Evidence map›Paper›PMID 38575672›Full record

ArticleLeukemia2024

Loss of hematopoietic progenitors heterogeneity is an adverse prognostic factor in lower-risk myelodysplastic neoplasms.

Charles Dussiau, Thibault Comont, Camille Knosp, Inès Vergnolle, Clotilde Bravetti, Alban Canali, Amandine Houvert, Laetitia Largeaud, Christian Daveaux, Laila Zaroili and 12 more

Open access · hybridAbstract read
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. High frequency of CD95British journal of haematology · 2026
    Article
  2. 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

22 authors at 3 institutions in 1 country.

Charles Dussiau *Assistance Publique-Hôpitaux de Paris. Centre-Université Paris Cité, Service d'hématologie biologique, Hôpital Cochin, Paris, France.ORCID 0000-0003-0646-0617
Thibault Comont *Centre Hospitalier Universitaire de Toulouse, Institut Universitaire du Cancer de Toulouse Oncopole, Service de Médecine Interne, Toulouse, France.
Camille KnospUniversité Paris Cité, Institut Cochin, CNRSUMR8104, INSERM U1016, Paris, France.
Inès VergnolleCentre Hospitalier Universitaire de Toulouse, Institut Universitaire du Cancer de Toulouse Oncopole, Laboratoire d'Hématologie, Toulouse, France.ORCID 0000-0001-7395-8891
Clotilde BravettiUniversité Paris Cité, Institut Cochin, CNRSUMR8104, INSERM U1016, Paris, France.
Alban CanaliCentre Hospitalier Universitaire de Toulouse, Institut Universitaire du Cancer de Toulouse Oncopole, Laboratoire d'Hématologie, Toulouse, France.ORCID 0000-0002-1609-3307
Amandine HouvertUniversité Paris Cité, Institut Cochin, CNRSUMR8104, INSERM U1016, Paris, France.
Laetitia LargeaudUniversité Toulouse III Paul Sabatier, Toulouse, France.
Christian DaveauxUniversité Paris Cité, Institut Cochin, CNRSUMR8104, INSERM U1016, Paris, France.
Laila ZaroiliUniversité Paris Cité, Institut Cochin, CNRSUMR8104, INSERM U1016, Paris, France.
Chloé FriedrichAssistance Publique-Hôpitaux de Paris. Centre-Université Paris Cité, Service d'hématologie biologique, Hôpital Cochin, Paris, France.
Ismaël BoussaidAssistance Publique-Hôpitaux de Paris. Centre-Université Paris Cité, Service d'hématologie biologique, Hôpital Cochin, Paris, France.
Loria ZalmaiAssistance Publique-Hôpitaux de Paris. Centre-Université Paris Cité, Service d'hématologie biologique, Hôpital Cochin, Paris, France.
Carole AlmireAssistance Publique-Hôpitaux de Paris. Centre-Université Paris Cité, Service d'hématologie biologique, Hôpital Cochin, Paris, France.
Odile RauzyCentre Hospitalier Universitaire de Toulouse, Institut Universitaire du Cancer de Toulouse Oncopole, Service de Médecine Interne, Toulouse, France.
Lise WillemsUniversité Paris Cité, Institut Cochin, CNRSUMR8104, INSERM U1016, Paris, France.
Rudy BirsenUniversité Paris Cité, Institut Cochin, CNRSUMR8104, INSERM U1016, Paris, France.
Didier BouscaryUniversité Paris Cité, Institut Cochin, CNRSUMR8104, INSERM U1016, Paris, France.
Michaela FontenayAssistance Publique-Hôpitaux de Paris. Centre-Université Paris Cité, Service d'hématologie biologique, Hôpital Cochin, Paris, France.
Olivier KosmiderAssistance Publique-Hôpitaux de Paris. Centre-Université Paris Cité, Service d'hématologie biologique, Hôpital Cochin, Paris, France.ORCID 0000-0002-6021-4057
Nicolas ChapuisAssistance Publique-Hôpitaux de Paris. Centre-Université Paris Cité, Service d'hématologie biologique, Hôpital Cochin, Paris, France. nicolas.chapuis@aphp.fr.ORCID 0000-0003-0601-3948
François VergezUniversité Toulouse III Paul Sabatier, Toulouse, France.ORCID 0000-0002-0063-4404
Centre National de la Recherche Scientifique · FRCentre Hospitalier Universitaire de Toulouse · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myelodysplastic neoplasms (MDS) are characterized by clonal evolution starting from the compartment of hematopoietic stem and progenitors cells (HSPCs), leading in some cases to leukemic transformation. We hypothesized that deciphering the diversity of the HSPCs compartment may allow for the early detection of an emergent sub-clone that drives disease progression. Deep analysis of HSPCs repartition by multiparametric flow cytometry revealed a strong disorder of the hematopoietic branching system in most patients at diagnosis with different phenotypic signatures closely related to specific MDS features. In two independent cohorts of 131 and 584 MDS, the HSPCs heterogeneity quantified through entropy calculation was decreased in 47% and 46% of cases, reflecting a more advanced state of the disease with deeper cytopenias, higher IPSS-R risk and accumulation of somatic mutations. We demonstrated that patients with lower-risk MDS and low CD34 + CD38+HSPCs entropy had an adverse outcome and that this parameter is as an independent predictive biomarker for progression free survival, leukemia free survival and overall survival. Analysis of HSPCs repartition at diagnosis represents therefore a very powerful tool to identify lower-risk MDS patients with a worse outcome and valuable for clinical decision-making, which could be fully integrated in the MDS diagnostic workflow.

Indexed as

Hematopoietic Stem CellsMyelodysplastic SyndromesAdultAgedAged, 80 and overBiomarkers, TumorFemaleHumansMaleMiddle AgedMutationPrognosisSurvival RateBiomarkers, Tumor

Identifiers

PMID38575672
PMCPMC11073965
OpenAlexW4393930190

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.