated approach of deep sequencing coupled with the screening of primary leukemia cells obtained from patients with CNL or atypical CML against panels of tyrosine kinase-specific small interfering RNAs or small-molecule kinase inhibitors. We validated candidate oncogenes using in vitro transformation assays, and drug sensitivities were validated with the use of assays of primary-cell colonies.

resultsWe identified activating mutations in the gene encoding the receptor for colony-stimulating factor 3 (CSF3R) in 16 of 27 patients (59%) with CNL or atypical CML. These mutations segregate within two distinct regions of CSF3R and lead to preferential downstream kinase signaling through SRC family-TNK2 or JAK kinases and differential sensitivity to kinase inhibitors. A patient with CNL carrying a JAK-activating CSF3R mutation had marked clinical improvement after the administration of the JAK1/2 inhibitor ruxolitinib.

conclusionsMutations in CSF3R are common in patients with CNL or atypical CML and represent a potentially useful criterion for diagnosing these neoplasms. (Funded by the Leukemia and Lymphoma Society and others.).

Indexed as

MutationAnimalsHumansJanus KinasesLeukemia, LymphoidLeukemia, Myeloid, Chronic, Atypical, BCR-ABL NegativeLeukemia, Neutrophilic, ChronicMiceProtein Kinase InhibitorsProtein-Tyrosine KinasesReceptors, Colony-Stimulating FactorRNA, Small InterferingSignal TransductionCSF3R protein, humanJanus KinasesProtein Kinase InhibitorsProtein-Tyrosine KinasesReceptors, Colony-Stimulating FactorRNA, Small Interfering

Identifiers

PMID23656643
PMCPMC3730275
OpenAlexW2155046477

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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.