Evidence map›Paper›PMID 36515795›Full record

ArticleInternational journal of hematology2023

Reduced-intensity conditioning is effective for allogeneic hematopoietic stem cell transplantation in infants with MECOM-associated syndrome.

Masahiro Irie, Tetsuya Niihori, Tomohiro Nakano, Tasuku Suzuki, Saori Katayama, Kunihiko Moriya, Hidetaka Niizuma, Nobu Suzuki, Yuka Saito-Nanjo, Masaei Onuma and 16 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of hematology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Perinatal-lethal nonimmune fetal hydrops attributed toCold Spring Harbor molecular case studies · 2023
    Article
  5. 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

26 authors at 10 institutions in 1 country.

Masahiro IrieDepartment of Pediatrics, Tohoku University Graduate School of Medicine, 1-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.
Tetsuya NiihoriDepartment of Medical Genetics, Tohoku University Graduate School of Medicine, Miyagi, Japan.
Tomohiro NakanoDepartment of Pediatrics, Tohoku University Graduate School of Medicine, 1-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.
Tasuku SuzukiDepartment of Pediatrics, Tohoku University Graduate School of Medicine, 1-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.
Saori KatayamaDepartment of Pediatrics, Tohoku University Graduate School of Medicine, 1-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.
Kunihiko MoriyaDepartment of Pediatrics, Tohoku University Graduate School of Medicine, 1-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.
Hidetaka NiizumaDepartment of Pediatrics, Tohoku University Graduate School of Medicine, 1-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.
Nobu SuzukiDepartment of Hematology and Oncology, Miyagi Children's Hospital, Miyagi, Japan.
Yuka Saito-NanjoDepartment of Hematology and Oncology, Miyagi Children's Hospital, Miyagi, Japan.
Masaei OnumaDepartment of Hematology and Oncology, Miyagi Children's Hospital, Miyagi, Japan.
Takeshi RikiishiDepartment of Hematology and Oncology, Miyagi Children's Hospital, Miyagi, Japan.
Atsushi SatoDepartment of Hematology and Oncology, Miyagi Children's Hospital, Miyagi, Japan.
Mayumi HangaiDepartment of Pediatrics, The University of Tokyo, Tokyo, Japan.
Mitsuteru HiwatariDepartment of Pediatrics, The University of Tokyo, Tokyo, Japan.
Junji IkedaDepartment of Pediatrics, Yokohama City University Graduate School of Medicine, Kanagawa, Japan.
Reo TanoshimaDepartment of Pediatrics, Yokohama City University Graduate School of Medicine, Kanagawa, Japan.
Norio ShibaDepartment of Pediatrics, Yokohama City University Graduate School of Medicine, Kanagawa, Japan.
Yuki YuzaDepartment of Hematology and Oncology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
Nobuyuki YamamotoDepartment of Pediatrics, Kobe University Graduate School of Medicine, Hyogo, Japan.
Yoshiko HashiiDepartment of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
Motohiro KatoDepartment of Pediatrics, The University of Tokyo, Tokyo, Japan.
Junko TakitaDepartment of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Miho MaedaDepartment of Pediatrics, Nippon Medical School, Tokyo, Japan.
Yoko AokiDepartment of Medical Genetics, Tohoku University Graduate School of Medicine, Miyagi, Japan.
Masue ImaizumiDepartment of Hematology and Oncology, Miyagi Children's Hospital, Miyagi, Japan.
Yoji SasaharaDepartment of Pediatrics, Tohoku University Graduate School of Medicine, 1-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan. ysasahara@med.tohoku.ac.jp.ORCID http://orcid.org/0000-0003-0030-1535
Tohoku University · JPMiyagi Children's Hospital · JPYokohama City University · JPThe University of Tokyo · JPKobe University · JPKyoto University · JPNational Center For Child Health and Development · JPNippon Medical School · JPOsaka International Cancer Institute · JPTokyo Metropolitan Children's Medical Center · JP

Funding

grants-in-aid from the Ministry of Education, Culture, Sports, Science and Technology of Japan 18K16105grants-in-aid from the Ministry of Education, Culture, Sports, Science and Technology of Japan 19K08855
6 · The paper itself

Abstract

Mutations in the MECOM encoding EVI1 are observed in infants who have radioulnar synostosis with amegakaryocytic thrombocytopenia. MECOM-associated syndrome was proposed based on clinical heterogeneity. Allogeneic hematopoietic stem cell transplantation (HSCT) is a curative treatment for progressive bone marrow failure. However, data regarding allogeneic HSCT for this rare disease are limited. We retrospectively assessed overall survival, conditioning regimen, regimen-related toxicities and long-term sequelae in six patients treated with allogeneic HSCT. All patients received a reduced-intensity conditioning (RIC) regimen consisting of fludarabine, cyclophosphamide or melphalan, and rabbit anti-thymocyte globulin and/or low-dose total body/thoracic-abdominal/total lymphoid irradiation, followed by allogeneic bone marrow or cord blood transplantation from unrelated donors between 4 and 18 months of age. All patients survived and achieved stable engraftment and complete chimerization with the donor type. Moreover, no patient experienced severe regimen-related toxicities, and only lower grades of acute graft-versus-host disease were observed. Three patients treated with low-dose irradiation had relatively short stature compared to three patients not treated with irradiation. Therefore, allogeneic HSCT with RIC is an effective and feasible treatment for infants with MECOM-associated syndrome. Future studies are needed to evaluate the use of low-dose irradiation to avoid risks of other long-term sequelae.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationBone MarrowHumansMDS1 and EVI1 Complex Locus ProteinRetrospective StudiesTranscription FactorsTransplantation ConditioningTransplantation, HomologousUnrelated DonorsVidarabineMDS1 and EVI1 Complex Locus ProteinMECOM protein, humanTranscription FactorsVidarabineAllogeneic hematopoietic stem cell transplantationInherited bone marrow failure syndromeMECOM-associated syndromeRadio-ulnar synostosis with amegakaryocytic thrombocytopeniaReduced-intensity conditioning

Identifiers

PMID36515795
PMCPMC10063491
OpenAlexW4311404854

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.