Evidence map›Paper›PMID 34304248›Full record

Trial reportLeukemia2022

Dual targeting of the DNA damage response pathway and BCL-2 in diffuse large B-cell lymphoma.

Alessandra Rossi, Stefania Orecchioni, Paolo Falvo, Valentina Tabanelli, Elena Baiardi, Claudio Agostinelli, Federica Melle, Giovanna Motta, Angelica Calleri, Stefano Fiori and 11 more

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
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. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.9field-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

20 citing papers in PubMed, 28 citations in OpenAlex.

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  15. XL-ing at Induction of Apoptosis in Kidney Cancer through Inhibition of BCL-XL.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
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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

21 authors at 5 institutions in 1 country.

Alessandra RossiOnco-Hematology Division, IEO European Institute of Oncology IRCCS, Milan, Italy.
Stefania OrecchioniLaboratory of Hematology-Oncology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Paolo FalvoLaboratory of Hematology-Oncology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Valentina TabanelliDivision of diagnostic Haematopathology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Elena BaiardiOnco-Hematology Division, IEO European Institute of Oncology IRCCS, Milan, Italy.ORCID http://orcid.org/0000-0002-5432-4751
Claudio AgostinelliHematopathology Unit, Department of Experimental, Diagnostic, and Specialty Medicine (DIMES), Bologna University School of Medicine, Bologna, Italy.
Federica MelleDivision of diagnostic Haematopathology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Giovanna MottaDivision of diagnostic Haematopathology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Angelica CalleriDivision of diagnostic Haematopathology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Stefano FioriDivision of diagnostic Haematopathology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Chiara CorsiniLaboratory of Hematology-Oncology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Beatrice CasadeiIRCCS Azienda Ospedaliero-Universitaria di Bologna, Institute of Hematology and Medical Oncology "L. e A. Seragnoli", Department of Experimental, Diagnostic, and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy.
Saveria MazzaraDivision of diagnostic Haematopathology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Umberto VitoloMultidisciplinary Oncology Outpatient Clinic, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.ORCID http://orcid.org/0000-0001-7772-2747
Francesco BertoliniLaboratory of Hematology-Oncology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Pier Luigi ZinzaniIRCCS Azienda Ospedaliero-Universitaria di Bologna, Institute of Hematology and Medical Oncology "L. e A. Seragnoli", Department of Experimental, Diagnostic, and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy.ORCID http://orcid.org/0000-0002-2112-2651
Myriam AlcalayDepartment of Experimental Oncology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Pier Giuseppe PelicciDepartment of Experimental Oncology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Stefano PileriDivision of diagnostic Haematopathology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Corrado TarellaOnco-Hematology Division, IEO European Institute of Oncology IRCCS, Milan, Italy. corrado.tarella@unimi.it.ORCID http://orcid.org/0000-0003-1473-6046
Enrico DerenziniOnco-Hematology Division, IEO European Institute of Oncology IRCCS, Milan, Italy. enrico.derenzini@ieo.it.ORCID http://orcid.org/0000-0002-7154-8140
Istituti di Ricovero e Cura a Carattere Scientifico · ITEuropean Institute of Oncology · ITUniversity of Milan · ITAzienda USL di Bologna · ITCandiolo Cancer Institute · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Standard chemotherapies for diffuse large B-cell lymphoma (DLBCL), based on the induction of exogenous DNA damage and oxidative stress, are often less effective in the presence of increased MYC and BCL-2 levels, especially in the case of double hit (DH) lymphomas harboring rearrangements of the MYC and BCL-2 oncogenes, which enrich for a patient's population characterized by refractoriness to anthracycline-based chemotherapy. Here we hypothesized that adaptive mechanisms to MYC-induced replicative and oxidative stress, consisting in DNA damage response (DDR) activation and BCL-2 overexpression, could represent the biologic basis of the poor prognosis and chemoresistance observed in MYC/BCL-2-positive lymphoma. We first integrated targeted gene expression profiling (T-GEP), fluorescence in situ hybridization (FISH) analysis, and characterization of replicative and oxidative stress biomarkers in two independent DLBCL cohorts. The presence of oxidative DNA damage biomarkers identified a poor prognosis double expresser (DE)-DLBCL subset, characterized by relatively higher BCL-2 gene expression levels and enrichment for DH lymphomas. Based on these findings, we tested therapeutic strategies based on combined DDR and BCL-2 inhibition, confirming efficacy and synergistic interactions in in vitro and in vivo DH-DLBCL models. These data provide the rationale for precision-therapy strategies based on combined DDR and BCL-2 inhibition in DH or DE-DLBCL.

Indexed as

AdolescentAdultAgedAged, 80 and overAntineoplastic AgentsBiomarkers, TumorBridged Bicyclo Compounds, HeterocyclicDNA Repair EnzymesDrug Therapy, CombinationFemaleFollow-Up StudiesGene Expression Regulation, LeukemicHumansLymphoma, Large B-Cell, DiffuseMaleMiddle Aged3-(carbamoylamino)-5-(3-fluorophenyl)-N-(3-piperidyl)thiophene-2-carboxamideAntineoplastic AgentsBCL2 protein, humanBiomarkers, TumorBridged Bicyclo Compounds, HeterocyclicDNA Repair EnzymesProto-Oncogene Proteins c-bcl-2SulfonamidesThiophenesUreavenetoclax

Identifiers

PMID34304248
PMCPMC8727301
OpenAlexW3186351348

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.