Evidence map›Paper›PMID 35021606›Full record

ArticleHaematologica2022

Immune pathway upregulation and lower genomic instability distinguish EBV-positive nodal T/NK-cell lymphoma from ENKTL and PTCL-NOS.

Cho Mar Myint Wai, Shangying Chen, The Phyu, Shuangyi Fan, Sai Mun Leong, Wenning Zheng, Louis Ching Yi Low, Shoa-Nian Choo, Chi-Kuen Lee, Tae-Hoon Chung and 25 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
7.7field-weighted citation impact, top 2% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. A genetic profiling guideline to support diagnosis and clinical management of lymphomas.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Guideline
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Epstein-Barr Virus-Associated T/NK-Cell Neoplasms.Journal of medical virology · 2026
    Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Viral oncogenesis in cancer: from mechanisms to therapeutics.Signal transduction and targeted therapy · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

35 authors at 16 institutions in 9 countries.

Cho Mar Myint WaiDepartment of Pathology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Shangying ChenDepartment of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
The PhyuDepartment of Pathology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Shuangyi FanDepartment of Pathology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Sai Mun LeongDepartment of Pathology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Wenning ZhengCancer Science Institute of Singapore, National University of Singapore, Singapore.
Louis Ching Yi LowDepartment of Pathology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Shoa-Nian ChooDepartment of Pathology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Chi-Kuen LeeDepartment of Pathology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Tae-Hoon ChungCancer Science Institute of Singapore, National University of Singapore, Singapore.
Kenneth Hon Kim BanDepartment of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Soumita GhoshCancer Science Institute of Singapore, National University of Singapore, Singapore.
Stefanus LieCancer Science Institute of Singapore, National University of Singapore, Singapore.
Seiichi KatoDepartment of Pathology and Laboratory Medicine, Nagoya University Hospital, Nagoya, Japan; Department of Pathology and Molecular Diagnostics, Aichi Cancer Center Hospital, Nagoya, Japan.
Shigeo NakamuraDepartment of Pathology and Laboratory Medicine, Nagoya University Hospital, Nagoya, Japan.
Emiko TakahashiDepartment of Pathology, Aichi Medical University Hospital, Nagakute, Japan.
Young-Hyeh KoDepartment of Pathology, Samsung Medical Center, Sungkyunkwan University, Seoul, Korea.
Joseph D KhouryDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Shih-Sung ChuangDepartment of Pathology, Chi-Mei Medical Center, Tainan, Taiwan.
Rex K H Au-YeungDepartment of Pathology, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China.
Soo-Yong TanDepartment of Pathology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Pathology, National University Hospital, National University Health System, Singapore.
Soon-Thye LimLymphoma Genomic Translational Research Laboratory, National Cancer Centre Singapore, Singapore; Division of Medical Oncology, National Cancer Centre Singapore, Singapore.
Choon-Kiat OngLymphoma Genomic Translational Research Laboratory, Division of Medical Oncology, National Cancer Centre Singapore, Singapore; Duke-NUS Medical School, Singapore, Singapore; Genome Institute of Singapore, A*STAR (Agency for Science, Technology and Research), Singapore, Singapore.
Yong-Howe HoDepartment of Pathology, Tan Tock Seng Hospital, Singapore.
Li Mei PoonDepartment of Hematology-Oncology, National University Cancer Institute Singapore, National University Hospital, National University Health System, Singapore.
Sanjay De MelDepartment of Hematology-Oncology, National University Cancer Institute Singapore, National University Hospital, National University Health System, Singapore.
Anand D JeyasekharanCancer Science Institute of Singapore, National University of Singapore, Singapore.
