Evidence map›Paper›PMID 31444325›Full record

ArticleNature communications2019

Genomic landscape and chronological reconstruction of driver events in multiple myeloma.

Francesco Maura, Niccoló Bolli, Nicos Angelopoulos, Kevin J Dawson, Daniel Leongamornlert, Inigo Martincorena, Thomas J Mitchell, Anthony Fullam, Santiago Gonzalez, Raphael Szalat and 18 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04873427 (In Situ Clonal Heterogeneity in Prostatic Diagnostic Biopsies), which is not on this map. Cited by 198 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
198citing papers in PubMed, 3 pooled it
23.7field-weighted citation impact, top 1% 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.

NCT04873427 terminatednot on this mapstarted 2021, after this paper: background citation

In Situ Clonal Heterogeneity in Prostatic Diagnostic Biopsies: Impact on Prostate Cancer Evolution and Clinical Outcome. A Retrospective, Proof of Concept Study

TypeobservationalSponsorClinica Luganese MoncuccoRan2021 to 2023Enrolled40ConditionsProstate Cancer, Genetic PredispositionArmsclonal heterogeneity evaluation
3 · Its place in the literature

Who cites it

198 citing papers in PubMed, 3 syntheses or guidelines pooled it, 262 citations in OpenAlex.

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  20. Karyotype evolution of multiple myeloma.Journal of clinical and experimental hematopathology : JCEH · 2026
    Article

138 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

28 authors at 10 institutions in 5 countries.

Francesco MauraMyeloma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Niccoló BolliDepartment of Medical Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Nicos AngelopoulosThe Cancer, Ageing and Somatic Mutation Programme, Wellcome Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
Kevin J DawsonThe Cancer, Ageing and Somatic Mutation Programme, Wellcome Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
Daniel LeongamornlertThe Cancer, Ageing and Somatic Mutation Programme, Wellcome Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
Inigo MartincorenaThe Cancer, Ageing and Somatic Mutation Programme, Wellcome Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
Thomas J MitchellThe Cancer, Ageing and Somatic Mutation Programme, Wellcome Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.ORCID http://orcid.org/0000-0003-0761-9503
Anthony FullamThe Cancer, Ageing and Somatic Mutation Programme, Wellcome Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
Santiago GonzalezEuropean Bioinformatics Institute, European Molecular Biology Laboratory (EMBL-EBI), Hinxton, UK.ORCID http://orcid.org/0000-0001-5685-4580
Raphael SzalatJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Federico AbascalThe Cancer, Ageing and Somatic Mutation Programme, Wellcome Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.ORCID http://orcid.org/0000-0002-6201-1587
Bernardo Rodriguez-MartinCIMUS - Molecular Medicine and Chronic Diseases Research Centre, University of Santiago de Compostela, Santiago de Compostela, Spain.
Mehmet Kemal SamurJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Dominik GlodzikThe Cancer, Ageing and Somatic Mutation Programme, Wellcome Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.ORCID http://orcid.org/0000-0001-8112-9073
Marco RoncadorThe Cancer, Ageing and Somatic Mutation Programme, Wellcome Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
Mariateresa FulcinitiJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Yu Tzu TaiJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Stephane MinvielleCRCINA, INSERM, CNRS, Université d'Angers, Université de Nantes, Nantes, France.
Florence MagrangeasCRCINA, INSERM, CNRS, Université d'Angers, Université de Nantes, Nantes, France.
Philippe MoreauCRCINA, INSERM, CNRS, Université d'Angers, Université de Nantes, Nantes, France.
Paolo CorradiniDepartment of Medical Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Kenneth C AndersonJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Jose M C TubioThe Cancer, Ageing and Somatic Mutation Programme, Wellcome Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
David C WedgeUniversity of Oxford, Big Data Institute, Oxford, UK.
Moritz GerstungEuropean Bioinformatics Institute, European Molecular Biology Laboratory (EMBL-EBI), Hinxton, UK.ORCID http://orcid.org/0000-0001-6709-963X
Hervé Avet-LoiseauIUC-Oncopole, and CRCT INSERM U1037, 31100, Toulouse, France.
Nikhil MunshiJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. nikhil_munshi@dfci.harvard.edu.
Peter J CampbellThe Cancer, Ageing and Somatic Mutation Programme, Wellcome Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK. pc8@sanger.ac.uk.
Wellcome Sanger Institute · GBHarvard University · USCentre National de la Recherche Scientifique · FREuropean Bioinformatics Institute · GBMemorial Sloan Kettering Cancer Center · USUniversidade de Santiago de Compostela · ESUniversity of Milan · ITInserm · FROpen Data Institute · GBUniversity of Essex · GB

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Trageting the Multiple Myeloma EpigenomeP50CA100707 · NCI · DANA-FARBER CANCER INSTITUTE · PI ANDERSON, KENNETH C., MUNSHI, NIKHIL C. · 2003 to 2023
$45.0M
Targeting Genomic Instability and Evolution in MyelomaP01CA155258 · NCI · DANA-FARBER CANCER INST · PI RICHARD YOUNG · 2011 to 2026
$32.5M
MOLECULAR MANIPULATION TO ENHANCE ANTI-MYELOMA RESPONSEI01BX001584 · VA · VA BOSTON HEALTH CARE SYSTEM · PI MUNSHI, NIKHIL C. · 2013 to 2025
–
BLRD VA I01 BX001584Cancer Research UK 21777Cancer Research UK 27176NCI NIH HHS P01 CA155258NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA100707
6 · The paper itself

Abstract

The multiple myeloma (MM) genome is heterogeneous and evolves through preclinical and post-diagnosis phases. Here we report a catalog and hierarchy of driver lesions using sequences from 67 MM genomes serially collected from 30 patients together with public exome datasets. Bayesian clustering defines at least 7 genomic subgroups with distinct sets of co-operating events. Focusing on whole genome sequencing data, complex structural events emerge as major drivers, including chromothripsis and a novel replication-based mechanism of templated insertions, which typically occur early. Hyperdiploidy also occurs early, with individual trisomies often acquired in different chronological windows during evolution, and with a preferred order of acquisition. Conversely, positively selected point mutations, whole genome duplication and chromoplexy events occur in later disease phases. Thus, initiating driver events, drawn from a limited repertoire of structural and numerical chromosomal changes, shape preferred trajectories of evolution that are biologically relevant but heterogeneous across patients.

Indexed as

Models, GeneticAdultAgedBayes TheoremBone MarrowCarcinogenesisChromosomes, HumanChromothripsisDNA ReplicationFemaleGenome, HumanGenomicsHumansMaleMiddle AgedMultiple Myeloma

Identifiers

PMID31444325
PMCPMC6707220
OpenAlexW2969709096

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Registered trials

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.