Evidence map›Paper›PMID 36693840›Full record

ArticleBlood cancer journal2023

Alterations of cohesin complex genes in acute myeloid leukemia: differential co-mutations, clinical presentation and impact on outcome.

Jan-Niklas Eckardt, Sebastian Stasik, Christoph Röllig, Tim Sauer, Sebastian Scholl, Andreas Hochhaus, Martina Crysandt, Tim H Brümmendorf, Ralph Naumann, Björn Steffen and 27 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Blood cancer journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
9.6field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. The Mutational Landscape of Acute Myeloid Leukemia and Its Impact.International journal of molecular sciences · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. CohesinLife (Basel, Switzerland) · 2024
    Article
  19. Article
  20. 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

37 authors at 19 institutions in 2 countries.

Jan-Niklas Eckardt *Department of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany. jan-niklas.eckardt@uniklinikum-dresden.de.ORCID 0000-0002-3649-2823
Sebastian Stasik *Department of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID 0000-0003-0271-4894
Christoph RölligDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.
Tim SauerGerman Cancer Research Center (DKFZ) and Medical Clinic V, University Hospital Heidelberg, Heidelberg, Germany.
Sebastian SchollDepartment of Internal Medicine II, Jena University Hospital, Jena, Germany.
Andreas HochhausDepartment of Internal Medicine II, Jena University Hospital, Jena, Germany.
Martina CrysandtDepartment of Hematology, Oncology, Hemostaseology, and Cell Therapy, University Hospital RWTH Aachen, Aachen, Germany.
Tim H BrümmendorfDepartment of Hematology, Oncology, Hemostaseology, and Cell Therapy, University Hospital RWTH Aachen, Aachen, Germany.ORCID 0000-0002-9677-3723
Ralph NaumannMedical Clinic III, St. Marien-Hospital Siegen, Siegen, Germany.
Björn SteffenMedical Clinic II, University Hospital Frankfurt, Frankfurt (Main), Germany.
Volker KunzmannMedical Clinic and Policlinic II, University Hospital Würzburg, Würzburg, Germany.
Hermann EinseleMedical Clinic and Policlinic II, University Hospital Würzburg, Würzburg, Germany.
Markus SchaichDepartment of Hematology, Oncology and Palliative Care, Rems-Murr-Hospital Winnenden, Winnenden, Germany.
Andreas BurchertDepartment of Hematology, Oncology and Immunology, Philipps-University-Marburg, Marburg, Germany.ORCID 0000-0002-8411-8844
Andreas NeubauerDepartment of Hematology, Oncology and Immunology, Philipps-University-Marburg, Marburg, Germany.
Kerstin Schäfer-EckartDepartment of Internal Medicine V, Paracelsus Medizinische Privatuniversität and University Hospital Nurnberg, Nurnberg, Germany.
Christoph SchliemannDepartment of Medicine A, University Hospital Münster, Münster, Germany.ORCID 0000-0003-1755-9583
Stefan W KrauseMedical Clinic V, University Hospital Erlangen, Erlangen, Germany.ORCID 0000-0002-5259-4651
Regina HerbstMedical Clinic III, Chemnitz Hospital AG, Chemnitz, Germany.
Mathias HänelMedical Clinic III, Chemnitz Hospital AG, Chemnitz, Germany.
Maher HanounDepartment of Hematology, University Hospital Essen, Essen, Germany.ORCID 0000-0002-1754-8940
Ulrich KaiserMedical Clinic II, St. Bernward Hospital, Hildesheim, Germany.
Martin KaufmannDepartment of Hematology, Oncology and Palliative Care, Robert-Bosch-Hospital, Stuttgart, Germany.
Zdenek RácilDepartment of Internal Medicine, Hematology and Oncology, Masaryk University Hospital, Brno, Czech Republic.
Jiri MayerDepartment of Internal Medicine, Hematology and Oncology, Masaryk University Hospital, Brno, Czech Republic.
Tiago CerqueiraDivision of Health Care Sciences, Dresden International University, Dresden, Germany.
Frank KroschinskyDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID 0000-0002-4235-7580
Wolfgang E BerdelDepartment of Medicine A, University Hospital Münster, Münster, Germany.
Hubert ServeMedical Clinic II, University Hospital Frankfurt, Frankfurt (Main), Germany.
Carsten Müller-TidowGerman Cancer Research Center (DKFZ) and Medical Clinic V, University Hospital Heidelberg, Heidelberg, Germany.
Uwe PlatzbeckerMedical Clinic I Hematology and Celltherapy, University Hospital Leipzig, Leipzig, Germany.
Claudia D BaldusDepartment of Internal Medicine, University Hospital Kiel, Kiel, Germany.ORCID 0000-0002-0748-834X
Johannes ScheteligDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID 0000-0002-2780-2981
Timo SiepmannDivision of Health Care Sciences, Dresden International University, Dresden, Germany.
Martin BornhäuserDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.
Jan Moritz Middeke *Department of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID 0000-0003-3250-293X
Christian Thiede *Department of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID 0000-0003-1241-2048
University Hospital Carl Gustav Carus · DEDresden International University · DEGerman Cancer Research Center · DEGoethe University Frankfurt · DEJena University Hospital · DEKlinikum Chemnitz · DEMasaryk University · CZPhilipps University of Marburg · DERWTH Aachen University · DEUniversitätsklinikum Würzburg · DEUniversity Hospital Münster · DEEssen University Hospital · DEParacelsus Medizinische Privatuniversität · DERems-Murr-Klinikum · DERobert Bosch Hospital · DESt. Bernward Krankenhaus · DEUniversitätsklinikum Erlangen · DEUniversity Hospital Leipzig · DEUniversity of Siegen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Functional perturbations of the cohesin complex with subsequent changes in chromatin structure and replication are reported in a multitude of cancers including acute myeloid leukemia (AML). Mutations of its STAG2 subunit may predict unfavorable risk as recognized by the 2022 European Leukemia Net recommendations, but the underlying evidence is limited by small sample sizes and conflicting observations regarding clinical outcomes, as well as scarce information on other cohesion complex subunits. We retrospectively analyzed data from a multi-center cohort of 1615 intensively treated AML patients and identified distinct co-mutational patters for mutations of STAG2, which were associated with normal karyotypes (NK) and concomitant mutations in IDH2, RUNX1, BCOR, ASXL1, and SRSF2. Mutated RAD21 was associated with NK, mutated EZH2, KRAS, CBL, and NPM1. Patients harboring mutated STAG2 were older and presented with decreased white blood cell, bone marrow and peripheral blood blast counts. Overall, neither mutated STAG2, RAD21, SMC1A nor SMC3 displayed any significant, independent effect on clinical outcomes defined as complete remission, event-free, relapse-free or overall survival. However, we found almost complete mutual exclusivity of genetic alterations of individual cohesin subunits. This mutual exclusivity may be the basis for therapeutic strategies via synthetic lethality in cohesin mutated AML.

Indexed as

Leukemia, Myeloid, AcuteChromosomal Proteins, Non-HistoneCohesinsHumansMutationPrognosisRetrospective StudiesChromosomal Proteins, Non-HistoneCohesinsSTAG2 protein, human

Identifiers

PMID36693840
PMCPMC9873811
OpenAlexW4317821615

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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.