Evidence map›Paper›PMID 26631115›Full record

ArticleBlood2016

Rapid expansion of preexisting nonleukemic hematopoietic clones frequently follows induction therapy for de novo AML.

Terrence N Wong, Christopher A Miller, Jeffery M Klco, Allegra Petti, Ryan Demeter, Nichole M Helton, Tiandao Li, Robert S Fulton, Sharon E Heath, Elaine R Mardis and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
10.3field-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

66 citing papers in PubMed, 107 citations in OpenAlex.

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  12. Clonal hematopoiesis in frequent whole blood donors.Hematology. American Society of Hematology. Education Program · 2023
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6 more citing papers are in PubMed but not listed here.

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

18 authors at 4 institutions in 1 country.

Terrence N WongDivision of Oncology.ORCID http://orcid.org/0000-0001-5141-0745
Christopher A MillerMcDonnell Genome Institute, and Division of Genomics and Bioinformatics, Washington University School of Medicine, St. Louis, MO;ORCID http://orcid.org/0000-0003-4266-6700
Jeffery M KlcoDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN;
Allegra PettiMcDonnell Genome Institute, and Division of Genomics and Bioinformatics, Washington University School of Medicine, St. Louis, MO;
Ryan DemeterMcDonnell Genome Institute, and.
Nichole M HeltonDivision of Oncology.
Tiandao LiMcDonnell Genome Institute, and.ORCID http://orcid.org/0000-0003-1650-0555
Robert S FultonMcDonnell Genome Institute, and.
Sharon E HeathDivision of Oncology.
Elaine R MardisMcDonnell Genome Institute, and Siteman Cancer Center, Washington University, St. Louis, MO; and.ORCID http://orcid.org/0000-0002-5892-1553
Peter WesterveltDivision of Oncology, Siteman Cancer Center, Washington University, St. Louis, MO; and.
John F DiPersioDivision of Oncology, Siteman Cancer Center, Washington University, St. Louis, MO; and.
Matthew J WalterDivision of Oncology, Siteman Cancer Center, Washington University, St. Louis, MO; and.ORCID http://orcid.org/0000-0002-7753-1091
John S WelchDivision of Oncology, Siteman Cancer Center, Washington University, St. Louis, MO; and.
Timothy A GraubertMassachusetts General Hospital, Boston, MA.ORCID http://orcid.org/0000-0002-7710-1171
Richard K WilsonMcDonnell Genome Institute, and Siteman Cancer Center, Washington University, St. Louis, MO; and.
Timothy J LeyDivision of Oncology, Siteman Cancer Center, Washington University, St. Louis, MO; and.
Daniel C LinkDivision of Oncology, Siteman Cancer Center, Washington University, St. Louis, MO; and.
Washington University in St. Louis · USNational Human Genome Research Institute · USMassachusetts General Hospital · USSt. Jude Children's Research Hospital · US

Funding

Large Scale Genome SequencingU54HG003079 · NHGRI · WASHINGTON UNIVERSITY · PI DUTCHER, SUSAN K · 2004 to 2016
$445.7M
Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
Specimen Acquistition and Expression ProfilingP01CA101937 · NCI · WASHINGTON UNIVERSITY · PI LEY, TIMOTHY J. · 2003 to 2023
$58.8M
Targeting the Bone Marrow Microenvironment In Acute Lymphocytic LeukemiaP50CA171963 · NCI · WASHINGTON UNIVERSITY · PI TODD A FEHNIGER · 2013 to 2026
$31.6M
PRE-AND POSTGRADUATE TRAINING IN MOLECULAR HEMATOLOGYT32HL007088 · NHLBI · WASHINGTON UNIVERSITY · PI Grant Anthony Challen, Stephen Oh · 1985 to 2026
$14.1M
Molecular Pathogenesis of Acute Myeloid LeukemiaR35CA197561 · NCI · WASHINGTON UNIVERSITY · PI Timothy J. Ley · 2015 to 2026
$11.0M
CLINICAL HEMATOLOGY RESEARCH CAREER DEVELOPMENT PROGRAM AT WASHINGTON UNIVERSITYK12HL087107 · NHLBI · WASHINGTON UNIVERSITY · PI SADLER, J EVAN · 2006 to 2016
$3.8M
NOTCH SIGNALING IN MYELOID DEVELOPMENTK08HL116605 · NHLBI · WASHINGTON UNIVERSITY · PI KLCO, JEFFERY M · 2013 to 2017
$711k
NCI NIH HHS P01 CA101937NCI NIH HHS P30 CA091842NCI NIH HHS P30CA91842NCI NIH HHS P50 CA171963NCI NIH HHS R35 CA197561NHGRI NIH HHS U54 HG003079NHLBI NIH HHS K08 HL116605NHLBI NIH HHS K12 HL087107NHLBI NIH HHS T32 HL007088
6 · The paper itself

Abstract

There is interest in using leukemia-gene panels and next-generation sequencing to assess acute myelogenous leukemia (AML) response to induction chemotherapy. Studies have shown that patients with AML in morphologic remission may continue to have clonal hematopoiesis with populations closely related to the founding AML clone and that this confers an increased risk of relapse. However, it remains unknown how induction chemotherapy influences the clonal evolution of a patient's nonleukemic hematopoietic population. Here, we report that 5 of 15 patients with genetic clearance of their founding AML clone after induction chemotherapy had a concomitant expansion of a hematopoietic population unrelated to the initial AML. These populations frequently harbored somatic mutations in genes recurrently mutated in AML or myelodysplastic syndromes and were detectable at very low frequencies at the time of AML diagnosis. These results suggest that nonleukemic hematopoietic stem and progenitor cells, harboring specific aging-acquired mutations, may have a competitive fitness advantage after induction chemotherapy, expand, and persist long after the completion of chemotherapy. Although the clinical importance of these "rising" clones remains to be determined, it will be important to distinguish them from leukemia-related populations when assessing for molecular responses to induction chemotherapy.

Indexed as

AgingHematopoietic Stem CellsLeukemia, Myeloid, AcuteMutationCells, CulturedHigh-Throughput Nucleotide SequencingHumansRecurrence

Identifiers

PMID26631115
PMCPMC4760092
OpenAlexW2341794002

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.