Evidence map›Paper›PMID 30287880›Full record

ArticleScientific reports2018

Mutation of TP53, translocation analysis and immunohistochemical expression of MYC, BCL-2 and BCL-6 in patients with DLBCL treated with R-CHOP.

Pekka Peroja, Mette Pedersen, Tuomo Mantere, Peter Nørgaard, Jenni Peltonen, Kirsi-Maria Haapasaari, Jan Böhm, Esa Jantunen, Taina Turpeenniemi-Hujanen, Katrin Rapakko and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

24 citing papers in PubMed, 30 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

14 authors at 7 institutions in 2 countries.

Pekka PerojaDepartment of Oncology and Radiotherapy, Cancer and Translational Medicine Research Unit, University of Oulu and Medical Research Center, Oulu University Hospital, Oulu, Finland.
Mette PedersenDepartment of Pathology, Herlev and Gentofte University Hospital, University of Copenhagen, Herlev, Denmark.
Tuomo MantereLaboratory of Genetics, Northern Finland Laboratory Centre NordLab Oulu, Oulu, Finland.ORCID http://orcid.org/0000-0003-3284-4403
Peter NørgaardDepartment of Pathology, Herlev and Gentofte University Hospital, University of Copenhagen, Herlev, Denmark.
Jenni PeltonenDepartment of Oncology and Radiotherapy, Cancer and Translational Medicine Research Unit, University of Oulu and Medical Research Center, Oulu University Hospital, Oulu, Finland.
Kirsi-Maria HaapasaariDepartment of Pathology, University of Oulu and Medical Research Center, Oulu, Finland.
Jan BöhmDepartment of Pathology, Central Finland Central Hospital, Jyväskylä, Finland.
Esa JantunenDepartment of Medicine, University of Eastern Finland/Clinical Medicine, Kuopio University Hospital, Siun Sote -North Carelia Central, Kuopio, Finland.
Taina Turpeenniemi-HujanenDepartment of Oncology and Radiotherapy, Cancer and Translational Medicine Research Unit, University of Oulu and Medical Research Center, Oulu University Hospital, Oulu, Finland.
Katrin RapakkoLaboratory of Genetics, Northern Finland Laboratory Centre NordLab Oulu, Oulu, Finland.
Peeter KarihtalaDepartment of Oncology and Radiotherapy, Cancer and Translational Medicine Research Unit, University of Oulu and Medical Research Center, Oulu University Hospital, Oulu, Finland. peeter.karihtala@oulu.fi.ORCID http://orcid.org/0000-0003-3490-3702
Ylermi SoiniDepartment of Pathology, University of Oulu and Medical Research Center, Oulu, Finland.
Kaija VasalaDepartment of Oncology and Radiotherapy, Central Finland Central Hospital, Jyväskylä, Finland.
Outi KuittinenUniversity of Eastern Finland, Faculty of Health Medicine, Institute of Clinical Medicine Oncology, Kuopio University Hospital, Kuopio, Finland.
Oulu University Hospital · FICentral Finland Health Care District · FINordLab · FIUniversity of Copenhagen · DKUniversity of Eastern Finland · FIKuopio University Hospital · FIUniversity of Oulu · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diffuse large B-cell lymphoma (DLBCL) is an aggressive lymphoma with diverse outcomes. Concurrent translocation of MYC and BCL-2 and/or BCL-6, and concurrent immunohistochemical (IHC) high expression of MYC and BCL-2, have been linked to unfavorable treatment responses. TP53-mutated DLBCL has also been linked to worse outcome. Our aim was to evaluate the aforementioned issues in a cohort of 155 patients uniformly treated with R-CHOP-like therapies. We performed direct sequencing of TP53 exons 5, 6, 7 and 8 as well as fluorescence in-situ hybridization (FISH) of MYC, BCL-2 and BCL-6, and IHC of MYC, BCL-2 and BCL-6. In multivariate analysis, TP53 mutations in L3 and loop-sheet helix (LSH) associated with a risk ratio (RR) of disease-specific survival (DSS) of 8.779 (p = 0.022) and a RR of disease-free survival (DFS) of 10.498 (p = 0.011). In IHC analysis BCL-2 overexpression was associated with inferior DFS (p = 0.002) and DSS (p = 0.002). DLBCL with BCL-2 and MYC overexpression conferred inferior survival in all patients (DSS, p = 0.038 and DFS, p = 0.011) and in patients with non-GC phenotype (DSS (p = 0.013) and DFS (p = 0.010). Our results imply that in DLBCL, the location of TP53 mutations and IHC analysis of BCL-2 and MYC might have a role in the assessment of prognosis.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsTranslocation, GeneticAdultAgedAged, 80 and overAntibodies, Monoclonal, Murine-DerivedCyclophosphamideDoxorubicinFemaleGene Expression ProfilingHumansImmunohistochemistryIn Situ Hybridization, FluorescenceLymphoma, Large B-Cell, DiffuseMaleMiddle AgedAntibodies, Monoclonal, Murine-DerivedBCL6 protein, humanCyclophosphamideDoxorubicinMYC protein, humanPrednisoneProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-bcl-6Proto-Oncogene Proteins c-mycR-CHOP protocolRituximabTP53 protein, humanTumor Suppressor Protein p53Vincristine

Identifiers

PMID30287880
PMCPMC6172218
OpenAlexW2894169590

What OpenQuestion holds

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Registered trials

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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.