Evidence map›Paper›PMID 31794606›Full record

ArticleBlood2020

Targeting chronic NFAT activation with calcineurin inhibitors in diffuse large B-cell lymphoma.

Philip Bucher, Tabea Erdmann, Paula Grondona, Wendan Xu, Anja Schmitt, Christoph Schürch, Myroslav Zapukhlyak, Caroline Schönfeld, Edgar Serfling, Daniela Kramer and 6 more

Open access · bronzeAbstract read
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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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

26 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Synergistic roles of NFATc1 and c-Jun in immunomodulation.Biochemistry and biophysics reports · 2025
    Review
  3. Review
  4. FcRL1, a New B-Cell-Activating Co-Receptor.International journal of molecular sciences · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Engineering a solution for allogeneic CAR-T rejection.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 6 institutions in 4 countries.

Philip BucherInterfaculty Institute for Biochemistry, Eberhard Karls University, Tübingen, Germany.
Tabea ErdmannDepartment of Medicine A, Hematology, Oncology, and Pneumology, University Hospital Münster, Münster, Germany.
Paula GrondonaInterfaculty Institute for Biochemistry, Eberhard Karls University, Tübingen, Germany.
Wendan XuDepartment of Medicine A, Hematology, Oncology, and Pneumology, University Hospital Münster, Münster, Germany.
Anja SchmittInterfaculty Institute for Biochemistry, Eberhard Karls University, Tübingen, Germany.
Christoph SchürchDepartment of Biomedicine, University Hospital and University of Basel, Basel, Switzerland.
Myroslav ZapukhlyakDepartment of Medicine A, Hematology, Oncology, and Pneumology, University Hospital Münster, Münster, Germany.
Caroline SchönfeldInterfaculty Institute for Biochemistry, Eberhard Karls University, Tübingen, Germany.
Edgar SerflingDepartment of Molecular Pathology, University of Würzburg, Würzburg, Germany.
Daniela KramerInterfaculty Institute for Biochemistry, Eberhard Karls University, Tübingen, Germany.
Michael GrauDepartment of Medicine A, Hematology, Oncology, and Pneumology, University Hospital Münster, Münster, Germany.
Pavel KlenerInstitute of Pathological Physiology, First Faculty of Medicine, and.
Claudia LengerkeDepartment of Biomedicine, University Hospital and University of Basel, Basel, Switzerland.
Klaus Schulze-OsthoffInterfaculty Institute for Biochemistry, Eberhard Karls University, Tübingen, Germany.
Georg LenzDepartment of Medicine A, Hematology, Oncology, and Pneumology, University Hospital Münster, Münster, Germany.
Stephan HailfingerInterfaculty Institute for Biochemistry, Eberhard Karls University, Tübingen, Germany.
University of Tübingen · DEUniversity Hospital Münster · DEUniversity of Basel · CHCharles University · CZGerman Cancer Research Center · DEUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diffuse large B-cell lymphoma (DLBCL) represents the most common adult lymphoma and can be divided into 2 major molecular subtypes: the germinal center B-cell-like and the aggressive activated B-cell-like (ABC) DLBCL. Previous studies suggested that chronic B-cell receptor signaling and increased NF-κB activation contribute to ABC DLBCL survival. Here we show that the activity of the transcription factor NFAT is chronically elevated in both DLBCL subtypes. Surprisingly, NFAT activation is independent of B-cell receptor signaling, but mediated by an increased calcium flux and calcineurin-mediated dephosphorylation of NFAT. Intriguingly, although NFAT is activated in both DLBCL subtypes, long-term calcineurin inhibition with cyclosporin A or FK506, both clinically approved drugs, triggers potent cytotoxicity specifically in ABC DLBCL cells. The antitumor effects of calcineurin inhibitors are associated with the reduced expression of c-Jun, interleukin-6, and interleukin-10, which were identified as NFAT target genes that are particularly important for the survival of ABC DLBCL. Furthermore, calcineurin blockade synergized with BCL-2 and MCL-1 inhibitors in killing ABC DLBCL cells. Collectively, these findings identify constitutive NFAT signaling as a crucial functional driver of ABC DLBCL and highlight calcineurin inhibition as a novel strategy for the treatment of this aggressive lymphoma subtype.

Indexed as

CalcineurinCalcineurin InhibitorsCalciumCell ProliferationHumansLymphoma, Large B-Cell, DiffuseMyeloid Cell Leukemia Sequence 1 ProteinNFATC Transcription FactorsProto-Oncogene Proteins c-bcl-2Tumor Cells, CulturedCalcineurinCalcineurin InhibitorsCalciumMCL1 protein, humanMyeloid Cell Leukemia Sequence 1 ProteinNFATC Transcription FactorsProto-Oncogene Proteins c-bcl-2

Identifiers

PMID31794606
OpenAlexW2992852221

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.