Evidence map›Paper›PMID 30139925›Full record

ArticleBlood advances2018

Single-cell heterogeneity in Sézary syndrome.

Terkild Brink Buus, Andreas Willerslev-Olsen, Simon Fredholm, Edda Blümel, Claudia Nastasi, Maria Gluud, Tengpeng Hu, Lise M Lindahl, Lars Iversen, Hanne Fogh and 10 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Blood advances, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07781449 (An Investigator-Initiated, Descriptive, Proof-of-Concept, Open-Label Pilot Study Focusing on Topical JAK Inhibition as a Novel Treatment of Cutaneous T-Cell Lymphoma), which is not on this map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
12.0field-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.

NCT07781449 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

An Investigator-Initiated, Descriptive, Proof-of-Concept, Open-Label Pilot Study Focusing on Topical JAK Inhibition as a Novel Treatment of Cutaneous T-Cell Lymphoma

TypeinterventionalSponsorAarhus University HospitalRan2026 to 2030Enrolled15ConditionsMycosis Fungoides, Cutaneous T-cell LymphomaArmsdelgocitinib
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Mapping malignant T-cell states and immune circuits in Sézary syndrome by single-cell analysis.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
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8 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

20 authors at 5 institutions in 3 countries.

Terkild Brink BuusDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-7180-6384
Andreas Willerslev-OlsenDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-9687-7269
Simon FredholmDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-8870-949X
Edda BlümelDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-3270-9466
Claudia NastasiDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-4438-0554
Maria GluudDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.
Tengpeng HuDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.
Lise M LindahlDepartment of Dermatology, Aarhus University, Hospital, Skejby, Aarhus, Denmark.
Lars IversenDepartment of Dermatology, Aarhus University, Hospital, Skejby, Aarhus, Denmark.
Hanne FoghDepartment of Dermatology, Copenhagen University Hospital, Bispebjerg, Copenhagen, Denmark.
Robert GniadeckiDepartment of Dermatology, Copenhagen University Hospital, Bispebjerg, Copenhagen, Denmark.
Ivan V LitvinovDivision of Dermatology, McGill University, Montreal, QC, Canada.
Jenny L PerssonClinical Research Center, Lund University, Malmö, Sweden; and.
Charlotte Menné BonefeldDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-0523-6229
Carsten GeislerDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-8472-0771
Jan Pravsgaard ChristensenDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-4299-9479
Thorbjørn KrejsgaardDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-6350-1150
Thomas LitmanDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-6068-901X
Anders WoetmannDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-3008-735X
Niels ØdumDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.
University of Copenhagen · DKAarhus University Hospital · DKBispebjerg Hospital · DKLund University · SEMcGill University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sézary syndrome (SS) is an aggressive leukemic variant of cutaneous T-cell lymphoma (CTCL) with a median life expectancy of less than 4 years. Although initial treatment responses are often good, the vast majority of patients with SS fail to respond to ongoing therapy. We hypothesize that malignant T cells are highly heterogeneous and harbor subpopulations of SS cells that are both sensitive and resistant to treatment. Here, we investigate the presence of single-cell heterogeneity and resistance to histone deacetylase inhibitors (HDACi) within primary malignant T cells from patients with SS. Using single-cell RNA sequencing and flow cytometry, we find that malignant T cells from all investigated patients with SS display a high degree of single-cell heterogeneity at both the mRNA and protein levels. We show that this heterogeneity divides the malignant cells into distinct subpopulations that can be isolated by their expression of different surface antigens. Finally, we show that treatment with HDACi (suberanilohydroxamic acid and romidepsin) selectively eliminates some subpopulations while leaving other subpopulations largely unaffected. In conclusion, we show that patients with SS display a high degree of single-cell heterogeneity within the malignant T-cell population, and that distinct subpopulations of malignant T cells carry HDACi resistance. Our data point to the importance of understanding the heterogeneous nature of malignant SS cells in each individual patient to design combinational and new therapies to counter drug resistance and treatment failure.

Indexed as

Drug Resistance, NeoplasmFlow CytometrySezary SyndromeT-LymphocytesAgedAged, 80 and overDepsipeptidesFemaleHistone Deacetylase InhibitorsHumansMaleMiddle AgedVorinostatDepsipeptidesHistone Deacetylase InhibitorsromidepsinVorinostat

Identifiers

PMID30139925
PMCPMC6113609
OpenAlexW2889602315

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.