Evidence map›Paper›PMID 37591845›Full record

ArticleNature communications2023

Resolving the spatial architecture of myeloma and its microenvironment at the single-cell level.

Lukas John, Alexandra M Poos, Alexander Brobeil, Carolina Schinke, Stefanie Huhn, Nina Prokoph, Raphael Lutz, Barbara Wagner, Maurizio Zangari, Stephan M Tirier and 28 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
8.7field-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

31 citing papers in PubMed, 31 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

38 authors at 6 institutions in 3 countries.

Lukas John *Department of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-8178-6890
Alexandra M Poos *Department of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Alexander BrobeilDepartment of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Carolina SchinkeMyeloma Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA.ORCID http://orcid.org/0000-0002-2699-1741
Stefanie HuhnDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Nina ProkophDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Raphael LutzDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Barbara WagnerDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Maurizio ZangariMyeloma Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Stephan M TirierDivision of Chromatin Networks, German Cancer Research Center (DKFZ) and BioQuant, Heidelberg, Germany.
Jan-Philipp MallmSingle Cell Open Lab, German Cancer Research Center (DKFZ) and BioQuant, Heidelberg, Germany.
Sabrina SchumacherDivision of Chromatin Networks, German Cancer Research Center (DKFZ) and BioQuant, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-2292-9286
Dominik VonfichtHeidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM gGmbH), Heidelberg, Germany.
Llorenç Solé-BoldoInstitute of Health (BIH) at Charité-Universitätsmedizin Berlin, Berlin, Germany.
Sabine QuickDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Simon SteigerDivision of Chromatin Networks, German Cancer Research Center (DKFZ) and BioQuant, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-4845-5042
Moritz J PrzybillaDivision Computational Genomics and Systems Genetics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Katharina BauerSingle Cell Open Lab, German Cancer Research Center (DKFZ) and BioQuant, Heidelberg, Germany.
Anja BaumannDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Stefan HemmerDepartment of Orthopedic Surgery, Heidelberg University Hospital, Heidelberg, Germany.
Christoph RehnitzDepartment of Radiology, Heidelberg University Hospital, Heidelberg, Germany.
Christian LückerathDepartment of Radiology, Heidelberg University Hospital, Heidelberg, Germany.
Christos SachpekidisDepartment of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Gunhild MechtersheimerDepartment of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Uwe HaberkornDepartment of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Antonia Dimitrakopoulou-StraussDepartment of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Philipp ReichertDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Bart BarlogieMyeloma Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Carsten Müller-TidowDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-7166-5232
Hartmut GoldschmidtDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-0961-0035
Jens HillengassDepartment of Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.ORCID http://orcid.org/0000-0002-1778-0010
Leo RascheMyeloma Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA.ORCID http://orcid.org/0000-0002-9536-9649
Simon F HaasHeidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM gGmbH), Heidelberg, Germany.
Frits van RheeMyeloma Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA.ORCID http://orcid.org/0000-0001-9959-1282
Karsten RippeDivision of Chromatin Networks, German Cancer Research Center (DKFZ) and BioQuant, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-9951-9395
Marc S RaabDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-4181-6922
Sandra SauerDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Niels WeinholdDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany. niels.weinhold@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0002-5464-3234
German Cancer Research Center · DEHeidelberg University · DEUniversity of Arkansas for Medical Sciences · USMax Delbrück Center · DERoswell Park Comprehensive Cancer Center · USUniversitätsklinikum Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In multiple myeloma spatial differences in the subclonal architecture, molecular signatures and composition of the microenvironment remain poorly characterized. To address this shortcoming, we perform multi-region sequencing on paired random bone marrow and focal lesion samples from 17 newly diagnosed patients. Using single-cell RNA- and ATAC-seq we find a median of 6 tumor subclones per patient and unique subclones in focal lesions. Genetically identical subclones display different levels of spatial transcriptional plasticity, including nearly identical profiles and pronounced heterogeneity at different sites, which can include differential expression of immunotherapy targets, such as CD20 and CD38. Macrophages are significantly depleted in the microenvironment of focal lesions. We observe proportional changes in the T-cell repertoire but no site-specific expansion of T-cell clones in intramedullary lesions. In conclusion, our results demonstrate the relevance of considering spatial heterogeneity in multiple myeloma with potential implications for models of cell-cell interactions and disease progression.

Indexed as

Multiple MyelomaCell CommunicationChromatin Immunoprecipitation SequencingClone CellsDisease ProgressionHumansTumor Microenvironment

Identifiers

PMID37591845
PMCPMC10435504
OpenAlexW4385932916

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.