Evidence map›Paper›PMID 34374220›Full record

ArticleThe journal of pathology. Clinical research2021

c-MYC and p53 expression highlight starry-sky pattern as a favourable prognostic feature in R-CHOP-treated diffuse large B-cell lymphoma.

Antonin Bouroumeau, Lucile Bussot, Thierry Bonnefoix, Cyril Fournier, Caroline Chapusot, Olivier Casasnovas, Laurent Martin, Anne McLeer, Edwige Col, Laurence David-Boudet and 10 more

Open access · goldAbstract read
In one paragraph

Article in The journal of pathology. Clinical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Correlation ofCurrent oncology (Toronto, Ont.) · 2025
    Article
  5. Article
  6. Frontiers in oncology · 2025
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
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

20 authors at 6 institutions in 2 countries.

Antonin BouroumeauDepartment of Pathology, Grenoble-Alpes University Hospital, Grenoble, France.
Lucile BussotDepartment of Clinical Hematology, Grenoble-Alpes University Hospital, Grenoble, France.
Thierry BonnefoixInstitute for Advanced Biosciences, INSERM U1209/CNRS UMR 5309/Grenoble-Alpes University, Grenoble, France.
Cyril FournierUniversity of Bourgogne, INSERM 1231, Dijon, France.
Caroline ChapusotDepartment of Pathology, Dijon University Hospital, Dijon, France.
Olivier CasasnovasDepartment of Clinical Hematology, Dijon University Hospital, Dijon, France.
Laurent MartinDepartment of Pathology, Dijon University Hospital, Dijon, France.
Anne McLeerDepartment of Pathology, Grenoble-Alpes University Hospital, Grenoble, France.
Edwige ColDepartment of Pathology, Grenoble-Alpes University Hospital, Grenoble, France.
Laurence David-BoudetDepartment of Pathology, Grenoble-Alpes University Hospital, Grenoble, France.
Christine LefebvreHematology, Oncogenetics and Immunology Unit, Grenoble-Alpes University Hospital, Grenoble, France.
Caroline AlgrinInstitut Daniel Hollard, Grenoble, France.
Tatiana RaskovalovaHematology, Oncogenetics and Immunology Unit, Grenoble-Alpes University Hospital, Grenoble, France.
Marie-Christine JacobHematology, Oncogenetics and Immunology Unit, Grenoble-Alpes University Hospital, Grenoble, France.
Claire VettierHematology, Oncogenetics and Immunology Unit, Grenoble-Alpes University Hospital, Grenoble, France.
Simon ChevalierHematology, Oncogenetics and Immunology Unit, Grenoble-Alpes University Hospital, Grenoble, France.
Mary B CallananUniversity of Bourgogne, INSERM 1231, Dijon, France.
Rémy GressinDepartment of Clinical Hematology, Grenoble-Alpes University Hospital, Grenoble, France.
Anouk EmadaliInstitute for Advanced Biosciences, INSERM U1209/CNRS UMR 5309/Grenoble-Alpes University, Grenoble, France.
Hervé SarteletDepartment of Pathology, Grenoble-Alpes University Hospital, Grenoble, France.ORCID https://orcid.org/0000-0002-3183-0125
Université Grenoble Alpes · FRCentre National de la Recherche Scientifique · FRMaison des Sciences sociales et des Humanités de Dijon · FRInserm · FRCentre Hospitalier Régional et Universitaire de Nancy · FRInstitut de Chimie Moléculaire de Grenoble · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diffuse large B-cell lymphoma (DLBCL) is a clinically heterogeneous entity, in which the first-line treatment currently consists of an immuno-chemotherapy regimen (R-CHOP). However, around 30% of patients will not respond or will relapse. Overexpression of c-MYC or p53 is frequently found in DLBCL, but an association with prognosis remains controversial, as for other biomarkers previously linked with DLBCL aggressivity (CD5, CD23, or BCL2). The aim of this study was to explore the expression of these biomarkers and their correlation with outcome, clinical, or pathological features in a DLBCL cohort. Immunohistochemical (c-MYC, p53, BCL2, CD5, and CD23), morphological ('starry-sky' pattern [SSP]), targeted gene panel sequencing by next-generation sequencing (NGS), and fluorescence in situ hybridisation analyses were performed on tissue microarray blocks for a retrospective cohort of 94 R-CHOP-treated de novo DLBCL. In univariate analyses, p53 overexpression (p53

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCyclophosphamideDoxorubicinFemaleHigh-Throughput Nucleotide SequencingHumansImmunohistochemistryIn Situ Hybridization, FluorescenceLymphoma, Large B-Cell, DiffuseMaleMiddle AgedPrednisoneBiomarkers, TumorCyclophosphamideDoxorubicinMYC protein, humanPrednisoneProto-Oncogene Proteins c-mycR-CHOP protocolRituximabTP53 protein, humanTumor Suppressor Protein p53Vincristinec-MYCDLBCLfactorp53prognosticprotectiveR-CHOPstarry-sky

Identifiers

PMID34374220
PMCPMC8503894
OpenAlexW3191322753

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.