Evidence map›Paper›PMID 34376807›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2021

EZH2 expression is associated with inferior overall survival in mantle cell lymphoma.

Diana Martinez-Baquero, Ali Sakhdari, Huan Mo, Do Hwan Kim, Rashmi Kanagal-Shamanna, Shaoying Li, Ken H Young, Dennis P O'Malley, Ahmet Dogan, Preetesh Jain and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Epigenetic regulation of EZH2 by ncRNAs: mechanisms and oncogenic implications.Naunyn-Schmiedeberg's archives of pharmacology · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. 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

16 authors at 4 institutions in 3 countries.

Diana Martinez-Baquero *Department of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Ali Sakhdari *Department of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-4610-7562
Huan MoDepartment of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-6029-458X
Do Hwan KimDepartment of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0003-3389-2618
Rashmi Kanagal-ShamannaDepartment of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-7829-5249
Shaoying LiDepartment of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-6857-0523
Ken H YoungDivision of Hematopathology and Department of Pathology, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0002-5755-8932
Dennis P O'MalleyDepartment of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Ahmet DoganMemorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0001-6576-5256
Preetesh JainDepartment of Lymphoma and Myeloma, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Michael L WangDepartment of Lymphoma and Myeloma, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-9748-5486
Timothy J McDonnellDepartment of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Roberto N MirandaDepartment of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-8467-5464
Francisco VegaDepartment of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-5956-452X
L Jeffrey MedeirosDepartment of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-6577-8006
Chi Young OkDepartment of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA. cok@mdanderson.org.ORCID 0000-0002-6822-7880
The University of Texas MD Anderson Cancer Center · USDuke University · USMemorial Sloan Kettering Cancer Center · USUniversity Health Network · CA

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Intramural NIH HHS Z99 HG999999NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Enhancer of zeste homolog 2 (EZH2) is a catalytic component of the polycomb repressive complex 2 (PRC2) which reduces gene expression via trimethylation of a lysine residue of histone 3 (H3K27me3). Expression of EZH2 has not been assessed systematically in mantle cell lymphoma (MCL). Expression of EZH2 was assessed by immunohistochemistry in 166 patients with MCL. We also assessed other PRC2 components and H3K27me3. Fifty-seven (38%) of MCL patients were positive for EZH2 using 40% cutoff. EZH2 expression was associated with aggressive histologic variants (65% vs. 29%, p < 0.001), high Ki-67 proliferation rate (median, 72% vs. 19%, p < 0.001), and p53 overexpression (43% vs. 2%, p < 0.001). EZH2 expression did not correlate with expression of other PRC2 components (EED and SUZ12), H3K27me3, MHC-I, and MHC-II. Patients with EZH2 expression (EZH2+) had a poorer overall survival (OS) compared with patients without EZH2 expression (EZH2-) (median OS: 3.9 years versus 9.4 years, respectively, p < 0.001). EZH2 expression also predicted a poorer prognosis in MCL patients with classic histology (median OS, 4.6 years for EZH2+ and 9.6 years for EZH2-negative, respectively, p < 0.001) as well as aggressive histology (median OS, 3.7 years for EZH2+ and 7.9 years for EZH2-negative, respectively, p = 0.046). However, EZH2 expression did not independently correlate with overall survival in a multivariate analysis. Gene expression analysis and pathway enrichment analysis demonstrated a significant enrichment in cell cycle and mitotic transition pathways in MCL with EZH2 expression. EZH2 expression detected by immunohistochemistry is present in 38% of MCL cases and it is associated with high proliferation rate, p53 overexpression, aggressive histologic variants, and poorer OS. Based on gene expression profiling data, EZH2 expression could potentiate cell cycle machinery in MCL. These data suggest that assessment of EZH2 expression could be useful to stratify MCL patients into low- and high-risk groups.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorCell ProliferationEnhancer of Zeste Homolog 2 ProteinFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticHistonesHumansImmunohistochemistryLymphoma, Mantle-CellMaleMethylationMiddle AgedBiomarkers, TumorEnhancer of Zeste Homolog 2 ProteinEZH2 protein, humanHistones

Identifiers

PMID34376807
PMCPMC10563799
OpenAlexW3190233613

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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.