Evidence map›Paper›PMID 34448807›Full record

ArticleBlood advances2022

Prognostic impact of CEBPA bZIP domain mutation in acute myeloid leukemia.

Satoshi Wakita, Masahiro Sakaguchi, Iekuni Oh, Shinichi Kako, Takashi Toya, Yuho Najima, Noriko Doki, Junya Kanda, Junya Kuroda, Shinichiro Mori and 43 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
13.9field-weighted citation impact, top 1% 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

61 citing papers in PubMed, 117 citations in OpenAlex.

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  12. Acute myeloid leukemia presenting as an isolated orbital mass in an adult.American journal of ophthalmology case reports · 2025
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1 more citing papers are in PubMed but not listed here.

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

53 authors at 20 institutions in 1 country.

Satoshi WakitaDepartment of Hematology, Nippon Medical School, Tokyo, Japan.
Masahiro SakaguchiDepartment of Hematology, Nippon Medical School, Tokyo, Japan.ORCID 0000-0002-1303-5494
Iekuni OhDivision of Hematology, Department of Medicine, Jichi Medical University, Tochigi, Japan.
Shinichi KakoDivision of Hematology, Jichi Medical University Saitama Medical Center, Saitama, Japan.ORCID 0000-0002-2635-3395
Takashi ToyaHematology Division, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.ORCID 0000-0002-7436-972X
Yuho NajimaHematology Division, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.ORCID 0000-0001-8910-0021
Noriko DokiHematology Division, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
Junya KandaDepartment of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0002-6704-3633
Junya KurodaDivision of Hematology and Oncology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Shinichiro MoriHemato-Oncology Department, St. Luke's International Hospital, Tokyo, Japan.
Atsushi SatakeFirst Department of Internal Medicine, Kansai Medical University, Osaka, Japan.
Kensuke UsukiDepartment of Hematology, NTT Medical Center Tokyo, Tokyo, Japan.ORCID 0000-0002-1216-4470
Toshimitsu UekiDepartment of Hematology, Nagano Red Cross Hospital, Nagano, Japan.
Nobuhiko UoshimaDepartment of Hematology, Japanese Red Cross, Kyoto Daini Hospital, Kyoto, Japan.
Yutaka KobayashiDepartment of Hematology, Japanese Red Cross, Kyoto Daini Hospital, Kyoto, Japan.
Eri KawataDepartment of Hematology, Matsushita Memorial Hospital, Osaka, Japan.ORCID 0000-0002-9377-443X
Kenji TajikaDepartment of Hematology, Yokohama Minami Kyousai Hospital, Kanagawa, Japan.
Yuhei NagaoDepartment of Hematology, Chiba Aoba Municipal Hospital, Chiba, Japan.
Katsuhiro ShonoDepartment of Hematology, Chiba Aoba Municipal Hospital, Chiba, Japan.ORCID 0000-0002-5163-0163
Motoharu ShibusawaDepartment of Hematology, IMS Group Shinmatsudo Central General Hospital, Chiba, Japan.ORCID 0000-0003-4696-0405
Jiro TadokoroDepartment of Hematology, IMS Group Shinmatsudo Central General Hospital, Chiba, Japan.
Kensuke KayamoriDepartment of Hematology, Chiba University Hospital, Chiba, Japan.ORCID 0000-0001-6140-3135
Masao HagiharaDepartment of Hematology, Eiju General Hopital, Tokyo, Japan.
Hitoji UchiyamaDepartment of Hematology, Japanese Red Cross Kyoto Daiichi Hospital, Kyoto, Japan.
Naoyuki UchidaDepartment of Hematology, Federation of National Public Service Personnel Mutual Aid Associations, Toranomon Hospital, Tokyo, Japan.
Yasushi KubotaDivision of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.ORCID 0000-0001-7785-1362
Shinya KimuraDivision of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Hisao NagoshiDepartment of Hematology and Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Tatsuo IchinoheDepartment of Hematology and Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Saiko KurosawaDepartment of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Sayuri MotomuraDepartment of Hematology, Tama-Hokubu Medical Center, Tokyo Metropolitan Health and Medical Treatment Corporation, Tokyo, Japan.ORCID 0000-0002-6960-0800
Akiko HashimotoDepartment of Immunology and Hematology, Kobe City Nishi-Kobe Medical Center, Hyogo, Japan.
Hideharu MutoDivision of Hematology, Tokyo Metropolitan Ohtsuka Hospital, Tokyo, Japan.
Eriko SatoDepartment of Hematology, Juntendo University Nerima Hospital, Tokyo, Japan.ORCID 0000-0003-4159-2834
