Evidence map›Paper›PMID 34405395›Full record

ArticleBritish journal of haematology2021

Clinical significance of TP53 mutations in adult T-cell leukemia/lymphoma.

Yuma Sakamoto, Takashi Ishida, Ayako Masaki, Takayuki Murase, Morishige Takeshita, Reiji Muto, Hiromi Iwasaki, Asahi Ito, Shigeru Kusumoto, Nobuaki Nakano and 7 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in British journal of haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

19 citing papers in PubMed, 24 citations in OpenAlex.

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  7. IncreasedInternational journal of molecular sciences · 2024
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  16. A new paradigm for the management of ATL.British journal of haematology · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 1 country.

Yuma SakamotoDepartment of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.ORCID 0000-0001-9916-4862
Takashi IshidaDepartment of Immunology, Nagoya University Graduate School of Medicine, Nagoya, Japan.ORCID 0000-0002-1060-0777
Ayako MasakiDepartment of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.
Takayuki MuraseDepartment of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.
Morishige TakeshitaDepartment of Pathology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Reiji MutoDepartment of Pathology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.ORCID 0000-0001-5251-5258
Hiromi IwasakiDepartment of Hematology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Asahi ItoDepartment of Hematology and Oncology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.
Shigeru KusumotoDepartment of Hematology and Oncology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.
Nobuaki NakanoDepartment of Hematology, Imamura General Hospital, Kagoshima, Japan.ORCID 0000-0001-9826-7616
Masahito TokunagaDepartment of Hematology, Imamura General Hospital, Kagoshima, Japan.ORCID 0000-0003-1296-9006
Kentaro YonekuraDepartment of Dermatology, Imamura General Hospital, Kagoshima, Japan.
Yukie TashiroDepartment of Pathology, Imamura General Hospital, Kagoshima, Japan.
Shinsuke IidaDepartment of Hematology and Oncology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.
Atae UtsunomiyaDepartment of Hematology, Imamura General Hospital, Kagoshima, Japan.ORCID 0000-0002-8843-406X
Ryuzo UedaDepartment of Immunology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hiroshi InagakiDepartment of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.ORCID 0000-0001-6157-636X
Nagoya City University · JPImamura Hospital · JPFukuoka University · JPAichi Medical University · JPNagoya University · JPNational Kyushu Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adult T-cell leukaemia/lymphoma (ATL) patients have a poor prognosis. Here, we investigated the impact of TP53 gene mutations on prognosis of ATL treated in different ways. Among 177 patients, we identified 47 single nucleotide variants or insertion-deletions (SNVs/indels) of the TP53 gene in 37 individuals. TP53 copy number variations (CNVs) were observed in 38 patients. Altogether, 67 of 177 patients harboured TP53 SNVs/indels or TP53 CNVs, and were categorized as having TP53 mutations. In the entire cohort, median survival of patients with and without TP53 mutations was 1·0 and 6·7 years respectively (P < 0·001). After allogeneic haematopoietic stem cell transplantation (HSCT), median survival of patients with (n = 16) and without (n = 29) TP53 mutations was 0·4 years and not reached respectively (P = 0·001). For patients receiving mogamulizumab without allogeneic HSCT, the median survival from the first dose of antibody in patients with TP53 mutations (n = 27) was only 0·9 years, but 5·1 years in those without (n = 42; P < 0·001). Thus, TP53 mutations are associated with unfavourable prognosis of ATL, regardless of treatment strategy. The establishment of alternative modalities to overcome the adverse impact of TP53 mutations in patients with ATL is required.

Indexed as

Genes, p53MutationAdultAgedAged, 80 and overAllograftsAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarboplatinCD28 AntigensCyclophosphamideDNA Copy Number VariationsDoxorubicinEtoposideFemaleHematopoietic Stem Cell TransplantationAntibodies, Monoclonal, HumanizedCarboplatinCCR4 protein, humanCD28 AntigensCyclophosphamideDoxorubicinEtoposideLenalidomidemogamulizumabNitrosourea CompoundsPrednisolonePrednisoneranimustineReceptors, CCR4VincristineVindesineadult T-cell leukaemiaallogeneic haematopoietic stem cell transplantationLymphomaMutationTP53

Identifiers

PMID34405395
PMCPMC9291095
OpenAlexW3195229451

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.