Evidence map›Paper›PMID 35326734›Full record

ArticleCancers2022

Immunophenotypic Analysis of Acute Megakaryoblastic Leukemia: A EuroFlow Study.

Nienke Brouwer, Sergio Matarraz, Stefan Nierkens, Mattias Hofmans, Michaela Nováková, Elaine Sobral da Costa, Paula Fernandez, Anne E Bras, Fabiana Vieira de Mello, Ester Mejstrikova and 7 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. 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
4.0field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Extramedullary Relapse ofInternational journal of molecular sciences · 2025
    Article
  4. DOGMA-seq and multimodal, single-cell analysis in acute myeloid leukemia.International review of cell and molecular biology · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Too many white cells-TAM, JMML, or something else?Hematology. American Society of Hematology. Education Program · 2023
    Article
  10. Article
  11. Article
  12. Leukemogenesis in infants and young children with trisomy 21.Hematology. American Society of Hematology. Education Program · 2022
    Article
  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

17 authors at 8 institutions in 6 countries.

Nienke BrouwerLaboratory Medical Immunology, Department of Immunology, Erasmus MC, University Medical Center Rotterdam, Wytemaweg 80, 3015 CN Rotterdam, The Netherlands.
Sergio MatarrazTranslational and Clinical Research Program, Centro de Investigación del Cáncer (IBMCC; CSIC-University of Salamanca), Cytometry Service, NUCLEUS, Department of Medicine, University of Salamanca (USAL) and Institute of Biomedical Research of Salamanca (IBSAL) Paseo de la Universidad de Coimbra s/n, Campus Miguel de Unamuno, 37007 Salamanca, Spain.
Stefan NierkensPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, 3584 CS Utrecht, The Netherlands.ORCID 0000-0003-3406-817X
Mattias HofmansDepartment of Laboratory Medicine, Ghent University Hospital, Corneel Heymanslaan 10, 9000 Ghent, Belgium.
Michaela NovákováCLIP-Department of Pediatric Hematology and Oncology, Second Medical Faculty, Charles University and University Hospital Motol, V Uvalu 84, 15006 Prague, Czech Republic.ORCID 0000-0003-2964-5956
Elaine Sobral da CostaInstitute of Pediatrics (IPPMG), Federal University of Rio de Janeiro (UFRJ), R. Bruno Lobo, 50-Cidade Universitária, Rio de Janeiro-RJ 21941-912, Brazil.ORCID 0000-0002-5340-5816
Paula FernandezInstitute for Laboratory Medicine, Kantonsspital Aarau AG, Tellstrasse 25, 5001 Aarau, Switzerland.
Anne E BrasLaboratory Medical Immunology, Department of Immunology, Erasmus MC, University Medical Center Rotterdam, Wytemaweg 80, 3015 CN Rotterdam, The Netherlands.
Fabiana Vieira de MelloInstitute of Pediatrics (IPPMG), Federal University of Rio de Janeiro (UFRJ), R. Bruno Lobo, 50-Cidade Universitária, Rio de Janeiro-RJ 21941-912, Brazil.
Ester MejstrikovaCLIP-Department of Pediatric Hematology and Oncology, Second Medical Faculty, Charles University and University Hospital Motol, V Uvalu 84, 15006 Prague, Czech Republic.
Jan PhilippéDepartment of Diagnostic Sciences, Ghent University, C. Heymanslaan 10, 9000 Ghent, Belgium.ORCID 0000-0003-4857-5746
Georgiana Emilia GrigoreCytognos SL, Carretera de Madrid Km. 0 Nave 9, Pol. La Serna, 37900 Salamanca, Spain.
Carlos E PedreiraSystems and Computing Department, COPPE, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro-RJ 21941-594, Brazil.
Jacques J M van DongenDepartment of Immunology, Leiden University Medical Center (LUMC), Albinusdreef 2, 2333 ZA Leiden, The Netherlands.ORCID 0000-0002-3650-7087
Alberto OrfaoTranslational and Clinical Research Program, Centro de Investigación del Cáncer (IBMCC; CSIC-University of Salamanca), Cytometry Service, NUCLEUS, Department of Medicine, University of Salamanca (USAL) and Institute of Biomedical Research of Salamanca (IBSAL) Paseo de la Universidad de Coimbra s/n, Campus Miguel de Unamuno, 37007 Salamanca, Spain.ORCID 0000-0002-0007-7230
Vincent H J van der VeldenLaboratory Medical Immunology, Department of Immunology, Erasmus MC, University Medical Center Rotterdam, Wytemaweg 80, 3015 CN Rotterdam, The Netherlands.ORCID 0000-0001-9457-3763
On Behalf Of The EuroFlow Consortium
Erasmus MC · NLUniversidad de Salamanca · ESUniversidade Federal do Rio de Janeiro · BRCharles University · CZGhent University · BEGhent University Hospital · BEKantonsspital Aarau · CHPrincess Máxima Center · NL

Funding

Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro E26/200.840/2021-CNEMinistry of Health of the Czech Republic NU20J-07-00028National Council for Scientific and Technological Development 306258/2019-6
6 · The paper itself

Abstract

Acute megakaryoblastic leukemia (AMKL) is a rare and heterogeneous subtype of acute myeloid leukemia (AML). We evaluated the immunophenotypic profile of 72 AMKL and 114 non-AMKL AML patients using the EuroFlow AML panel. Univariate and multivariate/multidimensional analyses were performed to identify most relevant markers contributing to the diagnosis of AMKL. AMKL patients were subdivided into transient abnormal myelopoiesis (TAM), myeloid leukemia associated with Down syndrome (ML-DS), AML-not otherwise specified with megakaryocytic differentiation (NOS-AMKL), and AMKL-other patients (AML patients with other WHO classification but with flowcytometric features of megakaryocytic differentiation). Flowcytometric analysis showed good discrimination between AMKL and non-AMKL patients based on differential expression of, in particular, CD42a.CD61, CD41, CD42b, HLADR, CD15 and CD13. Combining CD42a.CD61 (positive) and CD13 (negative) resulted in a sensitivity of 71% and a specificity of 99%. Within AMKL patients, TAM and ML-DS patients showed higher frequencies of immature CD34+/CD117+ leukemic cells as compared to NOS-AMKL and AMKL-Other patients. In addition, ML-DS patients showed a significantly higher expression of CD33, CD11b, CD38 and CD7 as compared to the other three subgroups, allowing for good distinction of these patients. Overall, our data show that the EuroFlow AML panel allows for straightforward diagnosis of AMKL and that ML-DS is associated with a unique immunophenotypic profile.

Indexed as

AMKLDown syndromeEuroFlowimmunophenotypingtransient abnormal myelopoiesis

Identifiers

PMID35326734
PMCPMC8946548
OpenAlexW4221020579

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.