Evidence map›Paper›PMID 35768438›Full record

ArticleNature communications2022

The genetic heterogeneity and drug resistance mechanisms of relapsed refractory multiple myeloma.

Josh N Vo, Yi-Mi Wu, Jeanmarie Mishler, Sarah Hall, Rahul Mannan, Lisha Wang, Yu Ning, Jin Zhou, Alexander C Hopkins, James C Estill and 14 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
12.8field-weighted citation impact, top 1% 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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

  1. Pooled it
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  11. Emerging roles of RNA mInternational journal of oncology · 2026
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  20. [Value of gene mutation in the prognosis and treatment of multiple myeloma].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Review

1 more citing papers are in PubMed but not listed here.

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

24 authors at 20 institutions in 2 countries.

Josh N Vo *Michigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI, USA.
Yi-Mi Wu *Michigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI, USA.
Jeanmarie MishlerMichigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI, USA.
Sarah HallMichigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI, USA.
Rahul MannanMichigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-6642-0468
Lisha WangMichigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI, USA.
Yu NingMichigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI, USA.
Jin ZhouMichigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI, USA.
Alexander C HopkinsMichigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI, USA.
James C EstillMichigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI, USA.
Wallace K B ChanDepartment of Pharmacology, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0001-5104-4159
Jennifer YesilMultiple Myeloma Research Foundation, Norwalk, CT, USA.
Xuhong CaoMichigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI, USA.
Arvind RaoDepartment of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA.
Alexander TsodikovDepartment of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Moshe TalpazDepartment of Internal Medicine, Division of Hematology and Oncology, University of Michigan, Ann Arbor, MI, USA.
Craig E ColeCollege of Human Medicine, Breslin Cancer Center, Michigan State University, East Lansing, MI, USA.
Jing C YeDepartment of Internal Medicine, Division of Hematology and Oncology, University of Michigan, Ann Arbor, MI, USA.
Multiple Myeloma Research Consortium
P Leif BergsagelDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Phoenix, AZ, USA.ORCID 0000-0003-1523-7388
Daniel AuclairMultiple Myeloma Research Foundation, Norwalk, CT, USA.
Hearn Jay ChoMultiple Myeloma Research Foundation, Norwalk, CT, USA.
Dan R RobinsonMichigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI, USA. danrobi@umich.edu.ORCID 0000-0002-2337-7439
Arul M ChinnaiyanMichigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI, USA. arul@umich.edu.ORCID 0000-0001-9282-3415
University of Michigan · USMultiple Myeloma Research Foundation · USEmory University · USHoward Hughes Medical Institute · USBaylor University Medical Center · USCity of Hope · USHackensack University Medical Center · USIcahn School of Medicine at Mount Sinai · USMayo Clinic in Arizona · USMayo Clinic in Florida · USMemorial Sloan Kettering Cancer Center · USMichigan State University · USPrincess Margaret Cancer Centre · CASarah Cannon · USThe Barbara Ann Karmanos Cancer Institute · USUniversity of California, San Francisco · USUniversity of Chicago Medical Center · USVirginia Cancer Specialists · USWashington University in St. Louis · USWinnMed · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Rafael Fonseca · 2015 to 2026
$25.5M
Exploring Precision Oncology: From Gene Fusions to lncRNAsR35CA231996 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHINNAIYAN, ARUL M · 2018 to 2024
$6.4M
University of Michigan Proteogenomics Data Analysis CenterU24CA210967 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHINNAIYAN, ARUL M, DHANASEKARAN, SARAVANA M · 2016 to 2020
$4.1M
Discovery and qualification of transcriptomic biomarkers for the early detection of aggressive prostate cancerU01CA214170 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHINNAIYAN, ARUL M · 2016 to 2021
$3.3M
Howard Hughes Medical InstituteNCI NIH HHS P30 CA008748NCI NIH HHS P50 CA186781NCI NIH HHS R35 CA231996NCI NIH HHS U01 CA214170NCI NIH HHS U24 CA210967
6 · The paper itself

Abstract

Multiple myeloma is the second most common hematological malignancy. Despite significant advances in treatment, relapse is common and carries a poor prognosis. Thus, it is critical to elucidate the genetic factors contributing to disease progression and drug resistance. Here, we carry out integrative clinical sequencing of 511 relapsed, refractory multiple myeloma (RRMM) patients to define the disease's molecular alterations landscape. The NF-κB and RAS/MAPK pathways are more commonly altered than previously reported, with a prevalence of 45-65% each. In the RAS/MAPK pathway, there is a long tail of variants associated with the RASopathies. By comparing our RRMM cases with untreated patients, we identify a diverse set of alterations conferring resistance to three main classes of targeted therapy in 22% of our cohort. Activating mutations in IL6ST are also enriched in RRMM. Taken together, our study serves as a resource for future investigations of RRMM biology and potentially informs clinical management.

Indexed as

Multiple MyelomaAntineoplastic Combined Chemotherapy ProtocolsDrug ResistanceDrug Resistance, NeoplasmGenetic HeterogeneityHumansNeoplasm Recurrence, Local

Identifiers

PMID35768438
PMCPMC9243087
OpenAlexW4283745047

What OpenQuestion holds

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LicenceCC BY
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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.