Evidence map›Paper›PMID 32555149›Full record

ArticleBlood cancer journal2020

CREBBP and STAT6 co-mutation and 16p13 and 1p36 loss define the t(14;18)-negative diffuse variant of follicular lymphoma.

Rena R Xian, Yi Xie, Lisa M Haley, Raluca Yonescu, Aparna Pallavajjala, Stefania Pittaluga, Elaine S Jaffe, Amy S Duffield, Chad M McCall, Shereen M F Gheith and 1 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 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.4field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
  2. Article
  3. Ocular adnexa follicular lymphoma: clinicopathological study of 23 patients.Virchows Archiv : an international journal of pathology · 2026
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  17. Follicular lymphoma and marginal zone lymphoma: how many diseases?Virchows Archiv : an international journal of pathology · 2023
    Review
  18. Article
  19. Article
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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

11 authors at 4 institutions in 1 country.

Rena R XianDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Yi XieLaboratory of Pathology, National Cancer Institute, Bethesda, MD, USA.
Lisa M HaleyDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Raluca YonescuDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Aparna PallavajjalaDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Stefania PittalugaLaboratory of Pathology, National Cancer Institute, Bethesda, MD, USA.
Elaine S JaffeLaboratory of Pathology, National Cancer Institute, Bethesda, MD, USA.ORCID http://orcid.org/0000-0003-4632-0301
Amy S DuffieldDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Chad M McCallDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Shereen M F GheithPathology and Laboratory Medicine, Lehigh Valley Health Network, Allentown, PA, USA.
Christopher D GockeDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD, USA. cgocke1@jhmi.edu.ORCID http://orcid.org/0000-0002-9541-2192
Johns Hopkins University · USNational Cancer Institute · USLehigh Valley Hospital-Pocono · USUniversity of California, San Francisco · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI WILLIAM George NELSON · 1985 to 2026
$208.6M
Lymphoma Disease Discovery and DefintionZIASC000550 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI JAFFE, ELAINE · 2009 to 2025
$16.9M
Hematopathology FellowshipZIEBC011241 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI JAFFE, ELAINE · 2009 to 2025
$11.1M
NCI NIH HHS P30 CA006973
6 · The paper itself

Abstract

The diffuse variant of follicular lymphoma (dFL) is a rare variant of FL lacking t(14;18) that was first described in 2009. In this study, we use a comprehensive approach to define unifying pathologic and genetic features through gold-standard pathologic review, FISH, SNP-microarray, and next-generation sequencing of 16 cases of dFL. We found unique morphologic features, including interstitial sclerosis, microfollicle formation, and rounded nuclear cytology, confirmed absence of t(14;18) and recurrent deletion of 1p36, and showed a novel association with deletion/CN-LOH of 16p13 (inclusive of CREBBP, CIITA, and SOCS1). Mutational profiling demonstrated near-uniform mutations in CREBBP and STAT6, with clonal dominance of CREBBP, among other mutations typical of germinal-center B-cell lymphomas. Frequent CREBBP and CIITA codeletion/mutation suggested a mechanism for immune evasion, while subclonal STAT6 activating mutations with concurrent SOCS1 loss suggested a mechanism of BCL-xL/BCL2L1 upregulation in the absence of BCL2 rearrangements. A review of the literature showed significant enrichment for 16p13 and 1p36 loss/CN-LOH, STAT6 mutation, and CREBBP and STAT6 comutation in dFL, as compared with conventional FL. With this comprehensive approach, our study demonstrates confirmatory and novel genetic associations that can aid in the diagnosis and subclassification of this rare type of lymphoma.

Indexed as

AdultAgedChromosome DeletionChromosomes, Human, Pair 1Chromosomes, Human, Pair 16CREB-Binding ProteinFemaleHumansLymphoma, FollicularMaleMiddle AgedMutationPolymorphism, Single NucleotideSTAT6 Transcription FactorTranslocation, GeneticCREB-Binding ProteinCREBBP protein, humanSTAT6 protein, humanSTAT6 Transcription Factor

Identifiers

PMID32555149
PMCPMC7299932
OpenAlexW3036905580

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.