Evidence map›Paper›PMID 32029700›Full record

ArticleBlood cancer journal2020

Molecular profiling of immunoglobulin heavy-chain gene rearrangements unveils new potential prognostic markers for multiple myeloma patients.

Alejandro Medina, Cristina Jiménez, M Eugenia Sarasquete, Marcos González, M Carmen Chillón, Ana Balanzategui, Isabel Prieto-Conde, María García-Álvarez, Noemí Puig, Verónica González-Calle and 16 more

Open access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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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

26 authors at 7 institutions in 1 country.

Alejandro MedinaHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain.ORCID http://orcid.org/0000-0001-5609-2969
Cristina JiménezHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain.
M Eugenia SarasqueteHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain. mealonsos@saludcastillayleon.es.
Marcos GonzálezHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain.
M Carmen ChillónHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain.
Ana BalanzateguiHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain.
Isabel Prieto-CondeHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain.ORCID http://orcid.org/0000-0002-2510-8355
María García-ÁlvarezHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain.
Noemí PuigHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain.
Verónica González-CalleHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain.
Miguel AlcocebaHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain.ORCID http://orcid.org/0000-0002-3819-4846
Isabel CuencaHospital 12 de Octubre, CIBERONC, Madrid, Spain.
Santiago BarrioHospital 12 de Octubre, CIBERONC, Madrid, Spain.
Fernando EscalanteComplejo Hospitalario, León, Spain.
Norma C GutiérrezHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain.
Mercedes GironellaHospital Vall d'Hebrón, Barcelona, Spain.
Miguel T HernándezHospital Universitario de Canarias, La Laguna, Spain.
Anna SuredaHospital Duran i Reynals, Institut Català d'Oncología (ICO), L'Hospitalet de Llobregat, Barcelona, Spain.
Albert OriolHospital Germans Trias i Pujol, Institut Català d'Oncología (ICO), Institut Josep Carreras, Badalona, Spain.
Joan BladéHospital Clínic i Provincial, Institut de Investicacions Biomediques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Juan-José LahuertaHospital 12 de Octubre, CIBERONC, Madrid, Spain.
Jesús F San MiguelClínica Universidad de Navarra (CUN), Centro de Investigación Médica Aplicada, IDISNA, CIBERONC, Pamplona, Spain.
María-Victoria MateosHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain.ORCID http://orcid.org/0000-0003-2390-1218
Joaquín Martínez-LópezHospital 12 de Octubre, CIBERONC, Madrid, Spain.
María-José CalasanzClínica Universidad de Navarra (CUN), Centro de Investigación Médica Aplicada, IDISNA, CIBERONC, Pamplona, Spain.ORCID http://orcid.org/0000-0002-0374-3008
Ramón García-SanzHospital Universitario de Salamanca (HUSAL), IBSAL, IBMCC (USAL-CSIC), CIBERONC, Salamanca, Spain.ORCID http://orcid.org/0000-0003-4120-2787
Instituto de Investigación Biomédica de Salamanca · ESHospital Universitario 12 De Octubre · ESClinica Universidad de Navarra · ESInstitut Català d'Oncologia · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHospital Universitario de Canarias · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple myeloma is a heterogeneous disease whose pathogenesis has not been completely elucidated. Although B-cell receptors play a crucial role in myeloma pathogenesis, the impact of clonal immunoglobulin heavy-chain features in the outcome has not been extensively explored. Here we present the characterization of complete heavy-chain gene rearrangements in 413 myeloma patients treated in Spanish trials, including 113 patients characterized by next-generation sequencing. Compared to the normal B-cell repertoire, gene selection was biased in myeloma, with significant overrepresentation of IGHV3, IGHD2 and IGHD3, as well as IGHJ4 gene groups. Hypermutation was high in our patients (median: 8.8%). Interestingly, regarding patients who are not candidates for transplantation, a high hypermutation rate (≥7%) and the use of IGHD2 and IGHD3 groups were associated with improved prognostic features and longer survival rates in the univariate analyses. Multivariate analysis revealed prolonged progression-free survival rates for patients using IGHD2/IGHD3 groups (HR: 0.552, 95% CI: 0.361-0.845, p = 0.006), as well as prolonged overall survival rates for patients with hypermutation ≥7% (HR: 0.291, 95% CI: 0.137-0.618, p = 0.001). Our results provide new insights into the molecular characterization of multiple myeloma, highlighting the need to evaluate some of these clonal rearrangement characteristics as new potential prognostic markers.

Indexed as

Gene Expression Regulation, NeoplasticGene RearrangementAdultAgedAged, 80 and overBiomarkers, TumorFemaleFollow-Up StudiesGene Expression ProfilingHumansImmunoglobulin Heavy ChainsImmunoglobulin Variable RegionMaleMiddle AgedMultigene FamilyMultiple MyelomaBiomarkers, TumorImmunoglobulin Heavy ChainsImmunoglobulin Variable Region

Identifiers

PMID32029700
PMCPMC7004993
OpenAlexW3004875383

What OpenQuestion holds

Textmetadata
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.