Evidence map›Paper›PMID 34112780›Full record

ArticleNature communications2021

Machine learning analyses of antibody somatic mutations predict immunoglobulin light chain toxicity.

Maura Garofalo, Luca Piccoli, Margherita Romeo, Maria Monica Barzago, Sara Ravasio, Mathilde Foglierini, Milos Matkovic, Jacopo Sgrignani, Raoul De Gasparo, Marco Prunotto and 5 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. 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
3.9field-weighted citation impact, top 5% 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, 60 citations in OpenAlex.

  1. Article
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  4. Review
  5. An updated AL-base reveals ranked enrichment of immunoglobulin light chain variable genes in AL amyloidosis.Amyloid : the international journal of experimental and clinical investigation : the official journal of the International Society of Amyloidosis · 2025
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  17. Article
  18. Machine Learning Guides Peptide Nucleic Acid Flow Synthesis and Sequence Design.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2022
    Article
  19. Cu(II) Binding Increases the Soluble Toxicity of Amyloidogenic Light Chains.International journal of molecular sciences · 2022
    Article
  20. Review
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

15 authors at 5 institutions in 2 countries.

Maura GarofaloInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Luca PiccoliInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.ORCID http://orcid.org/0000-0002-1085-6502
Margherita RomeoDepartment of Molecular Biochemistry and Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Maria Monica BarzagoDepartment of Molecular Biochemistry and Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Sara RavasioInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Mathilde FoglieriniInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.ORCID http://orcid.org/0000-0001-7538-4262
Milos MatkovicInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Jacopo SgrignaniInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Raoul De GasparoInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Marco PrunottoSchool of Pharmaceutical Sciences, Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0002-0203-0129
Luca VaraniInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.ORCID http://orcid.org/0000-0002-0963-0987
Luisa DiomedeDepartment of Molecular Biochemistry and Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.ORCID http://orcid.org/0000-0002-2258-0531
Olivier MichielinMolecular Modeling Group, SIB Swiss Institute of Bioinformatics, University of Lausanne, Quartier UNIL-Sorge, Bâtiment Amphipôle, Lausanne, Switzerland.
Antonio LanzavecchiaInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.ORCID http://orcid.org/0000-0002-3041-7240
Andrea CavalliInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland. andrea.cavalli@irb.usi.ch.ORCID http://orcid.org/0000-0003-4063-4502
Università della Svizzera italiana · CHMario Negri Institute for Pharmacological Research · ITSIB Swiss Institute of Bioinformatics · CHETH Zurich · CHUniversity of Geneva · CH

Funding

Enhancing and expanding the CGC Strain CollectionP40OD010440 · OD · UNIVERSITY OF MINNESOTA · PI Aric L Daul, Ann E. Rougvie · 2012 to 2026
$7.5M
NIH HHS P40 OD010440
6 · The paper itself

Abstract

In systemic light chain amyloidosis (AL), pathogenic monoclonal immunoglobulin light chains (LC) form toxic aggregates and amyloid fibrils in target organs. Prompt diagnosis is crucial to avoid permanent organ damage, but delayed diagnosis is common because symptoms usually appear only after strong organ involvement. Here we present LICTOR, a machine learning approach predicting LC toxicity in AL, based on the distribution of somatic mutations acquired during clonal selection. LICTOR achieves a specificity and a sensitivity of 0.82 and 0.76, respectively, with an area under the receiver operating characteristic curve (AUC) of 0.87. Tested on an independent set of 12 LCs sequences with known clinical phenotypes, LICTOR achieves a prediction accuracy of 83%. Furthermore, we are able to abolish the toxic phenotype of an LC by in silico reverting two germline-specific somatic mutations identified by LICTOR, and by experimentally assessing the loss of in vivo toxicity in a Caenorhabditis elegans model. Therefore, LICTOR represents a promising strategy for AL diagnosis and reducing high mortality rates in AL.

Indexed as

Machine LearningAlgorithmsAmino Acid SequenceAnimalsAntibodiesCaenorhabditis elegansDatabases, GeneticGene ExpressionHumansImmunoglobulin Light-chain AmyloidosisImmunoglobulin Light ChainsModels, MolecularMutationRecombinant ProteinsAntibodiesImmunoglobulin Light ChainsRecombinant Proteins

Identifiers

PMID34112780
PMCPMC8192768
OpenAlexW3171096554

What OpenQuestion holds

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LicenceCC BY
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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.