Evidence map›Paper›PMID 34431136›Full record

ArticleEuropean journal of haematology2021

Novel somatic alterations in unicentric and idiopathic multicentric Castleman disease.

Aaron M Goodman, Ah-Reum Jeong, Alexis Phillips, Huan-You Wang, Ethan S Sokol, Philip R Cohen, Jason Sicklick, David C Fajgenbaum, Razelle Kurzrock

Open access · greenAbstract read
In one paragraph

Article in European journal of haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Expert Perspective: Diagnosis and Treatment of Castleman Disease.Arthritis & rheumatology (Hoboken, N.J.) · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Castleman disease.Nature reviews. Disease primers · 2021
    Review
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

9 authors at 4 institutions in 2 countries.

Aaron M GoodmanDivision of Blood and Marrow Transplantation, Department of Medicine, University of California San Diego, La Jolla, California, USA.
Ah-Reum JeongDivision of Hematology and Oncology, Department of Medicine, University of California San Diego, La Jolla, California, USA.ORCID https://orcid.org/0000-0003-2752-1554
Alexis PhillipsDivision of Translational Medicine and Human Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Huan-You WangDivision of Laboratory and Genomic Medicine, Department of Pathology, University of California San Diego, La Jolla, California, USA.
Ethan S SokolCancer Genomics Research, Foundation Medicine, Cambridge, Massachusetts, USA.
Philip R CohenDepartment of Dermatology, University of California Davis Medical Center, Sacramento, California, USA.
Jason SicklickDivision of Surgical Oncology, Department of Surgery, University of California San Diego, La Jolla, California, USA.
David C FajgenbaumDivision of Translational Medicine and Human Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Razelle KurzrockDivision of Hematology and Oncology, Department of Medicine, Center for Personalized Cancer Therapy, University of California San Diego, La Jolla, California, USA.
University of California San Diego · USUniversity of Pennsylvania · USCancer Research Foundation · USTouro University California · US

Funding

VIRAL MALIGNANCYP30CA023100 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DIANE M SIMEONE · 1985 to 2026
$124.9M
mTOR as a Central Regulator of iMCD Pathogenesis and Novel Therapeutic TargetR01HL141408 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Taku Kambayashi · 2018 to 2026
$6.1M
Joan and Irwin Jacobs Research FundsNCI NIH HHS P30 CA023100NHLBI NIH HHS R01 HL141408NIH HHS P30 CA023100
6 · The paper itself

Abstract

objectivesCastleman disease (CD) is a heterogeneous group of disorders involving systemic inflammation and lymphoproliferation. Recently, clonal mutations have been identified in unicentric CD (UCD) and idiopathic multicentric CD (iMCD), suggesting a potential underlying neoplastic process.

methodsPatients with UCD or iMCD with next generation sequencing (NGS) data on tissue DNA and/or circulating tumor DNA (ctDNA) were included.

resultsFive patients were included, 4 with iMCD and 1 with UCD. Four patients (80%) were women; median age was 40 years. Three of five patients (60%) had ≥1 clonal mutation detected on biopsy among the genes included in the panel. One patient with iMCD had a 14q32-1p35 rearrangement and a der(1)dup(1)(q42q21)del(1)(q42) (1q21 being IL-6R locus) on karyotype. This patient also had a NF1 K2459fs alteration on ctDNA (0.3%). Another patient with iMCD had a KDM5C Q836* mutation, and one patient with UCD had a TNS3-ALK fusion but no ALK expression by immunohistochemistry.

conclusionsWe report 4 novel somatic alterations found in patients with UCD or iMCD. The 1q21 locus contains IL-6R, and duplication of this locus may increase IL-6 expression. These findings suggest that a clonal process may be responsible for the inflammatory phenotype in some patients with UCD and iMCD.

Indexed as

MutationAdultCastleman DiseaseChromosome AberrationsFemaleHumansKaryotypingMaleMiddle AgedCastleman diseasegenomicsnext generation sequencing

Identifiers

PMID34431136
PMCPMC9624446
OpenAlexW3194430233

What OpenQuestion holds

Textmetadata
LicenceTDM
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.