Evidence map›Paper›PMID 34125178›Full record

Trial reportBlood2021

PRC2 loss of function confers a targetable vulnerability to BET proteins in T-ALL.

Guillaume P Andrieu, Milena Kohn, Mathieu Simonin, Charlotte L Smith, Agata Cieslak, Marie-Émilie Dourthe, Guillaume Charbonnier, Carlos Graux, Françoise Huguet, Véronique Lhéritier and 5 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 36 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
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  6. JAK-STAT Signaling in Autoimmunity and Cancer.ImmunoTargets and therapy · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Polycomb Repressive Complex 2 in Oncology.Cancer treatment and research · 2023
    Article
  16. Article
  17. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 2 countries.

Guillaume P AndrieuInstitut Necker Enfants-Malades, Team 2, INSERM Unité1151, Paris, France.ORCID 0000-0003-0289-4952
Milena KohnHôpital Necker Enfants-Malades, Laboratoire d'Onco-Hématologie, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Mathieu SimoninInstitut Necker Enfants-Malades, Team 2, INSERM Unité1151, Paris, France.
Charlotte L SmithInstitut Necker Enfants-Malades, Team 2, INSERM Unité1151, Paris, France.ORCID 0000-0002-7209-9287
Agata CieslakInstitut Necker Enfants-Malades, Team 2, INSERM Unité1151, Paris, France.ORCID 0000-0003-1015-9448
Marie-Émilie DourtheInstitut Necker Enfants-Malades, Team 2, INSERM Unité1151, Paris, France.
Guillaume CharbonnierAix-Marseille University, Theories and Approaches of Genomic Complexity (TAGC), INSERM Unité Mixte de Recherche (UMR)1090 13288 Marseille, France.ORCID 0000-0001-5615-1287
Carlos GrauxUniversité Catholique de Louvain, Centre Hospitalier Universitaire UCLouvaine Namur-Godinne, Service d'Hématologie, Yvoir, Belgium.
Françoise HuguetInstitut Universitaire du Cancer, Toulouse, France.
Véronique LhéritierGRAALL Coordination, Hospital Lyon Sud, Pierre-Bénite, France; and.
Hervé DombretUniversité Paris Diderot, Institut Universitaire d'Hématologie, EA-3518, Assistance Publique-Hôpitaux de Paris, University Hospital Saint-Louis, Paris, France.ORCID 0000-0002-5454-6768
Salvatore SpicugliaAix-Marseille University, Theories and Approaches of Genomic Complexity (TAGC), INSERM Unité Mixte de Recherche (UMR)1090 13288 Marseille, France.ORCID 0000-0002-8101-7108
Philippe RousselotDepartment of Hematology and Oncology, Centre Hospitalier de Versailles, Le Chesnay, France.
Nicolas BoisselUniversité Paris Diderot, Institut Universitaire d'Hématologie, EA-3518, Assistance Publique-Hôpitaux de Paris, University Hospital Saint-Louis, Paris, France.
Vahid AsnafiInstitut Necker Enfants-Malades, Team 2, INSERM Unité1151, Paris, France.
Hôpital Necker-Enfants Malades · FRInserm · FRDélégation Paris 7 · FRCentre Hospitalier de Versailles · FRHôpital Lyon Sud · FRUCLouvain · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

T-cell acute lymphoblastic leukemia (T-ALL) is a group of aggressive hematological cancers with dismal outcomes that are in need of new therapeutic options. Polycomb repressor complex 2 (PRC2) loss-of-function alterations were reported in pediatric T-ALL, yet their clinical relevance and functional consequences remain elusive. Here, we extensively analyzed PRC2 alterations in a large series of 218 adult T-ALL patients. We found that PRC2 genetic lesions are frequent events in T-ALL and are not restricted to early thymic precursor ALL. PRC2 loss of function associates with activating mutations of the IL7R/JAK/STAT pathway. PRC2-altered T-ALL patients respond poorly to prednisone and have low bone marrow blast clearance and persistent minimal residual disease. Furthermore, we identified that PRC2 loss of function profoundly reshapes the genetic and epigenetic landscapes, leading to the reactivation of stem cell programs that cooperate with bromodomain and extraterminal (BET) proteins to sustain T-ALL. This study identifies BET proteins as key mediators of the PRC2 loss of function-induced remodeling. Our data have uncovered a targetable vulnerability to BET inhibition that can be exploited to treat PRC2-altered T-ALL patients.

Indexed as

Gene Expression Regulation, LeukemicLoss of Function MutationAdolescentAdultAnimalsAntineoplastic Agents, HormonalBromodomain Containing ProteinsCell Line, TumorEpigenesis, GeneticFemaleHumansMaleMiceMice, SCIDMiddle AgedPolycomb Repressive Complex 2Antineoplastic Agents, HormonalBRD2 protein, humanBromodomain Containing ProteinsPolycomb Repressive Complex 2PrednisoneTranscription Factors

Identifiers

PMID34125178
PMCPMC9642784
OpenAlexW3168173418

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.