Evidence map›Paper›PMID 29654263›Full record

ArticleLeukemia2018

Hedgehog pathway mutations drive oncogenic transformation in high-risk T-cell acute lymphoblastic leukemia.

Melissa A Burns, Zi Wei Liao, Natsuko Yamagata, Gayle P Pouliot, Kristen E Stevenson, Donna S Neuberg, Aaron R Thorner, Matthew Ducar, Emily A Silverman, Stephen P Hunger and 9 more

Abstract read
In one paragraph

Article in Leukemia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
3.5field-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.

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

41 citing papers in PubMed, 55 citations in OpenAlex.

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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

19 authors at 8 institutions in 1 country.

Melissa A BurnsDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA, 02115, USA.
Zi Wei LiaoDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA, 02115, USA.
Natsuko YamagataDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA, 02115, USA.
Gayle P PouliotDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA, 02115, USA.
Kristen E StevensonDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Donna S NeubergDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.ORCID http://orcid.org/0000-0003-2566-3145
Aaron R ThornerCenter for Cancer Genome Discovery, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Matthew DucarCenter for Cancer Genome Discovery, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Emily A SilvermanDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA, 02115, USA.
Stephen P HungerDivision of Oncology and the Center for Childhood Cancer Research, The Children's Hospital of Philadelphia and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Mignon L LohDepartment of Pediatrics, University of California San Francisco, San Francisco, CA, 94158, USA.
Stuart S WinterDepartment of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, 87131, USA.
Kimberly P DunsmoreDivision of Oncology, University of Virginia Children's Hospital, Charlottesville, VA, 22903, USA.
Brent WoodDepartment of Laboratory Medicine, University of Washington, Seattle, 98195, WA, USA.
Meenakshi DevidasDepartment of Biostatistics, University of Florida, Gainesville, FL, 32611, USA.
Marian H HarrisDepartment of Pathology, Boston Children's Hospital, Boston, MA, 02115, USA.
Lewis B SilvermanDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA, 02115, USA.
Stephen E SallanDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA, 02115, USA.
Alejandro GutierrezDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA, 02115, USA. alejandro.gutierrez@childrens.harvard.edu.
Boston Children's Hospital · USDana-Farber Cancer Institute · USChildren's Hospital of Philadelphia · USUniversity of California, San Francisco · USUniversity of Florida · USUniversity of New Mexico · USUniversity of Virginia Children's Hospital · USUniversity of Washington · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI DEVIDAS, MEENAKSHI · 2003 to 2013
$67.5M
Support for Human Specimen Banking in NCI-Supported Cancer Clinical TrialsU24CA114766 · NCI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI RAMIREZ MILAN, NILSA DEL CARMEN · 2005 to 2014
$14.5M
Discovery and targeting of apoptosis resistance mechanisms in high-risk T-ALLR01CA193651 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI GUTIERREZ, ALEJANDRO · 2015 to 2024
$4.4M
NCI NIH HHS R01 CA193651NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NCI NIH HHS U24 CA114766
6 · The paper itself

Abstract

The role of Hedgehog signaling in normal and malignant T-cell development is controversial. Recently, Hedgehog pathway mutations have been described in T-ALL, but whether mutational activation of Hedgehog signaling drives T-cell transformation is unknown, hindering the rationale for therapeutic intervention. Here, we show that Hedgehog pathway mutations predict chemotherapy resistance in human T-ALL, and drive oncogenic transformation in a zebrafish model of the disease. We found Hedgehog pathway mutations in 16% of 109 childhood T-ALL cases, most commonly affecting its negative regulator PTCH1. Hedgehog mutations were associated with resistance to induction chemotherapy (P = 0.009). Transduction of wild-type PTCH1 into PTCH1-mutant T-ALL cells induced apoptosis (P = 0.005), a phenotype that was reversed by downstream Hedgehog pathway activation (P = 0.007). Transduction of most mutant PTCH1, SUFU, and GLI alleles into mammalian cells induced aberrant regulation of Hedgehog signaling, indicating that these mutations are pathogenic. Using a CRISPR/Cas9 system for lineage-restricted gene disruption in transgenic zebrafish, we found that ptch1 mutations accelerated the onset of notch1-induced T-ALL (P = 0.0001), and pharmacologic Hedgehog pathway inhibition had therapeutic activity. Thus, Hedgehog-activating mutations are driver oncogenic alterations in high-risk T-ALL, providing a molecular rationale for targeted therapy in this disease.

Indexed as

AdolescentAnimalsCarcinogenesisCell Transformation, NeoplasticChildChild, PreschoolFemaleHedgehog ProteinsHumansMaleMutationOncogenesPrecursor T-Cell Lymphoblastic Leukemia-LymphomaSignal TransductionT-LymphocytesZebrafishHedgehog Proteins

Identifiers

PMID29654263
PMCPMC6148437
OpenAlexW2789354036

What OpenQuestion holds

Textmetadata
LicenceTDM
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.