Evidence map›Paper›PMID 34244612›Full record

Trial reportLeukemia2022

Expression patterns and prognostic potential of circular RNAs in mantle cell lymphoma: a study of younger patients from the MCL2 and MCL3 clinical trials.

Mette Dahl, Simon Husby, Christian W Eskelund, Søren Besenbacher, Søren Fjelstrup, Christophe Côme, Sara Ek, Arne Kolstad, Riikka Räty, Mats Jerkeman and 4 more

Erratum issuedAbstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Leukemia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. The therapeutic potential of circular RNAs.Nature reviews. Genetics · 2025
    Review
  9. Review
  10. Article
  11. Circular RNA in cancer.Nature reviews. Cancer · 2024
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 4 countries.

Mette DahlDepartment of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-5322-0136
Simon HusbyDepartment of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Christian W EskelundDepartment of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Søren BesenbacherDepartment of Molecular Medicine (MOMA), Aarhus University, Aarhus, Denmark.ORCID http://orcid.org/0000-0003-1455-1738
Søren FjelstrupInterdisciplinary Nanoscience Center (iNANO), Aarhus University, Aarhus, Denmark.
Christophe CômeDepartment of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-5229-4440
Sara EkDepartment of Immunotechnology, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-1388-4912
Arne KolstadDepartment of Oncology, Oslo University Hospital, Radiumhospitalet, Oslo, Norway.
Riikka RätyDepartment of Hematology, Helsinki University Hospital, Helsinki, Finland.
Mats JerkemanDivision of Oncology, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0003-4509-6707
Christian H GeislerDepartment of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Jørgen KjemsInterdisciplinary Nanoscience Center (iNANO), Aarhus University, Aarhus, Denmark.
Lasse S Kristensen *Department of Biomedicine, Aarhus University, Aarhus, Denmark. lasse@biomed.au.dk.ORCID http://orcid.org/0000-0002-5980-7939
Kirsten Grønbæk *Department of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. kirsten.groenbaek@regionh.dk.ORCID http://orcid.org/0000-0002-1535-9601
University of Copenhagen · DKAarhus University · DKLund University · SECopenhagen University Hospital · DKHelsinki University Hospital · FIOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mantle cell lymphoma (MCL) is characterized by marked differences in outcome, emphasizing the need for strong prognostic biomarkers. Here, we explore expression patterns and prognostic relevance of circular RNAs (circRNAs), a group of endogenous non-coding RNA molecules, in MCL. We profiled the circRNA expression landscape using RNA-sequencing and explored the prognostic potential of 40 abundant circRNAs in samples from the Nordic MCL2 and MCL3 clinical trials, using NanoString nCounter Technology. We report a circRNA-based signature (circSCORE) developed in the training cohort MCL2 that is highly predictive of time to progression (TTP) and lymphoma-specific survival (LSS). The dismal outcome observed in the large proportion of patients assigned to the circSCORE high-risk group was confirmed in the independent validation cohort MCL3, both in terms of TTP (HR 3.0; P = 0.0004) and LSS (HR 3.6; P = 0.001). In Cox multiple regression analysis incorporating MIPI, Ki67 index, blastoid morphology and presence of TP53 mutations, circSCORE retained prognostic significance for TTP (HR 3.2; P = 0.01) and LSS (HR 4.6; P = 0.01). In conclusion, circRNAs are promising prognostic biomarkers in MCL and circSCORE improves identification of high-risk disease among younger patients treated with cytarabine-containing chemoimmunotherapy and autologous stem cell transplant.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCase-Control StudiesCombined Modality TherapyFemaleFollow-Up StudiesHematopoietic Stem Cell TransplantationHumansLymphoma, Mantle-CellMaleMiddle AgedPrognosisRNA, CircularRNA-SeqSurvival RateTransplantation, AutologousBiomarkers, TumorRNA, Circular

Identifiers

PMID34244612
OpenAlexW3179743825

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.