Evidence map›Paper›PMID 33087831›Full record

ArticleLeukemia2021

CXCL13 plasma levels function as a biomarker for disease activity in patients with chronic lymphocytic leukemia.

Mariela Sivina, Lianchun Xiao, Ekaterina Kim, Alicia Vaca, Shih-Shih Chen, Michael J Keating, Alessandra Ferrajoli, Zeev Estrov, Nitin Jain, William G Wierda and 3 more

Open access · greenAbstract read
In one paragraph

Article in Leukemia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Tumor-Induced PDPNInternational journal of molecular sciences · 2026
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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

13 authors at 2 institutions in 1 country.

Mariela SivinaDepartment of Leukemia, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA.
Lianchun XiaoDepartment of Biostatistics, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA.
Ekaterina KimDepartment of Leukemia, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA.
Alicia VacaDepartment of Leukemia, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA.
Shih-Shih ChenThe Feinstein Institute for Medical Research, NorthWell Health System, Manhasset, NY, USA.
Michael J KeatingDepartment of Leukemia, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA.
Alessandra FerrajoliDepartment of Leukemia, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA.
Zeev EstrovDepartment of Leukemia, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA.
Nitin JainDepartment of Leukemia, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA.
William G WierdaDepartment of Leukemia, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA.
Xuelin HuangDepartment of Biostatistics, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA.
Nicholas ChiorazziThe Feinstein Institute for Medical Research, NorthWell Health System, Manhasset, NY, USA.
Jan A BurgerDepartment of Leukemia, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA. jaburger@mdanderson.org.ORCID http://orcid.org/0000-0002-6177-7572
The University of Texas MD Anderson Cancer Center · USFeinstein Institute for Medical Research · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

The chemoattractant CXCL13 organizes the cellular architecture of B-cell follicles and germinal centers. During adaptive immune responses, CXCL13 plasma concentrations transiently increase and function as a biomarker for normal germinal center activity. Chronic lymphocytic leukemia (CLL) cells express high levels of CXCR5, the receptor for CXCL13, and proliferate in pseudofollicles within secondary lymphoid organs (SLO). Given the morphologic and functional similarities between normal and CLL B-cell expansion in SLO, we hypothesized that CXCL13 plasma concentrations would correlate with CLL disease activity and progression. We analyzed CXCL13 plasma concentrations in 400 CLL patients and correlated the findings with other prognostic markers, time to treatment (TTT), CCL3 and CCL4 plasma concentrations, and in vivo CLL cell proliferation. We found that CXCL13 plasma concentrations were higher in CLL patients with active and advanced stage disease, resulting in a significantly shorter TTT. Accordingly, high CXCL13 levels correlated with other markers of disease activity and CCL3 levels. Higher CLL cell birth rates in vivo also associated with higher CXCL13 plasma concentrations. Interestingly, elevated CXCL13 plasma levels normalized during ibrutinib therapy, and increased in ibrutinib resistance patients. Collectively, these studies emphasize the importance of CXCL13 in crosstalk between CLL cells and the SLO microenvironment.

Indexed as

Severity of Illness IndexAdenineAgedBiomarkers, TumorChemokine CXCL13FemaleFollow-Up StudiesHumansLeukemia, Lymphocytic, Chronic, B-CellMalePiperidinesPrognosisRetrospective StudiesSurvival RateAdenineBiomarkers, TumorChemokine CXCL13CXCL13 protein, humanibrutinibPiperidines

Identifiers

PMID33087831
PMCPMC12002358
OpenAlexW3094240488

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.