Evidence map›Paper›PMID 37833543›Full record

ArticleLeukemia2023

Mutated IKZF1 is an independent marker of adverse risk in acute myeloid leukemia.

Jan-Niklas Eckardt, Sebastian Stasik, Christoph Röllig, Andreas Petzold, Tim Sauer, Sebastian Scholl, Andreas Hochhaus, Martina Crysandt, Tim H Brümmendorf, Ralph Naumann and 28 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Leukemia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. IKZF1Leukemia · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. IKZF-associated inborn errors of immunity.Journal of human immunity · 2025
    Review
  7. Cancers · 2025
    Article
  8. Article
  9. Article
  10. Multifaceted roles ofFrontiers in oncology · 2024
    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

38 authors at 19 institutions in 2 countries.

Jan-Niklas EckardtDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany. jan-niklas.eckardt@uniklinikum-dresden.de.ORCID http://orcid.org/0000-0002-3649-2823
Sebastian StasikDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID http://orcid.org/0000-0003-0271-4894
Christoph RölligDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID http://orcid.org/0000-0002-3791-0548
Andreas PetzoldDresden-Concept Genome Center, Center for Molecular and Cellular Bioengineering, Technische Universität Dresden, Dresden, Germany.
Tim SauerGerman Cancer Research Center (DKFZ) and Medical Clinic V, University Hospital Heidelberg, Heidelberg, Germany.
Sebastian SchollKlinik für Innere Medizin II, Jena University Hospital, Jena, Germany.
Andreas HochhausKlinik für Innere Medizin 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.
Ralph NaumannMedical Clinic III, St. Marien-Hospital Siegen, Siegen, Germany.
Björn SteffenMedical Clinic II, University Hospital Frankfurt, Frankfurt (Main), Germany.ORCID http://orcid.org/0009-0002-6693-4079
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.
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 Nuremberg, Nuremberg, Germany.
Christoph SchliemannDepartment of Medicine A, University Hospital Münster, Münster, Germany.ORCID http://orcid.org/0000-0003-1755-9583
Stefan W KrauseMedical Clinic V, University Hospital Erlangen, Erlangen, Germany.ORCID http://orcid.org/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 http://orcid.org/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.
Uta OelschlägelDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.
Wolfgang E BerdelDepartment of Medicine A, University Hospital Münster, Münster, Germany.
Gerhard EhningerDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.
Hubert ServeMedical Clinic II, University Hospital Frankfurt, Frankfurt (Main), Germany.ORCID http://orcid.org/0000-0001-8472-5516
Carsten Müller-TidowGerman Cancer Research Center (DKFZ) and Medical Clinic V, University Hospital Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-7166-5232
Uwe PlatzbeckerMedical Clinic I Hematology and Celltherapy, University Hospital Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0003-1863-3239
Claudia D BaldusDepartment of Internal Medicine, University Hospital Kiel, Kiel, Germany.ORCID http://orcid.org/0000-0002-0748-834X
Andreas DahlDresden-Concept Genome Center, Center for Molecular and Cellular Bioengineering, Technische Universität Dresden, Dresden, Germany.ORCID http://orcid.org/0000-0002-2668-8371
Johannes ScheteligDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, 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.
Christian Thiede *Department of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.
University Hospital Carl Gustav Carus · DEGerman Cancer Research Center · DECenter for Systems Biology Dresden · 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

Genetic lesions of IKZF1 are frequent events and well-established markers of adverse risk in acute lymphoblastic leukemia. However, their function in the pathophysiology and impact on patient outcome in acute myeloid leukemia (AML) remains elusive. In a multicenter cohort of 1606 newly diagnosed and intensively treated adult AML patients, we found IKZF1 alterations in 45 cases with a mutational hotspot at N159S. AML with mutated IKZF1 was associated with alterations in RUNX1, GATA2, KRAS, KIT, SF3B1, and ETV6, while alterations of NPM1, TET2, FLT3-ITD, and normal karyotypes were less frequent. The clinical phenotype of IKZF1-mutated AML was dominated by anemia and thrombocytopenia. In both univariable and multivariable analyses adjusting for age, de novo and secondary AML, and ELN2022 risk categories, we found mutated IKZF1 to be an independent marker of adverse risk regarding complete remission rate, event-free, relapse-free, and overall survival. The deleterious effects of mutated IKZF1 also prevailed in patients who underwent allogeneic hematopoietic stem cell transplantation (n = 519) in both univariable and multivariable models. These dismal outcomes are only partially explained by the hotspot mutation N159S. Our findings suggest a role for IKZF1 mutation status in AML risk modeling.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAdultfms-Like Tyrosine Kinase 3HumansIkaros Transcription FactorMutationNucleophosminPrognosisTranscription Factorsfms-Like Tyrosine Kinase 3Ikaros Transcription FactorIKZF1 protein, humanNucleophosminTranscription Factors

Identifiers

PMID37833543
PMCPMC10681898
OpenAlexW4387608967

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.