Evidence map›Paper›PMID 31631039›Full record

ArticleEBioMedicine2019

Metabolomic profiling identifies pathways associated with minimal residual disease in childhood acute lymphoblastic leukaemia.

Jeremy M Schraw, Jacob J Junco, Austin L Brown, Michael E Scheurer, Karen R Rabin, Philip J Lupo

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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  4. Molecular Reactivity in Maternal Pregnancy Blood and Neonatal Dried Blood Spots Is Associated with the Risk of Pediatric Acute Lymphoblastic Leukemia.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  5. Metabolomic insights into pathogenesis and therapeutic potential in adult acute lymphoblastic leukemia.Proceedings of the National Academy of Sciences of the United States of America · 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

6 authors at 1 institution in 1 country.

Jeremy M SchrawDepartment of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, TX, USA; Texas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston TX, USA. Electronic address: schraw@bcm.edu.
Jacob J JuncoTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston TX, USA; Department of Paediatrics, Section of Hematology-Oncology, Baylor College of Medicine, Houston TX, USA.
Austin L BrownTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston TX, USA; Department of Paediatrics, Section of Hematology-Oncology, Baylor College of Medicine, Houston TX, USA.
Michael E ScheurerDepartment of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, TX, USA; Texas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston TX, USA; Department of Paediatrics, Section of Hematology-Oncology, Baylor College of Medicine, Houston TX, USA.
Karen R RabinTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston TX, USA; Department of Paediatrics, Section of Hematology-Oncology, Baylor College of Medicine, Houston TX, USA.
Philip J LupoDepartment of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, TX, USA; Texas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston TX, USA; Department of Paediatrics, Section of Hematology-Oncology, Baylor College of Medicine, Houston TX, USA.
Baylor College of Medicine · US

Funding

Tumor BiologyP30CA125123 · NCI · BAYLOR COLLEGE OF MEDICINE · PI DAVID R ROWLEY · 2007 to 2026
$73.9M
Integrative Molecular Epidemiology of Neurocognitive Outcomes in Acute Lymphoblastic LeukemiaK07CA218362 · NCI · BAYLOR COLLEGE OF MEDICINE · PI BROWN, AUSTIN L · 2018 to 2022
$758k
BD Biosciences Special Order LSRIIS10RR024574 · NCRR · BAYLOR COLLEGE OF MEDICINE · PI LUMPKIN, ELLEN A · 2009 to 2009
$430k
NCI NIH HHS K07 CA218362NCI NIH HHS P30 CA125123NCRR NIH HHS S10 RR024574
6 · The paper itself

Abstract

backgroundEnd-induction minimal residual disease (MRD) is the strongest predictor of relapse in paediatric acute lymphoblastic leukaemia (ALL), but an understanding of the biological pathways underlying early treatment response remains elusive. We hypothesized that metabolomic profiling of diagnostic bone marrow plasma could provide insights into the underlying biology of early treatment response and inform treatment strategies for high-risk patients.

methodsWe performed global metabolomic profiling of samples from discovery (N = 93) and replication (N = 62) cohorts treated at Texas Children's Hospital. Next, we tested the cytotoxicity of drugs targeting central carbon metabolism in cell lines and patient-derived xenograft (PDX) cells.

findingsMetabolite set enrichment analysis identified altered central carbon and amino acid metabolism in MRD-positive patients from both cohorts at a 5% false discovery rate. Metabolites from these pathways were used as inputs for unsupervised hierarchical clustering. Two distinct clusters were identified, which were independently associated with MRD after adjustment for immunophenotype, cytogenetics, and NCI risk group. Three nicotinamide phosphoribosyltransferase (NAMPT) inhibitors, which reduce glycolytic/TCA cycle activities, demonstrated nanomolar-range cytotoxicity in B- and T-ALL cell lines and PDX cells.

interpretationThis study provides new insights into the role of central carbon metabolism in early treatment response and as a potential targetable pathway in high-risk disease.

fundingAmerican Society of Hematology; Baylor College of Medicine Department of Paediatrics; Cancer Prevention and Research Institute of Texas; the Lynch family; St. Baldrick's Foundation with support from the Micaela's Army Foundation; United States National Institutes of Health.

Indexed as

Metabolic Networks and PathwaysMetabolomeMetabolomicsAmino AcidsBiomarkers, TumorCarbohydrate MetabolismCell Line, TumorChildChild, PreschoolFemaleGenetic VariationHumansMaleNeoplasm, ResidualPrecursor B-Cell Lymphoblastic Leukemia-LymphomaROC CurveAmino AcidsBiomarkers, TumorAcute lymphoblastic leukaemiaEpidemiologyMinimal residual diseaseNAMPTNAMPT inhibitors

Identifiers

PMID31631039
PMCPMC6838385
OpenAlexW2980457945

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.