Evidence map›Paper›PMID 25014773›Full record

ArticleBlood cancer journal2014

Prognostic implications of CEBPA mutations in pediatric acute myeloid leukemia: a report from the Japanese Pediatric Leukemia/Lymphoma Study Group.

H Matsuo, M Kajihara, D Tomizawa, T Watanabe, A M Saito, J Fujimoto, K Horibe, K Kodama, M Tokumasu, H Itoh and 7 more

Open access · goldAbstract readMulticenter Study
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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Sporadic and Familial Acute Myeloid Leukemia with CEBPA Mutations.Current hematologic malignancy reports · 2023
    Review
  4. Article
  5. Mutational Landscape ofFrontiers in pediatrics · 2022
    Article
  6. Acute Myeloid Leukemia WithFrontiers in oncology · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Prevalence and Prognostic Impact of CEBPA Gene Mutation (Simplified Assay Technique) in Egyptian Acute Myeloid Leukemia Patients with Normal Cytogenetics.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2016
    Article
  14. Article
  15. Collaborative Efforts Driving Progress in Pediatric Acute Myeloid Leukemia.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2015
    Review
  16. Review
  17. 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

17 authors at 10 institutions in 1 country.

H MatsuoDepartment of Human Health Sciences, Kyoto University, Kyoto, Japan.
M KajiharaDepartment of Human Health Sciences, Kyoto University, Kyoto, Japan.
D TomizawaDepartment of Pediatrics, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
T WatanabeDepartment of Nutritional Science, Aichi Gakuin University, Aichi, Japan.
A M SaitoClinical Research Center, National Hospital Organization Nagoya Medical Center, Aichi, Japan.
J FujimotoClinical Research Center, National Center for Child Health and Development, Tokyo, Japan.
K HoribeClinical Research Center, National Hospital Organization Nagoya Medical Center, Aichi, Japan.
K KodamaDepartment of Human Health Sciences, Kyoto University, Kyoto, Japan.
M TokumasuDepartment of Pediatrics, Kyoto University, Kyoto, Japan.
H ItohDepartment of Human Health Sciences, Kyoto University, Kyoto, Japan.
H NakayamaDepartment of Pediatrics, National Hospital Organization Fukuoka-Higashi Medical Center, Fukuoka, Japan.
A KinoshitaDepartment of Pediatrics, St Marianna University School of Medicine, Kanagawa, Japan.
T TagaDepartment of Pediatrics, Shiga University of Medical Science, Shiga, Japan.
A TawaDepartment of Pediatrics, National Hospital Organization Osaka Medical Hospital, Osaka, Japan.
T TakiDepartment of Molecular Diagnostics and Therapeutics, Kyoto Prefectural University of Medicine, Kyoto, Japan.
S TanakaDepartment of Pharmacoepidemiology, Kyoto University, Kyoto, Japan.
S AdachiDepartment of Human Health Sciences, Kyoto University, Kyoto, Japan.
Kyoto University · JPNational Hospital Organization · JPAichi Gakuin University · JPFukuoka Higashi Medical Center · JPKyoto Prefectural University of Medicine · JPNational Center For Child Health and Development · JPOsaka National Hospital · JPShiga University of Medical Science · JPSt. Marianna University School of Medicine · JPThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CCAAT/enhancer-binding protein alpha (CEBPA) mutations are a favorable prognostic factor in adult acute myeloid leukemia (AML) patients; however, few studies have examined their significance in pediatric AML patients. Here we examined the CEBPA mutation status and clinical outcomes of pediatric AML patients treated in the AML-05 study. We found that 47 (14.9%) of the 315 evaluable patients harbored mutations in CEBPA; 26 cases (8.3%) harbored a single mutation (CEBPA-single) and 21 (6.7%) harbored double or triple mutations (CEBPA-double). After excluding core-binding factor-AML cases, patients harboring CEBPA mutations showed better overall survival (OS; P=0.048), but not event-free survival (EFS; P=0.051), than wild-type patients. Multivariate analysis identified CEBPA-single and CEBPA-double as independent favorable prognostic factors for EFS in the total cohort (hazard ratio (HR): 0.47 and 0.33; P=0.02 and 0.01, respectively). CEBPA-double was also an independent favorable prognostic factor for OS (HR: 0.30; P=0.04). CEBPA-double remained an independent favorable factor for EFS (HR: 0.28; P=0.04) in the normal karyotype cohort. These results suggest that CEBPA mutations, particularly CEBPA-double, are an independent favorable prognostic factor in pediatric AML patients, which will have important implications for risk-stratified therapy.

Indexed as

MutationAdolescentCCAAT-Enhancer-Binding ProteinsChildChild, PreschoolCohort StudiesDisease-Free SurvivalFemaleHumansInfantLeukemia, Myeloid, AcuteMalePolymorphism, GeneticPrognosisCCAAT-Enhancer-Binding ProteinsCEBPA protein, human

Identifiers

PMID25014773
PMCPMC4219441
OpenAlexW2021351504

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.