Evidence map›Paper›PMID 27449287›Full record

ArticleOncotarget2016

CRLF2 over-expression is a poor prognostic marker in children with high risk T-cell acute lymphoblastic leukemia.

Chiara Palmi, Angela M Savino, Daniela Silvestri, Ilaria Bronzini, Gunnar Cario, Maddalena Paganin, Barbara Buldini, Marta Galbiati, Martina U Muckenthaler, Cristina Bugarin and 25 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. [Clinical features ofZhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
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  3. Characterization ofInternational journal of molecular sciences · 2025
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  5. Comprehensive detection ofFrontiers in molecular biosciences · 2024
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  17. Suppressors and activators of JAK-STAT signaling at diagnosis and relapse of acute lymphoblastic leukemia in Down syndrome.Proceedings of the National Academy of Sciences of the United States of America · 2017
    Article
  18. Article
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

35 authors at 16 institutions in 2 countries.

Chiara PalmiCentro Ricerca M. Tettamanti, Clinica Pediatrica, Università di Milano Bicocca, Fondazione MBBM/Ospedale San Gerardo, Monza, Italy.
Angela M SavinoCentro Ricerca M. Tettamanti, Clinica Pediatrica, Università di Milano Bicocca, Fondazione MBBM/Ospedale San Gerardo, Monza, Italy.
Daniela SilvestriCenter of Biostatistics for Clinical Epidemiology, Department of Health Sciences, University of Milano-Bicocca, Milan, Italy.
Ilaria BronziniLaboratory of Onco-Hematology, Department SDB, Università di Padova, Padova, Italy.
Gunnar CarioDepartment of Pediatrics, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Maddalena PaganinLaboratory of Onco-Hematology, Department SDB, Università di Padova, Padova, Italy.
Barbara BuldiniLaboratory of Onco-Hematology, Department SDB, Università di Padova, Padova, Italy.
Marta GalbiatiCentro Ricerca M. Tettamanti, Clinica Pediatrica, Università di Milano Bicocca, Fondazione MBBM/Ospedale San Gerardo, Monza, Italy.
Martina U MuckenthalerDepartment of Pediatric Oncology, Hematology and Immunology, University of Heidelberg and EMBL/Medical Faculty Molecular Medicine Partnership Unit, Heidelberg, Germany.
Cristina BugarinCentro Ricerca M. Tettamanti, Clinica Pediatrica, Università di Milano Bicocca, Fondazione MBBM/Ospedale San Gerardo, Monza, Italy.
Pamela Della MinaMicroscopy and Image Analysis Consortium, Università di Milano-Bicocca, Monza, Italy.
Stefan NagelDepartment of Human and Animal Cell Lines, Leibniz-Institute DSMZ - German Collection of Microorganisms and Cell Cultures, Braunschweig, Germany.
Elena BarisonePediatric Onco-Hematology, Stem Cell Transplantation and Cellular Therapy Division, Regina Margherita Children's Hospital, Turin, Italy.
Fiorina CasalePediatric Oncology Service, Pediatric Department of 2nd University of Naples, Naples, Italy.
Franco LocatelliDepartment of Pediatric Hematology/Oncology, IRCCS Ospedale Bambino Gesù, Rome - University of Pavia, Pavia, Italy.
Luca Lo NigroCenter of Pediatric Hematology Oncology, Azienda Ospedaliero-Universitaria "Policlinico Vittorio Emanuele", Catania, Italy.
Concetta MicalizziHematology/Oncology Unit, G. Gaslini Children's Hospital, Genoa, Italy.
Rosanna ParasoleDepartment of Pediatric Hemato-Oncology, Ospedale Pausilipon, Napoli, Italy.
Andrea PessionDepartment of Pediatrics, "Lalla Seràgnoli" Hematology-Oncology Unit, University of Bologna, Bologna, Italy.
Maria C PuttiLaboratory of Onco-Hematology, Department SDB, Università di Padova, Padova, Italy.
Nicola SantoroDepartment of Pediatrics, Division of Pediatric Hematology-Oncology, University "A. Moro" of Bari, Bari, Italy.
Anna M TestiDivision of Hematology, Department of Biotechnologies and Hematology, "Sapienza" University of Rome, Rome, Italy.
Ottavio ZiinoPediatric Hematology and Oncology Unit, A.R.N.A.S. Civico, Di Cristina and Benfratelli Hospital, Palermo, Italy.
