Evidence map›Paper›PMID 34294814›Full record

ArticleScientific reports2021

Increase in polymorphonuclear myeloid-derived suppressor cells and regulatory T-cells in children with B-cell acute lymphoblastic leukemia.

Asmaa M Zahran, Azza Shibl, Amal Rayan, Mohamed Alaa Eldeen Hassan Mohamed, Amira M M Osman, Khaled Saad, Khaled Hashim Mahmoud, Aliaa M A Ghandour, Khalid I Elsayh, Omnia El-Badawy

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
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  4. Cognitive performance and brain volume among survivors of pediatric hematological malignancies: a case-control study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
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  7. Article
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  9. Overexpression of Potential Markers of Regulatory and Exhausted CD8International journal of molecular sciences · 2023
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
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  17. 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

10 authors at 1 institution in 1 country.

Asmaa M ZahranDepartment of Clinical Pathology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.
Azza ShiblPediatric Oncology Department, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.
Amal RayanClinical Oncology Department, Faculty of Medicine, Assiut University, Assiut, 71516, Egypt.
Mohamed Alaa Eldeen Hassan MohamedClinical Oncology Department, Faculty of Medicine, Assiut University, Assiut, 71516, Egypt.
Amira M M OsmanPediatric Oncology Department, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.
Khaled SaadPediatric Department, Faculty of Medicine, Assiut University, Assiut, Egypt. khaled.ali@med.au.edu.eg.ORCID 0000-0002-8473-6116
Khaled Hashim MahmoudPediatric Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Aliaa M A GhandourMedical Microbiology and Immunology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Khalid I ElsayhPediatric Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Omnia El-BadawyMedical Microbiology and Immunology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Assiut University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our study aimed to evaluate the levels of MDSCs and Tregs in pediatric B-cell acute lymphoblastic leukemia (B-ALL), their relation to patients' clinical and laboratory features, and the impact of these cells on the induction response. This study included 31 pediatric B-ALL patients and 27 healthy controls. All patients were treated according to the protocols of the modified St. Jude Children's Research Hospital total therapy study XIIIB for ALL. Levels of MDSCs and Tregs were analyzed using flow cytometry. We observed a reduction in the levels of CD4 + T-cells and an increase in both the polymorphonuclear MDSCs (PMN-MDSCs) and Tregs. The frequencies of PMN-MDSCs and Tregs were directly related to the levels of peripheral and bone marrow blast cells and CD34 + cells. Complete postinduction remission was associated with reduced percentages of PMN-MDSCs and Tregs, with the level of PMN-MDCs in this subpopulation approaching that of healthy controls. PMN-MDSCs and Tregs jointly play a critical role in maintaining an immune-suppressive state suitable for B-ALL tumor progression. Thereby, they could be independent predictors of B-ALL progress, and finely targeting both PMN-MDSCs and Tregs may be a promising approach for the treatment of B-ALL.

Indexed as

AdolescentAge FactorsBiomarkersCase-Control StudiesChildChild, PreschoolDisease SusceptibilityFemaleHumansImmunophenotypingInfantLymphocytes, Tumor-InfiltratingMaleMyeloid-Derived Suppressor CellsPrecursor B-Cell Lymphoblastic Leukemia-LymphomaPrognosisBiomarkers

Identifiers

PMID34294814
PMCPMC8298505
OpenAlexW3185402253

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.