Evidence map›Paper›PMID 35959629›Full record

ArticleMolecular systems biology2022

Drug-microenvironment perturbations reveal resistance mechanisms and prognostic subgroups in CLL.

Peter-Martin Bruch, Holly Ar Giles, Carolin Kolb, Sophie A Herbst, Tina Becirovic, Tobias Roider, Junyan Lu, Sebastian Scheinost, Lena Wagner, Jennifer Huellein and 10 more

Open access · goldAbstract read
In one paragraph

Article in Molecular systems biology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-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

11 citing papers in PubMed, 16 citations in OpenAlex.

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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

20 authors at 4 institutions in 2 countries.

Peter-Martin Bruch *Department of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-9992-3109
Holly Ar Giles *Department of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-9295-587X
Carolin KolbDepartment of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Sophie A HerbstDepartment of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0001-8502-0366
Tina BecirovicDepartment of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Tobias RoiderDepartment of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-6973-3531
Junyan LuEMBL Heidelberg, Heidelberg, Germany.
Sebastian ScheinostGerman Cancer Research Center (DKFZ), Heidelberg, Germany.
Lena WagnerGerman Cancer Research Center (DKFZ), Heidelberg, Germany.
Jennifer HuelleinEMBL Heidelberg, Heidelberg, Germany.
Ivan BerestEMBL Heidelberg, Heidelberg, Germany.
Mark KriegsmannInstitute of Pathology, University of Heidelberg, Heidelberg, Germany.
Katharina KriegsmannDepartment of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Christiane ZgorzelskiInstitute of Pathology, University of Heidelberg, Heidelberg, Germany.
Peter DregerDepartment of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Judith B ZauggMolecular Medicine Partnership Unit (MMPU), Heidelberg, Germany.ORCID 0000-0001-8324-4040
Carsten Müller-TidowDepartment of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Thorsten ZenzDepartment of Hematology, University of Zürich, Zürich, Switzerland.ORCID 0000-0001-7890-9845
Wolfgang Huber *Molecular Medicine Partnership Unit (MMPU), Heidelberg, Germany.ORCID 0000-0002-0474-2218
Sascha Dietrich *Department of Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-0648-1832
European Molecular Biology Organization · DEHeidelberg University · DEGerman Cancer Research Center · DEUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The tumour microenvironment and genetic alterations collectively influence drug efficacy in cancer, but current evidence is limited and systematic analyses are lacking. Using chronic lymphocytic leukaemia (CLL) as a model disease, we investigated the influence of 17 microenvironmental stimuli on 12 drugs in 192 genetically characterised patient samples. Based on microenvironmental response, we identified four subgroups with distinct clinical outcomes beyond known prognostic markers. Response to multiple microenvironmental stimuli was amplified in trisomy 12 samples. Trisomy 12 was associated with a distinct epigenetic signature. Bromodomain inhibition reversed this epigenetic profile and could be used to target microenvironmental signalling in trisomy 12 CLL. We quantified the impact of microenvironmental stimuli on drug response and their dependence on genetic alterations, identifying interleukin 4 (IL4) and Toll-like receptor (TLR) stimulation as the strongest actuators of drug resistance. IL4 and TLR signalling activity was increased in CLL-infiltrated lymph nodes compared with healthy samples. High IL4 activity correlated with faster disease progression. The publicly available dataset can facilitate the investigation of cell-extrinsic mechanisms of drug resistance and disease progression.

Indexed as

Leukemia, Lymphocytic, Chronic, B-CellDisease ProgressionHumansInterleukin-4Nuclear ProteinsPrognosisTranscription FactorsTrisomyTumor MicroenvironmentInterleukin-4Nuclear ProteinsTranscription Factorschronic lymphocytic leukaemiadrug perturbationmicroenvironmentmulti-omicstrisomy 12

Identifiers

PMID35959629
PMCPMC9372727
OpenAlexW4293717821

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.