Evidence map›Paper›PMID 31209206›Full record

ArticleBlood cancer journal2019

Immunoglobulin gene rearrangement IGHV3-48 is a predictive marker of histological transformation into aggressive lymphoma in follicular lymphomas.

María García-Álvarez, Sara Alonso-Álvarez, Isabel Prieto-Conde, Cristina Jiménez, M Eugenia Sarasquete, M Carmen Chillón, Alejandro Medina, Ana Balanzategui, Rebeca Maldonado, Alicia Antón and 10 more

Open access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 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

20 authors at 2 institutions in 2 countries.

María García-ÁlvarezDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Sara Alonso-ÁlvarezDepartment of Hematology, Central University Hospital of Asturias (HUCA), Oviedo, Spain.
Isabel Prieto-CondeDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Cristina JiménezDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
M Eugenia SarasqueteDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
M Carmen ChillónDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Alejandro MedinaDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Ana BalanzateguiDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Rebeca MaldonadoDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Alicia AntónDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Noemí PuigDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Marta RodríguezDepartment of Pathology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Oscar BlancoDepartment of Pathology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Pilar TamayoDepartment of Nuclear Medicine, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Verónica González-CalleDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Alejandro MartínDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Ramón García-SanzDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain. rgarcias@usal.es.ORCID http://orcid.org/0000-0003-4120-2787
Marcos GonzálezDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
M Dolores CaballeroDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.
Miguel AlcocebaDepartment of Hematology, University Hospital of Salamanca (HUS/IBSAL), Salamanca, Spain.ORCID http://orcid.org/0000-0002-3819-4846
Universidad de Salamanca · ESHospital Universitario Central de Asturias · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Follicular lymphoma (FL) is a heterogeneous disease whose pathogenesis remains partially unknown. Around 20% of FL patients experience early progression or treatment-refractory disease and 2-3% of patients per year experience histological transformation (HT) into a more aggressive lymphoma (tFL). Here, we evaluate the immunoglobulin heavy chain variable (IGHV) gene usage and mutational status in 187 FL cases to assess its impact on clinical outcome and histological transformation. The IGHV gene repertoire was remarkably biased in FL. The IGHV4-34 (14%), IGHV3-23 (14%), IGHV3-48 (10%), IGHV3-30 (9%) and IGHV3-21 (7%) genes accounted for more than half of the whole cohort. IGHV3-48 was overrepresented in cases of tFL (19%) compared with non-transformed FL at 5 years (5%, P = 0.05). Patients with the IGHV3-48 gene were significantly more likely to have had HT after 10 years than those who used other genes (71% vs. 25%, P < 0.05), irrespective of the therapy they received. Moreover, IGHV3-30 was also overrepresented in cases of FL (9%) and tFL (13%) compared with diffuse large B-cell lymphoma in which it was nearly absent. In conclusion, our results indicate a role for antigen selection in the development of FL, while the use of IGHV3-48 could help predict histological transformation.

Indexed as

Gene Rearrangement, B-Lymphocyte, Heavy ChainGenes, Immunoglobulin Heavy ChainImmunoglobulin Variable RegionAdultAgedAged, 80 and overBiomarkers, TumorFemaleHumansLymphoma, FollicularLymphoma, Large B-Cell, DiffuseMaleMiddle AgedPrognosisYoung AdultBiomarkers, TumorImmunoglobulin Variable Region

Identifiers

PMID31209206
PMCPMC6579759
OpenAlexW2952193510

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.