Evidence map›Paper›PMID 27391574›Full record

ArticleBlood cancer journal2016

Next-generation sequencing with a myeloid gene panel in core-binding factor AML showed KIT activation loop and TET2 mutations predictive of outcome.

C Y Cher, G M K Leung, C H Au, T L Chan, E S K Ma, J P Y Sim, H Gill, A K W Lie, R Liang, K F Wong and 13 more

Open access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  16. When to obtain genomic data in acute myeloid leukemia (AML) and which mutations matter.Hematology. American Society of Hematology. Education Program · 2018
    Review
  17. Review
  18. Article
  19. Review
  20. Predicting Chemotherapy Resistance in AML.Current hematologic malignancy reports · 2017
    Review
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 at 8 institutions in 2 countries.

C Y CherDivision of Haematology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Hong Kong, China.
G M K LeungDivision of Haematology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Hong Kong, China.
C H AuDepartment of Pathology, Hong Kong Sanatorium & Hospital, Hong Kong, China.
T L ChanDepartment of Pathology, Hong Kong Sanatorium & Hospital, Hong Kong, China.
E S K MaDepartment of Pathology, Hong Kong Sanatorium & Hospital, Hong Kong, China.
J P Y SimDivision of Haematology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Hong Kong, China.
H GillDivision of Haematology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Hong Kong, China.
A K W LieDivision of Haematology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Hong Kong, China.
R LiangDepartment of Medicine, Hong Kong Sanatorium & Hospital, Hong Kong, China.
K F WongDepartment of Pathology, Queen Elizabeth Hospital, Hong Kong, China.
L L P SiuDepartment of Pathology, Queen Elizabeth Hospital, Hong Kong, China.
C S P TsuiDepartment of Pathology, Queen Elizabeth Hospital, Hong Kong, China.
C C SoDepartment of Pathology, Queen Elizabeth Hospital, Hong Kong, China.
H W W WongDivision of Haematology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Hong Kong, China.
S F YipDepartment of Medicine, Tuen Mun Hospital, Hong Kong, China.
H K K LeeDepartment of Medicine, Princess Margaret Hospital, Hong Kong, China.
H S Y LiuDepartment of Medicine, Pamela Youde Nethersole Eastern Hospital, Hong Kong, China.
J S M LauDepartment of Medicine, Queen Elizabeth Hospital, Hong Kong, China.
T H LukDepartment of Medicine, Queen Elizabeth Hospital, Hong Kong, China.
C K LauDepartment of Medicine, Tseung Kwan O Hospital, Hong Kong, China.
S Y LinDepartment of Medicine and Geriatrics, United Christian Hospital, Hong Kong, China.
Y L KwongDivision of Haematology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Hong Kong, China.
A Y H LeungDivision of Haematology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Hong Kong, China.
Queen Elizabeth Hospital · CNChinese University of Hong Kong · CNHong Kong Sanatorium and Hospital · HKUniversity of Hong Kong · HKPamela Youde Nethersole Eastern Hospital · CNTseung Kwan O Hospital · CNTuen Mun Hospital · CNUnited Christian Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical outcome and mutations of 96 core-binding factor acute myeloid leukemia (AML) patients 18-60 years old were examined. Complete remission (CR) after induction was 94.6%. There was no significant difference in CR, leukemia-free-survival (LFS) and overall survival (OS) between t(8;21) (N=67) and inv(16) patients (N=29). Univariate analysis showed hematopoietic stem cell transplantation at CR1 as the only clinical parameter associated with superior LFS. Next-generation sequencing based on a myeloid gene panel was performed in 72 patients. Mutations in genes involved in cell signaling were associated with inferior LFS and OS, whereas those in genes involved in DNA methylation were associated with inferior LFS. KIT activation loop (AL) mutations occurred in 25 patients, and were associated with inferior LFS (P=0.003) and OS (P=0.001). TET2 mutations occurred in 8 patients, and were associated with significantly shorter LFS (P=0.015) but not OS. Patients negative for KIT-AL and TET2 mutations (N=41) had significantly better LFS (P<0.001) and OS (P=0.012) than those positive for both or either mutation. Multivariate analysis showed that KIT-AL and TET2 mutations were associated with inferior LFS, whereas age ⩾40 years and marrow blast ⩾70% were associated with inferior OS. These observations provide new insights that may guide better treatment for this AML subtype.

Indexed as

MutationAdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsCombined Modality TherapyCore Binding FactorsDioxygenasesDNA-Binding ProteinsDNA MethylationDNA Mutational AnalysisFemaleHematopoietic Stem Cell TransplantationHigh-Throughput Nucleotide SequencingHumansLeukemia, Myeloid, AcuteMaleCore Binding FactorsDioxygenasesDNA-Binding ProteinsProto-Oncogene ProteinsProto-Oncogene Proteins c-kitTET2 protein, human

Identifiers

PMID27391574
PMCPMC5030377
OpenAlexW2470053912

What OpenQuestion holds

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LicenceCC BY
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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.