Evidence map›Paper›PMID 26342691›Full record

ReviewInternational journal of hematology2015

A new transcriptional variant and small azurophilic granules in an acute promyelocytic leukemia case with NPM1/RARA fusion gene.

Tomoe Kikuma, Yuji Nakamachi, Yoriko Noguchi, Yoko Okazaki, Daisuke Shimomura, Kimikazu Yakushijin, Katsuya Yamamoto, Hiroshi Matsuoka, Hironobu Minami, Tomoo Itoh and 1 more

Erratum issuedAbstract readCase ReportsReview
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In one paragraph

Review in International journal of hematology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.3field-weighted citation impact, top 38% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Review
  3. Function of PML-RARA in Acute Promyelocytic Leukemia.Advances in experimental medicine and biology · 2024
    Review
  4. A Novel Inclusion Body in Acute Promyelocytic LeukemiaTurkish journal of haematology : official journal of Turkish Society of Haematology · 2023
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. PLZF-RARCancers · 2020
    Review
  11. Review
  12. Article
  13. Article
  14. RARG Gene Dysregulation in Acute Myeloid Leukemia.Frontiers in molecular biosciences · 2019
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Tomoe KikumaDepartment of Clinical Laboratory, Kobe University Hospital, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Yuji NakamachiDepartment of Clinical Laboratory, Kobe University Hospital, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan. nakamati@med.kobe-u.ac.jp.ORCID http://orcid.org/0000-0002-1648-0606
Yoriko NoguchiDepartment of Clinical Laboratory, Kobe University Hospital, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Yoko OkazakiDepartment of Clinical Laboratory, Kobe University Hospital, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Daisuke ShimomuraDepartment of Clinical Pathology, Tenri Hospital, Tenri, Nara, Japan.
Kimikazu YakushijinDivision of Medical Oncology/Hematology, Department of Medicine, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
Katsuya YamamotoDivision of Medical Oncology/Hematology, Department of Medicine, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
Hiroshi MatsuokaDivision of Medical Oncology/Hematology, Department of Medicine, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
Hironobu MinamiDivision of Medical Oncology/Hematology, Department of Medicine, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
Tomoo ItohDivision of Diagnostic Pathology, Department of Pathology, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
Seiji KawanoDivision of Laboratory Medicine, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
Kobe University · JPKobe University Hospital · JPTenri Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report here the first case of NPM1/RARA-positive acute promyelocytic leukemia (APL) preceded by myeloid sarcoma (MS) in the vertebra. A 52-year-old man was diagnosed with MS, as the tumor cells were positive for myeloperoxidase and CD68 but negative for CD163. After treatment with steroids and radiation, the size of the tumor was markedly reduced and peripheral blood count was normal. Bone marrow examination showed 89.2% consisted of unclassified promyelocytes characterized by round nuclei and abundant small azurophilic granules but no Auer rods. The results of chromosome analysis showed 46,XY,t(5;17)(q35;q12). Reverse-transcription polymerase chain reaction amplified the NPM1/RARA fusion transcripts derived from a combination of NPM1 exon 4 and RARA exon 5, or of NPM1 exon 1 and RARA exon 5; the latter of these has not been reported previously. Electron microscopic examination of the promyelocyte nuclei showed they were oval with mild nuclear chromatin condensation and small- to medium-sized nucleoli. Hematological and molecular complete remission was attained after induction therapy including all-trans retinoic acid. As MS was also diagnosed in two of the seven other reported cases of APL with NPM1/RARA, MS may occur more frequently in APL with NPM1/RARA than APL with PML/RARA.

Indexed as

Gene FusionCell NucleolusCell NucleusChromatinExonsGranulocyte Precursor CellsHumansInduction ChemotherapyLeukemia, Promyelocytic, AcuteMagnetic Resonance ImagingMaleMicroscopy, ElectronMiddle AgedNuclear ProteinsNucleophosminReceptors, Retinoic AcidChromatinNPM1 protein, humanNuclear ProteinsNucleophosminRARA protein, humanReceptors, Retinoic AcidRetinoic Acid Receptor alphaTretinoinAcute promyelocytic leukemiaAll-trans retinoic acidMyeloid sarcomaNPM1/RARAt(5;17)(q35;q12–21)

Identifiers

PMID26342691
OpenAlexW2147100743

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.