Evidence map›Paper›PMID 32742264›Full record

ReviewFrontiers in pharmacology2020

Targeting the Microenvironment in MDS: The Final Frontier.

Patric Teodorescu, Sergiu Pasca, Delia Dima, Ciprian Tomuleasa, Gabriel Ghiaur

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in pharmacology, 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
2.1field-weighted citation impact, top 11% 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, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Iron-Loading Anemias.Advances in experimental medicine and biology · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. Extracellular Vesicles in Myeloid Neoplasms.International journal of molecular sciences · 2022
    Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
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

5 authors at 2 institutions in 2 countries.

Patric TeodorescuDepartment of Hematology, Iuliu Hategan University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Sergiu PascaDepartment of Hematology, Iuliu Hategan University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Delia DimaDepartment of Hematology, Iuliu Hategan University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Ciprian TomuleasaDepartment of Hematology, Iuliu Hategan University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Gabriel GhiaurDepartment of Oncology, The Johns Hopkins Hospital, Johns Hopkins Medicine, Baltimore, MD, United States.
Iuliu Hațieganu University of Medicine and Pharmacy · ROJohns Hopkins University · US

Funding

Targeting MRDP01CA225618 · NCI · JOHNS HOPKINS UNIVERSITY · PI Nicolas Jose Llosa · 2019 to 2026
$15.1M
Bone Marrow Microenvironmental Expression of Cytochrome P450 EnzymesK08HL127269 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GHIAUR, GABRIEL · 2015 to 2019
$823k
NCI NIH HHS P01 CA225618NHLBI NIH HHS K08 HL127269
6 · The paper itself

Abstract

Myelodysplastic syndromes (MDS) are a heterogeneous group of malignant disorders of hematopoietic stem and progenitor cells (HSPC), mainly characterized by ineffective hematopoiesis leading to peripheral cytopenias and progressive bone marrow failure. While clonal dominance is nearly universal at diagnosis, most genetic mutations identified in patients with MDS do not provide a conspicuous advantage to the malignant cells. In this context, malignant cells alter their adjacent bone marrow microenvironment (BME) and rely on cell extrinsic factors to maintain clonal dominance. The profoundly disturbed BME favors the myelodysplastic cells and, most importantly is detrimental to normal hematopoietic cells. Thus, the MDS microenvironment not only contributes to the observed cytopenias seen in these patients but could also negatively impact the engraftment of normal, allogeneic HSPCs in patients with MDS undergoing bone marrow transplant. Therefore, successful therapies in MDS should not only target the malignant cells but also reprogram their bone marrow microenvironment. Here, we will provide a synopsis of how drugs currently used or on the verge of being approved for the treatment of MDS may achieve this goal.

Indexed as

all-trans retinoic acidazacytidineCYP26 enzymeslenalidomideluspaterceptmicroenvironmentmyelodyslastic syndromesrigosertib

Identifiers

PMID32742264
PMCPMC7364152
OpenAlexW3040916347

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.