Wee-Joo ChngCancer Science Institute of Singapore, National University of Singapore, Singapore; Department of Hematology-Oncology, National University Cancer Institute Singapore, National University Hospital, National University Health System, Singapore; Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Franziska OttoInstitute of Pathology and Neuropathology, Eberhard Karls University of Tübingen and Comprehensive Cancer Center, Tübingen University Hospital, Tübingen, Germany.
Leticia Quintanilla-MartinezInstitute of Pathology and Neuropathology, Eberhard Karls University of Tübingen and Comprehensive Cancer Center, Tübingen University Hospital, Tübingen, Germany.
Federica ZanardiBioinformatics Unit, IFOM - the FIRC Institute of Molecular Oncology, Milan, Italy.
Fabio IannelliBioinformatics Unit, IFOM - the FIRC Institute of Molecular Oncology, Milan, Italy.
Claudio TripodoTumor Immunology Unit, University of Palermo School of Medicine, Palermo, Italy.
Jason J PittCancer Science Institute of Singapore, National University of Singapore, Singapore. jason.j.pitt@nus.edu.sg.
Siok-Bian NgDepartment of Pathology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Cancer Science Institute of Singapore, National University of Singapore, Singapore; Department of Pathology, National University Hospital, National University Health System, Singapore. patnsb@nus.edu.sg.
National University of Singapore · SGNational University Cancer Institute, Singapore · SGNational University Health System · SGFIRC Institute of Molecular Oncology · ITUniversity of Tübingen · DEAichi Cancer Center · JPAichi Medical University Hospital · JPChi Mei Medical Center · TWDuke-NUS Medical School · SGNagoya University Hospital · JPNational Cancer Centre Singapore · SGSungkyunkwan University · KRTan Tock Seng Hospital · SGThe University of Texas MD Anderson Cancer Center · USUniversity of Hong Kong · HKUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary Epstein-Barr virus (EBV)-positive nodal T/NK-cell lymphoma (PTCL-EBV) is a poorly understood disease which shows features resembling extranodal NK/T-cell lymphoma (ENKTL) and is currently not recognized as a distinct entity but categorized as a variant of primary T-cell lymphoma not otherwise specified (PTCL-NOS). Herein, we analyzed copynumber aberrations (n=77) with a focus on global measures of genomic instability and homologous recombination deficiency and performed gene expression (n=84) and EBV miRNA expression (n=24) profiling as well as targeted mutational analysis (n=16) to further characterize PTCL-EBV in relation to ENKTL and PTCL-NOS. Multivariate analysis revealed that patients with PTCL-EBV had a significantly worse outcome compared to patients with PTCL-NOS (P=0.002) but not to those with ENKTL. Remarkably, PTCL-EBV exhibited significantly lower genomic instability and homologous recombination deficiency scores compared to ENKTL and PTCL-NOS. Gene set enrichment analysis revealed that many immune-related pathways, interferon α/γ response, and IL6_JAK_STAT3 signaling were significantly upregulated in PTCLEBV and correlated with lower genomic instability scores. We also identified that NFκB-associated genes, BIRC3, NFKB1 (P50) and CD27, and their proteins are upregulated in PTCL-EBV. Most PTCL-EBV demonstrated a type 2 EBV latency pattern and, strikingly, exhibited downregulated expression of most EBV miRNA compared to ENKTL and their target genes were also enriched in immune-related pathways. PTCL-EBV also showed frequent mutations of TET2, PIK3CD and STAT3, and are characterized by microsatellite stability. Overall, poor outcome, low genomic instability, upregulation of immune pathways and downregulation of EBV miRNA are distinctive features of PTCL-EBV. Our data support the concept that PTCL-EBV could be considered as a distinct entity, provide novel insights into the pathogenesis of the disease and offer potential new therapeutic targets for this tumor.

Indexed as

Epstein-Barr Virus InfectionsLymphoma, Extranodal NK-T-CellLymphoma, T-Cell, PeripheralMicroRNAsGenomic InstabilityHerpesvirus 4, HumanHumansUp-RegulationMicroRNAs

Identifiers

PMID35021606
PMCPMC9335103
OpenAlexW4205708862

What OpenQuestion holds

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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.