Evidence map›Paper›PMID 31738823›Full record

ArticleBlood2020

Distinct molecular profile of IRF4-rearranged large B-cell lymphoma.

Joan Enric Ramis-Zaldivar, Blanca Gonzalez-Farré, Olga Balagué, Verónica Celis, Ferran Nadeu, Julia Salmerón-Villalobos, Mara Andrés, Idoia Martin-Guerrero, Marta Garrido-Pontnou, Ayman Gaafar and 30 more

Open access · greenAbstract read
In one paragraph

Article in Blood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 3% 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, 2 syntheses or guidelines pooled it, 120 citations in OpenAlex.

  1. Guideline
  2. A genetic profiling guideline to support diagnosis and clinical management of lymphomas.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Guideline
  3. Article
  4. Article
  5. Article
  6. Article
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  8. High-grade B-cell lymphomas: high difficulties to diagnose and treat?Hematology. American Society of Hematology. Education Program · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Pediatric lymphomas: overview and diagnostic challenges.Virchows Archiv : an international journal of pathology · 2025
    Review
  17. Review
  18. Article
  19. Article
  20. Article

6 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

40 authors at 20 institutions in 4 countries.

Joan Enric Ramis-ZaldivarInstitut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
Blanca Gonzalez-FarréInstitut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
Olga BalaguéHematopathology Unit, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain.
Verónica CelisPediatric Oncology Department, Hospital Sant Joan de Déu, Esplugues de Llobregat, Spain.
Ferran NadeuInstitut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
Julia Salmerón-VillalobosInstitut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
Mara AndrésPediatric Oncology Department, Hospital Universitario y Politécnico La Fe de Valencia, Valencia, Spain.
Idoia Martin-GuerreroDepartment of Genetics, Physical Anthropology, and Animal Physiology, Faculty of Science and Technology, University of the Basque Country, Universidad del Pais Vasco/Euskal Herriko Unibertsitatea, Leioa, Spain.
Marta Garrido-PontnouPathology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Ayman GaafarPathology Department, Hospital Universitario Cruces Osakidetza, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
Mariona SuñolPathology Department, Hospital Sant Joan de Déu, Esplugues de Llobregat, Spain.
Carmen BárcenaPathology Department, Hospital Universitario 12 de Octubre, Madrid, Spain.
Federico Garcia-BragadoPathology Department, Complejo Hospitalario de Navarra, Pamplona, Spain.
Maitane AndiónPediatric Oncology Department and.
Daniel AzorínPathology Department, Hospital Universitario Infantil Niño Jesus, Madrid, Spain.
Itziar AstigarragaPediatric Oncology Unit, Hospital Universitario Cruces Osakidetza, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
Maria Sagaseta de IlurdozPediatric Oncology Department, Complejo Hospitalario de Navarra, Pamplona, Spain.
Constantino SábadoPediatric Oncology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Soledad GallegoPediatric Oncology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Jaime Verdú-AmorósPediatric Oncology Department, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Rafael Fernandez-DelgadoPediatric Oncology Department, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Vanesa PerezPediatric Oncology Department, Hospital Universitario 12 de Octubre, Madrid, Spain.
Gustavo TapiaPathology Department, Hospital Trias i Pujol, Badalona, Spain.
Anna MozosPathology Department and.
Montserrat TorrentPediatric Oncology Department, Hospital de Sant Pau i la Santa Creu, Barcelona, Spain.
Palma Solano-PáezPediatric Oncology Department, Hospital Virgen del Rocio, Sevilla, Spain.
Alfredo Rivas-DelgadoHematopathology Unit, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain.
Ivan DlouhyHematopathology Unit, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain.
Guillem ClotInstitut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
Anna EnjuanesInstitut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
Armando López-GuillermoHematopathology Unit, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain.
Pallavi GaleraLaboratory of Pathology, National Institutes of Health, Bethesda, MD.
Matthew J OberleyDepartment of Pathology and Laboratory Medicine, Children's Hospital Los Angeles, Los Angeles, CA.
Alanna MaguireDepartment of Research, Mayo Clinic, Scottsdale, AZ.
Colleen RamsowerDepartment of Research, Mayo Clinic, Scottsdale, AZ.
Lisa M RimszaDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Phoenix, AZ; and.
Leticia Quintanilla-MartinezInstitute of Pathology, University Hospital Tübingen, Eberhard Karls University of Tübingen, Tübingen, Germany.
Elaine S JaffeLaboratory of Pathology, National Institutes of Health, Bethesda, MD.
Elías CampoInstitut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
Itziar SalaverriaInstitut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
Hospital Clínic de Barcelona · ESCentro de Investigación Biomédica en Red de Cáncer · ESVall d'Hebron Hospital Universitari · ESBioCruces Health research Institute · ESComplejo Hospitalario de Navarra · ESHospital Clínico Universitario de Valencia · ESHospital Sant Joan de Déu Barcelona · ESHospital Universitario 12 De Octubre · ESMayo Clinic in Arizona · USNational Institutes of Health · USChildren's Hospital of Los Angeles · USConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHospital de Sant Pau · ESHospital Infantil Universitario Niño Jesús · ESHospital Universitari Germans Trias i Pujol · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario Virgen del Rocío · ESMayo Clinic Hospital · USPediatric Oncology Group · CAUniversity of the Basque Country · ES

