Evidence map›Paper›PMID 35739278›Full record

ArticleScientific reports2022

Enrichment of cancer-predisposing germline variants in adult and pediatric patients with acute lymphoblastic leukemia.

Suvi P M Douglas, Atte K Lahtinen, Jessica R Koski, Lilli Leimi, Mikko A I Keränen, Minna Koskenvuo, Caroline A Heckman, Kirsi Jahnukainen, Esa Pitkänen, Ulla Wartiovaara-Kautto and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Genotype-phenotype correlations inOncology reviews · 2025
    Pooled it
  2. Article
  3. Frontiers in oncology · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
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

11 authors at 4 institutions in 2 countries.

Suvi P M Douglas *Applied Tumor Genomics Research Program, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Atte K Lahtinen *Applied Tumor Genomics Research Program, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Jessica R KoskiApplied Tumor Genomics Research Program, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Lilli LeimiChildren's Hospital, and Pediatric Research Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Mikko A I KeränenDepartment of Hematology, Helsinki University Hospital Comprehensive Cancer Center, University of Helsinki, Helsinki, Finland.
Minna KoskenvuoDivision of Hematology-Oncology and Stem Cell Transplantation, New Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Caroline A HeckmanInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
Kirsi JahnukainenChildren's Hospital, and Pediatric Research Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Esa PitkänenApplied Tumor Genomics Research Program, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Ulla Wartiovaara-KauttoApplied Tumor Genomics Research Program, Faculty of Medicine, University of Helsinki, Helsinki, Finland. ulla.wartiovaara-kautto@hus.fi.
Outi KilpivaaraApplied Tumor Genomics Research Program, Faculty of Medicine, University of Helsinki, Helsinki, Finland. outi.kilpivaara@helsinki.fi.
University of Helsinki · FIInstitute for Molecular Medicine Finland · FIHelsinki University Hospital · FIKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite recent progress in acute lymphoblastic leukemia (ALL) therapies, a significant subset of adult and pediatric ALL patients has a dismal prognosis. Better understanding of leukemogenesis and recognition of germline genetic changes may provide new tools for treating patients. Given that hematopoietic stem cell transplantation, often from a family member, is a major form of treatment in ALL, acknowledging the possibility of hereditary predisposition is of special importance. Reports of comprehensive germline analyses performed in adult ALL patients are scarce. Aiming at fulfilling this gap of knowledge, we investigated variants in 93 genes predisposing to hematologic malignancies and 70 other cancer-predisposing genes from exome data obtained from 61 adult and 87 pediatric ALL patients. Our results show that pathogenic (P) or likely pathogenic (LP) germline variants in genes associated with predisposition to ALL or other cancers are prevalent in ALL patients: 8% of adults and 11% of children. Comparison of P/LP germline variants in patients to population-matched controls (gnomAD Finns) revealed a 2.6-fold enrichment in ALL cases (CI 95% 1.5-4.2, p = 0.00071). Acknowledging inherited factors is crucial, especially when considering hematopoietic stem cell transplantation and planning post-therapy follow-up. Harmful germline variants may also predispose patients to excessive toxicity potentially compromising the outcome. We propose integrating germline genetics into precise ALL patient care and providing families genetic counseling.

Indexed as

Germ-Line MutationPrecursor Cell Lymphoblastic Leukemia-LymphomaAdultChildExomeGenetic Predisposition to DiseaseGerm CellsHumans

Identifiers

PMID35739278
PMCPMC9225984
OpenAlexW4283387278

What OpenQuestion holds

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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.