Evidence map›Paper›PMID 30368656›Full record

ArticleInternational journal of hematology2019

Epstein-Barr virus-related diffuse large B-cell lymphoma in mogamulizumab-treated adult T-cell leukemia with incomplete T-cell reconstitution.

Kazuharu Kamachi, Takero Shindo, Masaharu Miyahara, Kazutaka Kitaura, Michiaki Akashi, Tadasu Shin-I, Ryuji Suzuki, Koichi Oshima, Shinya Kimura

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in International journal of hematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Review
  3. Clinical and Real-World Effectiveness of Mogamulizumab: A Narrative Review.International journal of molecular sciences · 2024
    Review
  4. Review
  5. Review
  6. 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

9 authors at 5 institutions in 1 country.

Kazuharu KamachiDepartment of Internal Medicine, Karatsu Red Cross Hospital, Karatsu, Japan.
Takero ShindoDivision of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan. takeros@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0002-2085-6151
Masaharu MiyaharaDepartment of Internal Medicine, Karatsu Red Cross Hospital, Karatsu, Japan.
Kazutaka KitauraRepertoire Genesis Inc, Ibaraki, Japan.
Michiaki AkashiDepartment of Pathology, Karatsu Red Cross Hospital, Karatsu, Japan.
Tadasu Shin-IBITS Co. Ltd, Tokyo, Japan.
Ryuji SuzukiRepertoire Genesis Inc, Ibaraki, Japan.
Koichi OshimaDepartment of Pathology, Kurume University School of Medicine, Kurume, Japan.
Shinya KimuraDivision of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Saga University · JPTakamatsu Red Cross Hospital · JPGenesis Research Institute · JPKurume University · JPNational Sagamihara Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adult T-cell leukemia (ATL) is an aggressive mature T-cell malignancy with a poor prognosis. The anti-C-C motif chemokine receptor 4 (CCR4) antibody mogamulizumab (moga) reduces ATL cells and induces reconstitution of polyclonal T cells; however, ATL cases often remain resistant and moga sometimes causes fatal immunopathology. Epstein-Barr virus (EBV)-related B-cell lymphoma develops in severely immunocompromised subjects, and is particularly associated with impaired T-cell immunity. Here, we report an ATL patient who had received conventional chemotherapy plus moga, and subsequently developed EBV-related diffuse large B-cell lymphoma (DLBCL) of the central nervous system. Next-generation sequencing-based T-cell receptor repertoire analyses identified residual abnormal clones and revealed that reconstitution of polyclonal T cells was incomplete, even after moga treatment. Furthermore, a skin rash that developed after moga treatment was found to contain ATL clones. This case suggests that the limited therapeutic effects of moga and incomplete T-cell reconstitution are associated with severely impaired T-cell immunity and subsequent development of EBV-related DLBCL.

Indexed as

Herpesvirus 4, HumanAdultAntibodies, Monoclonal, HumanizedCentral Nervous System NeoplasmsChildClone CellsHumansLeukemia-Lymphoma, Adult T-CellLymphoma, Large B-Cell, DiffuseT-LymphocytesAntibodies, Monoclonal, HumanizedmogamulizumabAdult T-cell leukemia (ATL/ATLL)Epstein–Barr virus-related central nervous system lymphomaMogamulizumabT-cell reconstitution

Identifiers

PMID30368656
OpenAlexW2898305931

What OpenQuestion holds

Textmetadata
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.