Evidence map›Paper›PMID 39250742›Full record

ArticleThe oncologist2024

Characterization of driver mutations identifies gene signatures predictive of prognosis and treatment sensitivity in multiple myeloma.

Jian-Rong Li, Abinand Krishna Parthasarathy, Aravind Singaram Kannappan, Shahram Arsang-Jang, Jing Dong, Chao Cheng

Abstract read
In one paragraph

Article in The oncologist, 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
–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

2 citing papers in PubMed.

  1. 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

6 authors.

Jian-Rong LiDepartment of Medicine, Baylor College of Medicine, Houston, TX 77030, United States.ORCID 0000-0003-2382-6270
Abinand Krishna ParthasarathyDepartment of Bioengineering, Rice University, Houston, TX 77005, United States.
Aravind Singaram KannappanDepartment of Biology, Baylor University, Waco, TX 76706, United States.
Shahram Arsang-JangDivision of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, United States.
Jing DongDivision of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, United States.
Chao ChengDepartment of Medicine, Baylor College of Medicine, Houston, TX 77030, United States.ORCID 0000-0002-5002-3417

Funding

(PQD4) SIGNS OF INFLAMMATORY BREAST CANCER ARE CAUSED BY STROMAL FIELD EFFECTSR01CA180061 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI WOODWARD, WENDY A · 2013 to 2016
$1.9M
An innovative integrated computational framework using gene signatures for patient stratificationR01CA269764 · NCI · BAYLOR COLLEGE OF MEDICINE · PI CHAO CHENG · 2023 to 2026
$1.8M
Cancer Prevention Research Institute of Texas RR180061NCI NIH HHS 1R01CA269764NCI NIH HHS R01 CA269764
6 · The paper itself

Abstract

In multiple myeloma (MM), while frequent mutations in driver genes are crucial for disease progression, they traditionally offer limited insights into patient prognosis. This study aims to enhance prognostic understanding in MM by analyzing pathway dysregulations in key cancer driver genes, thereby identifying actionable gene signatures. We conducted a detailed quantification of mutations and pathway dysregulations in 10 frequently mutated cancer driver genes in MM to characterize their comprehensive mutational impacts on the whole transcriptome. This was followed by a systematic survival analysis to identify significant gene signatures with enhanced prognostic value. Our systematic analysis highlighted 2 significant signatures, TP53 and LRP1B, which notably outperformed mere mutation status in prognostic predictions. These gene signatures remained prognostically valuable even when accounting for clinical factors, including cytogenetic abnormalities, the International Staging System (ISS), and its revised version (R-ISS). The LRP1B signature effectively distinguished high-risk patients within low/intermediate-risk categories and correlated with significant changes in the tumor immune microenvironment. Additionally, the LRP1B signature showed a strong association with proteasome inhibitor pathways, notably predicting patient responses to bortezomib and the progression from monoclonal gammopathy of unknown significance to MM. Through a rigorous analysis, this study underscores the potential of specific gene signatures in revolutionizing the prognostic landscape of MM, providing novel clinical insights that could influence future translational oncology research.

Indexed as

Multiple MyelomaMutationBiomarkers, TumorFemaleGene Expression Regulation, NeoplasticHumansMalePrognosisReceptors, LDLTranscriptomeTumor Suppressor Protein p53Biomarkers, TumorLRP1B protein, humanReceptors, LDLTP53 protein, humanTumor Suppressor Protein p53gene signaturesLRP1Bmultiple myelomaprognostic predictionTP53

Identifiers

PMID39250742
PMCPMC11639189

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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.