Evidence map›Paper›PMID 34016160›Full record

ArticleBiomarker research2021

Immunological and genetic kinetics from diagnosis to clinical progression in chronic lymphocytic leukemia.

Isabel Jiménez, Bárbara Tazón-Vega, Pau Abrisqueta, Juan C Nieto, Sabela Bobillo, Carles Palacio-García, Júlia Carabia, Rafael Valdés-Mas, Magdalena Munuera, Lluís Puigdefàbregas and 8 more

Open access · goldAbstract read
In one paragraph

Article in Biomarker research, 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
0.8field-weighted citation impact, top 28% 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, 7 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

18 authors at 6 institutions in 2 countries.

Isabel JiménezExperimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, C/Natzaret 115-117, 08035, Barcelona, Spain.
Bárbara Tazón-VegaDepartment de Medicina, Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain.
Pau AbrisquetaDepartment de Medicina, Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain.
Juan C NietoExperimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, C/Natzaret 115-117, 08035, Barcelona, Spain.
Sabela BobilloDepartment de Medicina, Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain.
Carles Palacio-GarcíaDepartment de Medicina, Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain.
Júlia CarabiaExperimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, C/Natzaret 115-117, 08035, Barcelona, Spain.
Rafael Valdés-MasDREAMgenics, 33011, Oviedo, Spain.
Magdalena MunueraExperimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, C/Natzaret 115-117, 08035, Barcelona, Spain.
Lluís PuigdefàbregasExperimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, C/Natzaret 115-117, 08035, Barcelona, Spain.
Genís ParraCentre for Genomic Regulation, Barcelona Institute of Science and Technology, 08003, Barcelona, Spain.
Anna Esteve-CodinaCentre for Genomic Regulation, Barcelona Institute of Science and Technology, 08003, Barcelona, Spain.
Clara Franco-JaravaServei d'Immunologia, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Passeig Vall d'Hebron 119-129, 08035, Barcelona, Spain.
Gloria IacoboniDepartment de Medicina, Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain.
María José TerolDepartment of Hematology, Clínic University Hospital, INCLIVA Biomedical Research Institute, 46010, Valencia, Spain.
José Antonio García-MarcoDepartment of Hematology, Puerta de Hierro University Hospital, 28222, Majadahonda, Madrid, Spain.
Marta Crespo *Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, C/Natzaret 115-117, 08035, Barcelona, Spain.
Francesc Bosch *Department de Medicina, Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain. fbosch@vhio.net.ORCID http://orcid.org/0000-0001-9241-2886
Universitat Autònoma de Barcelona · ESUniversitat Pompeu Fabra · ESHebron University · PSHospital Universitario Puerta de Hierro Majadahonda · ESINCLIVA Health Research Institute · ESVall d'Hebron Institut de Recerca · ES

Funding

Fundació la Marató de TV3 201905-30-31Gilead Foundation GLD16/00144Gilead Foundation GLD18/00047Instituto de Salud Carlos III PI17/00943Instituto de Salud Carlos III PI17/00950Instituto de Salud Carlos III PI18/01392Instituto de Salud Carlos III PT17/0009/0019Ministerio de Ciencia, Innovación y Universidades PTQ-16-08623Ministerio de Ciencia, Innovación y Universidades RYC-2012-2018
6 · The paper itself

Abstract

backgroundMechanisms driving the progression of chronic lymphocytic leukemia (CLL) from its early stages are not fully understood. The acquisition of molecular changes at the time of progression has been observed in a small fraction of patients, suggesting that CLL progression is not mainly driven by dynamic clonal evolution. In order to shed light on mechanisms that lead to CLL progression, we investigated longitudinal changes in both the genetic and immunological scenarios.

methodsWe performed genetic and immunological longitudinal analysis using paired primary samples from untreated CLL patients that underwent clinical progression (sampling at diagnosis and progression) and from patients with stable disease (sampling at diagnosis and at long-term asymptomatic follow-up).

resultsMolecular analysis showed limited and non-recurrent molecular changes at progression, indicating that clonal evolution is not the main driver of clinical progression. Our analysis of the immune kinetics found an increasingly dysfunctional CD8

conclusionsAltogether, we demonstrate that the interaction with the immune microenvironment plays a key role in clinical progression in CLL, thereby providing a rationale for the use of early immunotherapeutic intervention.

Indexed as

Clinical progressionCLLImmune evasionT cell exhaustion

Identifiers

PMID34016160
PMCPMC8138982
OpenAlexW3160792060

What OpenQuestion holds

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LicenceCC BY
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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.