Evidence map›Paper›PMID 28825596›Full record

Trial reportThe Journal of clinical investigation2017

Ultrasensitive mutation detection identifies rare residual cells causing acute myelogenous leukemia relapse.

Brian Parkin, Angelina Londoño-Joshi, Qing Kang, Muneesh Tewari, Andrew D Rhim, Sami N Malek

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The Journal of clinical investigation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Minimal Residual Disease in Acute Myeloid Leukemia: Old and New Concepts.International journal of molecular sciences · 2024
    Review
  8. Convergent Epigenetic Evolution Drives Relapse in Acute Myeloid Leukemia.bioRxiv : the preprint server for biology · 2023
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
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

6 authors at 1 institution in 1 country.

Brian ParkinDepartment of Internal Medicine, Division of Hematology and Oncology.
Angelina Londoño-JoshiDepartment of Internal Medicine, Division of Gastroenterology.
Qing KangDepartment of Internal Medicine, Division of Hematology and Oncology.
Muneesh TewariDepartment of Internal Medicine, Division of Hematology and Oncology.
Andrew D RhimDepartment of Internal Medicine, Division of Gastroenterology.
Sami N MalekDepartment of Internal Medicine, Division of Hematology and Oncology.
University of Michigan · US

Funding

Targeted Elimination of Cancer Stem Cells for AML TherapyR01CA171972 · NCI · CHILDREN'S RESEARCH INSTITUTE · PI LIU, YANG, MALEK, SAMI NIMER · 2013 to 2017
$2.3M
NCI NIH HHS R01 CA171972
6 · The paper itself

Abstract

Acute myelogenous leukemia (AML) frequently relapses after complete remission (CR), necessitating improved detection and phenotypic characterization of treatment-resistant residual disease. In this work, we have optimized droplet digital PCR to broadly measure mutated alleles of recurrently mutated genes in CR marrows of AML patients at levels as low as 0.002% variant allele frequency. Most gene mutations persisted in CR, albeit at highly variable and gene-dependent levels. The majority of AML cases demonstrated residual aberrant oligoclonal hematopoiesis. Importantly, we detected very rare cells (as few as 1 in 15,000) that were genomically similar to the dominant blast populations at diagnosis and were fully clonally represented at relapse, identifying these rare cells as one common source of AML relapse. Clinically, the mutant allele burden was associated with overall survival in AML, and our findings narrow the repertoire of gene mutations useful in minimal residual disease-based prognostication in AML. Overall, this work delineates rare cell populations that cause AML relapse, with direct implications for AML research directions and strategies to improve AML therapies and outcome.

Indexed as

MutationNeoplasm Recurrence, LocalAdultAgedAllelesAnthracyclinesBone MarrowCytarabineExomeFemaleHematopoiesisHumansKaplan-Meier EstimateLeukemia, Myeloid, AcuteMaleMiddle AgedAnthracyclinesCytarabine

Identifiers

PMID28825596
PMCPMC5669556
OpenAlexW2747344355

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.