Evidence map›Paper›PMID 25337274›Full record

ArticleInternational journal of clinical and experimental pathology2014

Expression of CD25 is a specific and relatively sensitive marker for the Philadelphia chromosome (BCR-ABL1) translocation in pediatric B acute lymphoblastic leukemia.

Amos S Gaikwad, Rachel E Donohue, M Tarek Elghetany, Andrea M Sheehan, Xinyan Y Lu, Maria M Gramatges, Kenneth L McClain, Toni-Ann Mistretta, Jyotinder N Punia, Timothy J Moore and 3 more

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In one paragraph

Article in International journal of clinical and experimental pathology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

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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

4 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

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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 at 4 institutions in 1 country.

Amos S GaikwadTexas Children's Cancer and Hematology Centers Houston, Texas ; Department of Pediatrics, Texas Children's Hospital and Baylor College of Medicine Houston, Texas.
Rachel E DonohueDepartment of Pathology and Genomic Medicine, Houston Methodist Hospital Houston, Texas.
M Tarek ElghetanyDepartment of Pathology, Texas Children's Hospital and Baylor College of Medicine Houston, Texas.
Andrea M SheehanDepartment of Pathology, Texas Children's Hospital and Baylor College of Medicine Houston, Texas.
Xinyan Y LuDepartment of Hematopathology, MD Anderson Cancer Center Houston, Texas.
Maria M GramatgesTexas Children's Cancer and Hematology Centers Houston, Texas ; Department of Pediatrics, Texas Children's Hospital and Baylor College of Medicine Houston, Texas.
Kenneth L McClainTexas Children's Cancer and Hematology Centers Houston, Texas ; Department of Pediatrics, Texas Children's Hospital and Baylor College of Medicine Houston, Texas.
Toni-Ann MistrettaDepartment of Pathology, Texas Children's Hospital and Baylor College of Medicine Houston, Texas.
Jyotinder N PuniaDepartment of Pathology, Texas Children's Hospital and Baylor College of Medicine Houston, Texas.
Timothy J MooreTexas Children's Cancer and Hematology Centers Houston, Texas.
Tatiana GoltsovaTexas Children's Cancer and Hematology Centers Houston, Texas.
Michael CubbageTexas Children's Cancer and Hematology Centers Houston, Texas.
Choladda V CurryDepartment of Pathology, Texas Children's Hospital and Baylor College of Medicine Houston, Texas.
Texas Children's Hospital · USChildren's Cancer Center · USMethodist Hospital · USThe University of Texas MD Anderson Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrecursor B acute lymphoblastic leukemia (B-ALL) is the most common cancer in children and overall, has an excellent prognosis. However, the Philadelphia chromosome translocation (Ph+), t(9;22)(q34;q11), is present in a small subset of patients and confers poor outcomes. CD25 (IL-2 receptor alpha chain) expression has been associated with Ph+ B-ALL in adults, but no similar study has been performed in pediatric B-ALL.

methodsA retrospective analysis of 221 consecutive pediatric patients with a diagnosis of B-ALL (blood and/or bone marrow) from 2009 to 2012 was performed to determine an association between Ph+ B-ALL and CD25 expression. A threshold of 25% was used to define positive cases for CD25 expression by flow cytometry.

resultsThere were 221 patients with a diagnosis of B-ALL ranging from 2 to 22 years (median, 6 years). Eight (3.6%) B-ALL patients were positive for the Philadelphia chromosome translocation (Ph+ B-ALL) and 213 were negative (Ph-negative B-ALL). CD25 expression was observed in 6 of 8 (75%) Ph+ B-ALL patients and 6 of 213 (2.8%) Ph-negative B-ALL patients. CD25 expression was significantly higher in Ph+ B-ALL compared to Ph-negative B-ALL, with median CD25 expression of 64% (range 0-93%) and 0.1% (range 0-91%), respectively (P ≤ 0.0002). Therefore, CD25 expression as a predictor of Ph+ B-ALL had 75% sensitivity, 97% specificity, 50% positive predictive value and 99% negative predictive value.

conclusionsCD25 expression is a specific and relatively sensitive marker for the identification of Ph+ B-ALL in the pediatric population.

Indexed as

Biomarkers, TumorPhiladelphia ChromosomeTranslocation, GeneticAdolescentAge FactorsChildChild, PreschoolFemaleFlow CytometryFusion Proteins, bcr-ablHumansInterleukin-2 Receptor alpha SubunitMalePrecursor B-Cell Lymphoblastic Leukemia-LymphomaPredictive Value of TestsPrognosisBCR-ABL1 fusion protein, humanBiomarkers, TumorFusion Proteins, bcr-ablIL2RA protein, humanInterleukin-2 Receptor alpha SubunitB acute lymphoblastic leukemiaB-ALLBCR-ABLCD25flow cytometrypediatricPh+Ph+ B-ALLPhiladelphia chromosomet(9;22)

Identifiers

PMID25337274
PMCPMC4203245
OpenAlexW2311528203

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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.