Evidence map›Paper›PMID 29681510›Full record

ArticleCancer cell2018

Germline Genetic IKZF1 Variation and Predisposition to Childhood Acute Lymphoblastic Leukemia.

Michelle L Churchman, Maoxiang Qian, Geertruy Te Kronnie, Ranran Zhang, Wenjian Yang, Hui Zhang, Tobia Lana, Paige Tedrick, Rebekah Baskin, Katherine Verbist and 26 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cancer cell, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00137111 (Total XV - Total Therapy Study XV for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia), which is not on this map. Cited by 124 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed, 1 pooled it
23.0field-weighted citation impact, top 1% 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.

NCT00137111 phase3completednot on this map

Total XV - Total Therapy Study XV for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia

TypeinterventionalSponsorSt. Jude Children's Research HospitalRan2000 to 2014Enrolled501ConditionsLymphoblastic Leukemia, AcuteArmsPrednisone, Dexamethasone, Vincristine, Daunorubicin, Doxorubicin, L-asparaginase, PEG-L-asparaginase, Erwinia asparaginase, Methotrexate, Cyclophosphamide, Cytarabine, Etoposide, Mercaptopurine, Imatinib, chemotherapy, intrathecal chemotherapy
3 · Its place in the literature

Who cites it

124 citing papers in PubMed, 1 synthesis or guideline pooled it, 203 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Genetic influences on haematopoiesis.Nature reviews. Genetics · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Inborn errors of regulatory T-cell differentiation and function.The Journal of allergy and clinical immunology · 2025
    Review
  14. Genetic susceptibility ofGlobal medical genetics · 2025
    Article
  15. Review
  16. Article
  17. IKZF-associated inborn errors of immunity.Journal of human immunity · 2025
    Review
  18. Review
  19. Review
  20. Review

64 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

36 authors at 15 institutions in 4 countries.

Michelle L ChurchmanDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Maoxiang QianDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Geertruy Te KronnieDepartment of Women's and Children's Health, University of Padova, 35128 Padova, Italy.
Ranran ZhangDepartment of Pediatrics, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120 Guangdong, China.
Wenjian YangDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Hui ZhangDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN 38105, USA; Department of Pediatrics, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120 Guangdong, China.
Tobia LanaDepartment of Women's and Children's Health, University of Padova, 35128 Padova, Italy.
Paige TedrickDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Rebekah BaskinDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Katherine VerbistDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Jennifer L PetersCellular Imaging Shared Resource, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Meenakshi DevidasDepartment of Biostatistics, Epidemiology and Health Policy Research, College of Medicine, University of Florida, Gainesville, FL 32610, USA.
Eric LarsenMaine Children's Cancer Program, Scarborough, ME 04074, USA.
Ian M MooreDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Zhaohui GuDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Chunxu QuDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Hiroki YoshiharaDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Shaina N PorterCenter for Advanced Genome Engineering, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Shondra M Pruett-MillerCenter for Advanced Genome Engineering, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Gang WuDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Elizabeth RaetzDivision of Pediatric Hematology-Oncology, New York University, New York, NY 10016, USA.
Paul L MartinDepartment of Pediatrics, Duke University, Durham, NC 27708, USA.
W Paul BowmanCook Children's Medical Center, Fort Worth, TX 76104, USA.
Naomi WinickPediatric Hematology Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Elaine MardisInstitute for Genomic Medicine, Nationwide Children's Hospital, Columbus, OH 43205, USA.
Robert FultonMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO 63108, USA.
Martin StanullaPediatric Hematology and Oncology, Hannover Medical School, Hannover 30625, Germany.
William E EvansDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN 38105, USA; Hematological Malignancies Program, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Mary V RellingDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN 38105, USA; Hematological Malignancies Program, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Ching-Hon PuiDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA; Hematological Malignancies Program, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Stephen P HungerDepartment of Pediatrics and Center for Childhood Cancer Research, Children's Hospital of Philadelphia and The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.
Mignon L LohDepartment of Pediatrics, Benioff Children's Hospital and Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA 94158, USA.
Rupert HandgretingerDepartment of Hematology/Oncology, Children's University Hospital, 72076 Tuebingen, Germany.
Kim E NicholsDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA; Hematological Malignancies Program, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Jun J YangDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN 38105, USA; Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA; Hematological Malignancies Program, St. Jude Children's Research Hospital, Memphis, TN 38105, USA. Electronic address: jun.yang@stjude.org.
Charles G MullighanDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA; Hematological Malignancies Program, St. Jude Children's Research Hospital, Memphis, TN 38105, USA. Electronic address: charles.mullighan@stjude.org.
St. Jude Children's Research Hospital · USUniversity of Padua · ITChildren's Hospital of Philadelphia · USCook Children's Medical Center · USDuke University · USFirst Affiliated Hospital of Guangzhou Medical University · CNJames S. McDonnell Foundation · USMedizinische Hochschule Hannover · DENationwide Children's Hospital · USNew England Cancer Specialists · USNew York University · USThe University of Texas Southwestern Medical Center · USUniversity Children's Hospital Tübingen · DEUniversity of California, San Francisco · USUniversity of Florida · 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
Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Jennifer A. Woyach · 1985 to 2026
$132.3M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI DEVIDAS, MEENAKSHI · 2003 to 2013
$67.5M
CPML - Project 3: Genome-wide Studies of Adverse EffectsP50GM115279 · NIGMS · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI LOH, MIGNON LEE-CHEUN, RELLING, MARY V · 2015 to 2019
$15.1M
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
Translating genomic discoveries to improved outcomes for high risk acute leukemiaR35CA197695 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Charles G Mullighan · 2017 to 2026
$11.4M
Pharmacogenomics of Childhood Leukemia ALLR01CA036401 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI EVANS, WILLIAM E · 1985 to 2019
$3.6M
ARID5B and disparities of childhood leukemiaU01CA176063 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI YANG, JUN J. · 2014 to 2018
$2.4M
NCI NIH HHS P30 CA016058NCI NIH HHS P30 CA021765NCI NIH HHS R01 CA036401NCI NIH HHS R35 CA197695NCI NIH HHS U01 CA176063NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NCI NIH HHS U24 CA114766NIGMS NIH HHS P50 GM115279
6 · The paper itself

Abstract

Somatic genetic alterations of IKZF1, which encodes the lymphoid transcription factor IKAROS, are common in high-risk B-progenitor acute lymphoblastic leukemia (ALL) and are associated with poor prognosis. Such alterations result in the acquisition of stem cell-like features, overexpression of adhesion molecules causing aberrant cell-cell and cell-stroma interaction, and decreased sensitivity to tyrosine kinase inhibitors. Here we report coding germline IKZF1 variation in familial childhood ALL and 0.9% of presumed sporadic B-ALL, identifying 28 unique variants in 45 children. The majority of variants adversely affected IKZF1 function and drug responsiveness of leukemic cells. These results identify IKZF1 as a leukemia predisposition gene, and emphasize the importance of germline genetic variation in the development of both familial and sporadic ALL.

Indexed as

Germ-Line MutationAnimalsChildFemaleFrameshift MutationGenetic Predisposition to DiseaseHumansIkaros Transcription FactorMaleMiceNeoplasm TransplantationPedigreePrecursor B-Cell Lymphoblastic Leukemia-LymphomaSequence Analysis, DNAIkaros Transcription FactorIKZF1 protein, humanacute lymphoblastic leukemiaALLdrug responsefamilial leukemiagermline genetic variationIKAROSIKZF1immunodeficiencypredisposition

Identifiers

PMID29681510
PMCPMC5953820
OpenAlexW2801416175

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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.