Evidence map›Paper›PMID 29757455›Full record

Trial reportCancer2018

Cells, cytokines, chemokines, and cancer stress: A biobehavioral study of patients with chronic lymphocytic leukemia.

Barbara L Andersen, Neha Godiwala Goyal, David M Weiss, Travis D Westbrook, Kami J Maddocks, John C Byrd, Amy J Johnson

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 30 citations in OpenAlex.

  1. Downregulation ofBalkan medical journal · 2026
    Article
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  3. Article
  4. Article
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  7. Pre-Surgery Inflammatory and Angiogenesis Biomarkers as Predictors of 12-Month Cancer-Related Distress: Results from the ColoCare Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  8. Illness perception profiles and psychological and physical symptoms in newly diagnosed advanced non-small cell lung cancer.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
    Article
  9. Article
  10. Observational
  11. Article
  12. Identifying risk factors for depression and anxiety symptoms in patients with chronic lymphocytic leukemia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Prognostic Significance of Serum BAFF, APRIL, TACI and BCMA Levels in Chronic Lymphocytic Leukemia.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2019
    Article
  18. 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

7 authors at 3 institutions in 1 country.

Barbara L AndersenDepartment of Psychology, The Ohio State University, Columbus, Ohio.
Neha Godiwala GoyalWake Forest School of Medicine, Winston-Salem, North Carolina.
David M WeissDepartment of Psychology, The Ohio State University, Columbus, Ohio.ORCID 0000-0001-5806-4144
Travis D WestbrookDepartment of Psychology, The Ohio State University, Columbus, Ohio.
Kami J MaddocksThe Ohio State University Wexner Medical Center, Columbus, Ohio.
John C ByrdThe Ohio State University Wexner Medical Center, Columbus, Ohio.
Amy J JohnsonThe Ohio State University Wexner Medical Center, Columbus, Ohio.
The Ohio State University · USThe Ohio State University Wexner Medical Center · USWake Forest University · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Jennifer A. Woyach · 1985 to 2026
$132.3M
Targeted Therapy for Lymphoid MalignanciesR01CA177292 · NCI · OHIO STATE UNIVERSITY · PI ROGERS, KERRY ANNE, WOYACH, JENNIFER A. · 2013 to 2025
$5.3M
Postdoctoral Training Program in Cancer SurvivorshipR25CA122061 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI AVIS, NANCY E · 2008 to 2018
$3.8M
Biobehavioral Responses to CancerK05CA098133 · NCI · OHIO STATE UNIVERSITY · PI ANDERSEN, BARBARA L. · 2004 to 2014
$1.5M
NCI NIH HHS K05 CA098133NCI NIH HHS P30 CA016058NCI NIH HHS R01 CA177292NCI NIH HHS R25 CA122061
6 · The paper itself

Abstract

backgroundChronic lymphocytic leukemia (CLL) is the most prevalent adult leukemia, with profound disease-related cellular, humoral, and innate immune suppression. The objective of this study was to study the correlations between stress and disease-specific, negative prognostic cellular, cytokine, and chemokine markers in patients with CLL.

methodsA single-group, observational design was used. Patients with relapsed/refractory CLL (N = 96) who were entering a phase 2 trial of an experimental therapy (ibrutinib) were studied. Before the first dose, a validated self-report measure of stress (the Impact of Event Scale) was completed, and blood was drawn for absolute lymphocyte counts (ALCs) and for cytokine and chemokine enzyme-linked immunosorbent assays. Multiple linear regression models tested stress as a concurrent predictor of ALCs; of cytokines (tumor necrosis factor α [TNFα], a proliferation-inducing ligand [APRIL], B-cell activating factor [BAFF], interleukin 6 [IL-6], IL-10, IL-16, and vascular endothelial growth factor [VEGF]); and of the chemokine (C-C motif) ligand 3 (CCL3).

resultsControlling for relevant demographic variables, comorbidities, CLL genetic risk (deletion of the short arm of chromosome 17 [del17p]), and correlates of inflammation, stress predicted higher ALCs (P < .05), and higher levels of TNFα (P < .05), IL-16 (P < .01), and CCL3 (P < .05). Stress was not associated with APRIL, BAFF, IL-6, IL-10, or VEGF.

conclusionsNovel biobehavioral data from patients with relapsed/refractory CLL demonstrate that stress is related to heightened levels of cellular, cytokine, and chemokine markers associated previously with progressive disease in CLL. The current results indicate that stress is related to immune and inflammatory processes that contribute to cancer cell proliferation and survival. These data provide a first look into these processes. Cancer 2018. © 2018 American Cancer Society.

Indexed as

AdenineAgedB-Cell Activating FactorBiomarkers, TumorCell ProliferationFemaleHumansImmunity, InnateInflammationInterleukin-6Leukemia, Lymphocytic, Chronic, B-CellLymphocyte CountMaleMiddle AgedPiperidinesPrognosisAdenineB-Cell Activating FactorBiomarkers, TumoribrutinibInterleukin-6PiperidinesPyrazolesPyrimidinesTNFSF13B protein, humanTumor Necrosis Factor-alphaTumor Necrosis Factor Ligand Superfamily Member 13Vascular Endothelial Growth Factor AVEGFA protein, humanchemokineschronic lymphocytic leukemiacytokinespsychological stress

Identifiers

PMID29757455
PMCPMC6097904
OpenAlexW2804734713

What OpenQuestion holds

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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.