Evidence map›Paper›PMID 27019113›Full record

ArticleNature genetics2016

Recurrent DUX4 fusions in B cell acute lymphoblastic leukemia of adolescents and young adults.

Takahiko Yasuda, Shinobu Tsuzuki, Masahito Kawazu, Fumihiko Hayakawa, Shinya Kojima, Toshihide Ueno, Naoto Imoto, Shinji Kohsaka, Akiko Kunita, Koichiro Doi and 17 more

Erratum issuedAbstract readComment
PubMed Publisher
In one paragraph

Article in Nature genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 177 papers.

0numbers the graph read from it
0cells of the map it votes in
177citing papers in PubMed
25.7field-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

177 citing papers in PubMed, 268 citations in OpenAlex.

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  15. [Clinical characteristics of DUX4-IGH fusion B-cell acute lymphoblastic leukemia in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
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  19. Clinical case reports · 2025
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117 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 13 institutions in 1 country.

Takahiko YasudaDepartment of Cellular Signaling, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Shinobu TsuzukiDivision of Molecular Medicine, Aichi Cancer Center Research Institute, Aichi, Japan.
Masahito KawazuDepartment of Medical Genomics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Fumihiko HayakawaDepartment of Hematology and Oncology, Nagoya University Graduate School of Medicine, Aichi, Japan.
Shinya KojimaDepartment of Cellular Signaling, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Toshihide UenoDepartment of Cellular Signaling, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Naoto ImotoDepartment of Hematology and Oncology, Nagoya University Graduate School of Medicine, Aichi, Japan.
Shinji KohsakaDepartment of Medical Genomics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Akiko KunitaDepartment of Pathology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Koichiro DoiDepartment of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, The University of Tokyo, Chiba, Japan.
Toru SakuraLeukemia Research Center, Saiseikai Maebashi Hospital, Gunma, Japan.
Toshiaki YujiriThird Department of Internal Medicine, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan.
Eisei KondoDepartment of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Katsumichi FujimakiDepartment of Hematology, Fujisawa City Hospital, Kanagawa, Japan.
Yasunori UedaDepartment of Hematology/Oncology, Kurashiki Central Hospital, Okayama, Japan.
Yasutaka AoyamaDepartment of Internal Medicine, Seichoukai Fuchu Hospital, Osaka, Japan.
Shigeki OhtakeDepartment of Clinical Laboratory Science, Kanazawa University Graduate School of Medical Science, Ishikawa, Japan.
Junko TakitaDepartment of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Eirin SaiDepartment of Medical Genomics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Masafumi TaniwakiDivision of Hematology and Oncology, Department of Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Mineo KurokawaDepartment of Hematology and Oncology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Shinichi MorishitaDepartment of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, The University of Tokyo, Chiba, Japan.
Masashi FukayamaDepartment of Pathology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Hitoshi KiyoiDepartment of Hematology and Oncology, Nagoya University Graduate School of Medicine, Aichi, Japan.
Yasushi MiyazakiDepartment of Hematology, Atomic Bomb Disease Institute, Nagasaki University, Nagasaki, Japan.
Tomoki NaoeNational Hospital Organization Nagoya Medical Center, Aichi, Japan.
Hiroyuki ManoDepartment of Cellular Signaling, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
The University of Tokyo · JPNagoya University · JPAichi Cancer Center · JPFuchu Hospital · JPFujisawa City Hospital · JPGunma Saiseikai Maebashi Hospital · JPKanazawa University · JPKurashiki Central Hospital · JPKyoto Prefectural University of Medicine · JPNagasaki University · JPNagoya Medical Center · JPOkayama University · JPYamaguchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The oncogenic mechanisms underlying acute lymphoblastic leukemia (ALL) in adolescents and young adults (AYA; 15-39 years old) remain largely elusive. Here we have searched for new oncogenes in AYA-ALL by performing RNA-seq analysis of Philadelphia chromosome (Ph)-negative AYA-ALL specimens (n = 73) with the use of a next-generation sequencer. Interestingly, insertion of D4Z4 repeats containing the DUX4 gene into the IGH locus was frequently identified in B cell AYA-ALL, leading to a high level of expression of DUX4 protein with an aberrant C terminus. A transplantation assay in mice demonstrated that expression of DUX4-IGH in pro-B cells was capable of generating B cell leukemia in vivo. DUX4 fusions were preferentially detected in the AYA generation. Our data thus show that DUX4 can become an oncogenic driver as a result of somatic chromosomal rearrangements and that AYA-ALL may be a clinical entity distinct from ALL at other ages.

Indexed as

Gene FusionAdolescentAdultAgedAged, 80 and overAge FactorsAnimalsChildChild, PreschoolCohort StudiesFemaleHEK293 CellsHomeodomain ProteinsHumansImmunoglobulin Heavy ChainsInfantDUX4L1 protein, humanHomeodomain ProteinsImmunoglobulin Heavy ChainsMEF2D protein, humanMEF2 Transcription FactorsOncogene Proteins, FusionRNA, NeoplasmTrans-ActivatorsZNF384 protein, human

Identifiers

PMID27019113
OpenAlexW2335147237

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.