Evidence map›Paper›PMID 31201358›Full record

ArticleLeukemia2020

Loss of KDM6A confers drug resistance in acute myeloid leukemia.

Sophie M Stief, Anna-Li Hanneforth, Sabrina Weser, Raphael Mattes, Michela Carlet, Wen-Hsin Liu, Michael D Bartoschek, Helena Domínguez Moreno, Matthias Oettle, Julia Kempf and 14 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
7.4field-weighted citation impact, top 2% 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

59 citing papers in PubMed, 99 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

24 authors at 5 institutions in 1 country.

Sophie M StiefDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Anna-Li HanneforthDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Sabrina WeserDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Raphael MattesDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Michela CarletDepartment of Apoptosis in Hematopoietic Stem Cells (AHS), Helmholtz Zentrum München, Munich, Germany.
Wen-Hsin LiuDepartment of Apoptosis in Hematopoietic Stem Cells (AHS), Helmholtz Zentrum München, Munich, Germany.
Michael D BartoschekDepartment of Biology II and Center for Integrated Protein Science Munich (CIPSM), Human Biology and BioImaging, LMU Munich, Planegg-Martinsried, Germany.
Helena Domínguez MorenoBiomedical Center and Center for Integrated Protein Science Munich, LMU Munich, Martinsried, Germany.
Matthias OettleDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Julia KempfDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Binje VickGerman Cancer Consortium (DKTK), Heidelberg, Germany.ORCID http://orcid.org/0000-0003-1956-2778
Bianka KsienzykDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Belay TizazuDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Maja Rothenberg-ThurleyDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Hilmar QuentmeierDepartment of Human and Animal Cell Lines, Leibniz-Institute DSMZ-German Collection of Microorganisms and Cell Cultures, Braunschweig, Germany.
Wolfgang HiddemannDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Sebastian VosbergDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Philipp A GreifDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Klaus H MetzelerDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.ORCID http://orcid.org/0000-0003-3920-7490
Gunnar SchottaBiomedical Center and Center for Integrated Protein Science Munich, LMU Munich, Martinsried, Germany.
Sebastian BultmannDepartment of Biology II and Center for Integrated Protein Science Munich (CIPSM), Human Biology and BioImaging, LMU Munich, Planegg-Martinsried, Germany.
Irmela JeremiasGerman Cancer Consortium (DKTK), Heidelberg, Germany.ORCID http://orcid.org/0000-0003-1773-7677
Heinrich LeonhardtDepartment of Biology II and Center for Integrated Protein Science Munich (CIPSM), Human Biology and BioImaging, LMU Munich, Planegg-Martinsried, Germany.ORCID http://orcid.org/0000-0002-5086-6449
Karsten SpiekermannDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany. karsten.spiekermann@med.uni-muenchen.de.
LMU Klinikum · DEGerman Cancer Research Center · DECenter for Integrated Protein Science Munich · DEHelmholtz Zentrum München · DELeibniz Institute DSMZ – German Collection of Microorganisms and Cell Cultures · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute myeloid leukemia (AML) is an aggressive hematologic neoplasm resulting from the malignant transformation of myeloid progenitors. Despite intensive chemotherapy leading to initial treatment responses, relapse caused by intrinsic or acquired drug resistance represents a major challenge. Here, we report that histone 3 lysine 27 demethylase KDM6A (UTX) is targeted by inactivating mutations and mutation-independent regulation in relapsed AML. Analyses of matched diagnosis and relapse specimens from individuals with KDM6A mutations showed an outgrowth of the KDM6A mutated tumor population at relapse. KDM6A expression is heterogeneously regulated and relapse-specific loss of KDM6A was observed in 45.7% of CN-AML patients. KDM6A-null myeloid leukemia cells were more resistant to treatment with the chemotherapeutic agents cytarabine (AraC) and daunorubicin. Inducible re-expression of KDM6A in KDM6A-null cell lines suppressed proliferation and sensitized cells again to AraC treatment. RNA expression analysis and functional studies revealed that resistance to AraC was conferred by downregulation of the nucleoside membrane transporter ENT1 (SLC29A1) by reduced H3K27 acetylation at the ENT1 locus. Our results show that loss of KDM6A provides cells with a selective advantage during chemotherapy, which ultimately leads to the observed outgrowth of clones with KDM6A mutations or reduced KDM6A expression at relapse.

Indexed as

AnimalsDrug Resistance, NeoplasmHeterograftsHistone DemethylasesHumansLeukemia, Myeloid, AcuteMiceMutationHistone DemethylasesKDM6A protein, human

Identifiers

PMID31201358
PMCPMC7214274
OpenAlexW2952999926

What OpenQuestion holds

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LicenceCC BY
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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.