Evidence map›Paper›PMID 26202928›Full record

ArticleLeukemia2016

Metabolic plasticity in CLL: adaptation to the hypoxic niche.

K M Koczula, C Ludwig, R Hayden, L Cronin, G Pratt, H Parry, D Tennant, M Drayson, C M Bunce, F L Khanim and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

48 citing papers in PubMed, 96 citations in OpenAlex.

  1. Article
  2. Review
  3. MultiNMRFit: a software to fit 1D and pseudo-2D NMR spectra.Bioinformatics (Oxford, England) · 2025
    Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Advances in Microbial NMR Metabolomics.Advances in experimental medicine and biology · 2023
    Article
  9. Article
  10. Metabolomics in Cell Biology.Handbook of experimental pharmacology · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Cancer cell metabolic plasticity in migration and metastasis.Clinical & experimental metastasis · 2021
    Review
  19. Article
  20. The remodel of the "central dogma": a metabolomics interaction perspective.Metabolomics : Official journal of the Metabolomic Society · 2021
    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 1 institution in 1 country.

K M KoczulaSchool of Cancer Sciences, University of Birmingham, Birmingham, UK.
C LudwigSchool of Cancer Sciences, University of Birmingham, Birmingham, UK.
R HaydenSchool of Biosciences, University of Birmingham, Birmingham, UK.
L CroninSchool of Biosciences, University of Birmingham, Birmingham, UK.
G PrattSchool of Cancer Sciences, University of Birmingham, Birmingham, UK.
H ParrySchool of Cancer Sciences, University of Birmingham, Birmingham, UK.
D TennantSchool of Cancer Sciences, University of Birmingham, Birmingham, UK.
M DraysonSchool of Immunity and Infection, University of Birmingham, Birmingham, UK.
C M BunceSchool of Biosciences, University of Birmingham, Birmingham, UK.
F L KhanimSchool of Biosciences, University of Birmingham, Birmingham, UK.
U L GüntherSchool of Cancer Sciences, University of Birmingham, Birmingham, UK.
University of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metabolic transformation in cancer is increasingly well understood. However, little is known about the metabolic responses of cancer cells that permit their survival in different microenvironments. We have used a nuclear magnetic resonance based approach to monitor metabolism in living primary chronic lymphoid leukemia (CLL) cells and to interrogate their real-time metabolic responses to hypoxia. Our studies demonstrate considerable metabolic plasticity in CLL cells. Despite being in oxygenated blood, circulating CLL cells are primed for hypoxia as measured by constitutively low level hypoxia-inducible factor (HIF-1α) activity and modest lactate production from glycolysis. Upon entry to hypoxia we observed rapid upregulation of metabolic rates. CLL cells that had adapted to hypoxia returned to the 'primed' state when re-oxygenated and again showed the same adaptive response upon secondary exposure to hypoxia. We also observed HIF-1α independent differential utilization of pyruvate in oxygenated and hypoxic conditions. When oxygenated, CLL cells released pyruvate, but in hypoxia imported pyruvate to protect against hypoxia-associated oxidative stress. Finally, we identified a marked association of slower resting glucose and glutamine consumption, and lower alanine and lactate production with Binet A0 stage samples indicating that CLL may be divided into tumors with higher and lower metabolic states that reflect disease stage.

Indexed as

Adaptation, PhysiologicalCell Cycle CheckpointsCell HypoxiaCitric Acid CycleHumansHypoxia-Inducible Factor 1, alpha SubunitLeukemia, Lymphocytic, Chronic, B-CellMagnetic Resonance SpectroscopyPyruvic AcidHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitPyruvic Acid

Identifiers

PMID26202928
PMCPMC4705428
OpenAlexW1786044410

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.