Evidence map›Paper›PMID 28888074›Full record

ArticleCytometry. Part B, Clinical cytometry2018

Early recovery of circulating immature B cells in B-lymphoblastic leukemia patients after CD19 targeted CAR T cell therapy: A pitfall for minimal residual disease detection.

Wenbin Xiao, Dalia Salem, Catharine S McCoy, Daniel Lee, Nirali N Shah, Maryalice Stetler-Stevenson, Constance M Yuan

Open access · bronzeAbstract read
In one paragraph

Article in Cytometry. Part B, Clinical cytometry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Long-Term Follow-Up of CD19-CAR T-Cell Therapy in Children and Young Adults With B-ALL.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Article
  6. 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

7 authors at 4 institutions in 2 countries.

Wenbin XiaoLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Dalia SalemLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Catharine S McCoyLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Daniel LeeDivision of Pediatric Hematology/Oncology, Department of Pediatrics, University of Virginia, Charlottesville, Virginia.
Nirali N ShahPediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Maryalice Stetler-StevensonLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Constance M YuanLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
National Institutes of Health · USMansoura University · EGNational Cancer Institute · USUniversity of Virginia · US

Funding

Flow Cytometric Analysis of Benign and Malignant TumorsZICSC009372 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI WANG, HAO-WEI · 2009 to 2025
$29.6M
FLow Cytometric Detection of Malignant Cells in Body FluidsZICBC011093 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WANG, HAO-WEI · 2009 to 2025
$4.5M
FLOW CYTOMETRIC ANALYSIS OF BENIGN &MALIGNANT TUMORSZ01SC009372 · SC · DIVISION OF CLINICAL SCIENCES - NCI · PI STETLER-STEVENSON, MARYALICE · 1996 to 2008
$2.9M
Intramural NIH HHS Z01 SC009372Intramural NIH HHS Z99 CA999999Intramural NIH HHS ZIC BC011093
6 · The paper itself

Abstract

backgroundCD19-targeted chimeric-antigen receptor-modified T-cells (CAR-T) are promising in the treatment of refractory B-lymphoblastic leukemia (B-ALL). Minimal residual disease (MRD) detection by multicolor flow cytometry (FCM) is critical to distinguish B-ALL MRD from regenerating, non-neoplastic B-cell populations.

methodsFCM was performed on samples from 9 patients with B-ALL treated with CAR-T.

resultsAll 9 patients showed response to CAR-T. Additionally, FCM revealed circulating CD10 + B cells, potentially mimicking MRD. Circulating CD10+ B-cells were detected in blood from 3 days to 3 months after CAR-T, comprising 73% (median) of B-cells (52-83%, 95%CI). They expressed CD19, CD10, CD20, bright CD9, CD22, CD24, moderate CD38 and dim CD58, but were CD34 (-), with bright CD45 and polyclonal surface light chain immunoglobulin (sIg) expression. A similar CD10 + B-cell subpopulation was detected by marrow FCM, amidst abundant B-cell precursors.

conclusionsThese circulating CD10 + B-cells are compatible with immature B-cells, and are a reflection of B-cell recovery within the marrow. They are immunophenotypically distinguishable from residual B-ALL. Expression of light chain sIg and key surface antigens characterizing regenerating B-cell precursors can distinguish immature B-cells from B-ALL MRD and prevent misdiagnosis. © 2017 International Clinical Cytometry Society.

Indexed as

Antigens, CDAntigens, CD19B-LymphocytesBone MarrowFlow CytometryHumansImmunophenotypingImmunotherapy, AdoptiveLeukemia, B-CellNeoplasm, ResidualPrecursor B-Cell Lymphoblastic Leukemia-LymphomaPrecursor Cells, B-LymphoidReceptors, Chimeric AntigenT-LymphocytesAntigens, CDAntigens, CD19CD19 molecule, humanReceptors, Chimeric AntigenALLB-lymphoblastic leukemiaCAR T cellsCD19chimeric antigen receptorcirculating CD10+ B cellsflow cytometryimmature B cellsminimal residual diseasetransitional B cells

Identifiers

PMID28888074
PMCPMC8064034
OpenAlexW2753358840

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.