Evidence map›Paper›PMID 26615915›Full record

ArticleAmerican journal of hematology2016

Disrupted lymphocyte homeostasis in hepatitis-associated acquired aplastic anemia is associated with short telomeres.

Daria V Babushok, Anne-Laure Grignon, Yimei Li, Jamie Atienza, Hongbo M Xie, Ho-Sun Lam, Helge Hartung, Monica Bessler, Timothy S Olson

Open access · hybridAbstract read
In one paragraph

Article in American journal of hematology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Diagnosis and Treatment of Aplastic Anemia.Current treatment options in oncology · 2017
    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

9 authors at 2 institutions in 1 country.

Daria V BabushokComprehensive Bone Marrow Failure Center, Division of Hematology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Anne-Laure GrignonComprehensive Bone Marrow Failure Center, Division of Hematology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Yimei LiDepartment of Biostatistics and Epidemiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Jamie AtienzaComprehensive Bone Marrow Failure Center, Division of Hematology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Hongbo M XieDivision of Health and Biomedical Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Ho-Sun LamComprehensive Bone Marrow Failure Center, Division of Hematology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Helge HartungComprehensive Bone Marrow Failure Center, Division of Hematology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Monica BesslerComprehensive Bone Marrow Failure Center, Division of Hematology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Timothy S OlsonComprehensive Bone Marrow Failure Center, Division of Hematology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Robert H. Vonderheide · 1985 to 2026
$222.3M
MOLECULAR STUDIES OF BONE MARROW FAILURER01CA105312 · NCI · WASHINGTON UNIVERSITY · PI BESSLER, MONICA · 2004 to 2014
$4.9M
Mentored career development in clinical research in non-malignant hematologyK12HL087064 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI ABRAMS, CHARLES S. · 2006 to 2016
$3.9M
Late Preterm Birth, Ureaplasma Species and Childhood Lung DiseaseR01HL097064 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI JOBE, ALAN H, KALLAPUR, SUHAS · 2009 to 2012
$2.0M
Towards Precision Medicine in Childhood Acquired Aplastic AnemiaR24DK103001 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI CHOU, STELLA T, KLEIN, PETER S · 2014 to 2016
$1.7M
Studies of HSC Engraftment at the Osteoblastic Niche for Inherited BM FailureK08HL122306 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI OLSON, TIMOTHY STEVEN · 2014 to 2017
$579k
NCI NIH HHS P30 CA016520NCI NIH HHS R01 CA105312NHLBI NIH HHS K08 HL122306NHLBI NIH HHS K12 HL087064NHLBI NIH HHS K12 HL097064NHLBI NIH HHS R01 HL097064NIDDK NIH HHS R24 DK103001NIDDK NIH HHS R24DK103001
6 · The paper itself

Abstract

Hepatitis-associated aplastic anemia (HAA) is a variant of acquired aplastic anemia (AA) in which immune-mediated bone marrow failure (BMF) develops following an acute episode of seronegative hepatitis. Dyskeratosis congenita (DC) is an inherited BMF syndrome characterized by the presence of short telomeres, mucocutaneous abnormalities, and cancer predisposition. While both conditions may cause BMF and hepatic impairment, therapeutic approaches are distinct, making it imperative to establish the correct diagnosis. In clinical practice, lymphocyte telomere lengths (TL) are used as a first-line screen to rule out inherited telomeropathies before initiating treatment for AA. To evaluate the reliability of TL in the HAA population, we performed a retrospective analysis of TL in 10 consecutively enrolled HAA patients compared to 19 patients with idiopathic AA (IAA). HAA patients had significantly shorter telomeres than IAA patients (P = 0.009), including four patients with TL at or below the 1st percentile for age-matched controls. HAA patients had no clinical features of DC and did not carry disease-causing mutations in known genes associated with inherited telomere disorders. Instead, short TLs were significantly correlated with severe lymphopenia and skewed lymphocyte subsets, features characteristic of HAA. Our results indicate the importance of caution in the interpretation of TL measurements in HAA, because, in this patient population, short telomeres have limited specificity.

Indexed as

AdolescentAnemia, AplasticChildChild, PreschoolCytogenetic AnalysisFemaleFlow CytometryHepatitisHumansInfantIn Situ Hybridization, FluorescenceLymphocyte SubsetsMaleTelomere HomeostasisTelomere Shortening

Identifiers

PMID26615915
PMCPMC4724330
OpenAlexW2182586972

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.