Evidence map›Paper›PMID 30967393›Full record

ArticleBlood advances2019

Clonotypic heterogeneity in cutaneous T-cell lymphoma (mycosis fungoides) revealed by comprehensive whole-exome sequencing.

Aishwarya Iyer, Dylan Hennessey, Sandra O'Keefe, Jordan Patterson, Weiwei Wang, Thomas Salopek, Gane Ka-Shu Wong, Robert Gniadecki

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.5field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 54 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

8 authors at 2 institutions in 2 countries.

Aishwarya IyerDivision of Dermatology, Department of Medicine, and.ORCID 0000-0001-7370-2378
Dylan HennesseyDivision of Dermatology, Department of Medicine, and.ORCID 0000-0001-7983-8524
Sandra O'KeefeDivision of Dermatology, Department of Medicine, and.
Jordan PattersonDepartment of Medicine, University of Alberta, Edmonton, AB, Canada.
Weiwei WangDepartment of Medicine, University of Alberta, Edmonton, AB, Canada.
Thomas SalopekDivision of Dermatology, Department of Medicine, and.ORCID 0000-0001-6990-8680
Gane Ka-Shu WongDepartment of Medicine, University of Alberta, Edmonton, AB, Canada.
Robert GniadeckiDivision of Dermatology, Department of Medicine, and.ORCID 0000-0002-2310-8300
University of Alberta · CAUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mycosis fungoides (MF), the most common type of cutaneous T-cell lymphoma, is believed to represent a clonal expansion of a transformed skin-resident memory T cell. T-cell receptor (TCR) clonality (ie, identical sequences of rearranged TCRα, TCRβ, and TCRγ), the key premise of this hypothesis, has been difficult to document conclusively because malignant cells are not readily distinguishable from the tumor-infiltrating reactive lymphocytes that contribute to the TCR clonotypic repertoire of MF. Here, we have successfully adopted targeted whole-exome sequencing (WES) to identify the repertoire of rearranged TCR genes in tumor-enriched samples from patients with MF. Although some of the investigated MF biopsies had the expected frequency of monoclonal rearrangements of TCRγ corresponding to that of tumor cells, the majority of the samples presented multiple TCRγ, TCRα, and TCRβ clonotypes by WES. Our findings are compatible with the model in which the initial malignant transformation in MF does not occur in mature memory T cells but rather at the level of T-lymphocyte progenitors before TCRβ or TCRα rearrangements. We have also shown that WES can be combined with whole-transcriptome sequencing in the same sample, which enables comprehensive characterization of the TCR repertoire in relation to tumor content. WES/whole-transcriptome sequencing might be applicable to other types of T-cell lymphomas to determine clonal dominance and clonotypic heterogeneity in these malignancies.

Indexed as

Exome SequencingCell Transformation, NeoplasticClone CellsGene RearrangementGenes, T-Cell ReceptorHumansLymphoma, T-Cell, CutaneousMycosis FungoidesSkin Neoplasms

Identifiers

PMID30967393
PMCPMC6457216
OpenAlexW2939663996

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.