Evidence map›Paper›PMID 28253536›Full record

ArticleAmerican journal of hematology2017

Myeloid neoplasms with concurrent BCR-ABL1 and CBFB rearrangements: A series of 10 cases of a clinically aggressive neoplasm.

Alireza Salem, Sanam Loghavi, Guilin Tang, Yang O Huh, Elias J Jabbour, Hagop Kantarjian, Wei Wang, Shimin Hu, Rajyalakshmi Luthra, L Jeffrey Medeiros and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of hematology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Review
  3. Concomitant ClonalHematology reports · 2026
    Article
  4. ConcurrentEJHaem · 2024
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. De Novo Acute Myeloid Leukemia with CombinedCase reports in hematology · 2020
    Article
  11. NPM1 Mutated, BCR-ABL1 Positive Myeloid Neoplasms: Review of the Literature.Mediterranean journal of hematology and infectious diseases · 2020
    Review
  12. Review
  13. Secondary Philadelphia chromosome acquired during therapy of acute leukemia and myelodysplastic syndrome.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2018
    Article
  14. Blood advances · 2018
    Article
  15. Review
  16. 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

11 authors at 1 institution in 1 country.

Alireza SalemDepartment of Hematopathology, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA.ORCID http://orcid.org/0000-0001-5492-1962
Sanam LoghaviDepartment of Hematopathology, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA.
Guilin TangDepartment of Hematopathology, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA.
Yang O HuhDepartment of Hematopathology, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA.
Elias J JabbourDepartment of Leukemia, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA.ORCID http://orcid.org/0000-0003-4465-6119
Hagop KantarjianDepartment of Leukemia, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA.ORCID http://orcid.org/0000-0002-1908-3307
Wei WangDepartment of Hematopathology, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA.
Shimin HuDepartment of Hematopathology, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA.
Rajyalakshmi LuthraDepartment of Hematopathology, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA.
L Jeffrey MedeirosDepartment of Hematopathology, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA.
Joseph D KhouryDepartment of Hematopathology, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA.
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Chronic myeloid leukemia (CML) is defined by the presence of t(9;22)(q34;q11.2)/BCR-ABL1. Additional chromosomal abnormalities confer an adverse prognosis and are particularly common in the blast phase of CML (CML-BP). CBFB rearrangement, particularly CBFB-MYH11 fusion resulting from inv(16)(p13.1q22) or t(16;16)(p13.1;q22), is an acute myeloid leukemia (AML)-defining alteration that is associated with a favorable outcome. The co-occurrence of BCR-ABL1 and CBFB rearrangement is extremely rare, and the significance of this finding remains unclear. We identified 10 patients with myeloid neoplasms harboring BCR-ABL1 and CBFB rearrangement. The study group included six men and four women with a median age of 51 years (range, 20-71 years). The sequence of molecular alterations could be determined in nine cases: BCR-ABL1 preceded CBFB rearrangement in seven, CBFB rearrangement preceded BCR-ABL1 in one, and both alterations were discovered simultaneously in one patient. BCR-ABL1 encoded for p210 kD in all cases in which BCR-ABL1 preceded CBFB rearrangement; a p190 kD was identified in the other three cases. Two patients were treated with the FLAG-IDA regimen (fludarabine, cytarabine, idarubicin, and G-CSF) and tyrosine kinase inhibitors (TKI); seven with other cytarabine-based regimens and TKIs, and one with ponatinib alone. At last follow up (median, 16 months; range 2-85), 7 of 10 patients had died. The co-existence of BCR-ABL1 and CBFB rearrangement is associated with poor outcome and a clinical course similar to that of CML-BP, and unlike de novo AML with CBFB rearrangement, suggesting that high-intensity chemotherapy with TKI should be considered in these patients.

Indexed as

Translocation, GeneticAdultAgedBiomarkersBone MarrowBone Marrow CellsCombined Modality TherapyCore Binding Factor beta SubunitDisease ProgressionFemaleFusion Proteins, bcr-ablHumansImmunophenotypingIn Situ Hybridization, FluorescenceLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleBiomarkersCore Binding Factor beta SubunitFusion Proteins, bcr-abl

Identifiers

PMID28253536
PMCPMC5860811
OpenAlexW2592071984

What OpenQuestion holds

Textmetadata
LicenceTDM
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.