Evidence map›Paper›PMID 28496009›Full record

ArticleOncotarget2017

Dynamic changes in clonal cytogenetic architecture during progression of chronic lymphocytic leukemia in patients and patient-derived murine xenografts.

Nicholas J Davies, Marwan Kwok, Clive Gould, Ceri E Oldreive, Jingwen Mao, Helen Parry, Edward Smith, Angelo Agathanggelou, Guy Pratt, Alexander Malcolm R Taylor and 3 more

Abstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. 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

13 authors.

Nicholas J DaviesInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Marwan KwokInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Clive GouldWest Midlands Regional Genetics Laboratory, Birmingham Women's NHS Foundation Trust, Birmingham, UK.
Ceri E OldreiveInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Jingwen MaoInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Helen ParryInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Edward SmithInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Angelo AgathanggelouInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Guy PrattInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Alexander Malcolm R TaylorInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Paul MossInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Mike GriffithsInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Tatjana StankovicInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.

Funding

Cancer Research UK 20951
6 · The paper itself

Abstract

Subclonal heterogeneity and clonal selection influences disease progression in chronic lymphocytic leukemia (CLL). It is therefore important that therapeutic decisions are made based on an understanding of the CLL clonal architecture and its dynamics in individual patients. Identification of cytogenetic abnormalities by FISH remains the cornerstone of contemporary clinical practice and provides a simple means for prognostic stratification. Here, we demonstrate that multiplexed-FISH can enhance recognition of CLL subclonal repertoire and its dynamics during disease progression, both in patients and CLL patient-derived xenografts (PDX). We applied a combination of patient-specific FISH probes to 24 CLL cases before treatment and at relapse, and determined putative ancestral relationships between subpopulations with different cytogenetic features. We subsequently established 7 CLL PDX models in NOD/Shi-SCID/IL-2Rγctm1sug/Jic (NOG) mice. Application of multiplexed-FISH to these models demonstrated that all of the identified cytogenetic subpopulations had leukemia propagating activity and that changes in their representation during disease progression could be spontaneous, accelerated by treatment or treatment-induced. We conclude that multiplexed-FISH in combination with PDX models have the potential to distinguish between spontaneous and treatment-induced clonal selection, and therefore provide a valuable tool for the pre-clinical evaluation of novel therapies.

Indexed as

Chromosome AberrationsAnimalsClonal EvolutionCombined Modality TherapyDisease Models, AnimalDisease ProgressionFemaleHeterograftsHumansIn Situ Hybridization, FluorescenceKaryotypingLeukemia, Lymphocytic, Chronic, B-CellMaleMicePrognosisSingle-Cell Analysischronic lymphocytic leukemiaclonal evolutioncytogeneticsmultiplexed-FISHxenograft

Identifiers

PMID28496009
PMCPMC5546515

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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.