Evidence map›Paper›PMID 33570623›Full record

ArticleBlood advances2021

Somatic GATA2 mutations define a subgroup of myeloid malignancy patients at high risk for invasive fungal disease.

Rahul S Vedula, Matthew P Cheng, Christine E Ronayne, Dimitrios Farmakiotis, Vincent T Ho, Sophia Koo, Francisco M Marty, R Coleman Lindsley, Tyler D Bold

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.3field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 16 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

9 authors at 4 institutions in 1 country.

Rahul S VedulaDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Matthew P ChengDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Christine E RonayneDivision of Infectious Diseases and International Medicine, University of Minnesota Medical School, Minneapolis, MN; and.
Dimitrios FarmakiotisDivision of Infectious Diseases, Warren Alpert Medical School, Brown University, Providence, RI.
Vincent T HoDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Sophia KooDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Francisco M MartyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
R Coleman LindsleyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Tyler D BoldDivision of Infectious Diseases and International Medicine, University of Minnesota Medical School, Minneapolis, MN; and.
Brigham and Women's Hospital · USDana-Farber Cancer Institute · USUniversity of Minnesota Medical Center · USBrown University · US

Funding

INFECTIOUS DISEASE AND BASIC MICROBIOLOGICAL MECHANISMST32AI007061 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Marcia B Goldberg · 1985 to 2026
$12.1M
Training Program in Molecular HematologyT32HL116324 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI NANCY BERLINER · 2013 to 2026
$7.4M
Determining the Role of BCOR Mutations in Myeloid MalignanciesK08CA204734 · NCI · DANA-FARBER CANCER INST · PI LINDSLEY, ROBERT COLEMAN · 2016 to 2020
$813k
NCI NIH HHS K08 CA204734NHLBI NIH HHS T32 HL116324NIAID NIH HHS T32 AI007061
6 · The paper itself

Abstract

Invasive fungal disease (IFD) can be a severe treatment complication in patients with myeloid malignancies, but current risk models do not incorporate disease-specific factors, such as somatic gene mutations. Germline GATA2 deficiency is associated with a susceptibility to IFD. To determine whether myeloid gene mutations were associated with IFD risk, we identified 2 complementary cohorts of patients with myeloid malignancy, based on (1) the diagnosis of invasive aspergillosis (IA), or (2) the presence of GATA2 mutations identified during standard clinical sequencing. We found somatic GATA2 mutations in 5 of 27 consecutive patients who had myeloid malignancy and developed IA. Among 51 consecutive patients with GATA2 mutations identified in the evaluation of myeloid malignancy, we found that IFD was diagnosed and treated in 21 (41%), all of whom had received chemotherapy or had undergone an allogeneic stem cell transplant. Pulmonary infections and disseminated candidiasis were most common. The 90-day mortality was 52% among patients with IFD. Our results indicate that patients with somatic GATA2 mutations are a vulnerable subgroup of patients with myeloid malignancy who have high risk for treatment-associated IFD and suggest that a focused approach to antifungal prophylaxis be considered.

Indexed as

CandidiasisInvasive Fungal InfectionsNeoplasmsAntifungal AgentsGATA2 Transcription FactorHumansMutationAntifungal AgentsGATA2 protein, humanGATA2 Transcription Factor

Identifiers

PMID33570623
PMCPMC7805332
OpenAlexW3115084262

What OpenQuestion holds

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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.