Evidence map›Paper›PMID 33567811›Full record

ArticleHaematologica2022

Early detection of T-cell lymphoma with T follicular helper phenotype by RHOA mutation analysis.

Rachel Dobson, Peter Y Du, Lívia Rásó-Barnett, Wen-Qing Yao, Zi Chen, Calogero Casa, Hesham Ei-Daly, Lorant Farkas, Elizabeth Soilleux, Penny Wright and 11 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 32 citations in OpenAlex.

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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

21 authors at 9 institutions in 4 countries.

Rachel DobsonDivision of Cellular and Molecular Pathology, Department of Pathology, University of Cambridge, Cambridge.
Peter Y DuDivision of Cellular and Molecular Pathology, Department of Pathology, University of Cambridge, Cambridge.
Lívia Rásó-BarnettThe Haematopathology and Oncology Diagnostic Service, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge.
Wen-Qing YaoDivision of Cellular and Molecular Pathology, Department of Pathology, University of Cambridge, Cambridge.
Zi ChenDivision of Cellular and Molecular Pathology, Department of Pathology, University of Cambridge, Cambridge.
Calogero CasaThe Haematopathology and Oncology Diagnostic Service, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge.
Hesham Ei-DalyThe Haematopathology and Oncology Diagnostic Service, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge.
Lorant FarkasThe Haematopathology and Oncology Diagnostic Service, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK; Department of Pathology, Akershus University Hospital, Lorenskog.
Elizabeth SoilleuxDivision of Cellular and Molecular Pathology, Department of Pathology, University of Cambridge, Cambridge, UK; Department of Histopathology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge.
Penny WrightDepartment of Histopathology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge.
John W GrantDepartment of Histopathology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge.
Manuel Rodriguez-JustoDepartment of Pathology, Royal Free and University College Medical School, London.
George A FollowsDepartment of Haematology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge.
Hala RashedDepartment of Cellular Pathology, University Hospitals of Leicester, East Midlands Pathology Services, Leicester.
Margarete FabreWellcome-MRC Cambridge Stem Cell Institute, Jeffrey Cheah Biomedical Centre, Department of Haematology, University of Cambridge, Cambridge.
E Joanna BaxterDepartment of Haematology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge.
George VassiliouWellcome-MRC Cambridge Stem Cell Institute, Jeffrey Cheah Biomedical Centre, Department of Haematology, University of Cambridge, Cambridge.
Andrew WotherspoonHistopathology Department, The Royal Marsden Hospital, London.
Ayoma D AttygalleHistopathology Department, The Royal Marsden Hospital, London.
Hongxiang LiuThe Haematopathology and Oncology Diagnostic Service, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge.
Ming-Qing DuDivision of Cellular and Molecular Pathology, Department of Pathology, University of Cambridge, Cambridge, UK; Department of Histopathology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge. mqd20@cam.ac.uk.
Cambridge University Hospitals NHS Foundation Trust · GBAddenbrooke's Hospital · GBUniversity of Cambridge · GBRoyal Marsden Hospital · GBCambridge School · PTStem Cell Institute · PAUniversity College London · GBUniversity Hospitals of Leicester NHS Trust · GBWellcome/MRC Cambridge Stem Cell Institute · GB

Funding

Cancer Research UK 29707Medical Research Council MC_PC_17230
6 · The paper itself

Abstract

Angioimmunoblastic T-cell lymphoma (AITL) and peripheral T-cell lymphoma with T follicular helper phenotype (PTCL-TFH) are a group of complex clinicopathological entities that originate from T follicular helper cells and share a similar mutation profile. Their diagnosis is often a challenge, particularly at an early stage, because of a lack of specific histological and immunophenotypic features, paucity of neoplastic T cells and prominent polymorphous infiltrate. We investigated whether the lymphoma-associated RHOA Gly17Val (c.50G>T) mutation, occurring in 60% of cases, is present in the early "reactive" lesions, and whether mutation analysis could help to advance the early diagnosis of lymphoma. The RHOA mutation was detected by quantitative polymerase chain reaction with a locked nucleic acid probe specific to the mutation, and a further peptide nucleic acid clamp oligonucleotide to suppress the amplification of the wild-type allele. The quantitative polymerase chain reaction assay was highly sensitive and specific, detecting RHOA Gly17Val at an allele frequency of 0.03%, but not other changes in Gly17, nor in 61 controls. Among the 37 cases of AITL and PTCL-TFH investigated, RHOA Gly17Val was detected in 62.2% (23/37) of which 19 had multiple biopsies including preceding biopsies in ten and follow-up biopsies in 11 cases. RHOA Gly17Val was present in each of these preceding or follow-up biopsies including 18 specimens that showed no evidence of lymphoma by combined histological, immunophenotypic and clonality analyses. The mutation was seen in biopsies 0-26.5 months (mean 7.87 months) prior to the lymphoma diagnosis. Our results show that RHOA Gly17Val mutation analysis is valuable in the early detection of AITL and PTCL-TFH.

Indexed as

Immunoblastic LymphadenopathyLymphoma, T-CellLymphoma, T-Cell, PeripheralEarly DiagnosisHumansMutationPhenotyperhoA GTP-Binding ProteinT-Lymphocytes, Helper-InducerrhoA GTP-Binding ProteinRHOA protein, human

Identifiers

PMID33567811
PMCPMC8804563
OpenAlexW3118852511

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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.