Evidence map›Paper›PMID 27979823›Full record

ArticleBlood2017

In utero cytomegalovirus infection and development of childhood acute lymphoblastic leukemia.

Stephen Starko Francis, Amelia D Wallace, George A Wendt, Linlin Li, Fenyong Liu, Lee W Riley, Scott Kogan, Kyle M Walsh, Adam J de Smith, Gary V Dahl and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% 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

52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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  6. Review
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  12. Review
  13. Review
  14. A vaccine against cytomegalovirus: how close are we?The Journal of clinical investigation · 2025
    Article
  15. Article
  16. Childhood B cell leukemia: Intercepting the paths to progression.BioEssays : news and reviews in molecular, cellular and developmental biology · 2024
    Review
  17. Article
  18. Article
  19. Article
  20. Maternal Prenatal Use of Alcohol, Tobacco, and Illicit Drugs and Associations with Childhood Cancer Subtypes.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 1 country.

Stephen Starko FrancisDepartment of Epidemiology, University of California, Berkeley, CA.
Amelia D WallaceDepartment of Epidemiology, University of California, Berkeley, CA.
George A WendtDepartment of Epidemiology, University of California, Berkeley, CA.
Linlin LiBlood Systems Research Institute, Department of Laboratory Medicine, University of California, San Francisco, CA.
Fenyong LiuDepartment of Vaccinology and Infectious Diseases, University of California, Berkeley, CA.
Lee W RileyDepartment of Epidemiology, University of California, Berkeley, CA.
Scott KoganHelen Diller Family Comprehensive Cancer Center and Department of Laboratory Medicine, University of California, San Francisco, San Francisco, CA.
Kyle M WalshHelen Diller Family Comprehensive Cancer Center and Departments of Neurological Surgery and Epidemiology and Biostatistics and.
Adam J de SmithHelen Diller Family Comprehensive Cancer Center and Departments of Neurological Surgery and Epidemiology and Biostatistics and.
Gary V DahlPediatric Hematology/Oncology, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA.
Xiaomei MaDepartment of Chronic Disease Epidemiology, School of Public Health, Yale University, New Haven, CT.
Eric DelwartBlood Systems Research Institute, Department of Laboratory Medicine, University of California, San Francisco, CA.
Catherine MetayerDepartment of Epidemiology, University of California, Berkeley, CA.
Joseph L WiemelsHelen Diller Family Comprehensive Cancer Center and Departments of Neurological Surgery and Epidemiology and Biostatistics and.
University of California, Berkeley · USNeurological Surgery · USUniversity of California, San Francisco · USBlood Systems Research Institute · USStanford University · USUCSF Helen Diller Family Comprehensive Cancer Center · USYale University · US

Funding

Environmental and Molecular Epidemiology of Childhood LeukemiaR01ES009137 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI METAYER, CATHERINE · 1999 to 2013
$21.1M
Training Program in Translational Brain Tumor ResearchT32CA151022 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Joseph F Costello · 2010 to 2026
$6.6M
Genome-Wide Association Study of Childhood Leukemia by Hispanic StatusR01CA155461 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MA, XIAOMEI, WIEMELS, JOSEPH LEO · 2011 to 2014
$4.1M
Impact of low IL-10 levels at birth and leukemia riskR01CA185058 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KOGAN, SCOTT C., WIEMELS, JOSEPH LEO · 2014 to 2018
$3.1M
Metagenomic detection of emerging viruses in the blood supplyR01HL105770 · NHLBI · VITALANT · PI DELWART, ERIC L · 2011 to 2015
$2.4M
Persistent infection of human cytomegalovirus in oral mucosaR01DE025462 · NIDCR · UNIVERSITY OF CALIFORNIA BERKELEY · PI LIU, FENYONG · 2015 to 2019
$2.3M
Human cytomegalovirus chromatin modifications in oral infectionR01DE023935 · NIDCR · UNIVERSITY OF CALIFORNIA BERKELEY · PI LIU, FENYONG · 2013 to 2017
$2.3M
NCI NIH HHS R01 CA155461NCI NIH HHS R01 CA185058NCI NIH HHS T32 CA151022NHLBI NIH HHS R01 HL105770NIDCR NIH HHS R01 DE023935NIDCR NIH HHS R01 DE025462NIEHS NIH HHS R01 ES009137
6 · The paper itself

Abstract

It is widely suspected, yet controversial, that infection plays an etiologic role in the development of acute lymphoblastic leukemia (ALL), the most common childhood cancer and a disease with a confirmed prenatal origin in most cases. We investigated infections at diagnosis and then assessed the timing of infection at birth in children with ALL and age, gender, and ethnicity matched controls to identify potential causal initiating infections. Comprehensive untargeted virome and bacterial analyses of pretreatment bone marrow specimens (n = 127 ALL in comparison with 38 acute myeloid leukemia cases in a comparison group) revealed prevalent cytomegalovirus (CMV) infection at diagnosis in childhood ALL, demonstrating active viral transcription in leukemia blasts as well as intact virions in serum. Screening of newborn blood samples revealed a significantly higher prevalence of in utero CMV infection in ALL cases (n = 268) than healthy controls (n = 270) (odds ratio [OR], 3.71, confidence interval [CI], 1.56-7.92,

Indexed as

Bone Marrow ExaminationCase-Control StudiesCytomegalovirus InfectionsHispanic or LatinoHumansInfant, NewbornNeonatal ScreeningPrecursor Cell Lymphoblastic Leukemia-LymphomaPrevalenceWhite People

Identifiers

PMID27979823
PMCPMC5364339
OpenAlexW2561418561

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.