Evidence map›Paper›PMID 26466571›Full record

ArticleNature2015

Mutations driving CLL and their evolution in progression and relapse.

Dan A Landau, Eugen Tausch, Amaro N Taylor-Weiner, Chip Stewart, Johannes G Reiter, Jasmin Bahlo, Sandra Kluth, Ivana Bozic, Mike Lawrence, Sebastian Böttcher and 21 more

Open access · greenAbstract read
In one paragraph

Article in Nature, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 614 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
614citing papers in PubMed, 3 pooled it
56.2field-weighted citation impact, top 1% 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

614 citing papers in PubMed, 3 syntheses or guidelines pooled it, 1,054 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Unraveling the Molecular Mechanisms Underlying Spontaneous Multipolar Mitosis Through CIN-seq.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  11. ComplexInternational journal of molecular sciences · 2026
    Review
  12. Article
  13. Molecular Insights and Novel Therapies for Lymphoproliferative Disorders.International journal of molecular sciences · 2026
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

554 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 7 institutions in 3 countries.

Dan A LandauBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Eugen TauschDepartment of Internal Medicine III, Ulm University, Ulm 89081, Germany.
Amaro N Taylor-WeinerBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Chip StewartBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Johannes G ReiterBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Jasmin BahloDepartment I of Internal Medicine and Center of Integrated Oncology Cologne Bonn, University Hospital, Cologne 50937, Germany.
Sandra KluthDepartment I of Internal Medicine and Center of Integrated Oncology Cologne Bonn, University Hospital, Cologne 50937, Germany.
Ivana BozicProgram for Evolutionary Dynamics, Harvard University, Cambridge 02138, Massachusetts, USA.
Mike LawrenceBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Sebastian BöttcherDepartment of Internal Medicine II, University Hospital of Schleswig-Holstein, Campus Kiel, Kiel 24105, Germany.
Scott L CarterBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Kristian CibulskisBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Daniel MertensDepartment of Internal Medicine III, Ulm University, Ulm 89081, Germany.
Carrie L SougnezBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Mara RosenbergBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Julian M HessBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Jennifer EdelmannDepartment of Internal Medicine III, Ulm University, Ulm 89081, Germany.
Sabrina KlessDepartment of Internal Medicine III, Ulm University, Ulm 89081, Germany.
Michael KnebaDepartment of Internal Medicine II, University Hospital of Schleswig-Holstein, Campus Kiel, Kiel 24105, Germany.
Matthias RitgenDepartment of Internal Medicine II, University Hospital of Schleswig-Holstein, Campus Kiel, Kiel 24105, Germany.
Anna FinkDepartment I of Internal Medicine and Center of Integrated Oncology Cologne Bonn, University Hospital, Cologne 50937, Germany.
Kirsten FischerDepartment I of Internal Medicine and Center of Integrated Oncology Cologne Bonn, University Hospital, Cologne 50937, Germany.
Stacey GabrielBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Eric S LanderBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Martin A NowakProgram for Evolutionary Dynamics, Harvard University, Cambridge 02138, Massachusetts, USA.
Hartmut DöhnerDepartment of Internal Medicine III, Ulm University, Ulm 89081, Germany.
Michael HallekDepartment I of Internal Medicine and Center of Integrated Oncology Cologne Bonn, University Hospital, Cologne 50937, Germany.
Donna NeubergBiostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, Massachusetts 02115, USA.
Gad GetzBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Stephan StilgenbauerDepartment of Internal Medicine III, Ulm University, Ulm 89081, Germany.
Catherine J WuBroad Institute of Harvard and MIT, Cambridge, Massachusetts 02142, USA.
Broad Institute · USUniversität Ulm · DEUniversity Hospital Cologne · DEDana-Farber Cancer Institute · USEvolutionary Genomics (United States) · USUniversity of Lübeck · DEUniversity Hospital Schleswig-Holstein · DE

Funding

Large Scale Sequencing and Analysis of GenomesU54HG003067 · NHGRI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI GABRIEL, STACEY, LANDER, ERIC S · 2004 to 2015
$568.6M
Tissue CoreP01CA081534 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI REED, JOHN C · 2000 to 2016
$59.5M
ITSC for Leukemia: Novel Molecular Strategies for NCTN: "Individualized" TherapieU10CA180861 · NCI · OHIO STATE UNIVERSITY · PI BLOOMFIELD, CLARA D, MARCUCCI, GUIDO · 2014 to 2018
$3.4M
(PQD1) lmpact of cytotoxic and targeted therapy on clonal evolution of CLLR01CA184922 · NCI · DANA-FARBER CANCER INST · PI WU, CATHERINE JU-YING · 2014 to 2017
$2.2M
The role of the SF3B1 splicing factor in chronic lymphocytic leukemiaR01HL116452 · NHLBI · DANA-FARBER CANCER INST · PI WU, CATHERINE JU-YING · 2013 to 2017
$2.1M
Defining the impact of clonal evolution on chronic lymphocytic leukemiaR01CA182461 · NCI · DANA-FARBER CANCER INST · PI WU, CATHERINE JU-YING · 2014 to 2018
$1.8M
The role of epigenetic heterogeneity in CLL evolution Admin supplementK01ES025431 · NIEHS · WEILL MEDICAL COLL OF CORNELL UNIV · PI LANDAU, DAN · 2014 to 2018
$982k
NCI NIH HHS 1R01CA182461-02NCI NIH HHS 1R01CA184922-01NCI NIH HHS 1U10CA180861-01NCI NIH HHS P01 CA081534NCI NIH HHS R01 CA182461NCI NIH HHS R01 CA184922NCI NIH HHS U10 CA180861NHGRI NIH HHS U54 HG003067NHGRI NIH HHS U54HG003067NHLBI NIH HHS R01 HL116452NIEHS NIH HHS 1K01ES025431-01NIEHS NIH HHS K01 ES025431
6 · The paper itself

Abstract

Which genetic alterations drive tumorigenesis and how they evolve over the course of disease and therapy are central questions in cancer biology. Here we identify 44 recurrently mutated genes and 11 recurrent somatic copy number variations through whole-exome sequencing of 538 chronic lymphocytic leukaemia (CLL) and matched germline DNA samples, 278 of which were collected in a prospective clinical trial. These include previously unrecognized putative cancer drivers (RPS15, IKZF3), and collectively identify RNA processing and export, MYC activity, and MAPK signalling as central pathways involved in CLL. Clonality analysis of this large data set further enabled reconstruction of temporal relationships between driver events. Direct comparison between matched pre-treatment and relapse samples from 59 patients demonstrated highly frequent clonal evolution. Thus, large sequencing data sets of clinically informative samples enable the discovery of novel genes associated with cancer, the network of relationships between the driver events, and their impact on disease relapse and clinical outcome.

Indexed as

Disease ProgressionEvolution, MolecularCell Transformation, NeoplasticClone CellsDNA Copy Number VariationsExomeGenes, mycHumansIkaros Transcription FactorLeukemia, Lymphocytic, Chronic, B-CellMAP Kinase Signaling SystemMutationNeoplasm Recurrence, LocalPrognosisRibosomal ProteinsRNA Processing, Post-TranscriptionalIkaros Transcription FactorIKZF3 protein, humanRibosomal Proteinsribosomal protein S21

Identifiers

PMID26466571
PMCPMC4815041
OpenAlexW2136272158

What OpenQuestion holds

Textmetadata
LicenceTDM
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.