Evidence map›Paper›PMID 29624648›Full record

ArticleCancer2018

CNS Langerhans cell histiocytosis: Common hematopoietic origin for LCH-associated neurodegeneration and mass lesions.

Kenneth L McClain, Jennifer Picarsic, Rikhia Chakraborty, Daniel Zinn, Howard Lin, Harshal Abhyankar, Brooks Scull, Albert Shih, Karen Phaik Har Lim, Olive Eckstein and 35 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

66 citing papers in PubMed, 128 citations in OpenAlex.

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  17. Approach to the Patient: From Endocrinopathy to the Diagnosis of a Histiocytic Disorder.The Journal of clinical endocrinology and metabolism · 2025
    Review
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6 more citing papers are in PubMed but not listed here.

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

45 authors at 17 institutions in 3 countries.

Kenneth L McClainTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Jennifer PicarsicDepartment of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Rikhia ChakrabortyTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Daniel ZinnTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Howard LinTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Harshal AbhyankarTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Brooks ScullTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Albert ShihTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Karen Phaik Har LimTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Olive EcksteinTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Joseph LubegaTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Tricia L PetersTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Walter OleaTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Thomas BurkeTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Nabil AhmedTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
M John HicksTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Brandon TranDepartment of Radiology, Baylor College of Medicine, Houston, Texas.
Jeremy JonesDepartment of Radiology, Baylor College of Medicine, Houston, Texas.
Robert DauserDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Michael JengDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, California.
Robert BaiocchiDepartment of Internal Medicine, The Ohio State University, Columbus, Ohio.
Deborah SchiffDepartment of Pediatrics, University of California-San Diego, La Jolla, California.
Stanton GoldmanMedical City Children's Hospital, Dallas Texas and Texas Oncology, Pennsylvania.
Kenneth M HeymDepartment of Pediatrics, Cook Children's Medical Center, Fort Worth, Texas.
Harry WilsonDepartment of Pathology, Texas Tech University Health Sciences Center El Paso, El Paso, Texas.
Benjamin CarcamoDepartment of Pediatrics, Texas Tech University Health Sciences Center El Paso, El Paso, Texas.
Ashish KumarCancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Carlos Rodriguez-GalindoSt. Jude Children's Research Hospital, Memphis, Tennessee.
Nicholas S WhippleSt. Jude Children's Research Hospital, Memphis, Tennessee.
Patrick CampbellSt. Jude Children's Research Hospital, Memphis, Tennessee.
Geoffrey MurdochDepartment of Pathology, Division of Neuropathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Julia KoflerDepartment of Pathology, Division of Neuropathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Simon HealesChemical Pathology, Great Ormond Street Hospital for Children, London, UK.
Marian MaloneLaboratory Medicine, Great Ormond Street Hospital for Children, London, UK.
Randy WoltjerLayton Aging and Alzheimer's Disease Center, Oregon Health and Science University, Portland, Oregon.
Joseph F QuinnLayton Aging and Alzheimer's Disease Center, Oregon Health and Science University, Portland, Oregon.
Paul OrchardDepartment of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
Michael C KruerBarrow Neurological Institute, Phoenix Children's Hospital; Child Health, Neurology & Genetics, University of Arizona College of Medicine, Phoenix, Arizona.
Ronald JaffeDepartment of Pathology, Magee-Women's Hospital of UPMC, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Markus G ManzDivision of Hematology, University of Zurich, University Hospital Zurich, Zurich, Switzerland.
Sergio A LiraImmunology Institute, Icahn School of Medicine, New York, New York.
D Williams ParsonsTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Miriam MeradDepartment of Oncological Sciences, Tisch Cancer Institute, Icahn School of Medicine, New York, New York.
Tsz-Kwong ManTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Carl E AllenTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.ORCID 0000-0002-6625-739X
Baylor College of Medicine · USUniversity of Pittsburgh · USSt. Jude Children's Research Hospital · USGreat Ormond Street Hospital · GBOregon Health & Science University · USTexas Tech University · USBarrow Neurological Institute · USCincinnati Children's Hospital Medical Center · USCook Children's Medical Center · USIcahn School of Medicine at Mount Sinai · USStanford University · USTexas Oncology · USThe Ohio State University · USTisch Hospital · USUniversity of California San Diego · USUniversity of Minnesota · USUniversity of Zurich · CH

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Tissue ResourceP50CA126752 · NCI · BAYLOR COLLEGE OF MEDICINE · PI MALCOLM K. BRENNER, HELEN E HESLOP · 2007 to 2026
$51.4M
PEDIATRIC ONCOLOGY CLINICAL RESEARCH TRAINING PROGRAMK12CA090433 · NCI · BAYLOR COLLEGE OF MEDICINE · PI CARL E ALLEN, Donald W. Parsons · 2002 to 2026
$18.5M
ERK control of Dendritic Cell Differentiation, Homeostasis and DiseaseR01CA154947 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CARL E ALLEN, MIRIAM MERAD · 2011 to 2026
$7.0M
Redefining Langerhans Cell Histiocytosis as a Myeloid Dysplasia and Identifying BR01CA154489 · NCI · BAYLOR COLLEGE OF MEDICINE · PI ALLEN, CARL E · 2011 to 2015
$1.6M
NCATS NIH HHS UL1 TR001857NCI NIH HHS K12 CA090433NCI NIH HHS P50 CA126752NCI NIH HHS R01 CA154489NCI NIH HHS R01 CA154947
6 · The paper itself

Abstract

backgroundCentral nervous system Langerhans cell histiocytosis (CNS-LCH) brain involvement may include mass lesions and/or a neurodegenerative disease (LCH-ND) of unknown etiology. The goal of this study was to define the mechanisms of pathogenesis that drive CNS-LCH.

methodsCerebrospinal fluid (CSF) biomarkers including CSF proteins and extracellular BRAFV600E DNA were analyzed in CSF from patients with CNS-LCH lesions compared with patients with brain tumors and other neurodegenerative conditions. Additionally, the presence of BRAFV600E was tested in peripheral mononuclear blood cells (PBMCs) as well as brain biopsies from LCH-ND patients, and the response to BRAF-V600E inhibitor was evaluated in 4 patients with progressive disease.

resultsOsteopontin was the only consistently elevated CSF protein in patients with CNS-LCH compared with patients with other brain pathologies. BRAFV600E DNA was detected in CSF of only 2/20 (10%) cases, both with LCH-ND and active lesions outside the CNS. However, BRAFV600E

conclusionIn LCH-ND patients, BRAFV600E

Indexed as

AdolescentAdultBiomarkersBiopsyBrainBrain NeoplasmsChildChild, PreschoolDiagnosis, DifferentialFemaleHematopoietic Stem CellsHistiocytosis, Langerhans-CellHumansInfantInfant, NewbornLeukocytes, MononuclearBiomarkersBRAF protein, humanOsteopontinProto-Oncogene Proteins B-rafSPP1 protein, humanBRAF-V600ECNS neoplasmsLangerhans cell histiocytosisneurodegenerationosteopontin

Identifiers

PMID29624648
PMCPMC6289302
OpenAlexW2796087719

What OpenQuestion holds

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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.