Evidence map›Paper›PMID 32208489›Full record

ArticleBlood advances2020

RUNX1-mutated families show phenotype heterogeneity and a somatic mutation profile unique to germline predisposed AML.

Anna L Brown, Peer Arts, Catherine L Carmichael, Milena Babic, Julia Dobbins, Chan-Eng Chong, Andreas W Schreiber, Jinghua Feng, Kerry Phillips, Paul P S Wang and 49 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 1 pooled it
12.4field-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

89 citing papers in PubMed, 1 synthesis or guideline pooled it, 151 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Potential advantage of clinical exome sequencing inJournal of medical genetics · 2026
    Article
  4. Article
  5. SomaticHemaSphere · 2026
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  6. Genetic influences on haematopoiesis.Nature reviews. Genetics · 2026
    Review
  7. International journal of molecular sciences · 2026
    Article
  8. Observational
  9. Article
  10. Review
  11. Targeting RUNX1 Germline Variants: Agents Under Investigation.Current hematologic malignancy reports · 2025
    Review
  12. Review
  13. Article
  14. Genetic Predisposition to Hematologic Malignancies.Cold Spring Harbor perspectives in medicine · 2025
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

29 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

59 authors at 18 institutions in 5 countries.

Anna L BrownDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Peer ArtsDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Catherine L CarmichaelAustralian Centre for Blood Diseases, Monash University, Melbourne, VIC, Australia.
Milena BabicDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Julia DobbinsDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Chan-Eng ChongDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Andreas W SchreiberSchool of Biological Sciences, University of Adelaide, Adelaide, SA, Australia.
Jinghua FengCentre for Cancer Biology, SA Pathology and University of South Australia, Adelaide, SA, Australia.
Kerry PhillipsAdult Genetics Unit, Royal Adelaide Hospital, Adelaide, SA, Australia.
Paul P S WangAustralian Cancer Research Foundation (ACRF) Cancer Genomics Facility, Centre for Cancer Biology, SA Pathology, Adelaide, SA, Australia.
Thuong HaDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Claire C HomanDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Sarah L King-SmithDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Lesley RawlingsDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Cassandra VakulinDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Andrew DubowskyDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Jessica BurdettDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Sarah MooreDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Grace McKavanaghDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Denae HenryDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Amanda WellsDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Belinda MercorellaDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Mario NicolaDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Jeffrey SuttleDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Ella WilkinsDepartment of Molecular Medicine, Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, Australia.
Xiao-Chun LiCentre for Cancer Biology, SA Pathology and University of South Australia, Adelaide, SA, Australia.
Joelle MichaudDepartment of Molecular Medicine, Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, Australia.
Peter BrautiganDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Ping CannonDepartment of Molecular Medicine, Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, Australia.
Meryl AltreeAdult Genetics Unit, Royal Adelaide Hospital, Adelaide, SA, Australia.
Louise JaenschAdult Genetics Unit, Royal Adelaide Hospital, Adelaide, SA, Australia.
Miriam FineAdult Genetics Unit, Royal Adelaide Hospital, Adelaide, SA, Australia.
Carolyn ButcherCentre for Cancer Biology, SA Pathology and University of South Australia, Adelaide, SA, Australia.
Richard J D'AndreaCentre for Cancer Biology, SA Pathology and University of South Australia, Adelaide, SA, Australia.
Ian D LewisAustralian Centre for Blood Diseases, Monash University, Melbourne, VIC, Australia.
Devendra K HiwaseSchool of Medicine, University of Adelaide, Adelaide, SA, Australia.
Elli PapaemmanuilCenter for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Marshall S HorwitzDepartment of Pathology, University of Washington, Seattle, WA.
Georges NatsoulisImago Biosciences, Inc, San Francisco, CA.
Hugh Y RienhoffImago Biosciences, Inc, San Francisco, CA.
Nigel PattonDepartment of Haematology, Auckland City Hospital, Auckland, New Zealand.
Sally MappDepartment of Haematology, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Rachel SusmanGenetic Health Queensland, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
Susan MorganDepartment of Haematology, Alfred Hospital, Melbourne, VIC, Australia.
Julian CooneyDepartment of Haematology, Fiona Stanley Hospital, Murdoch, WA, Australia.
Mark CurrieLewisGale Medical Center, Salem, VA.
Uday PopatThe University of Texas MD Anderson Cancer Center, Houston, TX.
Tilmann BochtlerClinical Cooperation Unit Molecular Hematology/Oncology, Department of Internal Medicine V, University of Heidelberg and German Cancer Research Center, Heidelberg, Germany.
Shai IzraeliDepartment of Human Molecular Genetics and Biochemistry, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Kenneth BradstockHaematology Department, Westmead Hospital, Westmead, NSW, Australia.
Lucy A GodleySection of Hematology/Oncology, Department of Medicine and Center for Clinical Cancer Genetics, and The University of Chicago Comprehensive Cancer Center, The University of Chicago, Chicago, IL.
Alwin KrämerClinical Cooperation Unit Molecular Hematology/Oncology, Department of Internal Medicine V, University of Heidelberg and German Cancer Research Center, Heidelberg, Germany.
Stefan FröhlingNational Center for Tumor Diseases Heidelberg, German Cancer Research Center, Heidelberg University Hospital, Heidelberg, Germany.
Andrew H WeiThe Alfred Hospital, Monash University, Melbourne, VIC, Australia.
Cecily ForsythJarrett St Specialist Centre, North Gosford, NSW, Australia; and.
Helen Mar FanGenetic Health Queensland, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
Nicola K PoplawskiAdult Genetics Unit, Royal Adelaide Hospital, Adelaide, SA, Australia.
Christopher N HahnDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
Hamish S ScottDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia.
South Australia Pathology · AURoyal Adelaide Hospital · AUGerman Cancer Research Center · DEWalter and Eliza Hall Institute of Medical Research · AURoyal Brisbane and Women's Hospital · AUThe Alfred Hospital · AUAuckland City Hospital · NZAustralian Centre for HIV and Hepatitis Virology Research · AUFiona Stanley Hospital · AUGosford Hospital · AULewis Gale Medical Center · USMemorial Sloan Kettering Cancer Center · USPrincess Alexandra Hospital · AUTel Aviv University · ILThe University of Texas MD Anderson Cancer Center · USUniversity of Chicago · USUniversity of Washington · USWestmead Hospital · AU

