Evidence map›Paper›PMID 30787430›Full record

ArticleLeukemia2019

Response of high-risk MDS to azacitidine and lenalidomide is impacted by baseline and acquired mutations in a cluster of three inositide-specific genes.

Matilde Y Follo, Andrea Pellagatti, Richard N Armstrong, Stefano Ratti, Sara Mongiorgi, Sara De Fanti, Maria Teresa Bochicchio, Domenico Russo, Marco Gobbi, Maurizio Miglino and 10 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 37 citations in OpenAlex.

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  12. Phospholipase Cγ2 regulates endocannabinoid and eicosanoid networks in innate immune cells.Proceedings of the National Academy of Sciences of the United States of America · 2021
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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

20 authors at 7 institutions in 4 countries.

Matilde Y FolloCellular Signalling Laboratory, Human Anatomy Section, Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy. matilde.follo@unibo.it.
Andrea PellagattiBloodwise Molecular Haematology Unit, Nuffield Division of Clinical Laboratory Sciences, Radcliffe Department of Medicine, University of Oxford, and Oxford BRC Haematology Theme, Oxford, UK.ORCID http://orcid.org/0000-0002-6122-0221
Richard N ArmstrongBloodwise Molecular Haematology Unit, Nuffield Division of Clinical Laboratory Sciences, Radcliffe Department of Medicine, University of Oxford, and Oxford BRC Haematology Theme, Oxford, UK.
Stefano RattiCellular Signalling Laboratory, Human Anatomy Section, Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Sara MongiorgiCellular Signalling Laboratory, Human Anatomy Section, Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Sara De FantiDepartment of Biological, Geological, and Environmental Sciences, University of Bologna, Bologna, Italy.
Maria Teresa BochicchioDepartment of Hematology "L e A Seràgnoli", University of Bologna, Bologna, Italy.
Domenico RussoChair of Hematology, Unit of Blood Disease and Stem Cell Transplantation, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Marco GobbiDepartment of Hematology and Oncology, University of Genova, Genova, Italy.
Maurizio MiglinoDepartment of Hematology and Oncology, University of Genova, Genova, Italy.
Sarah ParisiDepartment of Hematology "L e A Seràgnoli", University of Bologna, Bologna, Italy.
Giovanni MartinelliIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Italy.
Michele CavoDepartment of Hematology "L e A Seràgnoli", University of Bologna, Bologna, Italy.
Donata LuiselliDepartment of Cultural Heritage, University of Bologna, Ravenna, Italy.
James A McCubreyDepartment of Microbiology and Immunology, Brody School of Medicine, East Carolina University, Greenville, NC, USA.
Pann-Ghill SuhSchool of Life Sciences, UNIST, Ulsan, Republic of Korea.
Lucia ManzoliCellular Signalling Laboratory, Human Anatomy Section, Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Jacqueline BoultwoodBloodwise Molecular Haematology Unit, Nuffield Division of Clinical Laboratory Sciences, Radcliffe Department of Medicine, University of Oxford, and Oxford BRC Haematology Theme, Oxford, UK.
Carlo FinelliDepartment of Hematology "L e A Seràgnoli", University of Bologna, Bologna, Italy.
Lucio CoccoCellular Signalling Laboratory, Human Anatomy Section, Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy. lucio.cocco@unibo.it.
University of Bologna · ITUniversity of Oxford · GBUniversity of Genoa · ITEast Carolina University · USIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITUlsan National Institute of Science and Technology · KRUniversity of Brescia · IT

Funding

Bloodwise 13042
6 · The paper itself

Abstract

Specific myeloid-related and inositide-specific gene mutations can be linked to myelodysplastic syndromes (MDS) pathogenesis and therapy. Here, 44 higher-risk MDS patients were treated with azacitidine and lenalidomide and mutations analyses were performed at baseline and during the therapy. Results were then correlated to clinical outcome, overall survival (OS), leukemia-free-survival (LFS) and response to therapy. Collectively, 34/44 patients were considered evaluable for response, with an overall response rate of 76.25% (26/34 cases): 17 patients showed a durable response, 9 patients early lost response and 8 patients never responded. The most frequently mutated genes were ASXL1, TET2, RUNX1, and SRSF2. All patients early losing response, as well as cases never responding, acquired the same 3 point mutations during therapy, affecting respectively PIK3CD (D133E), AKT3 (D280G), and PLCG2 (Q548R) genes, that regulate cell proliferation and differentiation. Moreover, Kaplan-Meier analyses revealed that this mutated cluster was significantly associated with a shorter OS, LFS, and duration of response. All in all, a common mutated cluster affecting 3 inositide-specific genes is significantly associated with loss of response to azacitidine and lenalidomide therapy in higher risk MDS. Further studies are warranted to confirm these data and to further analyze the functional role of this 3-gene cluster.

Indexed as

AgedAged, 80 and overAzacitidineCell DifferentiationCell ProliferationDisease-Free SurvivalFemaleHumansInositolKaplan-Meier EstimateLenalidomideMaleMiddle AgedMutationMyelodysplastic SyndromesAzacitidineInositolLenalidomide

Identifiers

PMID30787430
PMCPMC6733710
OpenAlexW2917631884

What OpenQuestion holds

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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.