Evidence map›Paper›PMID 31817171›Full record

ArticleCancers2019

In Chronic Lymphocytic Leukemia the JAK2/STAT3 Pathway Is Constitutively Activated and Its Inhibition Leads to CLL Cell Death Unaffected by the Protective Bone Marrow Microenvironment.

Filippo Severin, Federica Frezzato, Andrea Visentin, Veronica Martini, Valentina Trimarco, Samuela Carraro, Elena Tibaldi, Anna Maria Brunati, Francesco Piazza, Gianpietro Semenzato and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  7. Aberrantly Expressed Mitochondrial Lipid Kinase, AGK, Activates JAK2-Histone H3 Axis and BCR Signal: A Mechanistic Study with Implication in CLL Therapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  8. Review
  9. Bone marrow adipocytes: key players in vascular niches, aging, and disease.Frontiers in cell and developmental biology · 2025
    Review
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  18. The Pt(International journal of molecular sciences · 2022
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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

12 authors at 1 institution in 1 country.

Filippo SeverinDepartment of Medicine-DIMED, Hematology and Clinical Immunology Unit, University of Padua, 35128 Padua, Italy.
Federica FrezzatoDepartment of Medicine-DIMED, Hematology and Clinical Immunology Unit, University of Padua, 35128 Padua, Italy.
Andrea VisentinDepartment of Medicine-DIMED, Hematology and Clinical Immunology Unit, University of Padua, 35128 Padua, Italy.
Veronica MartiniDepartment of Medicine-DIMED, Hematology and Clinical Immunology Unit, University of Padua, 35128 Padua, Italy.
Valentina TrimarcoDepartment of Medicine-DIMED, Hematology and Clinical Immunology Unit, University of Padua, 35128 Padua, Italy.
Samuela CarraroDepartment of Medicine-DIMED, Hematology and Clinical Immunology Unit, University of Padua, 35128 Padua, Italy.
Elena TibaldiDepartment of Molecular Medicine-DMM, University of Padua, 35128 Padua, Italy.
Anna Maria BrunatiDepartment of Molecular Medicine-DMM, University of Padua, 35128 Padua, Italy.
Francesco PiazzaDepartment of Medicine-DIMED, Hematology and Clinical Immunology Unit, University of Padua, 35128 Padua, Italy.
Gianpietro SemenzatoDepartment of Medicine-DIMED, Hematology and Clinical Immunology Unit, University of Padua, 35128 Padua, Italy.
Monica FaccoDepartment of Medicine-DIMED, Hematology and Clinical Immunology Unit, University of Padua, 35128 Padua, Italy.
Livio TrentinDepartment of Medicine-DIMED, Hematology and Clinical Immunology Unit, University of Padua, 35128 Padua, Italy.
University of Padua · IT

Funding

Associazione Italiana per la Ricerca sul Cancro #15397Associazione Italiana per la Ricerca sul Cancro #20836
6 · The paper itself

Abstract

The bone marrow microenvironment promotes proliferation and drug resistance in chronic lymphocytic leukemia (CLL). Although ibrutinib is active in CLL, it is rarely able to clear leukemic cells protected by bone marrow mesenchymal stromal cells (BMSCs) within the marrow niche. We investigated the modulation of JAK2/STAT3 pathway in CLL by BMSCs and its targeting with AG490 (JAK2 inhibitor) or Stattic (STAT3 inhibitor). B cells collected from controls and CLL patients, were treated with medium alone, ibrutinib, JAK/Signal Transducer and Activator of Transcription (STAT) inhibitors, or both drugs, in the presence of absence of BMSCs. JAK2/STAT3 axis was evaluated by western blotting, flow cytometry, and confocal microscopy. We demonstrated that STAT3 was phosphorylated in Tyr705 in the majority of CLL patients at basal condition, and increased following co-cultures with BMSCs or IL-6. Treatment with AG490, but not Stattic, caused STAT3 and Lyn dephosphorylation, through re-activation of SHP-1, and triggered CLL apoptosis even when leukemic cells were cultured on BMSC layers. Moreover, while BMSCs hamper ibrutinib activity, the combination of ibrutinib+JAK/STAT inhibitors increase ibrutinib-mediated leukemic cell death, bypassing the pro-survival stimuli derived from BMSCs. We herein provide evidence that JAK2/STAT3 signaling might play a key role in the regulation of CLL-BMSC interactions and its inhibition enhances ibrutinib, counteracting the bone marrow niche.

Indexed as

chronic lymphocytic leukemiaIbrutinibJAK2 inhibitormesenchymal stromal cellsmicroenvironmentSTAT3 inhibitor

Identifiers

PMID31817171
PMCPMC6966457
OpenAlexW2993545373

What OpenQuestion holds

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LicenceCC BY
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.