Evidence map›Paper›PMID 34175981›Full record

ArticleMetabolomics : Official journal of the Metabolomic Society2021

Impact of acute lymphoblastic leukemia induction therapy: findings from metabolomics on non-fasted plasma samples from a biorepository.

Toshie Saito, Yue Wei, Li Wen, Chaitanya Srinivasan, Benjamin O Wolthers, Cheng-Yu Tsai, Marian H Harris, Kristen Stevenson, Craig Byersdorfer, Judy-April Oparaji and 12 more

Open access · greenAbstract read
In one paragraph

Article in Metabolomics : Official journal of the Metabolomic Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Weight Loss During Obesity Provokes Asparaginase-Associated Liver Steatosis and Endoplasmic Reticulum Stress.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  3. Article
  4. Metabolomic insights into pathogenesis and therapeutic potential in adult acute lymphoblastic leukemia.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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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

22 authors at 10 institutions in 3 countries.

Toshie SaitoDepartment of Pediatrics, Stanford University, 750 Welch Road, Palo Alto, CA, 94304, USA.
Yue WeiDepartment of Biostatistics, School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
Li WenDepartment of Gastroenterology and Shanghai Key Laboratory of Pancreatic Disease, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China.
Chaitanya SrinivasanDepartment of Computational Biology, School of Computer Science, Carnegie Mellon University, Pittsburgh, PA, USA.
Benjamin O WolthersDepartment of Pediatrics and Adolescent Medicine, University Hospital Rigshospitalet, Copenhagen, Denmark.
Cheng-Yu TsaiDepartment of Pediatrics, Stanford University, 750 Welch Road, Palo Alto, CA, 94304, USA.
Marian H HarrisDepartment of Pathology, Boston Children's Hospital, Boston, MA, USA.
Kristen StevensonDepartment of Data Sciences at Dana-Farber Cancer Institute, Boston, MA, USA.
Craig ByersdorferDepartment of Pediatrics, Division of Blood and Marrow Transplant and Cellular Therapies, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Judy-April OparajiPediatrics, Guthrie Ambulatory Health Center, Fort Drum, NY, USA.
Christian FernandezDepartment of Pharmaceutical Sciences, School of Pharmacy, University of Pittsburgh, Pittsburgh, PA, USA.
Amitava MukherjeeDepartment of Radiation Oncology, University of Pittsburgh, Pittsburgh, PA, USA.
Maisam Abu-El-HaijaDivision of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Sameer AgnihotriSchool of Medicine, Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Kjeld SchmiegelowDepartment of Pediatrics and Adolescent Medicine, University Hospital Rigshospitalet, Copenhagen, Denmark.
Megan R ShowalterMetabolon, Inc., Durham, NC, USA.
Paul W FogleMetabolon, Inc., Durham, NC, USA.
Scott McCullochMetabolon, Inc., Durham, NC, USA.
Kevin ContrepoisDepartment of Genetics, Stanford University School of Medicine, Stanford, CA, USA.
Lewis B SilvermanDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Ying DingDepartment of Biostatistics, School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
Sohail Z HusainDepartment of Pediatrics, Stanford University, 750 Welch Road, Palo Alto, CA, 94304, USA. sohail.husain@stanford.edu.ORCID 0000-0003-3012-1308
University of Pittsburgh · USMetabolon (United States) · USStanford University · USBoston Children's Hospital · USRigshospitalet · DKCardiovascular Institute of the South · USChildren's Hospital of Pittsburgh · USCincinnati Children's Hospital Medical Center · USDana-Farber Cancer Institute · USShanghai Jiao Tong University · CN

Funding

Calcineurin in pancreatitisR01DK093491 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HUSAIN, SOHAIL Z · 2011 to 2020
$3.7M
Improving the disposition of antileukemic asparaginase after drug-induced immunotoxicityR01CA216815 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FERNANDEZ, CHRISTIAN ANTONIO · 2017 to 2021
$1.6M
Predicting Severity and Improving the Outcomes of Pediatric PancreatitisK23DK118190 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI ABU-EL-HAIJA, MAISAM · 2018 to 2022
$947k
NCI NIH HHS R01 CA216815NIDDK NIH HHS R01 DK093491
6 · The paper itself

Abstract

introductionAcute lymphoblastic leukemia (ALL) is among the most common cancers in children. With improvements in combination chemotherapy regimens, the overall survival has increased to over 90%. However, the current challenge is to mitigate adverse events resulting from the complex therapy. Several chemotherapies intercept cancer metabolism, but little is known about their collective role in altering host metabolism.

objectivesWe profiled the metabolomic changes in plasma of ALL patients initial- and post- induction therapy.

methodsWe exploited a biorepository of non-fasted plasma samples derived from the Dana Farber Cancer Institute ALL Consortium; these samples were obtained from 50 ALL patients initial- and post-induction therapy. Plasma metabolites and complex lipids were analyzed by high resolution tandem mass spectrometry and differential mobility tandem mass spectrometry. Data were analyzed using a covariate-adjusted regression model with multiplicity adjustment. Pathway enrichment analysis and co-expression network analysis were performed to identify unique clusters of molecules.

resultsMore than 1200 metabolites and complex lipids were identified in the total of global metabolomics and lipidomics platforms. Over 20% of those molecules were significantly altered. In the pathway enrichment analysis, lipids, particularly phosphatidylethanolamines (PEs), were identified. Network analysis indicated that the bioactive fatty acids, docosahexaenoic acid (DHA)-containing (22:6) triacylglycerols (TAGs), were decreased in the post-induction therapy.

conclusionMetabolomic profiling in ALL patients revealed a large number of alterations following induction chemotherapy. In particular, lipid metabolism was substantially altered. The changes in metabolites and complex lipids following induction therapy could provide insight into the adverse events experienced by ALL patients.

Indexed as

Induction ChemotherapyPrecursor Cell Lymphoblastic Leukemia-LymphomaChildHumansLipidsMetabolomicsTandem Mass SpectrometryLipidsAcute lymphoblastic leukemiaAsparaginase phosphatidylethanolamineLipidomicsMetabolomicsTriacylglycerol

Identifiers

PMID34175981
PMCPMC11446541
OpenAlexW3176671827

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.