Evidence map›Paper›PMID 26087198›Full record

ArticleOncotarget2015

Epstein-Barr virus DNA load in chronic lymphocytic leukemia is an independent predictor of clinical course and survival.

Carlo Visco, Erika Falisi, Ken H Young, Michela Pascarella, Omar Perbellini, Giuseppe Carli, Elisabetta Novella, Davide Rossi, Ilaria Giaretta, Chiara Cavallini and 8 more

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

15 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Increased Frequency of the Chemokine Receptor CCR2 on Circulating CD19+CD5+ Lymphocytes in Therapy-Naïve CLL Patients With the Detectable EBV DNA and High-Avidity Antibodies Against the EBV Capsid Antigen.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
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  6. PD-1 and PD-L1 gene expressions and their association with Epstein-Barr virus infection in chronic lymphocytic leukemia.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
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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

18 authors at 6 institutions in 2 countries.

Carlo ViscoDepartment of Cell Therapy and Hematology, San Bortolo Hospital, Vicenza, Italy.
Erika FalisiDepartment of Cell Therapy and Hematology, San Bortolo Hospital, Vicenza, Italy.
Ken H YoungDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Michela PascarellaDepartment of Microbiology, San Bortolo Hospital, Vicenza, Italy.
Omar PerbelliniSection of Hematology, Department of Medicine, University of Verona, Verona, Italy.
Giuseppe CarliDepartment of Cell Therapy and Hematology, San Bortolo Hospital, Vicenza, Italy.
Elisabetta NovellaDepartment of Cell Therapy and Hematology, San Bortolo Hospital, Vicenza, Italy.
Davide RossiDivision of Hematology, Department of Translational Medicine, Amedeo Avogadro University of Eastern Piedmont, Novara, Italy.
Ilaria GiarettaDepartment of Cell Therapy and Hematology, San Bortolo Hospital, Vicenza, Italy.
Chiara CavalliniResearch Center LURM (University Laboratory of Medical Research), University of Verona, Verona, Italy.
Maria Teresa ScupoliResearch Center LURM (University Laboratory of Medical Research), University of Verona, Verona, Italy.
Anita De RossiSection of Oncology and Immunology, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Emanuele Stefano Giovanni D'AmoreDepartment of Pathology, San Bortolo Hospital, Vicenza, Italy.
Mario RassuDepartment of Microbiology, San Bortolo Hospital, Vicenza, Italy.
Gianluca GaidanoDivision of Hematology, Department of Translational Medicine, Amedeo Avogadro University of Eastern Piedmont, Novara, Italy.
Giovanni PizzoloSection of Hematology, Department of Medicine, University of Verona, Verona, Italy.
Achille AmbrosettiSection of Hematology, Department of Medicine, University of Verona, Verona, Italy.
Francesco RodeghieroDepartment of Cell Therapy and Hematology, San Bortolo Hospital, Vicenza, Italy.
Ospedale San Bortolo · ITUniversity of Verona · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Oncologico Veneto · ITThe University of Texas MD Anderson Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The relation between Epstein-Barr virus (EBV) DNA load and clinical course of patients with chronic lymphocytic leukemia (CLL) is unknown. We assessed EBV DNA load by quantitative PCR at CLL presentation in mononuclear cells (MNC) of 220 prospective patients that were enrolled and followed-up in two major Institutions. In 20 patients EBV DNA load was also assessed on plasma samples. Forty-one age-matched healthy subjects were tested for EBV DNA load on MNC. Findings were validated in an independent retrospective cohort of 112 patients with CLL. EBV DNA load was detectable in 59%, and high (≥2000 copies/µg DNA) in 19% of patients, but it was negative in plasma samples. EBV DNA load was significantly higher in CLL patients than in healthy subjects (P < .0001). No relation was found between high EBV load and clinical stage or biological variables, except for 11q deletion (P = .004), CD38 expression (P = .003), and NOTCH1 mutations (P = .05). High EBV load led to a 3.14-fold increase in the hazard ratio of death and to a shorter overall survival (OS; P = .001). Poor OS was attributable, at least in part, to shorter time-to-first-treatment (P = .0008), with no higher risk of Richter's transformation or second cancer. Multivariate analysis selected high levels of EBV load as independent predictor of OS after controlling for confounding clinical and biological variables. EBV DNA load at presentation is an independent predictor of OS in patients with CLL.

Indexed as

AdultAgedAged, 80 and overCells, CulturedDNA, ViralEpstein-Barr Virus InfectionsFemaleHerpesvirus 4, HumanHost-Pathogen InteractionsHumansKaplan-Meier EstimateLeukemia, Lymphocytic, Chronic, B-CellLeukocytes, MononuclearMaleMiddle AgedMultivariate AnalysisDNA, Viralchronic lymphocytic leukemiaCLLEBV DNAEpstein-Barr virus

Identifiers

PMID26087198
PMCPMC4621917
OpenAlexW1899593463

What OpenQuestion holds

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LicenceCC BY
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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.