Evidence map›Paper›PMID 27158276›Full record

ArticleClinical epigenetics2016

CREBBP is a target of epigenetic, but not genetic, modification in juvenile myelomonocytic leukemia.

Silvia Fluhr, Melanie Boerries, Hauke Busch, Aikaterini Symeonidi, Tania Witte, Daniel B Lipka, Oliver Mücke, Peter Nöllke, Christopher Felix Krombholz, Charlotte M Niemeyer and 2 more

Open access · goldAbstract read
In one paragraph

Article in Clinical epigenetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Current Treatment of Juvenile Myelomonocytic Leukemia.Journal of clinical medicine · 2021
    Review
  3. Pediatric Neoplasms Presenting with Monocytosis.Current hematologic malignancy reports · 2021
    Review
  4. International Consensus Definition of DNA Methylation Subgroups in Juvenile Myelomonocytic Leukemia.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Article
  5. Article
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  8. Review
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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

12 authors at 6 institutions in 1 country.

Silvia FluhrDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, University Medical Center, Mathildenstrasse 1, 79106 Freiburg, Germany.
Melanie BoerriesInstitute of Molecular Medicine and Cell Research, University of Freiburg, Freiburg, Germany.
Hauke BuschInstitute of Molecular Medicine and Cell Research, University of Freiburg, Freiburg, Germany.
Aikaterini SymeonidiInstitute of Molecular Medicine and Cell Research, University of Freiburg, Freiburg, Germany.
Tania WitteDivision of Epigenomics and Cancer Risk Factors, German Cancer Research Center, Heidelberg, Germany.
Daniel B LipkaDivision of Epigenomics and Cancer Risk Factors, German Cancer Research Center, Heidelberg, Germany.
Oliver MückeDivision of Epigenomics and Cancer Risk Factors, German Cancer Research Center, Heidelberg, Germany.
Peter NöllkeDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, University Medical Center, Mathildenstrasse 1, 79106 Freiburg, Germany.
Christopher Felix KrombholzDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, University Medical Center, Mathildenstrasse 1, 79106 Freiburg, Germany.
Charlotte M NiemeyerDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, University Medical Center, Mathildenstrasse 1, 79106 Freiburg, Germany.
Christoph Plass *German Cancer Consortium (DKTK), Heidelberg, Germany.
Christian Flotho *Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, University Medical Center, Mathildenstrasse 1, 79106 Freiburg, Germany.
University of Freiburg · DEDeutschen Konsortium für Translationale Krebsforschung · DEGerman Cancer Research Center · DEUniversity Medical Center Freiburg · DEEpigenomics (Germany) · DEHeidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJuvenile myelomonocytic leukemia (JMML) is a myeloproliferative neoplasm of childhood whose clinical heterogeneity is only poorly represented by gene sequence alterations. It was previously shown that aberrant DNA methylation of distinct target genes defines a more aggressive variant of JMML, but only few significant targets are known so far. To get a broader picture of disturbed CpG methylation patterns in JMML, we carried out a methylation screen of 34 candidate genes in 45 patients using quantitative mass spectrometry.

findingsFive of 34 candidate genes analyzed showed recurrent hypermethylation in JMML. cAMP-responsive element-binding protein-binding protein (CREBBP) was the most frequent target of epigenetic modification (77 % of cases). However, no pathogenic mutations of CREBBP were identified in a genetic analysis of 64 patients. CREBBP hypermethylation correlated with clinical parameters known to predict poor outcome.

conclusionsThis study supports the relevance of epigenetic aberrations in JMML pathophysiology. Our data confirm that DNA hypermethylation in JMML is highly target-specific and associated with higher-risk features. These findings encourage the development of prognostic markers based on epigenetic alterations, which will be helpful in the difficult clinical management of this heterogeneous disease.

Indexed as

DNA MethylationCpG IslandsCREB-Binding ProteinEpigenesis, GeneticHumansLeukemia, Myelomonocytic, JuvenileMass SpectrometryPrognosisCREB-Binding ProteinCREBBP protein, humanCREBBPDNA methylationEpigeneticsJuvenile myelomonocytic leukemia

Identifiers

PMID27158276
PMCPMC4858931
OpenAlexW2345981936

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Registered trials

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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.