Evidence map›Paper›PMID 24895338›Full record

ArticleHaematologica2014

Impact of MLL5 expression on decitabine efficacy and DNA methylation in acute myeloid leukemia.

Haiyang Yun, Frederik Damm, Damian Yap, Adrian Schwarzer, Anuhar Chaturvedi, Nidhi Jyotsana, Michael Lübbert, Lars Bullinger, Konstanze Döhner, Robert Geffers and 4 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. A novel prognostic model of methylation-associated genes in acute myeloid leukemia.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Article
  3. Case Report: A NovelFrontiers in pediatrics · 2022
    Article
  4. Article
  5. Case Report:Frontiers in pediatrics · 2021
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. MLL5 (KMT2E): structure, function, and clinical relevance.Cellular and molecular life sciences : CMLS · 2017
    Review
  11. G3 (Bethesda, Md.) · 2017
    Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 2 countries.

Haiyang YunDepartment of Hematology, Hemostasis, Oncology and Stem cell Transplantation, Hannover Medical School, Germany.
Frederik DammDepartment of Hematology, Oncology, and Tumor Immunology, Charité, Berlin, Germany.
Damian YapDepartment of Molecular Oncology, British Columbia Cancer Agency, Vancouver, BC, Canada Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
Adrian SchwarzerInstitute of Experimental Hematology, Hannover Medical School, Germany.
Anuhar ChaturvediDepartment of Hematology, Hemostasis, Oncology and Stem cell Transplantation, Hannover Medical School, Germany.
Nidhi JyotsanaDepartment of Hematology, Hemostasis, Oncology and Stem cell Transplantation, Hannover Medical School, Germany.
Michael LübbertDivision of Hematology and Oncology, University of Freiburg Medical Center, Germany.
Lars BullingerDepartment of Internal Medicine III, University Hospital of Ulm, Germany.
Konstanze DöhnerDepartment of Internal Medicine III, University Hospital of Ulm, Germany.
Robert GeffersDepartment of Cell Biology and Immunology, Helmholtz Centre for Infection Research, Braunschweig, Germany.
Samuel AparicioDepartment of Molecular Oncology, British Columbia Cancer Agency, Vancouver, BC, Canada Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
R Keith HumphriesTerry Fox Laboratory, British Columbia Cancer Agency, Vancouver, BC, Canada Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
Arnold GanserDepartment of Hematology, Hemostasis, Oncology and Stem cell Transplantation, Hannover Medical School, Germany.
Michael HeuserDepartment of Hematology, Hemostasis, Oncology and Stem cell Transplantation, Hannover Medical School, Germany heuser.michael@mh-hannover.de.
Medizinische Hochschule Hannover · DEUniversity of British Columbia · CAUniversity Hospital Ulm · DECharité - Universitätsmedizin Berlin · DEHelmholtz Centre for Infection Research · DEUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypomethylating agents are widely used in patients with myelodysplastic syndromes and unfit patients with acute myeloid leukemia. However, it is not well understood why only some patients respond to hypomethylating agents. We found previously that the effect of decitabine on hematopoietic stem cell viability differed between Mll5 wild-type and null cells. We, therefore, investigated the role of MLL5 expression levels on outcome of acute myeloid leukemia patients who were treated with decitabine. MLL5 above the median expression level predicted longer overall survival independent of DNMT3A mutation status in bivariate analysis (median overall survival for high vs. low MLL5 expression 292 vs. 167 days; P=0.026). In patients who received three or more courses decitabine, high MLL5 expression and wild-type DNMT3A independently predicted improved overall survival (median overall survival for high vs. low MLL5 expression 468 vs. 243 days; P=0.012). In transformed murine cells, loss of Mll5 was associated with resistance to low-dose decitabine, less global DNA methylation in promoter regions, and reduced DNA demethylation upon decitabine treatment. Together, these data support our clinical observation of improved outcome in decitabine-treated patients who express MLL5 at high levels, and suggest a mechanistic role of MLL5 in the regulation of DNA methylation.

Indexed as

AgedAged, 80 and overAnimalsAntimetabolites, AntineoplasticAzacitidineBone Marrow CellsCells, CulturedDecitabineDNA-Binding ProteinsDNA (Cytosine-5-)-MethyltransferasesDNA MethylationDNA Methyltransferase 3ADrug Administration ScheduleFemaleGene ExpressionHumansAntimetabolites, AntineoplasticAzacitidineDecitabineDNA-Binding ProteinsDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3ADNMT3A protein, humanDnmt3a protein, mouseKMT2E protein, humanRNA, Messenger

Identifiers

PMID24895338
PMCPMC4562534
OpenAlexW2127765975

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.