Andreas E KulozikDepartment of Pediatric Oncology, Hematology and Immunology, University of Heidelberg and EMBL/Medical Faculty Molecular Medicine Partnership Unit, Heidelberg, Germany.
Martin ZimmermannDepartment of Paediatric Haematology and Oncology, Hannover Medical School, Hannover, Germany.
Martin SchrappeDepartment of Pediatrics, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Antonello VillaMicroscopy and Image Analysis Consortium, Università di Milano-Bicocca, Monza, Italy.
Giuseppe GaipaCentro Ricerca M. Tettamanti, Clinica Pediatrica, Università di Milano Bicocca, Fondazione MBBM/Ospedale San Gerardo, Monza, Italy.
Giuseppe BassoLaboratory of Onco-Hematology, Department SDB, Università di Padova, Padova, Italy.
Andrea BiondiClinica Pediatrica, Università di Milano Bicocca, Fondazione MBBM/Ospedale San Gerardo, Monza, Italy.
Maria G ValsecchiCenter of Biostatistics for Clinical Epidemiology, Department of Health Sciences, University of Milano-Bicocca, Milan, Italy.
Martin StanullaDepartment of Paediatric Haematology and Oncology, Hannover Medical School, Hannover, Germany.
Valentino ConterClinica Pediatrica, Università di Milano Bicocca, Fondazione MBBM/Ospedale San Gerardo, Monza, Italy.
Geertruy Te KronnieLaboratory of Onco-Hematology, Department SDB, Università di Padova, Padova, Italy.
Giovanni CazzanigaCentro Ricerca M. Tettamanti, Clinica Pediatrica, Università di Milano Bicocca, Fondazione MBBM/Ospedale San Gerardo, Monza, Italy.
University of Milano-Bicocca · ITUniversity of Padua · ITMedizinische Hochschule Hannover · DEAzienda di Rilievo Nazionale ed Alta Specializzazione · ITAzienda Ospedaliero-Universitaria Policlinico - Vittorio Emanuele · ITHeidelberg University · DEIstituto Giannina Gaslini · ITLeibniz Institute DSMZ – German Collection of Microorganisms and Cell Cultures · DESapienza University of Rome · ITUniversity Hospital Heidelberg · DEUniversity Hospital Schleswig-Holstein · DEUniversity of Bari Aldo Moro · ITUniversity of Bologna · ITUniversity of Lübeck · DEUniversity of Naples Federico II · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pediatric T-ALL patients have a worse outcome compared to BCP-ALL patients and they could benefit from new prognostic marker identification. Alteration of CRLF2 gene, a hallmark correlated with poor outcome in BCP-ALL, has not been reported in T-ALL.We analyzed CRLF2 expression in 212 T-ALL pediatric patients enrolled in AIEOP-BFM ALL2000 study in Italian and German centers.Seventeen out of 120 (14.2%) Italian patients presented CRLF2 mRNA expression 5 times higher than the median (CRLF2-high); they had a significantly inferior event-free survival (41.2%±11.9 vs. 68.9%±4.6, p=0.006) and overall survival (47.1%±12.1 vs. 73.8%±4.3, p=0.009) and an increased cumulative incidence of relapse/resistance (52.9%±12.1 vs. 26.2%±4.3, p=0.007) compared to CRLF2-low patients. The prognostic value of CRLF2 over-expression was validated in the German cohort. Of note, CRLF2 over-expression was associated with poor prognosis in the high risk (HR) subgroup where CRLF2-high patients were more frequently allocated.Interestingly, although in T-ALL CRLF2 protein was localized mainly in the cytoplasm, in CRLF2-high blasts we found a trend towards a stronger TSLP-induced pSTAT5 response, sensitive to the JAK inhibitor Ruxolitinib.In conclusion, CRLF2 over-expression is a poor prognostic marker identifying a subset of HR T-ALL patients that could benefit from alternative therapy, potentially targeting the CRLF2 pathway.

Indexed as

AdolescentBiomarkers, TumorCells, CulturedChildChild, PreschoolFemaleGene Expression Regulation, NeoplasticHumansInfantInfant, NewbornMalePrecursor Cell Lymphoblastic Leukemia-LymphomaPredictive Value of TestsPrognosisReceptors, CytokineSurvival AnalysisBiomarkers, TumorCRLF2 protein, humanReceptors, CytokineCRLF2high riskpediatric leukemiaprognostic markerT acute lymphoblastic leukemia

Identifiers

PMID27449287
PMCPMC5312310
OpenAlexW2473253257

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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.