Evidence map›Paper›PMID 27325104›Full record

ArticleBlood2016

Pediatric-type nodal follicular lymphoma: a biologically distinct lymphoma with frequent MAPK pathway mutations.

Abner Louissaint, Kristian T Schafernak, Julia T Geyer, Alexandra E Kovach, Mahmoud Ghandi, Dita Gratzinger, Christine G Roth, Christian N Paxton, Sunhee Kim, Chungdak Namgyal and 10 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
14.3field-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, 1 synthesis or guideline pooled it, 156 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Audit of B-cell cancer genes.Blood advances · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Pediatric lymphomas: overview and diagnostic challenges.Virchows Archiv : an international journal of pathology · 2025
    Review
  10. Article
  11. Article
  12. Advancements in the Management of Follicular Lymphoma: A Comprehensive ReviewTurkish journal of haematology : official journal of Turkish Society of Haematology · 2024
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. The pathobiology of follicular lymphoma.Journal of clinical and experimental hematopathology : JCEH · 2023
    Article
  18. Article
  19. Article
  20. Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 12 institutions in 2 countries.

Abner LouissaintDepartment of Pathology, Massachusetts General Hospital, Boston, MA; Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA;
Kristian T SchafernakDepartment of Pathology and Laboratory Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL;
Julia T GeyerDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College/New York-Presbyterian Hospital, New York, NY;
Alexandra E KovachDepartment of Pathology, Boston Children's Hospital, Boston, MA;
Mahmoud GhandiBroad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA;
Dita GratzingerDepartment of Pathology, Stanford University School of Medicine, Stanford, CA;
Christine G RothDepartment of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA;
Christian N PaxtonARUP Institute for Clinical and Experimental Pathology, Department of Pathology, University of Utah, Salt Lake City, UT;
Sunhee KimDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA;
Chungdak NamgyalDepartment of Pathology, Brigham & Women's Hospital, Boston, MA;
Ryan MorinDepartment of Molecular Biology and Biochemistry, Simon Fraser University, Burnaby, BC, Canada;
Elizabeth A MorganDepartment of Pathology, Brigham & Women's Hospital, Boston, MA;
Donna S NeubergDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, MA;
Sarah T SouthARUP Laboratories, Department of Pathology, University of Utah, Salt Lake City, UT; and.
Marian H HarrisDepartment of Pathology, Boston Children's Hospital, Boston, MA;
Robert P HasserjianDepartment of Pathology, Massachusetts General Hospital, Boston, MA;
Ephraim P HochbergDepartment of Medicine, Massachusetts General Hospital, Boston, MA.
Levi A GarrawayDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA; Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA;
Nancy Lee HarrisDepartment of Pathology, Massachusetts General Hospital, Boston, MA;
David M WeinstockDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA; Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA;
Massachusetts General Hospital · USBoston Children's Hospital · USBrigham and Women's Hospital · USBroad Institute · USDana-Farber Cancer Institute · USUniversity of Utah · USLurie Children's Hospital · USMassachusetts Institute of Technology · USNewYork–Presbyterian Hospital · USSimon Fraser University · CAStanford University · USUniversity of Pittsburgh · US

Funding

Molecular determinants of prognosis in limited-stage follicular lymphomaK23CA184279 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI LOUISSAINT, ABNER · 2014 to 2018
$701k
NCI NIH HHS K23 CA184279
6 · The paper itself

Abstract

Pediatric-type nodal follicular lymphoma (PTNFL) is a variant of follicular lymphoma (FL) characterized by limited-stage presentation and invariably benign behavior despite often high-grade histological appearance. It is important to distinguish PTNFL from typical FL in order to avoid unnecessary treatment; however, this distinction relies solely on clinical and pathological criteria, which may be variably applied. To define the genetic landscape of PTNFL, we performed copy number analysis and exome and/or targeted sequencing of 26 PTNFLs (16 pediatric and 10 adult). The most commonly mutated gene in PTNFL was MAP2K1, encoding MEK1, with a mutation frequency of 43%. All MAP2K1 mutations were activating missense mutations localized to exons 2 and 3, which encode negative regulatory and catalytic domains, respectively. Missense mutations in MAPK1 (2/22) and RRAS (1/22) were identified in cases that lacked MAP2K1 mutations. The second most commonly mutated gene in PTNFL was TNFRSF14, with a mutation frequency of 29%, similar to that seen in limited-stage typical FL (P = .35). PTNFL was otherwise genomically bland and specifically lacked recurrent mutations in epigenetic modifiers (eg, CREBBP, KMT2D). Copy number aberrations affected a mean of only 0.5% of PTNFL genomes, compared with 10% of limited-stage typical FL genomes (P < .02). Importantly, the mutational profiles of PTNFLs in children and adults were highly similar. Together, these findings define PTNFL as a biologically and clinically distinct indolent lymphoma of children and adults characterized by a high prevalence of MAPK pathway mutations and a near absence of mutations in epigenetic modifiers.

Indexed as

AdolescentAge FactorsCell ShapeChildChild, PreschoolDNA Copy Number VariationsEpigenesis, GeneticFemaleHumansImmunophenotypingInfantLymphoma, FollicularMaleMAP Kinase Signaling SystemMutation

Identifiers

PMID27325104
PMCPMC5000844
OpenAlexW2471799713

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.