Evidence map›Paper›PMID 25281507›Full record

ArticleHaematologica2015

The analysis of clonal diversity and therapy responses using STAT3 mutations as a molecular marker in large granular lymphocytic leukemia.

Hanna L M Rajala, Thomas Olson, Michael J Clemente, Sonja Lagström, Pekka Ellonen, Tuija Lundan, David E Hamm, Syed Arshi Uz Zaman, Jesus M Lopez Marti, Emma I Andersson and 5 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

50 citing papers in PubMed, 97 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Large granular lymphocyte leukemia: a clonal disorder with autoimmune manifestations.Hematology. American Society of Hematology. Education Program · 2024
    Review
  6. Review
  7. ActivatingFrontiers in immunology · 2024
    Article
  8. Relevance of Coding Variation inJID innovations : skin science from molecules to population health · 2023
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. STAT3 Role in T-Cell Memory Formation.International journal of molecular sciences · 2022
    Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. 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

15 authors at 8 institutions in 3 countries.

Hanna L M RajalaHematology Research Unit, Department of Hematology, University of Helsinki and Helsinki University Central Hospital Cancer Center, Helsinki, Finland.
Thomas OlsonUniversity of Virginia Cancer Center, Charlottesville, VA, USA.
Michael J ClementeDepartment of Translational Hematology and Oncology Research, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
Sonja LagströmInstitute for Molecular Medicine (FIMM), University of Helsinki, Finland.
Pekka EllonenInstitute for Molecular Medicine (FIMM), University of Helsinki, Finland.
Tuija LundanDepartment of Clinical Chemistry and TYKSLAB, University of Turku and Turku University Central Hospital, Finland.
David E HammAdaptive Biotechnologies Corp, Seattle, WA, USA.
Syed Arshi Uz ZamanInstitute for Molecular Medicine (FIMM), University of Helsinki, Finland.
Jesus M Lopez MartiInstitute for Molecular Medicine (FIMM), University of Helsinki, Finland.
Emma I AnderssonHematology Research Unit, Department of Hematology, University of Helsinki and Helsinki University Central Hospital Cancer Center, Helsinki, Finland.
Andres JerezDepartment of Translational Hematology and Oncology Research, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA Hematology and Medical Oncology Department, Hospital Universitario Morales Meseguer, Universidad de Murcia, IMIB-Arrixaca, Murcia, Spain.
Kimmo PorkkaHematology Research Unit, Department of Hematology, University of Helsinki and Helsinki University Central Hospital Cancer Center, Helsinki, Finland.
Jaroslaw P MaciejewskiDepartment of Translational Hematology and Oncology Research, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
Thomas P LoughranUniversity of Virginia Cancer Center, Charlottesville, VA, USA.
Satu MustjokiHematology Research Unit, Department of Hematology, University of Helsinki and Helsinki University Central Hospital Cancer Center, Helsinki, Finland satu.mustjoki@helsinki.fi.
University of Helsinki · FICleveland Clinic · USHelsinki University Hospital · FIInstitute for Molecular Medicine Finland · FIUniversity of Virginia · USAdaptive Biotechnologies (United States) · USHospital General Universitario Morales Meseguer · ESUniversity of Turku · FI

Funding

Cancer Research Training Program: From Molecular Mechanisms to Therapeutic StrategiesT32CA009109 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Andrew Carl Dudley, Melanie R Rutkowski · 1985 to 2026
$13.9M
Viral Pathogenesis of Idiopathic Bone Marrow Failure and Immune CytopeniasR01AI085578 · NIAID · CLEVELAND CLINIC LERNER COM-CWRU · PI MACIEJEWSKI, JAROSLAW P. · 2009 to 2013
$1.9M
Cdk-2 Independent role of cyclin E in Cell survivalR01CA127264 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI ALMASAN, ALEXANDRU · 2009 to 2013
$1.6M
Training/Research Center-Bone Marrow Failure SyndromesK24HL077522 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI MACIEJEWSKI, JAROSLAW P. · 2005 to 2014
$1.2M
NCI NIH HHS R01 CA127264NCI NIH HHS R01 CA127264ANCI NIH HHS T32 CA009109NCI NIH HHS T32CA009109NHLBI NIH HHS 2K24HL077522NHLBI NIH HHS K24 HL077522NIAID NIH HHS R01 AI085578NIAID NIH HHS R01AI085578
6 · The paper itself

Abstract

T-cell large granular lymphocytic leukemia and chronic lymphoproliferative disorder of natural killer cells are intriguing entities between benign and malignant lymphoproliferation. The molecular pathogenesis has partly been uncovered by the recent discovery of somatic activating STAT3 and STAT5b mutations. Here we show that 43% (75/174) of patients with T-cell large granular lymphocytic leukemia and 18% (7/39) with chronic lymphoproliferative disorder of natural killer cells harbor STAT3 mutations when analyzed by quantitative deep amplicon sequencing. Surprisingly, 17% of the STAT3-mutated patients carried multiple STAT3 mutations, which were located in different lymphocyte clones. The size of the mutated clone correlated well with the degree of clonal expansion of the T-cell repertoire analyzed by T-cell receptor beta chain deep sequencing. The analysis of sequential samples suggested that current immunosuppressive therapy is not able to reduce the level of the mutated clone in most cases, thus warranting the search for novel targeted therapies. Our findings imply that the clonal landscape of large granular lymphocytic leukemia is more complex than considered before, and a substantial number of patients have multiple lymphocyte subclones harboring different STAT3 mutations, thus mimicking the situation in acute leukemia.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsArthritis, RheumatoidBiomarkersClonal EvolutionFemaleFollow-Up StudiesHigh-Throughput Nucleotide SequencingHumansKiller Cells, NaturalLeukemia, Large Granular LymphocyticMaleMiddle AgedMutationBiomarkersReceptors, Antigen, T-Cell, alpha-betaSTAT3 Transcription Factor

Identifiers

PMID25281507
PMCPMC4281318
OpenAlexW2135109155

What OpenQuestion holds

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Registered trials

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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.