Evidence map›Paper›PMID 28452984›Full record

ArticleBlood cancer journal2017

Frequent somatic mutations in epigenetic regulators in newly diagnosed chronic myeloid leukemia.

E Togasaki, J Takeda, K Yoshida, Y Shiozawa, M Takeuchi, M Oshima, A Saraya, A Iwama, K Yokote, E Sakaida and 22 more

Open access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
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

30 citing papers in PubMed, 59 citations in OpenAlex.

  1. Review
  2. Epigenetic alterations in Myeloid Malignancies.Advances in experimental medicine and biology · 2026
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  3. Domain-specific embeddings uncover latent genetics knowledge.bioRxiv : the preprint server for biology · 2025
    Article
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  14. Article
  15. Review
  16. Article
  17. Ponatinib and other CML Tyrosine Kinase Inhibitors in Thrombosis.International journal of molecular sciences · 2020
    Review
  18. Review
  19. Article
  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

32 authors at 19 institutions in 1 country.

E TogasakiDepartment of Hematology, Chiba University Hospital, Chiba, Japan.
J TakedaDepartment of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
K YoshidaDepartment of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Y ShiozawaDepartment of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
M TakeuchiDepartment of Hematology, Chiba University Hospital, Chiba, Japan.
M OshimaDepartment of Cellular and Molecular Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan.
A SarayaDepartment of Cellular and Molecular Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan.
A IwamaDepartment of Cellular and Molecular Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan.
K YokoteDepartment of Clinical Cell Biology and Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan.
E SakaidaDepartment of Hematology, Chiba University Hospital, Chiba, Japan.
C HiraseDepartment of Hematology and Rheumatology, Faculty of Medicine, Kinki University, Osaka, Japan.
A TakeshitaDepartment of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
K ImaiDepartment of Hematology, Sapporo Hokuyu Hospital, Sapporo, Japan.
H OkumuraDepartment of Internal Medicine, Toyama Prefectural Central Hospital, Toyama, Japan.
Y MorishitaDepartment of Hematology and Oncology, JA Aichi Konan Kosei Hospital, Konan, Japan.
N UsuiDivision of Clinical Oncology and Hematology, Department of Internal Medicine, The Jikei University Daisan Hospital, Tokyo, Japan.
N TakahashiDepartment of Hematology, Nephrology and Rheumatology, Akita University Graduate School of Medicine, Akita, Japan.
S FujisawaDepartment of Hematology, Yokohama City University Medical Center, Yokohama, Japan.
Y ShiraishiLaboratory of DNA Information Analysis, Human Genome Center, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.
K ChibaLaboratory of DNA Information Analysis, Human Genome Center, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.
H TanakaLaboratory of DNA Information Analysis, Human Genome Center, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.
H KiyoiDepartment of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
K OhnishiJapanese Red Cross Aichi Blood Center, Seto, Japan.
S OhtakeDepartment of Clinical Laboratory Science, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.ORCID 0000-0003-0112-6564
N AsouDepartment of Hemato-Oncology, Comprehensive Cancer Center, International Medical Center, Saitama Medical University, Saitama, Japan.
Y KobayashiDivision of Hematology, National Cancer Center Hospital, Tokyo, Japan.ORCID 0000-0003-2378-7865
Y MiyazakiDepartment of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
S MiyanoLaboratory of DNA Information Analysis, Human Genome Center, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.
S OgawaDepartment of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
I MatsumuraDepartment of Cellular and Molecular Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan.
C NakasekoDepartment of Hematology, Chiba University Hospital, Chiba, Japan.
T NaoeDepartment of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Chiba University · JPChiba University Hospital · JPKyoto University · JPThe University of Tokyo · JPAkita University · JPHamamatsu University School of Medicine · JPJapanese Red Cross Society, Japan · JPKanazawa University · JPKindai University · JPKonan Kosei Hospital · JPNagasaki University · JPNagoya University · JPNational Hospital Organization · JPSaitama International Medical Center · JPSapporo Hokuyu Hospital · JPThe Jikei University Hospital · JPTokyo National Hospital · JPToyama Prefectural Central Hospital · JPYokohama City University Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although tyrosine kinase inhibitors (TKIs) have significantly improved the prognosis of chronic myeloid leukemia (CML), the ability of TKIs to eradicate CML remains uncertain and patients must continue TKI therapy for indefinite periods. In this study, we performed whole-exome sequencing to identify somatic mutations in 24 patients with newly diagnosed chronic phase CML who were registered in the JALSG CML212 study. We identified 191 somatic mutations other than the BCR-ABL1 fusion gene (median 8, range 1-17). Age, hemoglobin concentration and white blood cell counts were correlated with the number of mutations. Patients with mutations ⩾6 showed higher rate of achieving major molecular response than those<6 (P=0.0381). Mutations in epigenetic regulator, ASXL1, TET2, TET3, KDM1A and MSH6 were found in 25% of patients. TET2 or TET3, AKT1 and RUNX1 were mutated in one patient each. ASXL1 was mutated within exon 12 in three cases. Mutated genes were significantly enriched with cell signaling and cell division pathways. Furthermore, DNA copy number analysis showed that 2 of 24 patients had uniparental disomy of chromosome 1p or 3q, which disappeared major molecular response was achieved. These mutations may play significant roles in CML pathogenesis in addition to the strong driver mutation BCR-ABL1.

Indexed as

Age FactorsDioxygenasesDNA-Binding ProteinsDNA Copy Number VariationsDrug Resistance, NeoplasmEpigenesis, GeneticExome SequencingFemaleFusion Proteins, bcr-ablHistone DemethylasesHumansLeukemia, Myelogenous, Chronic, BCR-ABL PositiveLeukocyte CountMaleMutationProtein Kinase InhibitorsASXL1 protein, humanDioxygenasesDNA-Binding ProteinsFusion Proteins, bcr-ablG-T mismatch-binding proteinHistone DemethylasesKDM1A protein, humanProtein Kinase InhibitorsProto-Oncogene ProteinsRepressor ProteinsTET2 protein, humanTET3 protein, human

Identifiers

PMID28452984
PMCPMC5436079
OpenAlexW2608720200

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Registered trials

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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.