Evidence map›Paper›PMID 26847028›Full record

ArticleLeukemia2016

Longitudinal copy number, whole exome and targeted deep sequencing of 'good risk' IGHV-mutated CLL patients with progressive disease.

M J J Rose-Zerilli, J Gibson, J Wang, W Tapper, Z Davis, H Parker, M Larrayoz, H McCarthy, R Walewska, J Forster and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Chronic Lymphocytic Leukemia.Cold Spring Harbor perspectives in medicine · 2021
    Review
  11. In Vitro Modeling of Non-Solid Tumors: How Far Can Tissue Engineering Go?International journal of molecular sciences · 2020
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Genetic landscape of ultra-stable chronic lymphocytic leukemia patients.Annals of oncology : official journal of the European Society for Medical Oncology · 2018
    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

18 authors at 4 institutions in 2 countries.

M J J Rose-ZerilliAcademic Unit of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
J GibsonCentre for Biological Sciences, Faculty of Natural and Environmental Studies, University of Southampton, Southampton, UK.
J WangBioinformatics Unit, Barts Cancer Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
W TapperHuman Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
Z DavisDepartment of Haematology, Royal Bournemouth Hospital, Bournemouth, UK.
H ParkerAcademic Unit of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
M LarrayozAcademic Unit of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
H McCarthyDepartment of Haematology, Royal Bournemouth Hospital, Bournemouth, UK.
R WalewskaDepartment of Haematology, Royal Bournemouth Hospital, Bournemouth, UK.
J ForsterAcademic Unit of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
A GardinerDepartment of Haematology, Royal Bournemouth Hospital, Bournemouth, UK.
A J SteeleAcademic Unit of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
C ChelalaBioinformatics Unit, Barts Cancer Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
S EnnisHuman Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
A CollinsHuman Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
C C OakesDivision of Hematology, Department of Internal Medicine, The Ohio State University, Columbus, USA.
D G OscierAcademic Unit of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
J C StreffordAcademic Unit of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
University of Southampton · GBRoyal Bournemouth Hospital · GBQueen Mary University of London · GBThe Ohio State University · US

Funding

Bloodwise 11052Bloodwise 12036
6 · The paper itself

Abstract

The biological features of IGHV-M chronic lymphocytic leukemia responsible for disease progression are still poorly understood. We undertook a longitudinal study close to diagnosis, pre-treatment and post relapse in 13 patients presenting with cMBL or Stage A disease and good-risk biomarkers (IGHV-M genes, no del(17p) or del(11q) and low CD38 expression) who nevertheless developed progressive disease, of whom 10 have required therapy. Using cytogenetics, fluorescence in situ hybridisation, genome-wide DNA methylation and copy number analysis together with whole exome, targeted deep- and Sanger sequencing at diagnosis, we identified mutations in established chronic lymphocytic leukemia driver genes in nine patients (69%), non-coding mutations (PAX5 enhancer region) in three patients and genomic complexity in two patients. Branching evolutionary trajectories predominated (n=9/13), revealing intra-tumoural epi- and genetic heterogeneity and sub-clonal competition before therapy. Of the patients subsequently requiring treatment, two had sub-clonal TP53 mutations that would not be detected by standard methodologies, three qualified for the very-low-risk category defined by integrated mutational and cytogenetic analysis and yet had established or putative driver mutations and one patient developed progressive, therapy-refractory disease associated with the emergence of an IGHV-U clone. These data suggest that extended genomic and immunogenetic screening may have clinical utility in patients with apparent good-risk disease.

Indexed as

Gene DosageMutationAdolescentAdultAgedClone CellsCytogenetic AnalysisDisease ProgressionExomeGenetic HeterogeneityHigh-Throughput Nucleotide SequencingHumansImmunoglobulin Heavy ChainsLeukemia, Lymphocytic, Chronic, B-CellLongitudinal StudiesMiddle AgedImmunoglobulin Heavy Chains

Identifiers

PMID26847028
PMCPMC4861248
OpenAlexW2284954245

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.