Evidence map›Paper›PMID 37322012›Full record

ReviewNature reviews. Disease primers2023

Primary central nervous system lymphoma.

Andrés J M Ferreri, Teresa Calimeri, Kate Cwynarski, Jorg Dietrich, Christian Grommes, Khê Hoang-Xuan, Leland S Hu, Gerald Illerhaus, Lakshmi Nayak, Maurilio Ponzoni and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 157 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
157citing papers in PubMed, 1 pooled it
44.4field-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

157 citing papers in PubMed, 1 synthesis or guideline pooled it, 215 citations in OpenAlex.

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97 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

11 authors at 9 institutions in 5 countries.

Andrés J M FerreriLymphoma Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy. ferreri.andres@hsr.it.
Teresa CalimeriLymphoma Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Kate CwynarskiDepartment of Haematology, University College Hospital, London, UK.
Jorg DietrichCancer and Neurotoxicity Clinic and Brain Repair Research Program, Massachusetts General Hospital Cancer Center, Boston, MA, USA.ORCID 0000-0001-8291-0136
Christian GrommesDepartment of Neurology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Khê Hoang-XuanAPHP, Groupe Hospitalier Salpêtrière, Sorbonne Université, IHU, ICM, Service de Neurologie 2, Paris, France.
Leland S HuDepartment of Radiology, Neuroradiology Division, Mayo Clinic, Phoenix, AZ, USA.
Gerald IllerhausClinic of Hematology, Oncology and Palliative Care, Klinikum Stuttgart, Stuttgart, Germany.ORCID 0000-0002-0009-8138
Lakshmi NayakBrigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Maurilio Ponzoni *Pathology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Tracy T Batchelor *Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Brigham and Women's Hospital · USVita-Salute San Raffaele University · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITKlinikum Stuttgart · DEMassachusetts General Hospital · USMemorial Sloan Kettering Cancer Center · USSorbonne Université · FRUniversity College Hospital · GBWinnMed · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Primary central nervous system lymphoma (PCNSL) is a diffuse large B cell lymphoma in which the brain, spinal cord, leptomeninges and/or eyes are exclusive sites of disease. Pathophysiology is incompletely understood, although a central role seems to comprise immunoglobulins binding to self-proteins expressed in the central nervous system (CNS) and alterations of genes involved in B cell receptor, Toll-like receptor and NF-κB signalling. Other factors such as T cells, macrophages or microglia, endothelial cells, chemokines, and interleukins, probably also have important roles. Clinical presentation varies depending on the involved regions of the CNS. Standard of care includes methotrexate-based polychemotherapy followed by age-tailored thiotepa-based conditioned autologous stem cell transplantation and, in patients unsuitable for such treatment, consolidation with whole-brain radiotherapy or single-drug maintenance. Personalized treatment, primary radiotherapy and only supportive care should be considered in unfit, frail patients. Despite available treatments, 15-25% of patients do not respond to chemotherapy and 25-50% relapse after initial response. Relapse rates are higher in older patients, although the prognosis of patients experiencing relapse is poor independent of age. Further research is needed to identify diagnostic biomarkers, treatments with higher efficacy and less neurotoxicity, strategies to improve the penetration of drugs into the CNS, and roles of other therapies such as immunotherapies and adoptive cell therapies.

Indexed as

Central Nervous System NeoplasmsHematopoietic Stem Cell TransplantationLymphomaAgedBrainCombined Modality TherapyEndothelial CellsHumansNeoplasm Recurrence, LocalTransplantation, Autologous

Identifiers

PMID37322012
PMCPMC10637780
OpenAlexW4380790188

What OpenQuestion holds

Textmetadata
LicenceTDM
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.