Evidence map›Paper›PMID 24018623›Full record

ReviewAnnals of hematology2014

Lenalidomide as a disease-modifying agent in patients with del(5q) myelodysplastic syndromes: linking mechanism of action to clinical outcomes.

Aristoteles Giagounidis, Ghulam J Mufti, Pierre Fenaux, Ulrich Germing, Alan List, Kyle J MacBeth

Open access · hybridAbstract readReview
In one paragraph

Review in Annals of hematology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 46 citations in OpenAlex.

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  18. Current Role of Genetics in Hematologic Malignancies.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2016
    Review
  19. Article
  20. Where Does Lenalidomide Fit in Non-del(5q) MDS?Current hematologic malignancy reports · 2015
    Review
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

6 authors at 5 institutions in 4 countries.

Aristoteles GiagounidisMarienhospital Düsseldorf, Düsseldorf, Germany, gia@krebs-duisburg.de.
Ghulam J Mufti
Pierre Fenaux
Ulrich Germing
Alan List
Kyle J MacBeth
Heinrich Heine University Düsseldorf · DEKing's College Hospital · GBMarien Hospital Düsseldorf · DEMoffitt Cancer Center · USUniversité Sorbonne Paris Nord · FR

Funding

Medical Research Council MR/J006742/1
6 · The paper itself

Abstract

Deletion of the long arm of chromosome 5, del(5q), is the most prevalent cytogenetic abnormality in patients with myelodysplastic syndromes (MDS). In isolation, it is traditionally associated with favorable prognosis compared with other subtypes of MDS. However, owing to the inherent heterogeneity of the disease, prognosis for patients with del(5q) MDS is highly variable depending on the presence of factors such as additional chromosomal abnormalities, >5 % blasts in the bone marrow (BM), or transfusion dependence. Over recent years, the immunomodulatory drug lenalidomide has demonstrated remarkable efficacy in patients with del(5q) MDS. Advances in the understanding of the pathogenesis of the disease have suggested that lenalidomide targets aberrant signaling pathways caused by haplosufficiency of specific genes in a commonly deleted region on chromosome 5 (e.g., SPARC, RPS14, Cdc25C, and PP2A). As a result, the agent specifically targets del(5q) clones while also promoting erythropoiesis and repopulation of the bone marrow in normal cells. This review discusses recent developments in the understanding of the mechanism of action of lenalidomide, and how this underlies favorable outcomes in patients with del(5q) MDS. In addition, we discuss how improved understanding of the mechanism of disease will facilitate clinicians' ability to predict/monitor response and identify patients at risk of relapse.

Indexed as

Chromosome DeletionAngiogenesis InhibitorsApoptosisBone MarrowChromosomes, Human, Pair 5Clinical Trials as TopicClone CellsDisease ProgressionErythropoiesisGene DosageGenes, Tumor SuppressorHumansImmunologic FactorsLenalidomideLeukemia, Myeloid, AcuteMolecular Targeted TherapyAngiogenesis InhibitorsImmunologic FactorsLenalidomideThalidomideTumor Suppressor Protein p53Tumor Suppressor Proteins

Identifiers

PMID24018623
PMCPMC3889654
OpenAlexW2158160316

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.