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

First reported in 1999, germline runt-related transcription factor 1 (RUNX1) mutations are a well-established cause of familial platelet disorder with predisposition to myeloid malignancy (FPD-MM). We present the clinical phenotypes and genetic mutations detected in 10 novel RUNX1-mutated FPD-MM families. Genomic analyses on these families detected 2 partial gene deletions, 3 novel mutations, and 5 recurrent mutations as the germline RUNX1 alterations leading to FPD-MM. Combining genomic data from the families reported herein with aggregated published data sets resulted in 130 germline RUNX1 families, which allowed us to investigate whether specific germline mutation characteristics (type, location) could explain the large phenotypic heterogeneity between patients with familial platelet disorder and different HMs. Comparing the somatic mutational signatures between the available familial (n = 35) and published sporadic (n = 137) RUNX1-mutated AML patients showed enrichment for somatic mutations affecting the second RUNX1 allele and GATA2. Conversely, we observed a decreased number of somatic mutations affecting NRAS, SRSF2, and DNMT3A and the collective genes associated with CHIP and epigenetic regulation. This is the largest aggregation and analysis of germline RUNX1 mutations performed to date, providing a unique opportunity to examine the factors underlying phenotypic differences and disease progression from FPD to MM.

Indexed as

Core Binding Factor Alpha 2 SubunitLeukemia, Myeloid, AcuteEpigenesis, GeneticGerm CellsHumansMutationPedigreePhenotypeCore Binding Factor Alpha 2 SubunitRUNX1 protein, human

Identifiers

PMID32208489
PMCPMC7094007
OpenAlexW3012788306

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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.