Evidence map›Paper›PMID 34649275›Full record

ArticleBlood advances2022

Worse outcome and distinct mutational pattern in follicular lymphoma with anti-HBc positivity.

Concepción Fernández-Rodríguez, Juan José Rodríguez-Sevilla, Lierni Fernández-Ibarrondo, Blanca Sánchez-González, Joan Gibert, Leire Bento, Juan Fernando García, Juan Manuel Sancho, Ramón Diez-Feijóo, Laura Camacho and 6 more

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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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% 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, 8 citations in OpenAlex.

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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 6 institutions in 1 country.

Concepción Fernández-RodríguezDepartment of Pathology, Hospital del Mar-Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.ORCID 0000-0002-5853-0843
Juan José Rodríguez-SevillaDepartment of Hematology, Hospital del Mar-IMIM, Barcelona, Spain.
Lierni Fernández-IbarrondoGroup of Applied Clinical Research in Hematology, Cancer Research Program-IMIM, Barcelona, Spain.
Blanca Sánchez-GonzálezGroup of Applied Clinical Research in Hematology, Cancer Research Program-IMIM, Barcelona, Spain.
Joan GibertDepartment of Pathology, Hospital del Mar-Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.ORCID 0000-0002-0742-0759
Leire BentoDepartment of Hematology, Hospital Son Espases, Mallorca, Spain.
Juan Fernando GarcíaDepartment of Pathology, MD Anderson Cancer Center, Madrid, Spain; and.ORCID 0000-0001-6974-0806
Juan Manuel SanchoDepartment of Hematology, ICO-IJC-Hospital Germans Trias i Pujol, Badalona, Spain.ORCID 0000-0001-7168-6538
Ramón Diez-FeijóoDepartment of Hematology, Hospital del Mar-IMIM, Barcelona, Spain.
Laura CamachoDepartment of Pathology, Hospital del Mar-Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.
Montserrat García-RetortilloDepartment of Hematology, Hospital del Mar-IMIM, Barcelona, Spain.ORCID 0000-0001-6783-7604
Eva GimenoGroup of Applied Clinical Research in Hematology, Cancer Research Program-IMIM, Barcelona, Spain.ORCID 0000-0002-3534-6189
Luis ColomoDepartment of Pathology, Hospital del Mar-Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.ORCID 0000-0001-5236-5085
Antonio GutiérrezDepartment of Hematology, Hospital Son Espases, Mallorca, Spain.
Beatriz BellosilloDepartment of Pathology, Hospital del Mar-Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.ORCID 0000-0002-5335-2726
Antonio SalarGroup of Applied Clinical Research in Hematology, Cancer Research Program-IMIM, Barcelona, Spain.ORCID 0000-0002-4652-4825
Hospital Del Mar · ESUniversitat Pompeu Fabra · ESHospital Universitario Son Espases · ESUniversitat Autònoma de Barcelona · ESHospital Universitari Germans Trias i Pujol · ESMD Anderson Cancer Center Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidemiological studies have demonstrated the association between hepatitis B virus (HBV) infection and B-cell non-Hodgkin lymphoma (NHL), mainly for diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL). We studied a cohort of 121 patients with FL for HBV infection status, clinical features, and gene mutational profile. Anti-HBc was detectable in 16 patients (13.2%), although all had undetectable HBV DNA. Anti-HBcore+ (anti-HBc+) cases presented with older age at diagnosis than anti-HBc- cases (68.1 vs 57.2 years; P = .007) and higher β2-microglobulin (56.3% vs 28.9%; P = .04). All patients included in the study fulfilled criteria for treatment and received therapy with rituximab or rituximab-containing chemotherapy. There were no episodes of HBV reactivation or HBV hepatitis during treatment and/or maintenance. Remarkably, anti-HBc+ patients had significantly lower 10-year progression-free survival (PFS; 12.9% vs 58.3%; P < .0001) and overall survival (OS; 22.0% vs 86.2%; P < .0001), that remained at multivariate analysis. Gene mutational profiling of all cases showed that anti-HBc+ cases had higher incidence of ARID1A mutations and absence of EP300 mutations, 2 key epigenetic regulators in FL. Overall, our study shows that FL patients with resolved HBV infection have a worse outcome independently of other well-known clinical risk factors and a distinct gene mutational profile.

Indexed as

Lymphoma, FollicularAntineoplastic Combined Chemotherapy ProtocolsHepatitis B Surface AntigensHepatitis B virusHumansMutationHepatitis B Surface Antigens

Identifiers

PMID34649275
PMCPMC8753219
OpenAlexW3206256414

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.