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
Lymphoma Disease Discovery and DefintionZIASC000550 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI JAFFE, ELAINE · 2009 to 2025
$16.9M
Molecular Diagnosis and Prognosis in Aggressive LymphomaU01CA157581 · NCI · UNIVERSITY OF ARIZONA · PI RIMSZA, LISA · 2011 to 2015
$3.1M
NCATS NIH HHS UL1 TR001855NCI NIH HHS U01 CA157581
6 · The paper itself

Abstract

Pediatric large B-cell lymphomas (LBCLs) share morphological and phenotypic features with adult types but have better prognosis. The higher frequency of some subtypes such as LBCL with IRF4 rearrangement (LBCL-IRF4) in children suggests that some age-related biological differences may exist. To characterize the genetic and molecular heterogeneity of these tumors, we studied 31 diffuse LBCLs (DLBCLs), not otherwise specified (NOS); 20 LBCL-IRF4 cases; and 12 cases of high-grade B-cell lymphoma (HGBCL), NOS in patients ≤25 years using an integrated approach, including targeted gene sequencing, copy-number arrays, and gene expression profiling. Each subgroup displayed different molecular profiles. LBCL-IRF4 had frequent mutations in IRF4 and NF-κB pathway genes (CARD11, CD79B, and MYD88), losses of 17p13 and gains of chromosome 7, 11q12.3-q25, whereas DLBCL, NOS was predominantly of germinal center B-cell (GCB) subtype and carried gene mutations similar to the adult counterpart (eg, SOCS1 and KMT2D), gains of 2p16/REL, and losses of 19p13/CD70. A subset of HGBCL, NOS displayed recurrent alterations of Burkitt lymphoma-related genes such as MYC, ID3, and DDX3X and homozygous deletions of 9p21/CDKN2A, whereas other cases were genetically closer to GCB DLBCL. Factors related to unfavorable outcome were age >18 years; activated B-cell (ABC) DLBCL profile, HGBCL, NOS, high genetic complexity, 1q21-q44 gains, 2p16/REL gains/amplifications, 19p13/CD70 homozygous deletions, and TP53 and MYC mutations. In conclusion, these findings further unravel the molecular heterogeneity of pediatric and young adult LBCL, improve the classification of this group of tumors, and provide new parameters for risk stratification.

Indexed as

MutationAdolescentAdultChildChild, PreschoolFemaleHumansInterferon Regulatory Factor-4Interferon Regulatory FactorsLymphoma, Large B-Cell, DiffuseMalePrognosisTranscriptomeYoung AdultInterferon Regulatory Factor-4Interferon Regulatory Factors

Identifiers

PMID31738823
PMCPMC6978155
OpenAlexW2990138864

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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.