Evidence map›Paper›PMID 27235425›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2016

The Spectrum and Clinical Impact of Epigenetic Modifier Mutations in Myeloma.

Charlotte Pawlyn, Martin F Kaiser, Christoph Heuck, Lorenzo Melchor, Christopher P Wardell, Alex Murison, Shweta S Chavan, David C Johnson, Dil B Begum, Nasrin M Dahir and 13 more

Abstract readClinical Trial
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

62 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Clonal hematopoiesis withHaematologica · 2023
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  17. H3K27me3 Demethylase UTX Restrains Plasma Cell Formation.Journal of immunology (Baltimore, Md. : 1950) · 2022
    Article
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  19. Article
  20. Review

2 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

23 authors.

Charlotte PawlynThe Institute of Cancer Research, London, United Kingdom.
Martin F KaiserThe Institute of Cancer Research, London, United Kingdom.
Christoph HeuckMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Lorenzo MelchorThe Institute of Cancer Research, London, United Kingdom.
Christopher P WardellThe Institute of Cancer Research, London, United Kingdom.
Alex MurisonThe Institute of Cancer Research, London, United Kingdom.
Shweta S ChavanMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
David C JohnsonThe Institute of Cancer Research, London, United Kingdom.
Dil B BegumThe Institute of Cancer Research, London, United Kingdom.
Nasrin M DahirThe Institute of Cancer Research, London, United Kingdom.
Paula Z ProszekThe Institute of Cancer Research, London, United Kingdom.
David A CairnsClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, United Kingdom.
Eileen M BoyleThe Institute of Cancer Research, London, United Kingdom.
John R JonesThe Institute of Cancer Research, London, United Kingdom.
Gordon CookUniversity of Leeds, Leeds, United Kingdom.
Mark T DraysonClinical Immunology, School of Immunity and Infection, University of Birmingham, Birmingham, United Kingdom.
Roger G OwenSt James's University Hospital, Leeds, United Kingdom.
Walter M GregoryClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, United Kingdom.
Graham H JacksonDepartment of Haematology, Newcastle University, Newcastle, United Kingdom.
Bart BarlogieMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Faith E DaviesThe Institute of Cancer Research, London, United Kingdom.
Brian A WalkerThe Institute of Cancer Research, London, United Kingdom.
Gareth J MorganThe Institute of Cancer Research, London, United Kingdom. GJMorgan@uams.edu.

Funding

Tumor Cell-Microenvironment Interactions in the Molecular Pathogenesis of MultiplP01CA055819 · NCI · UNIV OF ARKANSAS FOR MED SCIS · PI BELLAMY, WILLIAM T · 1993 to 2013
$49.7M
NCI NIH HHS P01 CA055819Wellcome Trust
6 · The paper itself

Abstract

purposeEpigenetic dysregulation is known to be an important contributor to myeloma pathogenesis but, unlike other B-cell malignancies, the full spectrum of somatic mutations in epigenetic modifiers has not been reported previously. We sought to address this using the results from whole-exome sequencing in the context of a large prospective clinical trial of newly diagnosed patients and targeted sequencing in a cohort of previously treated patients for comparison. EXPERIMENTAL

designWhole-exome sequencing analysis of 463 presenting myeloma cases entered in the UK NCRI Myeloma XI study and targeted sequencing analysis of 156 previously treated cases from the University of Arkansas for Medical Sciences (Little Rock, AR). We correlated the presence of mutations with clinical outcome from diagnosis and compared the mutations found at diagnosis with later stages of disease.

resultsIn diagnostic myeloma patient samples, we identify significant mutations in genes encoding the histone 1 linker protein, previously identified in other B-cell malignancies. Our data suggest an adverse prognostic impact from the presence of lesions in genes encoding DNA methylation modifiers and the histone demethylase KDM6A/UTX The frequency of mutations in epigenetic modifiers appears to increase following treatment most notably in genes encoding histone methyltransferases and DNA methylation modifiers.

conclusionsNumerous mutations identified raise the possibility of targeted treatment strategies for patients either at diagnosis or relapse supporting the use of sequencing-based diagnostics in myeloma to help guide therapy as more epigenetic targeted agents become available. Clin Cancer Res; 22(23); 5783-94. ©2016 AACR.

Indexed as

AdultAgedAged, 80 and overAmino Acid SequenceB-LymphocytesDNA MethylationEpigenesis, GeneticEpigenomicsExomeFemaleHistone-Lysine N-MethyltransferaseHistone MethyltransferasesHistonesHumansMaleMiddle AgedHistone-Lysine N-MethyltransferaseHistone MethyltransferasesHistones

Identifiers

PMID27235425
PMCPMC5124543

What OpenQuestion holds

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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.