Evidence map›Paper›PMID 34764270›Full record

ArticleNature communications2021

Acute myeloid leukemia maturation lineage influences residual disease and relapse following differentiation therapy.

Steven Ngo, Ethan P Oxley, Margherita Ghisi, Maximilian M Garwood, Mark D McKenzie, Helen L Mitchell, Peter Kanellakis, Olivia Susanto, Michael J Hickey, Andrew C Perkins and 2 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 13 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

12 authors at 4 institutions in 1 country.

Steven NgoAustralian Centre for Blood Diseases, Monash University, 99 Commercial Rd, Melbourne, VIC, 3004, Australia.
Ethan P OxleyAustralian Centre for Blood Diseases, Monash University, 99 Commercial Rd, Melbourne, VIC, 3004, Australia.
Margherita GhisiAustralian Centre for Blood Diseases, Monash University, 99 Commercial Rd, Melbourne, VIC, 3004, Australia.
Maximilian M GarwoodAustralian Centre for Blood Diseases, Monash University, 99 Commercial Rd, Melbourne, VIC, 3004, Australia.
Mark D McKenzieWalter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Parkville, VIC, 3052, Australia.
Helen L MitchellAustralian Centre for Blood Diseases, Monash University, 99 Commercial Rd, Melbourne, VIC, 3004, Australia.
Peter KanellakisBaker Heart and Diabetes Institute, 75 Commercial Rd, Melbourne, VIC, 3004, Australia.
Olivia SusantoCentre for Inflammatory Diseases, Monash University Department of Medicine, Monash Medical Centre, 246 Clayton Rd, Clayton, VIC, 3168, Australia.ORCID http://orcid.org/0000-0001-6360-1952
Michael J HickeyCentre for Inflammatory Diseases, Monash University Department of Medicine, Monash Medical Centre, 246 Clayton Rd, Clayton, VIC, 3168, Australia.ORCID http://orcid.org/0000-0003-2354-357X
Andrew C PerkinsAustralian Centre for Blood Diseases, Monash University, 99 Commercial Rd, Melbourne, VIC, 3004, Australia.ORCID http://orcid.org/0000-0003-3644-7093
Benjamin T KileAnatomy and Developmental Biology, Monash Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia.
Ross A DickinsAustralian Centre for Blood Diseases, Monash University, 99 Commercial Rd, Melbourne, VIC, 3004, Australia. ross.dickins@monash.edu.ORCID http://orcid.org/0000-0003-4112-5304
Monash University · AUMonash Medical Centre · AUBaker Heart and Diabetes Institute · AUWalter and Eliza Hall Institute of Medical Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute myeloid leukemia (AML) is a malignancy of immature progenitor cells. AML differentiation therapies trigger leukemia maturation and can induce remission, but relapse is prevalent and its cellular origin is unclear. Here we describe high resolution analysis of differentiation therapy response and relapse in a mouse AML model. Triggering leukemia differentiation in this model invariably produces two phenotypically distinct mature myeloid lineages in vivo. Leukemia-derived neutrophils dominate the initial wave of leukemia differentiation but clear rapidly and do not contribute to residual disease. In contrast, a therapy-induced population of mature AML-derived eosinophil-like cells persists during remission, often in extramedullary organs. Using genetic approaches we show that restricting therapy-induced leukemia maturation to the short-lived neutrophil lineage markedly reduces relapse rates and can yield cure. These results indicate that relapse can originate from therapy-resistant mature AML cells, and suggest differentiation therapy combined with targeted eradication of mature leukemia-derived lineages may improve disease outcome.

Indexed as

Cell DifferentiationHumansLeukemia, Myeloid, AcuteNeoplasm, Residual

Identifiers

PMID34764270
PMCPMC8586014
OpenAlexW3213500954

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.