Evidence map›Paper›PMID 35618837›Full record

ArticleNature medicine2022

A cellular hierarchy framework for understanding heterogeneity and predicting drug response in acute myeloid leukemia.

Andy G X Zeng, Suraj Bansal, Liqing Jin, Amanda Mitchell, Weihsu Claire Chen, Hussein A Abbas, Michelle Chan-Seng-Yue, Veronique Voisin, Peter van Galen, Anne Tierens and 9 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 216 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
216citing papers in PubMed, 1 pooled it
–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

216 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Recent advances in CAR T and CAR NK cell therapy for AML.International journal of hematology · 2026
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156 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Andy G X ZengPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Suraj Bansal *Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Liqing Jin *Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Amanda MitchellPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Weihsu Claire ChenPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Hussein A AbbasDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0003-2946-3562
Michelle Chan-Seng-YuePrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.ORCID http://orcid.org/0000-0003-3773-9354
Veronique VoisinThe Donnelly Centre, University of Toronto, Toronto, ON, Canada.
Peter van GalenDivision of Hematology, Brigham and Women's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-0735-1570
Anne TierensLaboratory Medicine Program, Hematopathology, University Health Network, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-5350-8313
Meyling CheokUniversity of Lille, CNRS, Inserm, CHU Lille, UMR9020-U1277 - CANTHER - Cancer Heterogeneity Plasticity and Resistance to Therapies, Lille, France.ORCID http://orcid.org/0000-0002-7820-8026
Claude PreudhommeUniversity of Lille, CNRS, Inserm, CHU Lille, UMR9020-U1277 - CANTHER - Cancer Heterogeneity Plasticity and Resistance to Therapies, Lille, France.
Hervé DombretDepartment of Hematology, Hôpital Saint-Louis, Assistance Publique-Hôpitaux de Paris, Université Paris Cité, Paris, France.
Naval DaverDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
P Andrew FutrealDepartment of Genomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0001-8663-2671
Mark D MindenPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
James A KennedyPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Jean C Y WangPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
John E DickPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. john.dick@uhnresearch.ca.ORCID http://orcid.org/0000-0002-9527-8317

Funding

CIHR RN380110 - 409786
6 · The paper itself

Abstract

The treatment landscape of acute myeloid leukemia (AML) is evolving, with promising therapies entering clinical translation, yet patient responses remain heterogeneous, and biomarkers for tailoring treatment are lacking. To understand how disease heterogeneity links with therapy response, we determined the leukemia cell hierarchy makeup from bulk transcriptomes of more than 1,000 patients through deconvolution using single-cell reference profiles of leukemia stem, progenitor and mature cell types. Leukemia hierarchy composition was associated with functional, genomic and clinical properties and converged into four overall classes, spanning Primitive, Mature, GMP and Intermediate. Critically, variation in hierarchy composition along the Primitive versus GMP or Primitive versus Mature axes were associated with response to chemotherapy or drug sensitivity profiles of targeted therapies, respectively. A seven-gene biomarker derived from the Primitive versus Mature axis was associated with response to 105 investigational drugs. Cellular hierarchy composition constitutes a novel framework for understanding disease biology and advancing precision medicine in AML.

Indexed as

Leukemia, Myeloid, AcuteBiomarkersHumansBiomarkers

Identifiers

What OpenQuestion holds

Textmetadata
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.