Evidence map›Paper›PMID 39068406›Full record

ArticleBMC pediatrics2024

Treatment of three pediatric AML co-expressing NUP98-NSD1, FLT3-ITD, and WT1.

Li Liu, Qi Nie, Zugang Xiao, Xin Chen, Chunhui Yang, Xiaoyan Mao, Na Li, Yan Zhou, Qulian Guo, Xin Tian

Abstract readCase Reports
In one paragraph

Article in BMC pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. A novelFrontiers in oncology · 2026
    Article
  2. Article
  3. 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

10 authors.

Li LiuDepartment of Hematology, The Affiliated Children's Hospital of Kunming Medical University, Kunming Medical University, Kunming, China.
Qi NieDepartment of Pediatrics, Da Li University, Da Li, China.
Zugang XiaoKunming Kingmed Institute for Clinical Laboratory Co., Kunming, China.
Xin ChenDepartment of Hematology, Kunming Children's Hospital, Kunming, China.
Chunhui YangKunming Kingmed Institute for Clinical Laboratory Co., Kunming, China.
Xiaoyan MaoDepartment of Pediatrics, Sichuan Clinical Research Center for Birth Defects, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Na LiKunming Kingmed Institute for Clinical Laboratory Co., Kunming, China.
Yan ZhouKunming Kingmed Institute for Clinical Laboratory Co., Kunming, China.
Qulian GuoDepartment of Pediatrics, Sichuan Clinical Research Center for Birth Defects, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Xin TianDepartment of Hematology, The Affiliated Children's Hospital of Kunming Medical University, Kunming Medical University, Kunming, China. liontiger006342@163.com.

Funding

Sichuan Science and Technology Program 2022YFS0622, 2022YFS0622-B4Yunnan Zhu Xiaofan Expert Workstation 202105AF150070
6 · The paper itself

Abstract

During the treatment of 89 pediatric patients with Acute Myeloid Leukemia (AML) at the Hematology Department of Kunming Medical University's Children's Hospital from 2020 to 2023, three patients were identified to co-express the NUP98-NSD1, FLT3-ITD, and WT1 gene mutations. The bone marrow of these three patients was screened for high-risk genetic mutations using NGS and qPCR at the time of diagnosis. The treatment was administered following the China Children's Leukemia Group (CCLG)-AML-2019 protocol. All three patients exhibited a fusion of the NUP98 exon 12 with the NSD1 exon 6 and co-expressed the FLT3-ITD and WT1 mutations; two of the patients displayed normal karyotypes, while one presented chromosomal abnormalities. During the induction phase of the CCLG-AML-2019 treatment protocol, the DAH (Daunorubicin, Cytarabine, and Homoharringtonine) and IAH (Idarubicin, Cytarabine, and Homoharringtonine) regimens, in conjunction with targeted drug therapy, did not achieve remission. Subsequently, the patients were shifted to the relapsed/refractory chemotherapy regimen C + HAG (Cladribine, Homoharringtonine, Cytarabine, and G-CSF) for two cycles, which also failed to induce remission. One patient underwent Haploidentical Hematopoietic Stem Cell Transplantation (Haplo-HSCT) and achieved complete molecular remission during a 12-month follow-up period. Regrettably, the other two patients, who did not receive transplantation, passed away. The therapeutic conclusion is that pediatric AML patients with the aforementioned co-expression do not respond to chemotherapy. Non-remission transplantation, supplemented with tailor-made pre- and post-transplant strategies, may enhance treatment outcomes.

Indexed as

fms-Like Tyrosine Kinase 3Leukemia, Myeloid, AcuteOncogene Proteins, FusionWT1 ProteinsAntineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolCytarabineFemaleHematopoietic Stem Cell TransplantationHomoharringtonineHumansInfantMaleMutationNuclear Pore Complex ProteinsCytarabineFLT3 protein, humanfms-Like Tyrosine Kinase 3HomoharringtonineNuclear Pore Complex ProteinsNUP98-NSD1 protein, humanOncogene Proteins, FusionWT1 protein, humanWT1 ProteinsAMLFLT3/ITDHaplo-HSCTNUP98/NSD1PediatricWT1

Identifiers

PMID39068406
PMCPMC11282587

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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.