Evidence map›Paper›PMID 32086311›Full record

ArticleCancer discovery2020

Relapse-Fated Latent Diagnosis Subclones in Acute B Lineage Leukemia Are Drug Tolerant and Possess Distinct Metabolic Programs.

Stephanie M Dobson, Laura García-Prat, Robert J Vanner, Jeffrey Wintersinger, Esmé Waanders, Zhaohui Gu, Jessica McLeod, Olga I Gan, Ildiko Grandal, Debbie Payne-Turner and 23 more

Abstract read
In one paragraph

Article in Cancer discovery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
13.7field-weighted citation impact, top 1% 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

69 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Pooled it
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  15. Review
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  17. Review
  18. Relapsed Acute Lymphoblastic Leukemia.Indian journal of pediatrics · 2024
    Review
  19. Article
  20. Metabolic heterogeneity in cancer.Nature metabolism · 2024
    Review

9 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

33 authors at 5 institutions in 3 countries.

Stephanie M DobsonDepartment of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada.
Laura García-Prat *Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Robert J Vanner *Department of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada.
Jeffrey Wintersinger *Department of Computer Science, University of Toronto. Toronto, Ontario, Canada.
Esmé Waanders *Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.ORCID 0000-0002-2466-953X
Zhaohui GuDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0003-1581-1327
Jessica McLeodPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Olga I GanPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Ildiko GrandalGenetics and Genome Biology, Hospital for Sick Children Research Institute, Toronto, Ontario, Canada.
Debbie Payne-TurnerDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Michael N EdmonsonDepartment of Computational Biology and Bioinformatics, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0003-0339-700X
Xiaotu MaDepartment of Computational Biology and Bioinformatics, St. Jude Children's Research Hospital, Memphis, Tennessee.
Yiping FanDepartment of Computational Biology and Bioinformatics, St. Jude Children's Research Hospital, Memphis, Tennessee.
Veronique VoisinDepartment of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-3405-9532
Michelle Chan-Seng-YuePrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Stephanie Z XiePrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0002-0284-494X
Mohsen HosseiniPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Sagi AbelsonPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Pankaj GuptaDepartment of Computational Biology and Bioinformatics, St. Jude Children's Research Hospital, Memphis, Tennessee.
Michael RuschDepartment of Computational Biology and Bioinformatics, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-5363-1848
Ying ShaoPediatric Cancer Genome Project Laboratory, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-0390-3315
Scott R OlsenHartwell Center for Bioinformatics and Biotechnology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Geoffrey NealeHartwell Center for Bioinformatics and Biotechnology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0003-3776-0858
Steven M ChanPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Gary BaderDepartment of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-0185-8861
John EastonPediatric Cancer Genome Project Laboratory, St. Jude Children's Research Hospital, Memphis, Tennessee.
Cynthia J GuidosDevelopmental & Stem Cell Biology Program, Hospital for Sick Children Research Institute, Toronto, Ontario, Canada.
Jayne S DanskaGenetics and Genome Biology, Hospital for Sick Children Research Institute, Toronto, Ontario, Canada.
Jinghui ZhangDepartment of Computational Biology and Bioinformatics, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0003-3350-9682
Mark D MindenPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Quaid MorrisDepartment of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada.
Charles G MullighanDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee. John.Dick@uhnresearch.ca charles.mullighan@stjude.org.ORCID 0000-0002-1871-1850
John E DickDepartment of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada. John.Dick@uhnresearch.ca charles.mullighan@stjude.org.ORCID 0000-0002-9527-8317
St. Jude Children's Research Hospital · USUniversity of Toronto · CAPrincess Margaret Cancer Centre · CAHospital for Sick Children · CAOntario Institute for Cancer Research · CA

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
Translating genomic discoveries to improved outcomes for high risk acute leukemiaR35CA197695 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Charles G Mullighan · 2017 to 2026
$11.4M
CIHRNCI NIH HHS P30 CA021765NCI NIH HHS R35 CA197695
6 · The paper itself

Abstract

Disease recurrence causes significant mortality in B-progenitor acute lymphoblastic leukemia (B-ALL). Genomic analysis of matched diagnosis and relapse samples shows relapse often arising from minor diagnosis subclones. However, why therapy eradicates some subclones while others survive and progress to relapse remains obscure. Elucidation of mechanisms underlying these differing fates requires functional analysis of isolated subclones. Here, large-scale limiting dilution xenografting of diagnosis and relapse samples, combined with targeted sequencing, identified and isolated minor diagnosis subclones that initiate an evolutionary trajectory toward relapse [termed diagnosis Relapse Initiating clones (dRI)]. Compared with other diagnosis subclones, dRIs were drug-tolerant with distinct engraftment and metabolic properties. Transcriptionally, dRIs displayed enrichment for chromatin remodeling, mitochondrial metabolism, proteostasis programs, and an increase in stemness pathways. The isolation and characterization of dRI subclones reveals new avenues for eradicating dRI cells by targeting their distinct metabolic and transcriptional pathways before further evolution renders them fully therapy-resistant. SIGNIFICANCE: Isolation and characterization of subclones from diagnosis samples of patients with B-ALL who relapsed showed that relapse-fated subclones had increased drug tolerance and distinct metabolic and survival transcriptional programs compared with other diagnosis subclones. This study provides strategies to identify and target clinically relevant subclones before further evolution toward relapse.

Indexed as

Clone CellsFemaleHumansLeukemia, Myeloid, AcuteMaleRecurrence

Identifiers

PMID32086311
PMCPMC7122013
OpenAlexW3008763686

What OpenQuestion holds

Textmetadata
LicenceTDM
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.