Evidence map›Paper›PMID 29321378›Full record

ArticleJCI insight2018

Glutamine-derived 2-hydroxyglutarate is associated with disease progression in plasma cell malignancies.

Wilson I Gonsalves, Vijay Ramakrishnan, Taro Hitosugi, Toshi Ghosh, Dragan Jevremovic, Tumpa Dutta, Dhananjay Sakrikar, Xuan-Mai Petterson, Linda Wellik, Shaji K Kumar and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05539079 (A Prospective Long-term Observational Study in Patients With Monoclonal Gammopathy of Undetermined Significance), which is not on this map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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.

NCT05539079 recruitingnot on this mapstarted 2023, after this paper: background citation

A Prospective Long-term Observational Study in Patients With Monoclonal Gammopathy of Undetermined Significance

TypeobservationalSponsorOxford University Hospitals NHS TrustRan2023 to 2032Enrolled2,000ConditionsMGUS
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Glutamine metabolism in health and disease.Signal transduction and targeted therapy · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Lipid metabolic vulnerabilities of multiple myeloma.Clinical and experimental medicine · 2023
    Review
  11. Mitochondrial dysfunction and drug targets in multiple myeloma.Journal of cancer research and clinical oncology · 2023
    Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  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

11 authors at 2 institutions in 1 country.

Wilson I GonsalvesDivision of Hematology.
Vijay RamakrishnanDivision of Hematology.
Taro HitosugiDepartment of Oncology.
Toshi GhoshDepartment of Laboratory Medicine and Pathology.
Dragan JevremovicDepartment of Laboratory Medicine and Pathology.
Tumpa DuttaMayo Clinic Metabolomics Core, and.
Dhananjay SakrikarMayo Clinic Metabolomics Core, and.
Xuan-Mai PettersonMayo Clinic Metabolomics Core, and.
Linda WellikDivision of Hematology.
Shaji K KumarDivision of Hematology.
K Sreekumaran NairDivision of Endocrinology, Mayo Clinic, Rochester, Minnesota, USA.
WinnMed · USMayo Clinic · US

Funding

Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Rafael Fonseca · 2015 to 2026
$25.5M
TECHNOLOGY NMR SPECTROSCOPYU24DK100469 · NIDDK · MAYO CLINIC ROCHESTER · PI NAIR, K SREEKUMARAN · 2013 to 2017
$9.0M
Dysregulation of Glutamine Metabolism in the Pathogenesis of Multiple MyelomaK23CA218742 · NCI · MAYO CLINIC ROCHESTER · PI GONSALVES, WILSON · 2017 to 2019
$513k
NCI NIH HHS K23 CA218742NCI NIH HHS P50 CA186781NIDDK NIH HHS U24 DK100469
6 · The paper itself

Abstract

The production of the oncometabolite 2-hydroxyglutarate (2-HG) has been associated with c-MYC overexpression. c-MYC also regulates glutamine metabolism and drives progression of asymptomatic precursor plasma cell (PC) malignancies to symptomatic multiple myeloma (MM). However, the presence of 2-HG and its clinical significance in PC malignancies is unknown. By performing 13C stable isotope resolved metabolomics (SIRM) using U[13C6]Glucose and U[13C5]Glutamine in human myeloma cell lines (HMCLs), we show that 2-HG is produced in clonal PCs and is derived predominantly from glutamine anaplerosis into the TCA cycle. Furthermore, the 13C SIRM studies in HMCLs also demonstrate that glutamine is preferentially utilized by the TCA cycle compared with glucose. Finally, measuring the levels of 2-HG in the BM supernatant and peripheral blood plasma from patients with precursor PC malignancies such as smoldering MM (SMM) demonstrates that relatively elevated levels of 2-HG are associated with higher levels of c-MYC expression in the BM clonal PCs and with a subsequent shorter time to progression (TTP) to MM. Thus, measuring 2-HG levels in BM supernatant or peripheral blood plasma of SMM patients offers potential early identification of those patients at high risk of progression to MM, who could benefit from early therapeutic intervention.

Indexed as

Disease ProgressionBiomarkers, TumorCell Line, TumorCitric Acid CycleDNA-Binding ProteinsGlucoseGlutamineGlutaratesGlycolysisHumansLactic AcidMultiple MyelomaMultivariate AnalysisNeoplasmsPlasma CellsTranscription Factorsalpha-hydroxyglutarateBiomarkers, TumorDNA-Binding ProteinsGlucoseGlutamineGlutaratesLactic AcidMYCBP protein, humanTranscription FactorsCancerHematologyOncology

Identifiers

PMID29321378
PMCPMC5821206
OpenAlexW2783093786

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.