Evidence map›Paper›PMID 31324640›Full record

ArticleBlood advances2019

Recurrent genetic HLA loss in AML relapsed after matched unrelated allogeneic hematopoietic cell transplantation.

Max Jan, Matthew J Leventhal, Elizabeth A Morgan, Jordan C Wengrod, Anwesha Nag, Samantha D Drinan, Bruce M Wollison, Matthew D Ducar, Aaron R Thorner, Scott Leppanen and 14 more

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 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

45 citing papers in PubMed, 69 citations in OpenAlex.

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  15. Immunologic Targets in AML.Blood cancer discovery · 2023
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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 6 institutions in 2 countries.

Max JanDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Matthew J LeventhalBroad Institute, Cambridge, MA.
Elizabeth A MorganDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0001-5880-9337
Jordan C WengrodDepartment of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Anwesha NagCenter for Cancer Genome Discovery, Dana-Farber Cancer Institute, Boston, MA.
Samantha D DrinanCenter for Cancer Genome Discovery, Dana-Farber Cancer Institute, Boston, MA.
Bruce M WollisonCenter for Cancer Genome Discovery, Dana-Farber Cancer Institute, Boston, MA.
Matthew D DucarCenter for Cancer Genome Discovery, Dana-Farber Cancer Institute, Boston, MA.
Aaron R ThornerCenter for Cancer Genome Discovery, Dana-Farber Cancer Institute, Boston, MA.
Scott LeppanenAgilent Technologies, Santa Clara, CA.
Jane BaronasDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Jonathan StevensDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
William J LaneDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0002-1097-5229
Natasha KekreOttawa Blood Disease Centre, The Ottawa Hospital, Ottawa, ON, Canada; and.
Vincent T HoDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
John KorethDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Corey S CutlerDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Sarah NikiforowDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Edwin P AlyeaDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Joseph H AntinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Robert J SoifferDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Jerome RitzDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
R Coleman LindsleyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Benjamin L EbertDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.ORCID 0000-0003-0197-5451
Harvard University · USBrigham and Women's Hospital · USDana-Farber Cancer Institute · USAgilent Technologies (United States) · USBroad Institute · USOttawa Hospital · CA

Funding

TYROSINE KINASE ONCOGENESIS IN MYELOID LEUKEMIAP01CA066996 · NCI · DANA-FARBER CANCER INSTITUTE · PI SCOTT A ARMSTRONG · 1996 to 2026
$52.5M
Single Cell and ImmunogenomicsP01CA229092 · NCI · DANA-FARBER CANCER INST · PI SOIFFER, ROBERT JON · 2019 to 2023
$13.8M
Targeting SYK Kinase in AMLP50CA206963 · NCI · DANA-FARBER CANCER INST · PI ASTER, JON C. · 2017 to 2021
$10.6M
MOLECULAR IMMUNOLOGY AND TUMOR BIOLOGYT32CA009216 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI David Michael Langenau · 1985 to 2026
$10.6M
Functional Genomic Dissection of Refractory AnemiaR01HL082945 · NHLBI · DANA-FARBER CANCER INSTITUTE · PI EBERT, BENJAMIN LEVINE · 2005 to 2022
$6.8M
Howard Hughes Medical InstituteNCI NIH HHS P01 CA066996NCI NIH HHS P01 CA229092NCI NIH HHS P50 CA206963NCI NIH HHS T32 CA009216NHLBI NIH HHS R01 HL082945
6 · The paper itself

Abstract

Immune evasion is a hallmark of cancer and a central mechanism underlying acquired resistance to immune therapy. In allogeneic hematopoietic cell transplantation (alloHCT), late relapses can arise after prolonged alloreactive T-cell control, but the molecular mechanisms of immune escape remain unclear. To identify mechanisms of immune evasion, we performed a genetic analysis of serial samples from 25 patients with myeloid malignancies who relapsed ≥1 year after alloHCT. Using targeted sequencing and microarray analysis to determine HLA allele-specific copy number, we identified copy-neutral loss of heterozygosity events and focal deletions spanning class 1 HLA genes in 2 of 12 recipients of matched unrelated-donor HCT and in 1 of 4 recipients of mismatched unrelated-donor HCT. Relapsed clones, although highly related to their antecedent pretransplantation malignancies, frequently acquired additional mutations in transcription factors and mitogenic signaling genes. Previously, the study of relapse after haploidentical HCT established the paradigm of immune evasion via loss of mismatched HLA. Here, in the context of matched unrelated-donor HCT, HLA loss provides genetic evidence that allogeneic immune recognition may be mediated by minor histocompatibility antigens and suggests opportunities for novel immunologic approaches for relapse prevention.

Indexed as

Gene DeletionHematopoietic Stem Cell TransplantationAllelesBiomarkersHLA AntigensHumansLeukemia, Myeloid, AcuteMutationPolymorphism, Single NucleotideRecurrenceTransplantation, HomologousBiomarkersHLA Antigens

Identifiers

PMID31324640
PMCPMC6650729
OpenAlexW2964322184

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.