Evidence map›Paper›PMID 27461063›Full record

ArticleLeukemia2017

Idelalisib sensitivity and mechanisms of disease progression in relapsed TCF3-PBX1 acute lymphoblastic leukemia.

S Eldfors, H Kuusanmäki, M Kontro, M M Majumder, A Parsons, H Edgren, T Pemovska, O Kallioniemi, K Wennerberg, N Gökbuget and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing 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

39 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
  2. iScience · 2026
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  8. Review
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  13. Article
  14. Comprehensive summary: the role of PBX1 in development and cancers.Frontiers in cell and developmental biology · 2024
    Review
  15. Article
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  17. Article
  18. Review
  19. Review
  20. 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

13 authors at 3 institutions in 2 countries.

S EldforsInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.ORCID 0000-0001-5056-4750
H KuusanmäkiInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
M KontroHematology Research Unit Helsinki, Department of Hematology, University of Helsinki and Helsinki University Central Hospital Cancer Center, Helsinki, Finland.
M M MajumderInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
A ParsonsInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
H EdgrenMediSapiens Ltd., Helsinki, Finland.
T PemovskaInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
O KallioniemiInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.ORCID 0000-0002-3231-0332
K WennerbergInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
N GökbugetDepartment of Medicine II, Goethe University, Frankfurt, Germany.
T BurmeisterCharité Universtätsmedizin Berlin, Med. Klinik für Hämatologie, Onkologie und Tumorimmunologie, Berlin, Germany.ORCID 0000-0003-4843-2876
K PorkkaHematology Research Unit Helsinki, Department of Hematology, University of Helsinki and Helsinki University Central Hospital Cancer Center, Helsinki, Finland.
C A HeckmanInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
University of Helsinki · FICharité - Universitätsmedizin Berlin · DEGoethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

TCF3-PBX1 (E2A-PBX1) is a recurrent gene fusion in B-cell precursor acute lymphoblastic leukemia (BCP-ALL), which is caused by the translocation t(1;19)(q23;p13). TCF3-PBX1 BCP-ALL patients typically benefit from chemotherapy; however, many relapse and subsequently develop resistant disease with few effective treatment options. Mechanisms driving disease progression and therapy resistance have not been studied in TCF3-PBX1 BCP-ALL. Here, we aimed to identify novel treatment options for TCF3-PBX1 BCP-ALL by profiling leukemia cells from a relapsed patient, and determine molecular mechanisms underlying disease pathogenesis and progression. By drug-sensitivity testing of leukemic blasts from the index patient, control samples and TCF3-PBX1 positive and negative BCP-ALL cell lines, we identified the phosphatidylinositide 3-kinase delta (p110δ) inhibitor idelalisib as an effective treatment for TCF3-PBX1 BCP-ALL. This was further supported by evidence showing TCF3-PBX1 directly regulates expression of PIK3CD, the gene encoding p110δ. Other somatic mutations to TP53 and MTOR, as well as aberrant expression of CXCR4, may influence additional drug sensitivities specific to the index patient and accompanied progression of the disease. Our results suggest that idelalisib is a promising treatment option for patients with TCF3-PBX1 BCP-ALL, whereas other drugs could be useful depending on the genetic context of individual patients.

Indexed as

Oncogene Proteins, FusionAdultCell Line, TumorClass Ia Phosphatidylinositol 3-KinaseDisease ProgressionGene Expression Regulation, NeoplasticHumansMalePhosphoinositide-3 Kinase InhibitorsPrecursor Cell Lymphoblastic Leukemia-LymphomaPurinesQuinazolinonesRecurrenceClass Ia Phosphatidylinositol 3-KinaseidelalisibOncogene Proteins, FusionPhosphoinositide-3 Kinase InhibitorsPurinesQuinazolinonesTCF3-PBX1 fusion protein, human

Identifiers

PMID27461063
PMCPMC5220125
OpenAlexW2499621567

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.