Evidence map›Paper›PMID 29259179›Full record

Observational studyNature communications2017

Genome-wide DNA methylation is predictive of outcome in juvenile myelomonocytic leukemia.

Elliot Stieglitz, Tali Mazor, Adam B Olshen, Huimin Geng, Laura C Gelston, Jon Akutagawa, Daniel B Lipka, Christoph Plass, Christian Flotho, Farid F Chehab and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Nature communications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
3.9field-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

55 citing papers in PubMed, 93 citations in OpenAlex.

  1. Trial
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  10. Epigenetic alterations in Myeloid Malignancies.Advances in experimental medicine and biology · 2026
    Review
  11. Article
  12. Article
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  14. Translational pediatrics · 2025
    Article
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  19. LNK/Haematologica · 2024
    Article
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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 at 2 institutions in 2 countries.

Elliot StieglitzDepartment of Pediatrics, Benioff Children's Hospital, University of California, San Francisco, 1450 3rd Street, San Francisco, CA, 94158, USA. elliot.stieglitz@ucsf.edu.ORCID http://orcid.org/0000-0001-7032-4623
Tali MazorDepartment of Neurological Surgery, University of California, San Francisco, 1450 3rd Street, Room 471, San Francisco, CA, 94158, USA.
Adam B OlshenHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco, 1450 3rd Street, San Francisco, CA, 94158, USA.
Huimin GengDepartments of Laboratory Medicine and Cellular and Molecular Pharmacology, University of California, 513 Parnassus Avenue, 1457A, Box 0451, San Francisco, CA, 94143, USA.
Laura C GelstonDepartment of Pediatrics, Benioff Children's Hospital, University of California, San Francisco, 1450 3rd Street, San Francisco, CA, 94158, USA.
Jon AkutagawaDepartment of Pediatrics, Benioff Children's Hospital, University of California, San Francisco, 1450 3rd Street, San Francisco, CA, 94158, USA.
Daniel B LipkaDivision of Epigenomics and Cancer Risk Factors, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-5081-7869
Christoph PlassDivision of Epigenomics and Cancer Risk Factors, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany.
Christian FlothoGerman Cancer Consortium (DKTK), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany.
Farid F ChehabDepartment of Laboratory Medicine, University of California, San Francisco, 185 Berry Street Bldg B 290, Box 0134, San Francisco, CA, 94158, USA.
Benjamin S BraunDepartment of Pediatrics, Benioff Children's Hospital, University of California, San Francisco, 1450 3rd Street, San Francisco, CA, 94158, USA.
Joseph F CostelloDepartment of Neurological Surgery, University of California, San Francisco, 1450 3rd Street, Room 471, San Francisco, CA, 94158, USA.
Mignon L LohDepartment of Pediatrics, Benioff Children's Hospital, University of California, San Francisco, 1450 3rd Street, San Francisco, CA, 94158, USA. mignon.loh@ucsf.edu.
University of California, San Francisco · USGerman Cancer Research Center · DE

Funding

Translational InformaticsP30CA082103 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jennifer Leigh Clarke · 1999 to 2026
$209.7M
Project 4: Secondary Cancers Among NF1 Cancer SurvivorsU54CA196519 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI Yunlong Liu · 2015 to 2026
$26.9M
PREDOCTORAL TRAINING IN BIOMEDICAL SCIENCEST32GM008568 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ANSEL, KARL MARK · 1995 to 2019
$6.3M
Research Training in Childhood CancerT32CA128583 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Eric Alejandro Sweet-Cordero · 2007 to 2026
$6.0M
Mechanisms linking RAS signals to disordered hematopoiesis and myeloid neoplasiaR01CA173085 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BRAUN, BENJAMIN · 2013 to 2017
$1.6M
Targeting SETBP1 in Myeloproliferative DisordersK08HL135434 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STIEGLITZ, ELLIOT · 2017 to 2021
$900k
NCI NIH HHS P30 CA082103NCI NIH HHS R01 CA173085NCI NIH HHS T32 CA128583NCI NIH HHS U54 CA196519NHLBI NIH HHS K08 HL135434NIGMS NIH HHS T32 GM008568
6 · The paper itself

Abstract

Juvenile myelomonocytic leukemia (JMML) is a myeloproliferative disorder of childhood caused by mutations in the Ras pathway. Outcomes in JMML vary markedly from spontaneous resolution to rapid relapse after hematopoietic stem cell transplantation. Here, we hypothesized that DNA methylation patterns would help predict disease outcome and therefore performed genome-wide DNA methylation profiling in a cohort of 39 patients. Unsupervised hierarchical clustering identifies three clusters of patients. Importantly, these clusters differ significantly in terms of 4-year event-free survival, with the lowest methylation cluster having the highest rates of survival. These findings were validated in an independent cohort of 40 patients. Notably, all but one of 14 patients experiencing spontaneous resolution cluster together and closer to 22 healthy controls than to other JMML cases. Thus, we show that DNA methylation patterns in JMML are predictive of outcome and can identify the patients most likely to experience spontaneous resolution.

Indexed as

DNA MethylationAntineoplastic AgentsBiopsyChildChild, PreschoolDisease-Free SurvivalFemaleGenome, HumanHematopoietic Stem Cell TransplantationHumansInfantKaplan-Meier EstimateLeukemia, Myelomonocytic, JuvenileMaleMonocytesMutationAntineoplastic Agents

Identifiers

PMID29259179
PMCPMC5736624
OpenAlexW2775315173

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.