Evidence map›Paper›PMID 25805812›Full record

ArticleBlood2015

Downregulation of the Wnt inhibitor CXXC5 predicts a better prognosis in acute myeloid leukemia.

Andrea Kühnl, Peter J M Valk, Mathijs A Sanders, Adam Ivey, Robert K Hills, Ken I Mills, Rosemary E Gale, Martin F Kaiser, Richard Dillon, Melanie Joannides and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
7.0field-weighted citation impact, top 3% 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

31 citing papers in PubMed, 51 citations in OpenAlex.

  1. CXXC5 is a ubiquitinated protein and is degraded by the ubiquitin-proteasome pathway.Protein science : a publication of the Protein Society · 2025
    Article
  2. Signal integrator function of CXXC5 in Cancer.Cell communication and signaling : CCS · 2025
    Review
  3. Article
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  10. CXXC5: A novel regulator and coordinator of TGF-β, BMP and Wnt signaling.Journal of cellular and molecular medicine · 2019
    Review
  11. CXXC5 MediatesInternational journal of biological sciences · 2019
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 8 institutions in 4 countries.

Andrea KühnlDepartment of Medical and Molecular Genetics, King's College London, Faculty of Life Sciences and Medicine, London, United Kingdom; Department of Hematology and Oncology, Charité University Hospital Berlin, Campus Benjamin Franklin, Berlin, Germany;
Peter J M ValkDepartment of Hematology, Erasmus University Medical Center, Rotterdam, The Netherlands;
Mathijs A SandersDepartment of Hematology, Erasmus University Medical Center, Rotterdam, The Netherlands;
Adam IveyDepartment of Medical and Molecular Genetics, King's College London, Faculty of Life Sciences and Medicine, London, United Kingdom;
Robert K HillsDepartment of Haematology, Cardiff University School of Medicine, Cardiff, United Kingdom;
Ken I MillsCentre for Cancer Research and Cell Biology, Queen's University Belfast, Belfast, United Kingdom;
Rosemary E GaleDepartment of Haematology, University College London, London, United Kingdom;
Martin F KaiserDepartment of Hematology and Oncology, Charité University Hospital Berlin, Campus Benjamin Franklin, Berlin, Germany;
Richard DillonDepartment of Medical and Molecular Genetics, King's College London, Faculty of Life Sciences and Medicine, London, United Kingdom;
Melanie JoannidesDepartment of Medical and Molecular Genetics, King's College London, Faculty of Life Sciences and Medicine, London, United Kingdom;
Amanda GilkesDepartment of Haematology, Cardiff University School of Medicine, Cardiff, United Kingdom;
Torsten HaferlachMLL Munich Leukemia Laboratory, Munich, Germany; and.
Susanne SchnittgerMLL Munich Leukemia Laboratory, Munich, Germany; and.
Estelle DuprezCentre de Recherche en Cancérologie de Marseille, INSERM U1068, Centre National de la Recherche Scientifique UMR7258, Institut Paoli-Calmettes, Aix Marseille University, Marseille, France.
David C LinchDepartment of Haematology, University College London, London, United Kingdom;
Ruud DelwelDepartment of Hematology, Erasmus University Medical Center, Rotterdam, The Netherlands;
Bob LöwenbergDepartment of Hematology, Erasmus University Medical Center, Rotterdam, The Netherlands;
Claudia D BaldusDepartment of Hematology and Oncology, Charité University Hospital Berlin, Campus Benjamin Franklin, Berlin, Germany;
Ellen SolomonDepartment of Medical and Molecular Genetics, King's College London, Faculty of Life Sciences and Medicine, London, United Kingdom;
Alan K BurnettDepartment of Haematology, Cardiff University School of Medicine, Cardiff, United Kingdom;
David GrimwadeDepartment of Medical and Molecular Genetics, King's College London, Faculty of Life Sciences and Medicine, London, United Kingdom;
King's College London · GBErasmus MC · NLCardiff University · GBCharité - Universitätsmedizin Berlin · DEMunich Leukemia Laboratory (Germany) · DEUniversity College London · GBCentre de Recherche en Cancérologie de Marseille · FRQueen's University Belfast · GB

Funding

Cancer Research UK 15556Department of Health RP-PG-0108-10093
6 · The paper itself

Abstract

The gene CXXC5 on 5q31 is frequently deleted in acute myeloid leukemia (AML) with del(5q), suggesting that inactivation of CXXC5 might play a role in leukemogenesis. Here, we investigated the functional and prognostic implications of CXXC5 expression in AML. CXXC5 mRNA was downregulated in AML with MLL rearrangements, t(8;21) and GATA2 mutations. As a mechanism of CXXC5 inactivation, we found evidence for epigenetic silencing by promoter methylation. Patients with CXXC5 expression below the median level had a lower relapse rate (45% vs 59%; P = .007) and a better overall survival (OS, 46% vs 28%; P < .001) and event-free survival (EFS, 36% vs 21%; P < .001) at 5 years, independent of cytogenetic risk groups and known molecular risk factors. In gene-expression profiling, lower CXXC5 expression was associated with upregulation of cell-cycling genes and co-downregulation of genes implicated in leukemogenesis (WT1, GATA2, MLL, DNMT3B, RUNX1). Functional analyses demonstrated CXXC5 to inhibit leukemic cell proliferation and Wnt signaling and to affect the p53-dependent DNA damage response. In conclusion, our data suggest a tumor suppressor function of CXXC5 in AML. Inactivation of CXXC5 is associated with different leukemic pathways and defines an AML subgroup with better outcome.

Indexed as

Gene Expression Regulation, LeukemicAdolescentAdultAgedBiomarkers, TumorCarrier ProteinsCell CycleCohort StudiesDNA-Binding ProteinsDNA MethylationDown-RegulationFemaleFollow-Up StudiesGene Expression ProfilingHumansImmunoenzyme TechniquesBiomarkers, TumorCarrier ProteinsCXXC5 protein, humanDNA-Binding ProteinsRNA, MessengerTranscription FactorsWnt Proteins

Identifiers

PMID25805812
PMCPMC4463809
OpenAlexW2067637687

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.