Evidence map›Paper›PMID 27365488›Full record

ArticleHaematologica2016

Clinical and pathogenic features of ETV6-related thrombocytopenia with predisposition to acute lymphoblastic leukemia.

Federica Melazzini, Flavia Palombo, Alessandra Balduini, Daniela De Rocco, Caterina Marconi, Patrizia Noris, Chiara Gnan, Tommaso Pippucci, Valeria Bozzi, Michela Faleschini and 12 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
10.2field-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

50 citing papers in PubMed, 104 citations in OpenAlex.

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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

22 authors at 12 institutions in 4 countries.

Federica MelazziniDepartment of Internal Medicine, IRCCS Policlinico San Matteo Foundation and University of Pavia, Italy.
Flavia PalomboDepartment of Medical and Surgical Science, Policlinico Sant'Orsola Malpighi and University of Bologna, Italy.
Alessandra BalduiniDepartment of Molecular Medicine, University of Pavia, Italy.
Daniela De RoccoDepartment of Medical, Surgical and Health Sciences, IRCCS Burlo Garofolo and University of Trieste, Italy.
Caterina MarconiDepartment of Medical and Surgical Science, Policlinico Sant'Orsola Malpighi and University of Bologna, Italy.
Patrizia NorisDepartment of Internal Medicine, IRCCS Policlinico San Matteo Foundation and University of Pavia, Italy.
Chiara GnanDepartment of Medical, Surgical and Health Sciences, IRCCS Burlo Garofolo and University of Trieste, Italy.
Tommaso PippucciDepartment of Medical and Surgical Science, Policlinico Sant'Orsola Malpighi and University of Bologna, Italy.
Valeria BozziDepartment of Internal Medicine, IRCCS Policlinico San Matteo Foundation and University of Pavia, Italy.
Michela FaleschiniDepartment of Medical, Surgical and Health Sciences, IRCCS Burlo Garofolo and University of Trieste, Italy.
Serena BarozziDepartment of Internal Medicine, IRCCS Policlinico San Matteo Foundation and University of Pavia, Italy.
Michael DoubekUniversity Hospital and Masaryk University, Brno, Czech Republic.
Christian A Di BuduoDepartment of Molecular Medicine, University of Pavia, Italy.
Katerina Stano KozubikCenter of Molecular Medicine, Central European Institute of Technology, Masaryk University, Brno, Czech Republic.
Lenka RadovaCenter of Molecular Medicine, Central European Institute of Technology, Masaryk University, Brno, Czech Republic.
Giuseppe LoffredoDepartment of Oncology, Azienda "Santobono-Pausilipon", Pausilipon Hospital, Napoli, Italy.
Sarka PospisilovaCenter of Molecular Medicine, Central European Institute of Technology, Masaryk University, Brno, Czech Republic.
Caterina AlfanoMaurice Wohl Institute, King's College London, UK.
Marco SeriDepartment of Medical and Surgical Science, Policlinico Sant'Orsola Malpighi and University of Bologna, Italy.
Carlo L BalduiniDepartment of Internal Medicine, IRCCS Policlinico San Matteo Foundation and University of Pavia, Italy.
Alessandro PecciDepartment of Internal Medicine, IRCCS Policlinico San Matteo Foundation and University of Pavia, Italy alessandro.pecci@unipv.it.
Anna SavoiaDepartment of Medical, Surgical and Health Sciences, IRCCS Burlo Garofolo and University of Trieste, Italy.
University of Pavia · ITIRCCS Materno Infantile Burlo Garofolo · ITPoliclinico S.Orsola-Malpighi · ITCentral European Institute of Technology · CZIstituti di Ricovero e Cura a Carattere Scientifico · ITCentral European Institute of Technology – Masaryk University · CZKing's College London · GBMasaryk University · CZSantobono Children's Hospital · ITTufts University · USUniversity of Bologna · ITUniversity of Trieste · IT

Funding

Telethon GGP13082
6 · The paper itself

Abstract

ETV6-related thrombocytopenia is an autosomal dominant thrombocytopenia that has been recently identified in a few families and has been suspected to predispose to hematologic malignancies. To gain further information on this disorder, we searched for ETV6 mutations in the 130 families with inherited thrombocytopenia of unknown origin from our cohort of 274 consecutive pedigrees with familial thrombocytopenia. We identified 20 patients with ETV6-related thrombocytopenia from seven pedigrees. They have five different ETV6 variants, including three novel mutations affecting the highly conserved E26 transformation-specific domain. The relative frequency of ETV6-related thrombocytopenia was 2.6% in the whole case series and 4.6% among the families with known forms of inherited thrombocytopenia. The degree of thrombocytopenia and bleeding tendency of the patients with ETV6-related thrombocytopenia were mild, but four subjects developed B-cell acute lymphoblastic leukemia during childhood, resulting in a significantly higher incidence of this condition compared to that in the general population. Clinical and laboratory findings did not identify any particular defects that could lead to the suspicion of this disorder from the routine diagnostic workup. However, at variance with most inherited thrombocytopenias, platelets were not enlarged. In vitro studies revealed that the maturation of the patients' megakaryocytes was defective and that the patients have impaired proplatelet formation. Moreover, platelets from patients with ETV6-related thrombocytopenia have reduced ability to spread on fibrinogen. Since the dominant thrombocytopenias due to mutations in RUNX1 and ANKRD26 are also characterized by normal platelet size and predispose to hematologic malignancies, we suggest that screening for ETV6, RUNX1 and ANKRD26 mutations should be performed in all subjects with autosomal dominant thrombocytopenia and normal platelet size.

Indexed as

AdolescentAdultCell Transformation, NeoplasticChildChild, PreschoolCore Binding Factor Alpha 2 SubunitETS Translocation Variant 6 ProteinFamilyGenetic Predisposition to DiseaseHumansInfantInfant, NewbornIntercellular Signaling Peptides and ProteinsMiddle AgedMutationNuclear ProteinsANKRD26 protein, humanCore Binding Factor Alpha 2 SubunitETS Translocation Variant 6 ProteinIntercellular Signaling Peptides and ProteinsNuclear ProteinsProto-Oncogene Proteins c-etsRepressor ProteinsRUNX1 protein, human

Identifiers

PMID27365488
PMCPMC5394865
OpenAlexW2466200998

What OpenQuestion holds

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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.