Evidence map›Paper›PMID 31142838›Full record

ArticleNature2019

Growth dynamics in naturally progressing chronic lymphocytic leukaemia.

Michaela Gruber, Ivana Bozic, Ignaty Leshchiner, Dimitri Livitz, Kristen Stevenson, Laura Rassenti, Daniel Rosebrock, Amaro Taylor-Weiner, Oriol Olive, Reaha Goyetche and 17 more

Abstract read
In one paragraph

Article in Nature, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
–field-weighted citation impact
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

65 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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  5. Article
  6. ELOC-Mutated Renal Cell Carcinoma is a Rare Indolent Tumor With Distinctive Genomic Characteristics.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2025
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Multistage carcinogenesis in occupational cholangiocarcinoma: the impact of clonal expansion and risk estimation.Genes and environment : the official journal of the Japanese Environmental Mutagen Society · 2024
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Review

5 more citing papers are in PubMed but not listed here.

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

27 authors.

Michaela GruberDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Ivana BozicDepartment of Applied Mathematics, University of Washington, Seattle, WA, USA.
Ignaty LeshchinerBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Dimitri LivitzBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Kristen StevensonDepartment of Biostatistics and Computational Biology, Dana Farber Cancer Institute, Boston, MA, USA.
Laura RassentiDepartment of Medicine, University of California at San Diego Moores Cancer Center, La Jolla, CA, USA.
Daniel RosebrockBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Amaro Taylor-WeinerBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Oriol OliveDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Reaha GoyetcheDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Stacey M FernandesDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Jing SunDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Chip StewartBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Alicia WongBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Carrie CibulskisBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Wandi ZhangDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Johannes G ReiterProgram for Evolutionary Dynamics, Harvard University, Cambridge, MA, USA.
Jeffrey M GeroldProgram for Evolutionary Dynamics, Harvard University, Cambridge, MA, USA.
John G GribbenBarts Cancer Institute, Queen Mary, University of London, London, UK.
Kanti R RaiHofstra North Shore-LIJ School of Medicine, Lake Success, NY, USA.
Michael J KeatingDepartment of Leukemia, MD Anderson Cancer Center, Houston, TX, USA.
Jennifer R BrownDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Donna NeubergDepartment of Biostatistics and Computational Biology, Dana Farber Cancer Institute, Boston, MA, USA.
Thomas J KippsDepartment of Medicine, University of California at San Diego Moores Cancer Center, La Jolla, CA, USA.
Martin A NowakProgram for Evolutionary Dynamics, Harvard University, Cambridge, MA, USA.
Gad GetzBroad Institute of MIT and Harvard, Cambridge, MA, USA. gadgetz@broadinstitute.org.
Catherine J WuDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. cwu@partners.org.

Funding

Tissue CoreP01CA081534 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KIPPS, THOMAS J · 2000 to 2016
$59.5M
ProteomicsP01CA206978 · NCI · DANA-FARBER CANCER INST · PI CARR, STEVEN A · 2016 to 2025
$17.0M
Training Program in Bioinformatics and Integrative GenomicsT32HG002295 · NHGRI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI Peter J Park · 2001 to 2026
$15.8M
Personal tumor neoantigens for immunity against chronic lymphocytic leukemiaR01CA155010 · NCI · DANA-FARBER CANCER INST · PI Catherine Ju-Ying Wu · 2011 to 2026
$9.6M
ITSC for Leukemia: Novel Molecular strategies for NCTN "Individualized" TherapiesUG1CA233338 · NCI · UNIVERSITY OF CINCINNATI · PI BYRD, JOHN C. · 2019 to 2025
$4.5M
(PQ8) Genetically faithful murine models for studying disease progression in chronic lymphocytic leukemiaR01CA216273 · NCI · DANA-FARBER CANCER INST · PI WANG, LILI, WU, CATHERINE JU-YING · 2017 to 2021
$3.5M
ITSC for Leukemia: Novel Molecular Strategies for NCTN: "Individualized" TherapieU10CA180861 · NCI · OHIO STATE UNIVERSITY · PI BLOOMFIELD, CLARA D, MARCUCCI, GUIDO · 2014 to 2018
$3.4M
Post-transplant vaccines to enhance graft-versus-leukemia responsesR01HL103532 · NHLBI · DANA-FARBER CANCER INST · PI WU, CATHERINE JU-YING · 2010 to 2013
$1.7M
NCI NIH HHS 1R01CA155010-01A1NCI NIH HHS 5P01CA081534-14NCI NIH HHS P01 CA081534NCI NIH HHS P01 CA206978NCI NIH HHS R01 CA155010NCI NIH HHS R01 CA216273NCI NIH HHS U10 CA180861NCI NIH HHS UG1 CA233338NHGRI NIH HHS T32 HG002295NHLBI NIH HHS 1R01HL103532-01NHLBI NIH HHS R01 HL103532
6 · The paper itself

Abstract

How the genomic features of a patient's cancer relate to individual disease kinetics remains poorly understood. Here we used the indolent growth dynamics of chronic lymphocytic leukaemia (CLL) to analyse the growth rates and corresponding genomic patterns of leukaemia cells from 107 patients with CLL, spanning decades-long disease courses. We found that CLL commonly demonstrates not only exponential expansion but also logistic growth, which is sigmoidal and reaches a certain steady-state level. Each growth pattern was associated with marked differences in genetic composition, the pace of disease progression and the extent of clonal evolution. In a subset of patients, whose serial samples underwent next-generation sequencing, we found that dynamic changes in the disease course of CLL were shaped by the genetic events that were already present in the early slow-growing stages. Finally, by analysing the growth rates of subclones compared with their parental clones, we quantified the growth advantage conferred by putative CLL drivers in vivo.

Indexed as

Disease ProgressionEvolution, MolecularCell ProliferationClone CellsCohort StudiesFemaleHigh-Throughput Nucleotide SequencingHumansLeukemia, Lymphocytic, Chronic, B-CellMaleNeoplasm Recurrence, LocalRecurrenceReproducibility of Results

Identifiers

PMID31142838
PMCPMC6630176

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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.