Evidence map›Paper›PMID 34115836›Full record

ArticleBlood2021

Cereblon enhancer methylation and IMiD resistance in multiple myeloma.

Larissa Haertle, Santiago Barrio, Umair Munawar, Seungbin Han, Xiang Zhou, Cornelia Vogt, Rafael Alonso Fernández, Max Bittrich, Yanira Ruiz-Heredia, Matteo Da Viá and 16 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

34 citing papers in PubMed, 42 citations in OpenAlex.

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  13. MYC Inhibition Potentiates CD8+ T Cells Against Multiple Myeloma and Overcomes Immunomodulatory Drug Resistance.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
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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

26 authors at 7 institutions in 3 countries.

Larissa HaertleDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0002-3927-9163
Santiago BarrioDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Umair MunawarDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0001-9710-9923
Seungbin HanDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0003-1117-3102
Xiang ZhouDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Cornelia VogtDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Rafael Alonso FernándezDepartment of Hematology, Hospital Universitario 12 de Octubre, Spanish National Cancer Research Center, Complutense University Madrid, Madrid, Spain.
Max BittrichDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0003-0917-4173
Yanira Ruiz-HerediaAltum Sequencing Co., Madrid, Spain.
Matteo Da ViáDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0002-5396-6584
Josip ZovkoDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Andoni Garitano-TrojaolaDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Niccolò BolliDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Anna RuckdeschelDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Thorsten StühmerDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Manik ChatterjeeDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Miriam KullDepartment of Internal Medicine III, University Hospital Ulm, Ulm, Germany.
Jan KrönkeDepartment of Internal Medicine III, University Hospital Ulm, Ulm, Germany.ORCID 0000-0002-4649-0506
Xabier AgirreÁrea de Hemato-Oncología, Centro de Investigación Médica Aplicada, Centro de Investigación Biomédica en Red-Cáncer (CIBERONC), Instituto de Investigación Sanitaria de Navarra, Universidad de Navarra, Pamplona, Spain.
Jose I Martin-SuberoBiomedical Epigenomics Group, Institut d'Investigacions Biomèdiques August Pi I Sunyer, University of Barcelona, Barcelona, Spain.
Peter RaabDepartment of Orthopaedic Surgery, König Ludwig Haus, University of Würzburg, Würzburg, Germany.
Hermann EinseleDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Leo RascheDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0002-9536-9649
Joaquin Martinez-LopezAltum Sequencing Co., Madrid, Spain.
Thomas HaafInstitute of Human Genetics, Julius Maximilian University of Würzburg, Würzburg, Germany.ORCID 0000-0002-0737-0763
K Martin KortümDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0002-7011-0286
Universitätsklinikum Würzburg · DEHospital Universitario 12 De Octubre · ESUniversity of Würzburg · DEUniversity Hospital Ulm · DEUniversity of Milan · ITInstitució Catalana de Recerca i Estudis Avançats · ESNavarre Institute of Health Research · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cereblon is the direct binding target of the immunomodulatory drugs (IMiDs) that are commonly used to treat multiple myeloma (MM), the second most frequent hematologic malignancy. Patients respond well to initial treatment with IMiDs, but virtually all patients develop drug resistance over time, and the underlying mechanisms are poorly understood. We identified an as yet undescribed DNA hypermethylation in an active intronic CRBN enhancer. Differential hypermethylation in this region was found to be increased in healthy plasma cells, but was more pronounced in IMiD-refractory MM. Methylation significantly correlated with decreased CRBN expression levels. DNA methyltransferase inhibitor (DNTMi) in vitro experiments induced CRBN enhancer demethylation, and sensitizing effects on lenalidomide treatment were observed in 2 MM cell lines. Thus, we provide first evidence that aberrant CRBN DNA methylation is a novel mechanism of IMiD resistance in MM and may predict IMiD response prior to treatment.

Indexed as

Adaptor Proteins, Signal TransducingAntineoplastic Agents, ImmunologicalDNA MethylationDrug Resistance, NeoplasmEnhancer Elements, GeneticHumansImmunomodulating AgentsIntronsMultiple MyelomaUbiquitin-Protein LigasesAdaptor Proteins, Signal TransducingAntineoplastic Agents, ImmunologicalCRBN protein, humanImmunomodulating AgentsUbiquitin-Protein Ligases

Identifiers

PMID34115836
PMCPMC8569411
OpenAlexW3168106656

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.