Evidence map›Paper›PMID 25900981›Full record

Trial reportBlood2015

Excessive antigen reactivity may underlie the clinical aggressiveness of chronic lymphocytic leukemia stereotyped subset #8.

Maria Gounari, Stavroula Ntoufa, Benedetta Apollonio, Nikos Papakonstantinou, Maurilio Ponzoni, Charles C Chu, Davide Rossi, Gianluca Gaidano, Nicholas Chiorazzi, Kostas Stamatopoulos and 1 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
4.0field-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

33 citing papers in PubMed, 57 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Stereotyped B-Cell Receptor Immunoglobulins in B-Cell Lymphomas.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Richter Transformation: Clinical Manifestations, Evaluation, and Management.Journal of the advanced practitioner in oncology · 2022
    Article
  13. Article
  14. Article
  15. Therapeutic Updates for Richter Syndrome: Highlights From SOHO 2021.Journal of the advanced practitioner in oncology · 2022
    Article
  16. Review
  17. Article
  18. Richter Syndrome.Current oncology reports · 2021
    Review
  19. Chronic Lymphocytic Leukemia.Cold Spring Harbor perspectives in medicine · 2021
    Review
  20. Review
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

11 authors at 6 institutions in 4 countries.

Maria GounariDivision of Experimental Oncology, IRCCS Istituto Scientifico San Raffaele and Department of Onco-Hematology, Ospedale San Raffaele, Milan, Italy;
Stavroula NtoufaInstitute of Applied Biosciences, Centre for Research and Technology Hellas, Thessaloniki, Greece;
Benedetta ApollonioDivision of Experimental Oncology, IRCCS Istituto Scientifico San Raffaele and Department of Onco-Hematology, Ospedale San Raffaele, Milan, Italy; Section of Internal Medicine, Università Vita-Salute San Raffaele, and.
Nikos PapakonstantinouInstitute of Applied Biosciences, Centre for Research and Technology Hellas, Thessaloniki, Greece;
Maurilio PonzoniDivision of Experimental Oncology, IRCCS Istituto Scientifico San Raffaele and Department of Onco-Hematology, Ospedale San Raffaele, Milan, Italy; Section of Internal Medicine, Università Vita-Salute San Raffaele, and Pathology Unit, IRCCS Istituto Scientifico San Raffaele, Milan, Italy;
Charles C ChuThe Feinstein Institute for Medical Research, North Shore-Long Island Jewish Health System, Manhasset, NY;
Davide RossiDivision of Hematology, Department of Translational Medicine, Amedeo Avogadro University of Eastern Piedmont, Novara, Italy; and.
Gianluca GaidanoDivision of Hematology, Department of Translational Medicine, Amedeo Avogadro University of Eastern Piedmont, Novara, Italy; and.
Nicholas ChiorazziThe Feinstein Institute for Medical Research, North Shore-Long Island Jewish Health System, Manhasset, NY;
Kostas StamatopoulosInstitute of Applied Biosciences, Centre for Research and Technology Hellas, Thessaloniki, Greece; Department of Immunology, Genetics and Pathology, Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
Paolo GhiaDivision of Experimental Oncology, IRCCS Istituto Scientifico San Raffaele and Department of Onco-Hematology, Ospedale San Raffaele, Milan, Italy; Section of Internal Medicine, Università Vita-Salute San Raffaele, and.
Centre for Research and Technology Hellas · GRFeinstein Institute for Medical Research · USIRCCS Ospedale San Raffaele · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITVita-Salute San Raffaele University · ITUppsala University · SE

Funding

B CELL REPERTOIRES IN CHRONIC LYMPHOCYTIC LEUKEMIAR01CA081554 · NCI · NORTH SHORE UNIVERSITY HOSPITAL · PI CHIORAZZI, NICHOLAS · 2000 to 2012
$2.7M
NCI NIH HHS R01 CA081554
6 · The paper itself

Abstract

Subset #8 is a distinctive subset of patients with chronic lymphocytic leukemia (CLL) defined by the expression of stereotyped IGHV4-39/IGKV1(D)-39 B-cell receptors. Subset #8 patients experience aggressive disease and exhibit the highest risk for Richter transformation among all CLL. In order to obtain biological insight into this behavior, we profiled the antigen reactivity and signaling capacity of subset #8 vs other clinically aggressive stereotyped subsets, namely subsets #1 and #2. Twenty-seven monoclonal antibodies (mAbs) from subsets #1, #2, and #8 CLL clones were prepared as recombinant human immunoglobulin G1 and used as primary antibodies in enzyme-linked immunosorbent assays against representatives of the major classes of established antigenic targets for CLL. Subset #8 CLL mAbs exhibited broad polyreactivity as they bound to all antigens tested, in clear contrast with the mAbs from the other subsets. Antigen challenge of primary CLL cells indicated that the promiscuous antigen-binding activity of subset #8 mAbs could lead to significant cell activation, again in contrast to the less responsive CLL cells from subsets #1 and #2. These features constitute a distinctive profile for CLL subset #8, supporting the existence of distinct mechanisms of aggressiveness in different immunogenetic subsets of CLL.

Indexed as

Antibodies, MonoclonalAntibodies, NeoplasmAntigens, NeoplasmFemaleHumansLeukemia, Lymphocytic, Chronic, B-CellMaleAntibodies, MonoclonalAntibodies, NeoplasmAntigens, Neoplasm

Identifiers

PMID25900981
PMCPMC4458798
OpenAlexW1976466233

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.