Evidence map›Paper›PMID 38360865›Full record

ArticleLeukemia2024

Mapping AML heterogeneity - multi-cohort transcriptomic analysis identifies novel clusters and divergent ex-vivo drug responses.

Jeppe F Severens, E Onur Karakaslar, Bert A van der Reijden, Elena Sánchez-López, Redmar R van den Berg, Constantijn J M Halkes, Peter van Balen, Hendrik Veelken, Marcel J T Reinders, Marieke Griffioen and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

  1. Article
  2. Cancers · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. mFrontiers in immunology · 2026
    Article
  12. Dual relevance ofFrontiers in oncology · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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.

Jeppe F SeverensDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-5524-0453
E Onur KarakaslarDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands.
Bert A van der ReijdenLaboratory of Hematology, Department of Laboratory Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-7804-8643
Elena Sánchez-LópezLeiden Center for Computational Oncology, Leiden University Medical Center, Leiden, The Netherlands.
Redmar R van den BergDepartment of Human Genetics, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-6590-9499
Constantijn J M HalkesDepartment of Hematology, Leiden University Medical Center, Leiden, The Netherlands.
Peter van BalenDepartment of Hematology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-9670-4664
Hendrik VeelkenLeiden Center for Computational Oncology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-9108-3125
Marcel J T ReindersDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-1148-1562
Marieke GriffioenDepartment of Hematology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-3001-4441
Erik B van den AkkerDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands. e.b.van_den_akker@lumc.nl.ORCID 0000-0002-7693-0728

Funding

Leids Universitair Medisch Centrum (Leiden University Medical Center) InternalLeids Universitair Medisch Centrum (Leiden University Medical Center) Internal grandNederlandse Organisatie voor Wetenschappelijk Onderzoek (Netherlands Organisation for Scientific Research) 09150161810095
6 · The paper itself

Abstract

Subtyping of acute myeloid leukaemia (AML) is predominantly based on recurrent genetic abnormalities, but recent literature indicates that transcriptomic phenotyping holds immense potential to further refine AML classification. Here we integrated five AML transcriptomic datasets with corresponding genetic information to provide an overview (n = 1224) of the transcriptomic AML landscape. Consensus clustering identified 17 robust patient clusters which improved identification of CEBPA-mutated patients with favourable outcomes, and uncovered transcriptomic subtypes for KMT2A rearrangements (2), NPM1 mutations (5), and AML with myelodysplasia-related changes (AML-MRC) (5). Transcriptomic subtypes of KMT2A, NPM1 and AML-MRC showed distinct mutational profiles, cell type differentiation arrests and immune properties, suggesting differences in underlying disease biology. Moreover, our transcriptomic clusters show differences in ex-vivo drug responses, even when corrected for differentiation arrest and superiorly capture differences in drug response compared to genetic classification. In conclusion, our findings underscore the importance of transcriptomics in AML subtyping and offer a basis for future research and personalised treatment strategies. Our transcriptomic compendium is publicly available and we supply an R package to project clusters to new transcriptomic studies.

Indexed as

Leukemia, Myeloid, AcuteNuclear ProteinsGene Expression ProfilingHumansMutationNucleophosminPrognosisTranscriptomeNuclear ProteinsNucleophosmin

Identifiers

What OpenQuestion holds

Textmetadata
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.