Evidence map›Paper›PMID 37666991›Full record

ArticleNature genetics2023

Single-cell multi-omics identifies chronic inflammation as a driver of TP53-mutant leukemic evolution.

Alba Rodriguez-Meira, Ruggiero Norfo, Sean Wen, Agathe L Chédeville, Haseeb Rahman, Jennifer O'Sullivan, Guanlin Wang, Eleni Louka, Warren W Kretzschmar, Aimee Paterson and 24 more

Open access · hybridAbstract read
In one paragraph

Article in Nature genetics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed
38.4field-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

116 citing papers in PubMed, 133 citations in OpenAlex.

  1. Trial
  2. Azacitidine, Venetoclax, and Magrolimab in Newly Diagnosed and Relapsed Refractory Acute Myeloid Leukemia: Phase Ib/II Study and Correlative Analysis.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
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56 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

34 authors at 11 institutions in 5 countries.

Alba Rodriguez-Meira *Haematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK. albarmeira@gmail.com.ORCID http://orcid.org/0000-0001-9630-6968
Ruggiero Norfo *Haematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Sean Wen *Haematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Agathe L Chédeville *INSERM, UMR 1287, Villejuif, France.
Haseeb RahmanHaematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Jennifer O'SullivanHaematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Guanlin WangHaematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Eleni LoukaHaematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-0543-7397
Warren W KretzschmarDepartment of Cell and Molecular Biology, Karolinska Institutet, Stockholm, Sweden.
Aimee PatersonHaematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Charlotte BrierleyHaematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Jean-Edouard MartinINSERM, UMR 1287, Villejuif, France.
Caroline DemeuleLaboratoire d'Hématologie, CHU Dijon, Dijon, France.
Matthew BashtonThe Hub for Biotechnology in the Built Environment, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0002-6847-1525
Nikolaos SousosHaematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-9100-2954
Daniela MoralliThe Wellcome Centre for Human Genetics, Oxford, UK.
Lamia Subha MeemThe Wellcome Centre for Human Genetics, Oxford, UK.
Joana CarrelhaHaematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Bishan WuHaematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Angela HamblinNIHR Biomedical Research Centre, University of Oxford, Oxford, UK.
Helene GuermoucheSorbonne Université, INSERM, Centre de Recherche Saint-Antoine, AP-HP, Hôpital Saint-Antoine, Service d'hématologie biologique, Paris, France.ORCID http://orcid.org/0000-0003-4074-1623
Florence PasquierINSERM, UMR 1287, Villejuif, France.
Christophe MarzacINSERM, UMR 1287, Villejuif, France.
François GirodonLaboratoire d'Hématologie, CHU Dijon, Dijon, France.ORCID http://orcid.org/0000-0003-3151-1068
William VainchenkerINSERM, UMR 1287, Villejuif, France.ORCID http://orcid.org/0000-0003-4705-202X
Mark DrummondBeatson Cancer Centre, Glasgow, UK.
Claire HarrisonGuy's and St Thomas' NHS Foundation Trust, London, UK.
J Ross ChapmanGenome Integrity Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-6477-4254
Isabelle PloINSERM, UMR 1287, Villejuif, France.
Sten Eirik W JacobsenHaematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-1362-3659
Bethan PsailaHaematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-8198-9663
Supat ThongjueaMedical Research Council Centre for Computational Biology, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Iléana Antony-DebréINSERM, UMR 1287, Villejuif, France. ileana.antony-debre@gustaveroussy.fr.ORCID http://orcid.org/0000-0002-1911-146X
Adam J MeadHaematopoietic Stem Cell Biology Laboratory, Medical Research Council Molecular Haematology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK. adam.mead@imm.ox.ac.uk.ORCID http://orcid.org/0000-0001-8522-1002
University of Oxford · GBInserm · FRCentre for Human Genetics · GBKarolinska University Hospital · SEBeatson West of Scotland Cancer Centre · GBBroad Institute · USCHU Dijon Bourgogne · FRGuy's and St Thomas' NHS Foundation Trust · GBMemorial Sloan Kettering Cancer Center · USNorthumbria University · GBUniversity of Modena and Reggio Emilia · IT

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Cancer Research UK 26988Cancer Research UK 27125Cancer Research UK 27723Cancer Research UK 28051Cancer Research UK 29034Medical Research Council G0801073Medical Research Council G0902418Medical Research Council G84/6443Medical Research Council MC_PC_19049Medical Research Council MC_UU_00016/5Medical Research Council MC_UU_12009/5Medical Research Council MR/L006340/1Medical Research Council MR/M00919X/1Medical Research Council MR/R017549/1NCI NIH HHS P30 CA008748Wellcome Trust
6 · The paper itself

Abstract

Understanding the genetic and nongenetic determinants of tumor protein 53 (TP53)-mutation-driven clonal evolution and subsequent transformation is a crucial step toward the design of rational therapeutic strategies. Here we carry out allelic resolution single-cell multi-omic analysis of hematopoietic stem/progenitor cells (HSPCs) from patients with a myeloproliferative neoplasm who transform to TP53-mutant secondary acute myeloid leukemia (sAML). All patients showed dominant TP53 'multihit' HSPC clones at transformation, with a leukemia stem cell transcriptional signature strongly predictive of adverse outcomes in independent cohorts, across both TP53-mutant and wild-type (WT) AML. Through analysis of serial samples, antecedent TP53-heterozygous clones and in vivo perturbations, we demonstrate a hitherto unrecognized effect of chronic inflammation, which suppressed TP53 WT HSPCs while enhancing the fitness advantage of TP53-mutant cells and promoted genetic evolution. Our findings will facilitate the development of risk-stratification, early detection and treatment strategies for TP53-mutant leukemia, and are of broad relevance to other cancer types.

Indexed as

LeukemiaMultiomicsAllelesHumansInflammationNeoplasm ProteinsTumor Suppressor Protein p53Neoplasm ProteinsTP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID37666991
PMCPMC10484789
OpenAlexW4386415929

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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.