Evidence map›Paper›PMID 31205728›Full record

ArticleLupus science & medicine2019

Cell of origin in diffuse large B-cell lymphoma in systemic lupus erythematosus: molecular and clinical factors associated with survival.

Basile Tessier-Cloutier, David Dw Twa, Eva Baecklund, Randy Gascoyne, Nathalie A Johnson, Carin Backlin, Diane L Kamen, Ann E Clarke, Rosalind Ramsey-Goldman, Jennifer Lf Lee and 2 more

Open access · goldAbstract read
In one paragraph

Article in Lupus science & medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Cancer in connective tissue disease.Frontiers in immunology · 2025
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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

12 authors at 8 institutions in 3 countries.

Basile Tessier-CloutierAnatomical Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0001-8739-3879
David Dw TwaFaculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Eva BaecklundDepartment of Medical Sciences, Uppsala Universitet, Uppsala, Sweden.
Randy GascoyneDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Nathalie A JohnsonDepartment of Medicine, Sir Mortimer B Davis Jewish General Hospital, Montreal, Québec, Canada.
Carin BacklinDepartment of Rheumatology and Immunology, Medical University of South Carolina, Charleston, South Carolina, USA.
Diane L KamenMedicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Ann E ClarkeUniversity of Calgary, Calgary, Alberta, Canada.
Rosalind Ramsey-GoldmanMedicine/Rheumatology, Northwestern University, Chicago, Illinois, USA.
Jennifer Lf LeeDivision of Clinical Epidemiology, McGill University Health Centre, Montreal, Québec, Canada.
Pedro FarinhaDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Sasha BernatskyDivision of Clinical Epidemiology, McGill University Health Centre, Montreal, Québec, Canada.ORCID 0000-0002-9515-2802
BC Cancer Agency · CAMcGill University Health Centre · CAMedical University of South Carolina · USUniversity of British Columbia · CAJewish General Hospital · CANorthwestern University · USUniversity of Calgary · CAUppsala University · SE

Funding

Resource CoreP30AR072582 · NIAMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI JAMES C OATES · 2017 to 2026
$8.5M
Patient Resource CoreP60AR062755 · NIAMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAMEN, DIANE L · 2012 to 2016
$5.8M
NIAMS NIH HHS P30 AR072582NIAMS NIH HHS P60 AR062755
6 · The paper itself

Abstract

backgroundSLE is associated with increased risk of diffuse large B-cell lymphoma (DLBCL). DLBCL is routinely classified by cell of origin (COO), with germinal centre B-cell (GCB) being more common and indicating better prognosis in the general population. We studied COO subtyping in patients with SLE diagnosed with DLBCL and their survival. PATIENTS AND

methodsWe evaluated 20 cases of SLE with DLBCL. Immunohistochemistry analysis was performed (BCL2, MYC, BCL6, CD10, CD20, FOXP1, GCET1, MUM1) in tissue microarrays. We examined associations between molecular and clinical features, including overall survival.

resultsOf the 20 DLBCL SLE cases, 12/20 cases (60%) were classified as non-GCB using Hans or Choi algorithms. MYC and BCL2 protein expression was positive in 6/20 (30%) and 8/20 (40%) SLE cases, respectively, with 2/20 (10%) co-expressing both markers. Seven (7/20) had only extranodal involvement at DLBCL diagnosis. As expected, non-GCB cases had worse survival. Cases presenting exclusively with extranodal disease were associated with shorter SLE duration and better survival despite higher BCL2 protein expression.

conclusionsWe present novel data characterising DLBCL in SLE. Sixty per cent of the DLBCL in patients with SLE were non-GCB. The nodal and extranodal distribution in SLE was similar to what is known in the general population, but extranodal disease occurred more often with short SLE duration and was associated with longer overall survival. More research on cancer in SLE is the key to further understanding the complex interplay between cancer and the immune system.

Indexed as

cell-of-origindiffuse large b-cell lymphomaepidemiologyimmunohistochemistrysystemic lupus erythematosus

Identifiers

PMID31205728
PMCPMC6541753
OpenAlexW2944009275

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.