Evidence map›Paper›PMID 34424946›Full record

ArticleBlood2021

The age of the bone marrow microenvironment influences B-cell acute lymphoblastic leukemia progression via CXCR5-CXCL13.

Costanza Zanetti, Rahul Kumar, Joscha Ender, Parimala S Godavarthy, Mark Hartmann, Joschka Hey, Kersten Breuer, Eva S Weissenberger, Valentina R Minciacchi, Christina Karantanou and 15 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
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  4. Microbial metabolite oxindole curbs acute lung injury by suppressing CXCL13.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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  10. The utility of CXCL13 and circulating CXCR5Frontiers in immunology · 2025
    Article
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  12. Spatially Resolved Tumor Microenvironment Predicts Treatment Outcomes in Relapsed/Refractory Hodgkin Lymphoma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 12 institutions in 4 countries.

Costanza ZanettiGeorg-Speyer-Haus, Institute for Tumor Biology and Experimental Therapy, Frankfurt am Main, Germany.ORCID 0000-0001-9384-1543
Rahul KumarGeorg-Speyer-Haus, Institute for Tumor Biology and Experimental Therapy, Frankfurt am Main, Germany.ORCID 0000-0002-0934-0859
Joscha EnderGeorg-Speyer-Haus, Institute for Tumor Biology and Experimental Therapy, Frankfurt am Main, Germany.
Parimala S GodavarthyDepartment of Internal Medicine II, Hematology, Oncology, University Hospital Tübingen, Tübingen, Germany.
Mark HartmannTranslational Cancer Epigenomics, Division of Translational Medical Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-4072-4658
Joschka HeyDivision of Cancer Epigenomics, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0003-2842-764X
Kersten BreuerTranslational Cancer Epigenomics, Division of Translational Medical Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0003-3716-7739
Eva S WeissenbergerGeorg-Speyer-Haus, Institute for Tumor Biology and Experimental Therapy, Frankfurt am Main, Germany.
Valentina R MinciacchiGeorg-Speyer-Haus, Institute for Tumor Biology and Experimental Therapy, Frankfurt am Main, Germany.ORCID 0000-0002-9296-9403
Christina KarantanouGeorg-Speyer-Haus, Institute for Tumor Biology and Experimental Therapy, Frankfurt am Main, Germany.ORCID 0000-0002-2161-914X
Zhaohui GuDepartment of Pathology, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-1581-1327
Kathryn G RobertsDepartment of Pathology, St Jude Children's Research Hospital, Memphis, TN.
Markus MetzlerDepartment of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Erlangen, Germany.ORCID 0000-0002-4523-1676
Wendy StockDepartment of Hematology and Oncology, University of Chicago, Chicago, IL.
Charles G MullighanDepartment of Pathology, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-1871-1850
Clara D BloomfieldThe Ohio State University Comprehensive Cancer Center, Columbus, OH.
Natalie FilmannInstitute of Biostatistics and Mathematical Modeling, and.
Katrin BankovDepartment of Pathology, Goethe University, Frankfurt am Main, Germany.
Sylvia HartmannDepartment of Pathology, Goethe University, Frankfurt am Main, Germany.ORCID 0000-0003-3424-1091
Robert P HasserjianDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0002-7753-0697
Antony F CousinsWolfson Wohl Cancer Research Centre, Institute of Cancer Sciences, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0003-1516-2515
Christina HalseyWolfson Wohl Cancer Research Centre, Institute of Cancer Sciences, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0001-5449-5246
Christoph PlassCancer Epigenetics Group, Division of Epigenomics and Cancer Risk Factors, DKFZ, Heidelberg, Germany.
Daniel B LipkaTranslational Cancer Epigenomics, Division of Translational Medical Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0001-5081-7869
Daniela S KrauseGeorg-Speyer-Haus, Institute for Tumor Biology and Experimental Therapy, Frankfurt am Main, Germany.ORCID 0000-0003-3603-1119
Georg Speyer Haus · DEGerman Cancer Research Center · DEGoethe University Frankfurt · DESt. Jude Children's Research Hospital · USUniversity of Glasgow · GBHarvard University · USHeidelberg University · DEInstitute of Mathematics and Mathematical Modeling · KZThe Ohio State University · USUniversitätsklinikum Erlangen · DEUniversity Children's Hospital Tübingen · DEUniversity of Chicago · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
THE ALLIANCE NCTN BIOREPOSITORY AND BIOSPECIMEN RESOURCEU24CA196171 · NCI · WASHINGTON UNIVERSITY · PI Mine Cicek, Wendy Frankel · 2015 to 2026
$35.0M
Translating genomic discoveries to improved outcomes for high risk acute leukemiaR35CA197695 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Charles G Mullighan · 2017 to 2026
$11.4M
ITSC for Leukemia: Novel Molecular strategies for NCTN "Individualized" TherapiesUG1CA233338 · NCI · UNIVERSITY OF CINCINNATI · PI BYRD, JOHN C. · 2019 to 2025
$4.5M
NCI NIH HHS P30 CA021765NCI NIH HHS R35 CA197695NCI NIH HHS U24 CA196171NCI NIH HHS UG1 CA233338
6 · The paper itself

Abstract

B-cell acute lymphoblastic leukemia (B-ALL) occurs most commonly in children, whereas chronic myeloid leukemia is more frequent in adults. The myeloid bias of hematopoiesis in elderly individuals has been considered causative, but the age of the bone marrow microenvironment (BMM) may be contributory. Using various murine models of B-ALL in young vs old mice, we recapitulated B-ALL preponderance in children vs adults. We showed differential effects of young vs old BM macrophages on B-ALL cell function. Molecular profiling using RNA- and ATAC-sequencing revealed pronounced differences in young vs old BMM-derived macrophages and enrichment for gene sets associated with inflammation. In concordance with the role of C-X-C motif chemokine (CXCL) 13 for disease-associated B-cell chemoattraction, we found CXCL13 to be highly expressed in young macrophages on a translational compared with a transcriptional level. Inhibition of CXCL13 in BM macrophages impaired leukemia cell migration and decreased the proliferation of cocultured B-ALL cells, whereas recombinant CXCL13 increased pAKT and B-ALL cell expansion. Pretreatment of B-ALL-initiating cells with CXCL13 accelerated B-ALL progression. Deficiency of Cxcr5, the receptor for CXCL13, on B-ALL-initiating cells prolonged murine survival, whereas high expression of CXCR5 in pediatric B-ALL may predict central nervous system relapse. CXCL13 staining was increased in bone sections from pediatric compared with adult patients with B-ALL. Taken together, our study shows that the age of the BMM and, in particular, BM macrophages influence the leukemia phenotype. The CXCR5-CXCL13 axis may act as prognostic marker and an attractive novel target for the treatment of B-ALL.

Indexed as

Gene Expression Regulation, LeukemicTumor MicroenvironmentAgingAnimalsBone MarrowCell Line, TumorChemokine CXCL13Disease ProgressionHumansMiceMice, Inbred BALB CMice, Inbred C57BLPrecursor B-Cell Lymphoblastic Leukemia-LymphomaReceptors, CXCR5Chemokine CXCL13Cxcl13 protein, mouseCXCR5 protein, mouseReceptors, CXCR5

Identifiers

PMID34424946
PMCPMC8767790
OpenAlexW3195208299

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.