Evidence map›Paper›PMID 27499136›Full record

ArticleLeukemia2017

HOX gene expression predicts response to BCL-2 inhibition in acute myeloid leukemia.

M Kontro, A Kumar, M M Majumder, S Eldfors, A Parsons, T Pemovska, J Saarela, B Yadav, D Malani, Y Fløisand and 7 more

Open access · greenAbstract read
PubMed Publisher
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 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
8.9field-weighted citation impact, top 2% 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

54 citing papers in PubMed, 81 citations in OpenAlex.

  1. Trial
  2. Review
  3. Strategies for identifyingHaematologica · 2026
    Article
  4. Secondary Metabolites fromMetabolites · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Regulation of HOX gene expression in AML.Blood cancer journal · 2024
    Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Targeting regulated cell death pathways in acute myeloid leukemia.Cancer drug resistance (Alhambra, Calif.) · 2023
    Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. The Growing Role of the BH3 Mimetic Drug Venetoclax in the Therapy of Acute Myeloid Leukemia.Mediterranean journal of hematology and infectious diseases · 2022
    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

17 authors at 5 institutions in 3 countries.

M KontroDepartment of Hematology, Hematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
A KumarInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
M M MajumderInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
S EldforsInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.ORCID 0000-0001-5056-4750
A ParsonsInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
T PemovskaInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
J SaarelaInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
B YadavInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
D MalaniInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
Y FløisandOslo University Hospital, Rikshospitalet, Oslo, Norway.
M HöglundDepartment of Hematology, Uppsala University Hospital, Uppsala, Sweden.
K RemesDepartment of Clinical Hematology, Turku University Central Hospital, University of Turku, Turku, Finland.
B T GjertsenDepartment of Clinical Science, Hematology Section, University of Bergen, Bergen, Norway.
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.
C A HeckmanInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
K PorkkaDepartment of Hematology, Hematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
University of Helsinki · FIHaukeland University Hospital · NOOslo University Hospital · NOUniversity of Turku · FIUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inhibitors of B-cell lymphoma-2 (BCL-2) such as venetoclax (ABT-199) and navitoclax (ABT-263) are clinically explored in several cancer types, including acute myeloid leukemia (AML), to selectively induce apoptosis in cancer cells. To identify robust biomarkers for BCL-2 inhibitor sensitivity, we evaluated the ex vivo sensitivity of fresh leukemic cells from 73 diagnosed and relapsed/refractory AML patients, and then comprehensively assessed whether the responses correlated to specific mutations or gene expression signatures. Compared with samples from healthy donor controls (nonsensitive) and chronic lymphocytic leukemia (CLL) patients (highly sensitive), AML samples exhibited variable responses to BCL-2 inhibition. Strongest CLL-like responses were observed in 15% of the AML patient samples, whereas 32% were resistant, and the remaining exhibited intermediate responses to venetoclax. BCL-2 inhibitor sensitivity was associated with genetic aberrations in chromatin modifiers, WT1 and IDH1/IDH2. A striking selective overexpression of specific HOXA and HOXB gene transcripts were detected in highly BCL-2 inhibitor sensitive samples. Ex vivo responses to venetoclax showed significant inverse correlation to β2-microglobulin expression and to a lesser degree to BCL-XL and BAX expression. As new therapy options for AML are urgently needed, the specific HOX gene expression pattern can potentially be used as a biomarker to identify venetoclax-sensitive AML patients for clinical trials.

Indexed as

Gene Expression Regulation, LeukemicGenes, HomeoboxAniline CompoundsAntineoplastic Agentsbeta 2-MicroglobulinBiopsyBone MarrowBridged Bicyclo Compounds, HeterocyclicCase-Control StudiesCell Line, TumorCluster AnalysisDrug Resistance, NeoplasmExomeGene Expression ProfilingHigh-Throughput Nucleotide SequencingHumansAniline CompoundsAntineoplastic Agentsbeta 2-MicroglobulinBridged Bicyclo Compounds, HeterocyclicIDH1 protein, humanIDH2 protein, humanIsocitrate DehydrogenasenavitoclaxProto-Oncogene Proteins c-bcl-2SulfonamidesvenetoclaxWT1 Proteins

Identifiers

PMID27499136
OpenAlexW2504352323

What OpenQuestion holds

Textmetadata
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.