Evidence map›Paper›PMID 27833094›Full record

ArticleLeukemia2017

Enhanced sensitivity to glucocorticoids in cytarabine-resistant AML.

D Malani, A Murumägi, B Yadav, M Kontro, S Eldfors, A Kumar, R Karjalainen, M M Majumder, P Ojamies, T Pemovska and 6 more

Registry-linked trialOpen 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. It is linked to trial NCT06928909 (Evaluating the Feasibility of an Intensity-Adapted Pediatric Acute Myeloid Leukemia Treatment Guideline in Malawi), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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.

NCT06928909 recruitingnot on this mapstarted 2025, after this paper: background citation

Evaluating the Feasibility of an Intensity-Adapted Pediatric Acute Myeloid Leukemia Treatment Guideline in Malawi

TypeobservationalSponsorBaylor College of MedicineRan2025 to 2030Enrolled30ConditionsAcute Myeloid LeukaemiaArmsIntensity-adapted pediatric acute myeloid treatment guidelines
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 51 citations in OpenAlex.

  1. Cross-Talk Between Histamine HPharmacology research & perspectives · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. CSE1L Silencing Enhances Cytarabine-mediated Cytotoxicity in Acute Myeloid Leukemia.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
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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

16 authors at 5 institutions in 2 countries.

D MalaniInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
A MurumägiInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
B YadavInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
M KontroHematology Research Unit Helsinki, Department of Hematology, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
S EldforsInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
A KumarInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
R KarjalainenInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
M M MajumderInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
P OjamiesInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
T PemovskaInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
K WennerbergInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
C HeckmanInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
K PorkkaHematology Research Unit Helsinki, Department of Hematology, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
M WolfInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
T AittokallioInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
O KallioniemiInstitute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland.
University of Helsinki · FIInstitute for Molecular Medicine Finland · FIHelsinki University Hospital · FIKarolinska Institutet · SEUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We sought to identify drugs that could counteract cytarabine resistance in acute myeloid leukemia (AML) by generating eight resistant variants from MOLM-13 and SHI-1 AML cell lines by long-term drug treatment. These cells were compared with 66 ex vivo chemorefractory samples from cytarabine-treated AML patients. The models and patient cells were subjected to genomic and transcriptomic profiling and high-throughput testing with 250 emerging and clinical oncology compounds. Genomic profiling uncovered deletion of the deoxycytidine kinase (DCK) gene in both MOLM-13- and SHI-1-derived cytarabine-resistant variants and in an AML patient sample. Cytarabine-resistant SHI-1 variants and a subset of chemorefractory AML patient samples showed increased sensitivity to glucocorticoids that are often used in treatment of lymphoid leukemia but not AML. Paired samples taken from AML patients before treatment and at relapse also showed acquisition of glucocorticoid sensitivity. Enhanced glucocorticoid sensitivity was only seen in AML patient samples that were negative for the FLT3 mutation (P=0.0006). Our study shows that development of cytarabine resistance is associated with increased sensitivity to glucocorticoids in a subset of AML, suggesting a new therapeutic strategy that should be explored in a clinical trial of chemorefractory AML patients carrying wild-type FLT3.

Indexed as

Drug Resistance, NeoplasmAdultCytarabinefms-Like Tyrosine Kinase 3Gene Expression ProfilingGlucocorticoidsHumansLeukemia, Myeloid, AcuteTumor Cells, CulturedYoung AdultCytarabineFLT3 protein, humanfms-Like Tyrosine Kinase 3Glucocorticoids

Identifiers

PMID27833094
PMCPMC5420795
OpenAlexW2550415085

What OpenQuestion holds

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Registered trials

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.