Evidence map›Paper›PMID 34753926›Full record

ArticleBlood cancer journal2021

Cancer drivers and clonal dynamics in acute lymphoblastic leukaemia subtypes.

James B Studd, Alex J Cornish, Phuc H Hoang, Philip Law, Ben Kinnersley, Richard Houlston

Abstract read
In one paragraph

Article in Blood cancer journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Balkan journal of medical genetics : BJMG · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
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

6 authors.

James B StuddDivision of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, SM2 5NG, UK. james.studd@icr.ac.uk.ORCID http://orcid.org/0000-0002-7157-754X
Alex J CornishDivision of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, SM2 5NG, UK.ORCID http://orcid.org/0000-0002-3966-3501
Phuc H HoangDivision of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, SM2 5NG, UK.ORCID http://orcid.org/0000-0002-9265-8525
Philip LawDivision of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, SM2 5NG, UK.ORCID http://orcid.org/0000-0001-9663-4611
Ben KinnersleyDivision of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, SM2 5NG, UK.ORCID http://orcid.org/0000-0003-1783-6296
Richard HoulstonDivision of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, SM2 5NG, UK.ORCID http://orcid.org/0000-0002-5268-0242

Funding

Cancer Research UK (CRUK) C1298/A8362
6 · The paper itself

Abstract

To obtain a comprehensive picture of composite genetic driver events and clonal dynamics in subtypes of paediatric acute lymphoblastic leukaemia (ALL) we analysed tumour-normal whole genome sequencing and expression data from 361 newly diagnosed patients. We report the identification of both structural drivers, as well as recurrent non-coding variation in promoters. Additionally we found the transcriptional profile of histone gene cluster 1 and CTCF altered tumours shared hallmarks of hyperdiploid ALL suggesting a 'hyperdiploid like' subtype. ALL subtypes are driven by distinct mutational processes with AID mutagenesis being confined to ETV6-RUNX1 tumours. Subclonality is a ubiquitous feature of ALL, consistent with Darwinian evolution driving selection and expansion of tumours. Driver mutations in B-cell developmental genes (IKZF1, PAX5, ZEB2) tend to be clonal and RAS/RTK mutations subclonal. In addition to identifying new avenues for therapeutic exploitation, this analysis highlights that targeted therapies should take into account composite mutational profile and clonality.

Indexed as

Multigene FamilyMutationFemaleGenome-Wide Association StudyHumansMaleNeoplasm ProteinsPrecursor B-Cell Lymphoblastic Leukemia-LymphomaNeoplasm Proteins

Identifiers

PMID34753926
PMCPMC8578656

What OpenQuestion holds

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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.