Evidence map›Paper›PMID 24402162›Full record

ArticleLeukemia2014

CALR vs JAK2 vs MPL-mutated or triple-negative myelofibrosis: clinical, cytogenetic and molecular comparisons.

A Tefferi, T L Lasho, C M Finke, R A Knudson, R Ketterling, C H Hanson, M Maffioli, D Caramazza, F Passamonti, A Pardanani

Abstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 243 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
243citing papers in PubMed, 3 pooled it
43.1field-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

243 citing papers in PubMed, 3 syntheses or guidelines pooled it, 536 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Myeloproliferative Neoplasms, Version 2.2017, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2016
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  16. The molecular management of classic myeloproliferative neoplasm.Journal of the Egyptian National Cancer Institute · 2025
    Review
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  18. Article
  19. Article
  20. Article

183 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

10 authors at 3 institutions in 2 countries.

A TefferiDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
T L LashoDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
C M FinkeDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
R A KnudsonDivision of Cytogenetics, Department of Laboratory Medicine, Mayo Clinic, Rochester, MN, USA.
R KetterlingDivision of Cytogenetics, Department of Laboratory Medicine, Mayo Clinic, Rochester, MN, USA.
C H HansonDivision of Hematopathology, Department of Laboratory Medicine, Mayo Clinic, Rochester, MN, USA.
M MaffioliDivision of Hematology, Ospedale di Circolo, Fondazione Macchi, Varese, Italy.
D CaramazzaDivision of Hematology, Ospedale di Circolo, Fondazione Macchi, Varese, Italy.
F PassamontiDivision of Hematology, Ospedale di Circolo, Fondazione Macchi, Varese, Italy.
A PardananiDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USOspedale di Circolo e Fondazione Macchi · ITMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Calreticulin (CALR) mutations were recently described in JAK2 and MPL unmutated primary myelofibrosis (PMF) and essential thrombocythemia. In the current study, we compared the clinical, cytogenetic and molecular features of patients with PMF with or without CALR, JAK2 or MPL mutations. Among 254 study patients, 147 (58%) harbored JAK2, 63 (25%) CALR and 21 (8.3%) MPL mutations; 22 (8.7%) patients were negative for all three mutations, whereas one patient expressed both JAK2 and CALR mutations. Study patients were also screened for ASXL1 (31%), EZH2 (6%), IDH (4%), SRSF2 (12%), SF3B1 (7%) and U2AF1 (16%) mutations. In univariate analysis, CALR mutations were associated with younger age (P<0.0001), higher platelet count (P<0.0001) and lower DIPSS-plus score (P=0.02). CALR-mutated patients were also less likely to be anemic, require transfusions or display leukocytosis. Spliceosome mutations were infrequent (P=0.0001) in CALR-mutated patients, but no other molecular or cytogenetic associations were evident. In multivariable analysis, CALR mutations had a favorable impact on survival that was independent of both DIPSS-plus risk and ASXL1 mutation status (P=0.001; HR 3.4 for triple-negative and 2.2 for JAK2-mutated). Triple-negative patients also displayed inferior LFS (P=0.003). The current study identifies 'CALR(-)ASXL1(+)' and 'triple-negative' as high-risk molecular signatures in PMF.

Indexed as

MutationAgedAged, 80 and overCalreticulinChromosome AberrationsDNA Mutational AnalysisFemaleGene ExpressionHumansJanus Kinase 2MaleMiddle AgedPrimary MyelofibrosisPrognosisReceptors, ThrombopoietinCalreticulinJanus Kinase 2MPL protein, humanReceptors, Thrombopoietin

Identifiers

PMID24402162
OpenAlexW2084050646

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.