Masao OgataDepartment of Hematology, Oita University Hospital, Oita, Japan.
Kenjiro MitsuhashiDepartment of Hematology, Saitama Red Cross Hospital, Saitama, Japan; and.ORCID 0000-0002-4103-7681
Jun AndoDepartment of Hematology, Juntendo University School of Medicine, Tokyo, Japan.
Atsushi MarumoDepartment of Hematology, Nippon Medical School, Tokyo, Japan.
Ikuko OmoriDepartment of Hematology, Nippon Medical School, Tokyo, Japan.
Yusuke FujiwaraDepartment of Hematology, Nippon Medical School, Tokyo, Japan.
Kazuki TeradaDepartment of Hematology, Nippon Medical School, Tokyo, Japan.ORCID 0000-0002-6797-9546
Shunsuke YuiDepartment of Hematology, Nippon Medical School, Tokyo, Japan.
Kunihito AraiDepartment of Hematology, Nippon Medical School, Tokyo, Japan.
Tomoaki KitanoDepartment of Hematology, Nippon Medical School, Tokyo, Japan.
Miho MiyataDepartment of Hematology, Nippon Medical School, Tokyo, Japan.
Akiyo KurosawaDepartment of Hematology, Nippon Medical School, Tokyo, Japan.
Ayumi MizoguchiDepartment of Hematology, Nippon Medical School, Tokyo, Japan.
Norio KomatsuDepartment of Hematology, Juntendo University School of Medicine, Tokyo, Japan.ORCID 0000-0003-1880-9126
Takahiro FukudaDepartment of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Kazuteru OhashiHematology Division, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
Yoshinobu KandaDivision of Hematology, Department of Medicine, Jichi Medical University, Tochigi, Japan.
Koiti InokuchiDepartment of Hematology, Nippon Medical School, Tokyo, Japan.
Hiroki YamaguchiDepartment of Hematology, Nippon Medical School, Tokyo, Japan.ORCID 0000-0002-0571-7495
Nippon Medical School · JPTokyo Metropolitan Komagome Hospital · JPJichi Medical University · JPChiba Aoba Municipal Hospital · JPHiroshima University · JPJapanese Red Cross Society Kyoto Daini Hospital · JPJuntendo University · JPSaga University · JPShinmatsudo Central General Hospital · JPChiba University Hospital · JPEiju General Hospital · JPJuntendo University Nerima Hospital · JPKansai Medical University · JPKobe City Nishi-Kobe Medical Center · JPKyoto first Red Cross hospital · JPKyoto Prefectural University of Medicine · JPKyoto University · JPMatsushita Memorial Hospital · JPNagano Red Cross Hospital · JPNTT Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations of CCAAT/enhancer-binding protein alpha (CEBPAmu) are found in 10% to 15% of de novo acute myeloid leukemia (AML) cases. Double-mutated CEBPA (CEBPAdm) is associated with a favorable prognosis; however, single-mutated CEBPA (CEBPAsm) does not seem to improve prognosis. We investigated CEBPAmu for prognosis in 1028 patients with AML, registered in the Multi-center Collaborative Program for Gene Sequencing of Japanese AML. It was found that CEBPAmu in the basic leucine zipper domain (bZIP) was strongly associated with a favorable prognosis, but CEBPAmu out of the bZIP domain was not. The presence of CEBPAmu in bZIP was a strong indicator of a higher chance of achieving complete remission (P < .001), better overall survival (OS; P < .001) and a lower risk of relapse (P < .001). The prognostic significance of CEBPAmu in bZIP was also observed in the subgroup with CEBPAsm (all patients: OS, P = .008; the cumulative incidence of relapse, P = .063; patients aged ≤70 years and with intermediate-risk karyotype: OS, P = .008; cumulative incidence of relapse, P = .026). Multivariate analysis of 744 patients aged ≤70 years showed that CEBPAmu in bZIP was the most potent predictor of OS (hazard ratio, 0.3287; P < .001). CEBPAdm was validated as a cofounding factor, which was overlapping with CEBPAmu in bZIP. In summary, these findings indicate that CEBPAmu in bZIP is a potent marker for AML prognosis. It holds potential in the refinement of treatment stratification and the development of targeted therapeutic approaches in CEBPA-mutated AML.

Indexed as

CCAAT-Enhancer-Binding ProteinsLeukemia, Myeloid, AcuteAgedCCAAT-Enhancer-Binding Protein-alphaHumansKaryotypeMutationPrognosisCCAAT-Enhancer-Binding Protein-alphaCCAAT-Enhancer-Binding ProteinsCEBPA protein, human

Identifiers

PMID34448807
PMCPMC8753195
OpenAlexW3196187615

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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.