Evidence map›Paper›PMID 32384149›Full record

ArticleBlood2020

13q12.2 deletions in acute lymphoblastic leukemia lead to upregulation of FLT3 through enhancer hijacking.

Minjun Yang, Setareh Safavi, Eleanor L Woodward, Nicolas Duployez, Linda Olsson-Arvidsson, Jonas Ungerbäck, Mikael Sigvardsson, Marketa Zaliova, Jan Zuna, Thoas Fioretos and 3 more

Open access · hybridAbstract read
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 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
9.7field-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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. HemaSphere · 2026
    Article
  5. Article
  6. Mechanisms of enhancer-driven oncogene activation.International journal of cancer · 2026
    Review
  7. Review
  8. Review
  9. Article
  10. The landscape of structural variation in pediatric cancer.bioRxiv : the preprint server for biology · 2025
    Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Oncogenic Enhancers in Leukemia.Blood cancer discovery · 2024
    Review
  16. Review
  17. Article
  18. Article
  19. Prevalence ofFrontiers in pediatrics · 2024
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 3 countries.

Minjun YangDivision of Clinical Genetics, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Setareh SafaviDivision of Clinical Genetics, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Eleanor L WoodwardDivision of Clinical Genetics, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Nicolas DuployezLaboratory of Hematology, Centre Hospitalier Universitaire (CHU) Lille, Lille, France.
Linda Olsson-ArvidssonDivision of Clinical Genetics, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Jonas UngerbäckDivision of Molecular Hematology, Lund Stem Cell Center, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Mikael SigvardssonDivision of Molecular Hematology, Lund Stem Cell Center, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Marketa ZaliovaDepartment of Pediatric Hematology and Oncology, Second Faculty of Medicine, Charles University/University Hospital Motol, Prague, Czech Republic; and.
Jan ZunaDepartment of Pediatric Hematology and Oncology, Second Faculty of Medicine, Charles University/University Hospital Motol, Prague, Czech Republic; and.
Thoas FioretosDivision of Clinical Genetics, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Bertil JohanssonDivision of Clinical Genetics, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Karolin H NordDivision of Clinical Genetics, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Kajsa PaulssonDivision of Clinical Genetics, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Lund University · SECharles University · CZInserm · FRLinköping University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations in the FMS-like tyrosine kinase 3 (FLT3) gene in 13q12.2 are among the most common driver events in acute leukemia, leading to increased cell proliferation and survival through activation of the phosphatidylinositol 3-kinase/AKT-, RAS/MAPK-, and STAT5-signaling pathways. In this study, we examine the pathogenetic impact of somatic hemizygous 13q12.2 microdeletions in B-cell precursor (BCP) acute lymphoblastic leukemia (ALL) using 5 different patient cohorts (in total including 1418 cases). The 13q12.2 deletions occur immediately 5' of FLT3 and involve the PAN3 locus. By detailed analysis of the 13q12.2 segment, we show that the deletions lead to loss of a topologically associating domain border and an enhancer of FLT3. This results in increased cis interactions between the FLT3 promoter and another enhancer located distally to the deletion breakpoints, with subsequent allele-specific upregulation of FLT3 expression, expected to lead to ligand-independent activation of the receptor and downstream signaling. The 13q12.2 deletions are highly enriched in the high-hyperdiploid BCP ALL subtype (frequency 3.9% vs 0.5% in other BCP ALL) and in cases that subsequently relapsed. Taken together, our study describes a novel mechanism of FLT3 involvement in leukemogenesis by upregulation via chromatin remodeling and enhancer hijacking. These data further emphasize the role of FLT3 as a driver gene in BCP ALL.

Indexed as

Cell LineChromatin Assembly and DisassemblyChromosome DeletionChromosome DisordersChromosomes, Human, Pair 13Cohort StudiesDNA Copy Number VariationsEnhancer Elements, Geneticfms-Like Tyrosine Kinase 3Gene Expression Regulation, LeukemicHumansMicroarray AnalysisPolymorphism, Single NucleotidePrecursor Cell Lymphoblastic Leukemia-LymphomaRNA-SeqUp-RegulationFLT3 protein, humanfms-Like Tyrosine Kinase 3

Identifiers

PMID32384149
PMCPMC7498303
OpenAlexW3022051958

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.