Evidence map›Paper›PMID 30510164›Full record

ArticleScientific reports2018

Midostaurin reduces Regulatory T cells markers in Acute Myeloid Leukemia.

Lucas Gutierrez, Miran Jang, Tian Zhang, Mojtaba Akhtari, Houda Alachkar

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 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Targeting T regulatory (TCancer drug resistance (Alhambra, Calif.) · 2024
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  7. Review
  8. Carbazole Derivatives as Potential Antimicrobial Agents.Molecules (Basel, Switzerland) · 2022
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Is There a Place for PD-1-PD-L Blockade in Acute Myeloid Leukemia?Pharmaceuticals (Basel, Switzerland) · 2021
    Review
  15. Review
  16. Review
  17. Current Approaches to Transplantation for FLT3-ITD AML.Current hematologic malignancy reports · 2020
    Review
  18. Article
  19. Article
  20. Carbazole scaffolds in cancer therapy: a review from 2012 to 2018.Journal of enzyme inhibition and medicinal chemistry · 2019
    Review
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

5 authors at 2 institutions in 1 country.

Lucas GutierrezSchool of Pharmacy, University of Southern California, Los Angeles, CA, USA.
Miran JangSchool of Pharmacy, University of Southern California, Los Angeles, CA, USA.
Tian ZhangSchool of Pharmacy, University of Southern California, Los Angeles, CA, USA.
Mojtaba AkhtariNorris Comprehensive Cancer Center, USC, Los Angeles, CA, USA.
Houda AlachkarSchool of Pharmacy, University of Southern California, Los Angeles, CA, USA. alachkar@usc.edu.
University of Southern California · USUSC Norris Comprehensive Cancer Center · US

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
NCATS NIH HHS UL1 TR001855
6 · The paper itself

Abstract

Acute myeloid leukemia (AML) is a heterogeneous hematological malignancy in which the only curative approach is allogeneic stem cell transplant (Allo-HSCT). The recognition and elimination of leukemic clones by donor T-cells contribute significantly to Allo-HSCT success. FLT3-ITD, a common mutation in AML, is associated with poor prognosis. Recently, midostaurin became the first FDA approved FLT3-inhibitor for pre-transplant patients with FLT3-ITD in combination with standard therapy. In addition to their multikinase activity which may affect T-cell signaling, FLT3-inhibitors induce apoptosis of malignant cells which may also enhance antigen presentation to activate T-cells. Considering the increased clinical use of these inhibitors in patients with AML, and the limited clinical benefit derived from their use as single agents, understanding how FLT3-inhibitors affect T cell population and function is needed to improve their clinical benefit. We examined the effect of four different FLT3 inhibitors (midostaurin, sorafenib, tandutinib, and quizartenib) on T cell populations in peripheral blood mononuclear cells (PBMC) obtained from healthy donors and from patients with AML. Midostaurin exhibited a significant decrease in CD4 + CD25 + FOXP3+ T cell population and FOXP3 mRNA expression in healthy and AML PBMCs. Similarly, samples collected from patients with AML treated with midostaurin showed a reduction in Tregs markers. Interferon-γ(IFN-γ), tumor necrosis factor-α(TNF-α), and IL-10 levels were also reduced following midostaurin treatment. Considering the FDA approval of midostaurin for use in patients with AML in the pre-transplant setting, our finding will have important clinical implication as it provides the rationale for functional investigation of the use of midostaurin in post-transplant patients.

Indexed as

Antigens, DifferentiationCytokinesFemalefms-Like Tyrosine Kinase 3HumansLeukemia, Myeloid, AcuteMaleSignal TransductionStaurosporineT-Lymphocytes, RegulatoryAntigens, DifferentiationCytokinesFLT3 protein, humanfms-Like Tyrosine Kinase 3midostaurinStaurosporine

Identifiers

PMID30510164
PMCPMC6277419
OpenAlexW2902864530

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.