Evidence map›Paper›PMID 30135448›Full record

ArticleNature communications2018

Genomic patterns of progression in smoldering multiple myeloma.

Niccolò Bolli, Francesco Maura, Stephane Minvielle, Dominik Gloznik, Raphael Szalat, Anthony Fullam, Inigo Martincorena, Kevin J Dawson, Mehmet Kemal Samur, Jorge Zamora and 14 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07214324 (Integrative Multi-omics Analysis to Predict Monoclonal Gammopathies Clinical Evolution), which is not on this map. Cited by 154 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
154citing papers in PubMed, 2 pooled it
17.8field-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.

NCT07214324 recruitingnot on this mapstarted 2025, after this paper: background citation

Integrative Multi-omics Analysis to Predict Monoclonal Gammopathies Clinical Evolution

TypeobservationalSponsorAzienda USL Reggio Emilia - IRCCSRan2025 to 2026Enrolled60ConditionsMonoclonal Gammopathy of Undetermined Significance (MGUS), Smoldering Multiple Myeloma (SMM), Multiple Myeloma (MM)ArmsCollection of biological material
3 · Its place in the literature

Who cites it

154 citing papers in PubMed, 2 syntheses or guidelines pooled it, 213 citations in OpenAlex.

  1. Pooled it
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  13. Genomics Define Malignant Transformation in Myeloma Precursor Conditions.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
  14. Review
  15. Article
  16. Review
  17. [Value of gene mutation in the prognosis and treatment of multiple myeloma].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Review
  18. Article
  19. Article
  20. Article

94 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

24 authors at 7 institutions in 4 countries.

Niccolò BolliDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, 20122, Italy.ORCID http://orcid.org/0000-0002-1018-5139
Francesco MauraDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, 20122, Italy.
Stephane MinvielleCRCINA, INSERM, CNRS, Université de Nantes, Université d'Angers, Nantes, 44035, France.
Dominik GloznikCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
Raphael SzalatJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, 02215, MA, USA.
Anthony FullamCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.ORCID http://orcid.org/0000-0002-0884-8124
Inigo MartincorenaCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
Kevin J DawsonCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
Mehmet Kemal SamurJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, 02215, MA, USA.
Jorge ZamoraCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
Patrick TarpeyCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
Helen DaviesCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
Mariateresa FulcinitiJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, 02215, MA, USA.
Masood A ShammasJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, 02215, MA, USA.
Yu Tzu TaiJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, 02215, MA, USA.
Florence MagrangeasCRCINA, INSERM, CNRS, Université de Nantes, Université d'Angers, Nantes, 44035, France.
Philippe MoreauCRCINA, INSERM, CNRS, Université de Nantes, Université d'Angers, Nantes, 44035, France.
Paolo CorradiniDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, 20122, Italy.
Kenneth AndersonJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, 02215, MA, USA.
Ludmil AlexandrovDepartment of Cellular and Molecular Medicine and Department of Bioengineering and Moores Cancer Center, University of California, San Diego, La Jolla, CA, 92093, USA.
David C WedgeBig Data Institute, Nuffield Department of Medicine, University of Oxford, Oxford, OX3 7BN, UK.
Herve Avet-LoiseauGenomics of Myeloma Laboratory, L'Institut Universitaire du Cancer Oncopole, Toulouse, 31100, France. avet-loiseau.h@chu-toulouse.fr.
Peter CampbellDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, 20122, Italy. pc8@sanger.ac.uk.
Nikhil MunshiJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, 02215, MA, USA. nikhil_munshi@dfci.harvard.edu.
Harvard University · USWellcome Sanger Institute · GBUniversity of Milan · ITCentre National de la Recherche Scientifique · FRInstitut universitaire du cancer de Toulouse Oncopole · FRUniversity of California San Diego · USUniversity of Oxford · GB

Funding

Trageting the Multiple Myeloma EpigenomeP50CA100707 · NCI · DANA-FARBER CANCER INSTITUTE · PI ANDERSON, KENNETH C., MUNSHI, NIKHIL C. · 2003 to 2023
$45.0M
Targeting Genomic Instability and Evolution in MyelomaP01CA155258 · NCI · DANA-FARBER CANCER INST · PI RICHARD YOUNG · 2011 to 2026
$32.5M
MOLECULAR MANIPULATION TO ENHANCE ANTI-MYELOMA RESPONSEI01BX001584 · VA · VA BOSTON HEALTH CARE SYSTEM · PI MUNSHI, NIKHIL C. · 2013 to 2025
–
BLRD VA I01 BX001584Cancer Research UK 21777NCI NIH HHS P01 CA155258NCI NIH HHS P50 CA100707
6 · The paper itself

Abstract

We analyzed whole genomes of unique paired samples from smoldering multiple myeloma (SMM) patients progressing to multiple myeloma (MM). We report that the genomic landscape, including mutational profile and structural rearrangements at the smoldering stage is very similar to MM. Paired sample analysis shows two different patterns of progression: a "static progression model", where the subclonal architecture is retained as the disease progressed to MM suggesting that progression solely reflects the time needed to accumulate a sufficient disease burden; and a "spontaneous evolution model", where a change in the subclonal composition is observed. We also observe that activation-induced cytidine deaminase plays a major role in shaping the mutational landscape of early subclinical phases, while progression is driven by APOBEC cytidine deaminases. These results provide a unique insight into myelomagenesis with potential implications for the definition of smoldering disease and timing of treatment initiation.

Indexed as

Gene Expression Regulation, NeoplasticAgedDatabases, GeneticDisease ProgressionFemaleGene Expression ProfilingGenomicsHumansMaleMiddle AgedMultiple MyelomaMutationRisk FactorsSmoldering Multiple Myeloma

Identifiers

PMID30135448
PMCPMC6105687
OpenAlexW2885104676

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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.