Evidence map›Paper›PMID 29491461›Full record

ArticleCancer gene therapy2018

Clinical and biological implications of mutational spectrum in acute myeloid leukemia of FAB subtypes M4 and M5.

Zhiheng Cheng, Kai Hu, Lei Tian, Yifeng Dai, Yifan Pang, Wei Cui, Hongmian Zhao, Tong Qin, Yu Han, Ning Hu and 7 more

Abstract read
PubMed Publisher
In one paragraph

Article in Cancer gene therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Cancers · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. RNA Targeting in Acute Myeloid Leukemia.ACS pharmacology & translational science · 2020
    Article
  9. Up-regulation of DDIT4 predicts poor prognosis in acute myeloid leukaemia.Journal of cellular and molecular medicine · 2020
    Article
  10. Article
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

17 authors at 8 institutions in 2 countries.

Zhiheng Cheng *Translational Medicine Center, Huaihe Hospital of Henan University, Kaifeng, 475000, China.
Kai Hu *Department of Hematology and Lymphoma Research Center, Peking University Third Hospital, Beijing, 100191, China.
Lei Tian *Department of Hematology and Lymphoma Research Center, Peking University Third Hospital, Beijing, 100191, China.
Yifeng Dai *Laboratory of Environmental Medicine and Developmental Toxicology, Shantou University Medical College, Shantou, 515041, China.
Yifan PangDepartment of Medicine, William Beaumont Hospital, Royal Oak, MI, 48073, USA.
Wei CuiDepartment of Clinical Laboratory, Beijing Haidian Hospital, Beijing Haidian Section of Peking University Third Hospital, Beijing, 100080, China.
Hongmian ZhaoDepartment of Hematology, Huaihe Hospital of Henan University, Kaifeng, 475000, China.
Tong QinDepartment of Hematology, Huaihe Hospital of Henan University, Kaifeng, 475000, China.
Yu HanDepartment of Hematology, Huaihe Hospital of Henan University, Kaifeng, 475000, China.
Ning HuDepartment of Hematology, Huaihe Hospital of Henan University, Kaifeng, 475000, China.
Li ChenDepartment of Hematology, Huaihe Hospital of Henan University, Kaifeng, 475000, China.
Chao WangDepartment of Hematology, Huaihe Hospital of Henan University, Kaifeng, 475000, China.
Yijie ZhangDepartment of Respiratory, Huaihe Hospital of Henan University, Kaifeng, 475000, China.
Depei WuDepartment of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, 215006, China.
Xiaoyan KeDepartment of Hematology and Lymphoma Research Center, Peking University Third Hospital, Beijing, 100191, China.
Jinlong Shi *Translational Medicine Center, Huaihe Hospital of Henan University, Kaifeng, 475000, China. jinlong_301@163.com.
Lin Fu *Department of Hematology and Lymphoma Research Center, Peking University Third Hospital, Beijing, 100191, China. fulin022@126.com.
Henan University Huaihe Hospital and Huaihe Clinical Institute · CNPeking University · CNBeaumont Hospital, Royal Oak · USBeijing Haidian Hospital · CNChinese PLA General Hospital · CNPeking University Third Hospital · CNShantou University Medical College · CNSoochow University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The mutational spectrum and molecular characteristics of acute myelomonocytic lineage leukemia, namely acute myeloid leukemia (AML) French-American-British (FAB) subtypes M4 and M5, are largely unknown. In order to explore the mutational spectrum and prognostic factors of FAB-M4 and -M5, next-generation sequencing (NGS) was performed to screen for mutated genes and fusion genes relevant to the pathogenesis of AML. Of the 63 patients enrolled in the study, 60% had more than three mutated genes. NPM1 had the highest mutation frequency, followed by DNMT3A, FLT3, NRAS, RUNX1, and TET2. Univariate analysis suggested that age ≥60 years was an independent factor for both poor event-free survival (EFS) and overall survival (OS, P = 0.009, 0.002, respectively), MYH11-CBFβ was associated with better EFS and OS (P = 0.029, 0.016, respectively). However, multivariate analysis was not able to identify any independent risk factor for survival in the cohort of FAB-M4 and -M5 patients, including peripheral white blood cell count, bone marrow blast percentage, MYH11-CBFβ, FLT3-ITD, mutations in NPM1 and DNMT3A, and allogeneic hematopoietic stem cell transplantation (allo-HSCT). Our study provided new insight into the mutational spectrum and molecular characteristics of FAB-M4 and -M5. The clinical implications of the genetic signature of FAB-M4 and -M5 need to be further elucidated by larger studies.

Indexed as

Leukemia, Myeloid, AcuteMutationAdultAgedAged, 80 and overDisease-Free SurvivalFemaleHumansMaleMiddle AgedNeoplasm ProteinsNucleophosminSurvival RateNeoplasm ProteinsNPM1 protein, humanNucleophosmin

Identifiers

PMID29491461
OpenAlexW2789762297

What OpenQuestion holds

Textmetadata
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Registered trials

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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.