Evidence map›Paper›PMID 26467815›Full record

Trial reportLeukemia research2015

Targeting bone marrow lymphoid niches in acute lymphoblastic leukemia.

Geoffrey L Uy, Yen-Michael S Hsu, Amy P Schmidt, Wendy Stock, Theresa R Fletcher, Kathryn M Trinkaus, Peter Westervelt, John F DiPersio, Daniel C Link

Open access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Leukemia research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Targeting CXCR4 in AML and ALL.Frontiers in oncology · 2020
    Review
  6. Review
  7. Article
  8. Article
  9. Article
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

9 authors at 2 institutions in 1 country.

Geoffrey L UyDivision of Oncology, Washington University School of Medicine, St. Louis, MO, United States.
Yen-Michael S HsuDepartment of Pathology, Washington University School of Medicine, St. Louis, MO, United States.
Amy P SchmidtDivision of Oncology, Washington University School of Medicine, St. Louis, MO, United States.
Wendy StockSection of Hematology/Oncology, Department of Medicine, University of Chicago, Chicago, IL, United States.
Theresa R FletcherDivision of Oncology, Washington University School of Medicine, St. Louis, MO, United States.
Kathryn M TrinkausDivision of Biostatistics, Washington University School of Medicine, St. Louis, MO, United States.
Peter WesterveltDivision of Oncology, Washington University School of Medicine, St. Louis, MO, United States.
John F DiPersioDivision of Oncology, Washington University School of Medicine, St. Louis, MO, United States.
Daniel C LinkDivision of Oncology, Washington University School of Medicine, St. Louis, MO, United States. Electronic address: dlink@dom.wustl.edu.
Washington University in St. Louis · USUniversity of Chicago · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
Targeting the Bone Marrow Microenvironment In Acute Lymphocytic LeukemiaP50CA171963 · NCI · WASHINGTON UNIVERSITY · PI TODD A FEHNIGER · 2013 to 2026
$31.6M
TARGETING AML-STROMAL INTERACTIONSR01CA152329 · NCI · WASHINGTON UNIVERSITY · PI DIPERSIO, JOHN F. · 2011 to 2015
$2.5M
Targeting Leukemia Stromal Interactions in AMLK23CA140707 · NCI · WASHINGTON UNIVERSITY · PI UY, GEOFFREY L · 2009 to 2013
$793k
NCI NIH HHS CA152329NCI NIH HHS K23 CA140707NCI NIH HHS K23CA140707NCI NIH HHS P30 CA091842NCI NIH HHS P50 CA171963NCI NIH HHS P50CA171963NCI NIH HHS R01 CA152329
6 · The paper itself

Abstract

In acute lymphoblastic leukemia (ALL) the bone marrow microenvironment provides growth and survival signals that may confer resistance to chemotherapy. Granulocyte colony-stimulating factor (G-CSF) potently inhibits lymphopoiesis by targeting stromal cells that comprise the lymphoid niche in the bone marrow. To determine whether lymphoid niche disruption by G-CSF sensitizes ALL cells to chemotherapy, we conducted a pilot study of G-CSF in combination with chemotherapy in patients with relapsed or refractory ALL. Thirteen patients were treated on study; three patients achieved a complete remission (CR/CRi) for an overall response rate of 23%. In the healthy volunteers, G-CSF treatment disrupted the lymphoid niche, as evidenced by reduced expression of CXCL12, interleukin-7, and osteocalcin. However, in most patients with relapsed/refractory ALL expression of these genes was markedly suppressed at baseline. Thus, although G-CSF treatment was associated with ALL cell mobilization into the blood, and increased apoptosis of bone marrow resident ALL cells, alterations in the bone marrow microenvironment were modest and highly variable. These data suggest that disruption of lymphoid niches by G-CSF to sensitize ALL cells to chemotherapy may be best accomplished in the consolidation where the bone marrow microenvironment is more likely to be normal.

Indexed as

Stem Cell NicheTumor MicroenvironmentAdultAgedAntineoplastic Combined Chemotherapy ProtocolsB-Cell Activating FactorBone MarrowChemokine CXCL12Drug Resistance, NeoplasmEtoposideFemaleFilgrastimGene Expression Regulation, LeukemicHumansIfosfamideInterleukin-7B-Cell Activating FactorChemokine CXCL12CXCL12 protein, humanEtoposideFilgrastimIfosfamideIL7 protein, humanInterleukin-7MesnaNeoplasm ProteinsOsteocalcinTNFSF13B protein, humanAcute lymphoblastic leukemiaCXCL12G-CSFLymphoid nicheMobilization

Identifiers

PMID26467815
PMCPMC4661095
OpenAlexW1823966343

What OpenQuestion holds

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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.