Evidence map›Paper›PMID 33513604›Full record

Trial reportBlood2021

LRPAP1 autoantibodies in mantle cell lymphoma are associated with superior outcome.

Lorenz Thurner, Natalie Fadle, Jörg Thomas Bittenbring, Evi Regitz, Rita Schuck, Onur Cetin, Ariane Stuhr, Torben Rixecker, Niels Murawski, Viola Poeschel and 10 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 6 institutions in 3 countries.

Lorenz ThurnerSaarland University Medical School, José Carreras Center for Immuno- and Gene Therapy and Internal Medicine I, Homburg/Saar, Germany.ORCID 0000-0002-8167-2989
Natalie FadleSaarland University Medical School, José Carreras Center for Immuno- and Gene Therapy and Internal Medicine I, Homburg/Saar, Germany.
Jörg Thomas BittenbringSaarland University Medical School, José Carreras Center for Immuno- and Gene Therapy and Internal Medicine I, Homburg/Saar, Germany.
Evi RegitzSaarland University Medical School, José Carreras Center for Immuno- and Gene Therapy and Internal Medicine I, Homburg/Saar, Germany.
Rita SchuckSaarland University Medical School, José Carreras Center for Immuno- and Gene Therapy and Internal Medicine I, Homburg/Saar, Germany.
Onur CetinSaarland University Medical School, José Carreras Center for Immuno- and Gene Therapy and Internal Medicine I, Homburg/Saar, Germany.
Ariane StuhrHôpital Necker, Institut Imagine, Assistance Publique-Hôpitaux de Paris, University Paris Descartes, Paris, France.
Torben RixeckerSaarland University Medical School, José Carreras Center for Immuno- and Gene Therapy and Internal Medicine I, Homburg/Saar, Germany.ORCID 0000-0003-1417-7571
Niels MurawskiSaarland University Medical School, José Carreras Center for Immuno- and Gene Therapy and Internal Medicine I, Homburg/Saar, Germany.
Viola PoeschelSaarland University Medical School, José Carreras Center for Immuno- and Gene Therapy and Internal Medicine I, Homburg/Saar, Germany.
Dominic Kaddu-MulindwaSaarland University Medical School, José Carreras Center for Immuno- and Gene Therapy and Internal Medicine I, Homburg/Saar, Germany.ORCID 0000-0001-8832-252X
Klaus-Dieter PreussSaarland University Medical School, José Carreras Center for Immuno- and Gene Therapy and Internal Medicine I, Homburg/Saar, Germany.
Stephan StilgenbauerSaarland University Medical School, José Carreras Center for Immuno- and Gene Therapy and Internal Medicine I, Homburg/Saar, Germany.
Olivier HermineHôpital Necker, Institut Imagine, Assistance Publique-Hôpitaux de Paris, University Paris Descartes, Paris, France.
Hanneke C Kluin-NelemansUniversity Medical Center Groningen, Department of Hematology, University of Groningen, Groningen, The Netherlands.ORCID 0000-0003-2617-9427
Sylvia HartmannDr. Senckenberg Institute of Pathology, Goethe University Hospital of Frankfurt am Main, Frankfurt am Main, Germany.
Martin DreylingDepartment of Medicine III, LMU Hospital, Munich, Germany.
Christiane PottSecond Department of Medicine, University Hospital Schleswig-Holstein, Kiel, Germany; and.
Moritz BewarderSaarland University Medical School, José Carreras Center for Immuno- and Gene Therapy and Internal Medicine I, Homburg/Saar, Germany.
Eva HosterDepartment of Medicine III, LMU Hospital, Munich, Germany.ORCID 0000-0002-0749-1389
Saarland University · DEHôpital Necker-Enfants Malades · FRLMU Klinikum · DEGoethe University Frankfurt · DEUniversity Hospital Schleswig-Holstein · DEUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low-density lipoprotein (LDL) receptor-related protein-associated protein 1 (LRPAP1) had been identified by B-cell receptor (BCR) expression cloning and subsequent protein array screening as a frequent and proliferation-inducing autoantigen of mantle cell lymphoma (MCL). Of interest, high-titered and light chain-restricted LRPAP1 autoantibodies were detected in 8 of 28 patients with MCL. In the present study, LRPAP1 autoantibodies in sera of patients treated within the Younger and Elderly trials of the European MCL Network were analyzed regarding frequency, association with disease characteristics, and prognostic impact. LRPAP1 autoantibodies were detected in 41 (13%) of 312 evaluable patients with MCL. These LRPAP1 autoantibodies belonged predominantly to the immunoglobulin G (IgG) class and were clonally light chain restricted (27 with κ light chains, 14 patients with λ light chains). Titers ranged between 1:400 and 1:3200. The presence of LRPAP1 autoantibodies was not significantly associated with any baseline clinical characteristic, however, it was associated with a superior 5-year probability for failure-free survival (FFS) of 70% (95% confidence interval [CI], 57% to 87%) vs 51% (95% CI, 44% to 58%), P = .0052; and for overall survival (OS) of 93% (95% CI, 85% to 100%) vs 68% (95% CI, 62% to 74%), P = .0142. LRPAP1-seropositive patients had a Mantle Cell Lymphoma International Prognostic Index-adjusted hazard ratio for FFS of 0.48 (95% CI 0.27-0.83, P = .0083) and for OS of 0.47 (95% CI 0.24-0.94, P = .032). LRPAP1 autoantibodies were frequently detected in a large cohort of MCL patients treated within prospective multicenter clinical trials. Our results suggest better outcomes for LRPAP1-autoantibody seropositive patients.

Indexed as

Lymphoma, Mantle-CellAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsAutoantibodiesCyclophosphamideDisease-Free SurvivalDoxorubicinFemaleHumansImmunoglobulin GLDL-Receptor Related Protein-Associated ProteinMaleMiddle AgedNeoplasm ProteinsAutoantibodiesCyclophosphamideDoxorubicinImmunoglobulin GLDL-Receptor Related Protein-Associated ProteinNeoplasm ProteinsPrednisoneR-CHOP protocolRituximabVincristineautoantibodiesIMMUNOBIOLOGY/analyzing immune responses in intact or manipulated organismsIMMUNOBIOLOGY/antibody production by B lymphocytesmantle cell lymphoma

Identifiers

PMID33513604
PMCPMC8351899
OpenAlexW3122992233

What OpenQuestion holds

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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.