Evidence map›Paper›PMID 29038460›Full record

ArticleScientific reports2017

A novel immunohistochemical score to predict early mortality in acute myeloid leukemia patients based on indoleamine 2,3 dioxygenase expression.

Abhishek Mangaonkar, Ashis Kumar Mondal, Sadanand Fulzule, Chetan Pundkar, Eun Jeong Park, Anand Jillella, Vamsi Kota, Hongyan Xu, Natasha M Savage, Huidong Shi and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 21% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  18. Association of Hydrogen Sulfide with Femoral Bone Mineral Density in Osteoporosis Patients: A Preliminary Study.Medical science monitor : international medical journal of experimental and clinical research · 2021
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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

12 authors at 3 institutions in 1 country.

Abhishek MangaonkarDepartment of Hematology and Medical Oncology, Mayo Clinic, Rochester, USA.
Ashis Kumar MondalDepartment of Pathology, Medical College of Georgia at Augusta University, Augusta, USA.
Sadanand FulzuleDepartment of Orthopedics, Medical College of Georgia at Augusta University, Augusta, USA.
Chetan PundkarDepartment of Pathology, Medical College of Georgia at Augusta University, Augusta, USA.
Eun Jeong ParkGeorgia Cancer Center, Medical College of Georgia at Augusta University, Augusta, USA.
Anand JillellaGeorgia Cancer Center, Medical College of Georgia at Augusta University, Augusta, USA.
Vamsi KotaDepartment of Hematology and Medical Oncology, Emory University, Atlanta, USA.
Hongyan XuDepartment of Population Health Sciences, Medical College of Georgia at Augusta University, Augusta, USA.
Natasha M SavageDepartment of Pathology, Medical College of Georgia at Augusta University, Augusta, USA.
Huidong ShiGeorgia Cancer Center, Medical College of Georgia at Augusta University, Augusta, USA.
David MunnGeorgia Cancer Center, Medical College of Georgia at Augusta University, Augusta, USA.
Ravindra KolheDepartment of Pathology, Medical College of Georgia at Augusta University, Augusta, USA. rkolhe@augusta.edu.
Augusta University · USEmory University · USMayo Clinic · US

Funding

Reprogramming the TME for immunogenic antigen-presentationR01CA103320 · NCI · MEDICAL COLLEGE OF GEORGIA (MCG) · PI MUNN, DAVID H. · 2003 to 2024
$6.0M
PTEN, Tregs and MDSCs in the tumor microenvironmentR01CA211229 · NCI · AUGUSTA UNIVERSITY · PI MUNN, DAVID H. · 2017 to 2021
$1.7M
Epigenetic regulation of T-cell dysfunction in chronic lymphocytic leukemiaR21CA185833 · NCI · AUGUSTA UNIVERSITY · PI SHI, HUIDONG · 2014 to 2015
$362k
NCI NIH HHS R01 CA103320NCI NIH HHS R01 CA211229NCI NIH HHS R21 CA185833
6 · The paper itself

Abstract

Indoleamine 2,3 dioxygenase-1 (IDO-1) is an enzyme in the kynurenine pathway which augments tumor-induced immune tolerance. Previous studies in childhood acute myeloid leukemia (AML) have shown a negative correlation of IDO-1 mRNA expression with outcomes. The aim of our study was to develop a practical and objective immunohistochemical technique to quantify IDO-1 expression on diagnostic bone marrow biopsies of AML patients in order to facilitate its use in routine clinical practice. IDO-1 mRNA was extracted from diagnostic bone marrow specimens from 29 AML patients. IDO-1 protein expression was assessed in 40 cases via immunohistochemistry and quantified by a novel 'composite IDO-1 score'. In a univariate analysis, higher age (p = 0.0018), male gender (p = 0.019), high risk cytogenetics (p = 0.002), higher IDO-1 mRNA (p = 0.005), higher composite IDO-1 score (p < 0.0001) and not undergoing allogeneic stem cell transplant (SCT, p = 0.0005) predicted poor overall survival. In a multivariate model that included the aforementioned variables, higher composite IDO-1 score (p = 0.007) and not undergoing allogeneic SCT (p = 0.007) was found to significantly predict poor outcomes. Further, patients who failed induction had higher composite IDO-1 score (p = 0.01). In conclusion, 'composite IDO-1 score' is a prognostic tool that can help identify a certain subset of AML patients with 'early mortality'. This unique subset of patients can potentially benefit from specific IDO-1 inhibitor therapy, currently in clinical trials.

Indexed as

Gene Expression Regulation, LeukemicAdultAgedAged, 80 and overEnzyme InductionFemaleHumansImmunohistochemistryIndoleamine-Pyrrole 2,3,-DioxygenaseLeukemia, Myeloid, AcuteMaleMiddle AgedMultivariate AnalysisPrognosisSurvival AnalysisIndoleamine-Pyrrole 2,3,-Dioxygenase

Identifiers

PMID29038460
PMCPMC5643528
OpenAlexW2764151634

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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.