Evidence map›Paper›PMID 24413067›Full record

ArticleBlood cancer journal2014

BAALC expression: a suitable marker for prognostic risk stratification and detection of residual disease in cytogenetically normal acute myeloid leukemia.

S Weber, T Alpermann, F Dicker, S Jeromin, N Nadarajah, C Eder, A Fasan, A Kohlmann, M Meggendorfer, C Haferlach and 3 more

Abstract read
In one paragraph

Article in Blood cancer journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Prognostic Significance of the BMI-1 and BAALC Genes in Adult Patients with Acute Myeloid Leukemia.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2020
    Article
  7. Article
  8. Biomolecular NMR assignments · 2020
    Article
  9. Review
  10. Use of Minimal Residual Disease in Acute Myeloid Leukemia Therapy.Current treatment options in oncology · 2020
    Review
  11. Review
  12. Prognostic Value ofIranian journal of pathology · 2018
    Review
  13. Role of BAALC Gene in Prognosis of Acute Lymphoblastic Leukemia in Egyptian Children.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2018
    Article
  14. Article
  15. HighOncotarget · 2017
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  17. Article
  18. Article
  19. Prognostic significance of theMolecular and clinical oncology · 2015
    Article
  20. mRNA overexpression ofBiomedical reports · 2015
    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

13 authors.

S WeberMLL Munich Leukemia Laboratory, Munich, Germany.
T AlpermannMLL Munich Leukemia Laboratory, Munich, Germany.
F DickerMLL Munich Leukemia Laboratory, Munich, Germany.
S JerominMLL Munich Leukemia Laboratory, Munich, Germany.
N NadarajahMLL Munich Leukemia Laboratory, Munich, Germany.
C EderMLL Munich Leukemia Laboratory, Munich, Germany.
A FasanMLL Munich Leukemia Laboratory, Munich, Germany.
A KohlmannMLL Munich Leukemia Laboratory, Munich, Germany.
M MeggendorferMLL Munich Leukemia Laboratory, Munich, Germany.
C HaferlachMLL Munich Leukemia Laboratory, Munich, Germany.
W KernMLL Munich Leukemia Laboratory, Munich, Germany.
T HaferlachMLL Munich Leukemia Laboratory, Munich, Germany.
S SchnittgerMLL Munich Leukemia Laboratory, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High brain and acute leukemia, cytoplasmic (BAALC) expression defines an important risk factor in cytogenetically normal acute myeloid leukemia (CN-AML). The prognostic value of BAALC expression in relation to other molecular prognosticators was analyzed in 326 CN-AML patients (<65 years). At diagnosis, high BAALC expression was associated with prognostically adverse mutations: FLT3 internal tandem duplication (FLT3-ITD) with an FLT3-ITD/FLT3 wild-type (wt) ratio of 0.5 (P=0.001), partial tandem duplications within the MLL gene (MLL-PTD) (P=0.002), RUNX1 mutations (mut) (P<0.001) and WT1mut (P=0.001), while it was negatively associated with NPM1mut (P<0.001). However, high BAALC expression was also associated with prognostically favorable biallelic CEBPA (P=0.001). Survival analysis revealed an independent adverse prognostic impact of high BAALC expression on overall survival (OS) and event-free survival (EFS), and also on OS when eliminating the effect of allogeneic stem cell transplantation (SCT) (OS(TXcens)). Furthermore, we analyzed BAALC expression in 416 diagnostic and follow-up samples of 66 patients. During follow-up, BAALC expression correlated with mutational load or expression levels, respectively, of other minimal residual disease markers: FLT3-ITD (r=0.650, P<0.001), MLL-PTD (r=0.728, P<0.001), NPM1mut (r=0.599, P<0.001) and RUNX1mut (r=0.889, P<0.001). Moreover, a reduction in BAALC expression after the second cycle of induction chemotherapy was associated with improved EFS. Thus, our data underline the utility of BAALC expression as a marker for prognostic risk stratification and detection of residual disease in CN-AML.

Identifiers

PMID24413067
PMCPMC3913940

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