Evidence map›Paper›PMID 31527075›Full record

ArticleBlood2019

The double-hit signature identifies double-hit diffuse large B-cell lymphoma with genetic events cryptic to FISH.

Laura K Hilton, Jeffrey Tang, Susana Ben-Neriah, Miguel Alcaide, Aixiang Jiang, Bruno M Grande, Christopher K Rushton, Merrill Boyle, Barbara Meissner, David W Scott and 1 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
9.7field-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.

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

66 citing papers in PubMed, 121 citations in OpenAlex.

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  9. High-grade B-cell lymphomas: high difficulties to diagnose and treat?Hematology. American Society of Hematology. Education Program · 2025
    Review
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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Laura K HiltonDepartment of Molecular Biology and Biochemistry, Simon Fraser University, Burnaby, BC, Canada.
Jeffrey TangDepartment of Molecular Biology and Biochemistry, Simon Fraser University, Burnaby, BC, Canada.
Susana Ben-NeriahBC Cancer Centre for Lymphoid Cancer, BC Cancer Research Centre, Vancouver, BC, Canada.
Miguel AlcaideDepartment of Molecular Biology and Biochemistry, Simon Fraser University, Burnaby, BC, Canada.
Aixiang JiangDepartment of Molecular Biology and Biochemistry, Simon Fraser University, Burnaby, BC, Canada.
Bruno M GrandeDepartment of Molecular Biology and Biochemistry, Simon Fraser University, Burnaby, BC, Canada.
Christopher K RushtonDepartment of Molecular Biology and Biochemistry, Simon Fraser University, Burnaby, BC, Canada.
Merrill BoyleBC Cancer Centre for Lymphoid Cancer, BC Cancer Research Centre, Vancouver, BC, Canada.
Barbara MeissnerBC Cancer Centre for Lymphoid Cancer, BC Cancer Research Centre, Vancouver, BC, Canada.
David W ScottBC Cancer Centre for Lymphoid Cancer, BC Cancer Research Centre, Vancouver, BC, Canada.
Ryan D MorinDepartment of Molecular Biology and Biochemistry, Simon Fraser University, Burnaby, BC, Canada.
Simon Fraser University · CABC Cancer Agency · CAUniversity of British Columbia · CA

Funding

CIHR
6 · The paper itself

Abstract

High-grade B-cell lymphomas with MYC and BCL2 and/or BCL6 rearrangements (HGBL-DH/THs) include a group of diffuse large B-cell lymphomas (DLBCLs) with inferior outcomes after standard chemoimmunotherapy. We recently described a gene expression signature that identifies 27% of germinal center B-cell DLBCLs (GCB-DLBCLs) as having a double-hit-like expression pattern (DHITsig) and inferior outcomes; however, only half of these cases have both MYC and BCL2 translocations identifiable using standard breakapart fluorescence in situ hybridization (FISH). Here, 20 DHITsig+ GCB-DLBCLs apparently lacking MYC and/or BCL2 rearrangements underwent whole-genome sequencing. This revealed 6 tumors with MYC or BCL2 rearrangements that were cryptic to breakapart FISH. Copy-number analysis identified 3 tumors with MYC and 6 tumors with MIR17HG gains or amplifications, both of which may contribute to dysregulation of MYC and its downstream pathways. Focal deletions of the PVT1 promoter were observed exclusively among DHITsig+ tumors lacking MYC translocations; this may also contribute to MYC overexpression. These results highlight that FISH fails to identify all HGBL-DH/THs, while revealing a range of other genetic mechanisms potentially underlying MYC dysregulation in DHITsig+ DLBCL, suggesting that gene expression profiling is more sensitive for identifying the biology underlying poor outcomes in GCB-DLBCL.

Indexed as

Gene Expression ProfilingHumansIn Situ Hybridization, FluorescenceLymphoma, Large B-Cell, DiffuseProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-mycTranscriptomeBCL2 protein, humanMYC protein, humanProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-myc

Identifiers

PMID31527075
PMCPMC6839951
OpenAlexW2973607898

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.