Evidence map›Paper›PMID 35019859›Full record

ArticleBlood cancer discovery2022

Genetic and Transcriptional Contributions to Relapse in Normal Karyotype Acute Myeloid Leukemia.

Allegra A Petti, Saad M Khan, Ziheng Xu, Nichole Helton, Catrina C Fronick, Robert Fulton, Sai M Ramakrishnan, Sridhar Nonavinkere Srivatsan, Sharon E Heath, Peter Westervelt and 6 more

Open access · greenAbstract read
In one paragraph

Article in Blood cancer discovery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 29 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 2 institutions in 1 country.

Allegra A PettiDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-6884-6107
Saad M KhanDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Ziheng XuWashington University School of Medicine, St. Louis, Missouri.
Nichole HeltonDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Catrina C FronickMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-2766-9551
Robert FultonMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, Missouri.
Sai M RamakrishnanDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Sridhar Nonavinkere SrivatsanDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Sharon E HeathDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Peter WesterveltDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Jacqueline E PaytonDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri.
Matthew J WalterDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-7753-1091
Daniel C LinkDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
John DiPersioDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Christopher MillerDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-4266-6700
Timothy J LeyDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri. timley@wustl.edu.
Washington University in St. Louis · USJames S. McDonnell Foundation · US

Funding

Specimen Acquistition and Expression ProfilingP01CA101937 · NCI · WASHINGTON UNIVERSITY · PI LEY, TIMOTHY J. · 2003 to 2023
$58.8M
Targeting the Bone Marrow Microenvironment In Acute Lymphocytic LeukemiaP50CA171963 · NCI · WASHINGTON UNIVERSITY · PI TODD A FEHNIGER · 2013 to 2026
$31.6M
Washington University Paul Calabresi K12 Career Development Award for Clinical OncologyK12CA167540 · NCI · WASHINGTON UNIVERSITY · PI John F. Dipersio, Ramaswamy Govindan · 2012 to 2026
$11.7M
Molecular Pathogenesis of Acute Myeloid LeukemiaR35CA197561 · NCI · WASHINGTON UNIVERSITY · PI Timothy J. Ley · 2015 to 2026
$11.0M
COMPREHENSIVE INFORMATIC ANALYSES OF AML GENOMES AND EPIGENOMESR50CA211782 · NCI · WASHINGTON UNIVERSITY · PI Christopher A Miller · 2017 to 2026
$1.5M
NCI NIH HHS K12 CA167540NCI NIH HHS P01 CA101937NCI NIH HHS P50 CA171963NCI NIH HHS R35 CA197561NCI NIH HHS R50 CA211782
6 · The paper itself

Abstract

To better understand clonal and transcriptional adaptations after relapse in patients with acute myeloid leukemia (AML), we collected presentation and relapse samples from six normal karyotype AML cases. We performed enhanced whole-genome sequencing to characterize clonal evolution, and deep-coverage single-cell RNA sequencing on the same samples, which yielded 142,642 high-quality cells for analysis. Identifying expressed mutations in individual cells enabled us to discriminate between normal and AML cells, to identify coordinated changes in the genome and transcriptome, and to identify subclone-specific cell states. We quantified the coevolution of genetic and transcriptional heterogeneity during AML progression, and found that transcriptional changes were significantly correlated with genetic changes. However, transcriptional adaptation sometimes occurred independently, suggesting that clonal evolution does not represent all relevant biological changes. In three cases, we identified cells at diagnosis that likely seeded the relapse. Finally, these data revealed a conserved relapse-enriched leukemic cell state bearing markers of stemness, quiescence, and adhesion. SIGNIFICANCE: These data enabled us to identify a relapse-enriched leukemic cell state with distinct transcriptional properties. Detailed case-by-case analyses elucidated the complex ways in which the AML genome, transcriptome, and immune microenvironment interact to evade chemotherapy. These analyses provide a blueprint for evaluating these factors in larger cohorts.

Indexed as

Leukemia, Myeloid, AcuteClonal EvolutionHumansKaryotypeMutationRecurrenceTumor Microenvironment

Identifiers

PMID35019859
PMCPMC9924296
OpenAlexW3194817472

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.