Evidence map›Paper›PMID 39587361›Full record

ArticleNature genetics2024

Single-cell multiomics analysis reveals dynamic clonal evolution and targetable phenotypes in acute myeloid leukemia with complex karyotype.

Aino-Maija Leppä, Karen Grimes, Hyobin Jeong, Frank Y Huang, Alvaro Andrades, Alexander Waclawiczek, Tobias Boch, Anna Jauch, Simon Renders, Patrick Stelmach and 16 more

Abstract read
In one paragraph

Article in Nature genetics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

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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

26 authors.

Aino-Maija Leppä *Division of Stem Cells and Cancer, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-0849-1759
Karen Grimes *European Molecular Biology Laboratory, Genome Biology Unit, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-4805-2366
Hyobin Jeong *European Molecular Biology Laboratory, Genome Biology Unit, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-1526-3343
Frank Y HuangDivision of Stem Cells and Cancer, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-2163-9300
Alvaro AndradesEuropean Molecular Biology Laboratory, Genome Biology Unit, Heidelberg, Germany.
Alexander WaclawiczekDivision of Stem Cells and Cancer, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.
Tobias BochUniversity Hospital Mannheim, Heidelberg University, Mannheim, Germany.
Anna JauchInstitute of Human Genetics, University of Heidelberg, Heidelberg, Germany.
Simon RendersDivision of Stem Cells and Cancer, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.
Patrick StelmachDivision of Stem Cells and Cancer, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.ORCID http://orcid.org/0009-0000-5270-4761
Carsten Müller-TidowDepartment of Internal Medicine V, Hematology, Oncology and Rheumatology, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-7166-5232
Darja KarpovaDivision of Stem Cells and Cancer, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.
Markus SohnDivision of Stem Cells and Cancer, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.
Florian GrünschlägerDivision of Stem Cells and Cancer, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.
Patrick HasenfeldEuropean Molecular Biology Laboratory, Genome Biology Unit, Heidelberg, Germany.
Eva Benito GaragorriEuropean Molecular Biology Laboratory, Genome Biology Unit, Heidelberg, Germany.
Vera ThielDivision of Stem Cells and Cancer, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany.
Anna DolnikCharité Medical Department, Division of Hematology, Oncology and Tumor Immunology, Berlin, Germany.ORCID http://orcid.org/0000-0003-4166-2900
Bernardo Rodriguez-MartinEuropean Molecular Biology Laboratory, Genome Biology Unit, Heidelberg, Germany.
Lars BullingerCharité Medical Department, Division of Hematology, Oncology and Tumor Immunology, Berlin, Germany.ORCID http://orcid.org/0000-0002-5890-5510
Krzysztof MrózekOhio State University Comprehensive Cancer Center, Columbus, OH, USA.ORCID http://orcid.org/0000-0002-1408-5063
Ann-Kathrin EisfeldOhio State University Comprehensive Cancer Center, Columbus, OH, USA.ORCID http://orcid.org/0000-0001-6442-1419
Alwin KrämerClinical Cooperation Unit Molecular Hematology/Oncology, German Cancer Research Center (DKFZ) and Department of Internal Medicine V, University of Heidelberg, Heidelberg, Germany.
Ashley D SandersMax Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany.ORCID http://orcid.org/0000-0003-3945-0677
Jan O KorbelEuropean Molecular Biology Laboratory, Genome Biology Unit, Heidelberg, Germany. jan.korbel@embl.org.ORCID http://orcid.org/0000-0002-2798-3794
Andreas TrumppDivision of Stem Cells and Cancer, German Cancer Research Center (DKFZ) and DKFZ-ZMBH Alliance, Heidelberg, Germany. a.trumpp@dkfz-heidelberg.de.ORCID http://orcid.org/0000-0002-6212-3466

Funding

Towards an inclusive genomic risk classification for acute myeloid leukemia (AML)R01CA284595 · NCI · OHIO STATE UNIVERSITY · PI Ann-Kathrin Eisfeld, H. LEIGHTON GRIMES · 2023 to 2026
$2.6M
Understanding Treatment Response Patterns And Therapy Resistance In IDH-Mutant AMLR01CA262496 · NCI · OHIO STATE UNIVERSITY · PI Ann-Kathrin Eisfeld, Elaine R. Mardis · 2022 to 2026
$2.6M
The role of inflammation in the regulation of immune response in acute myeloid leukemiaR01CA283574 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Iannis Aifantis, Ann-Kathrin Eisfeld · 2023 to 2026
$2.3M
Deutsche Forschungsgemeinschaft (German Research Foundation) SPP2036, FOR2674, SFB873Deutsche Krebshilfe (German Cancer Aid) "Integrate-TN" ConsortiumEuropean Molecular Biology Organization (EMBO) Postdoctoral FellowshipFoundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) R01CA262496, R01CA284595-01, R01CA283574-01NCI NIH HHS R01 CA262496NCI NIH HHS R01 CA283574NCI NIH HHS R01 CA284595
6 · The paper itself

Abstract

Chromosomal instability is a major driver of intratumoral heterogeneity (ITH), promoting tumor progression. In the present study, we combined structural variant discovery and nucleosome occupancy profiling with transcriptomic and immunophenotypic changes in single cells to study ITH in complex karyotype acute myeloid leukemia (CK-AML). We observed complex structural variant landscapes within individual cells of patients with CK-AML characterized by linear and circular breakage-fusion-bridge cycles and chromothripsis. We identified three clonal evolution patterns in diagnosis or salvage CK-AML (monoclonal, linear and branched polyclonal), with 75% harboring multiple subclones that frequently displayed ongoing karyotype remodeling. Using patient-derived xenografts, we demonstrated varied clonal evolution of leukemic stem cells (LSCs) and further dissected subclone-specific drug-response profiles to identify LSC-targeting therapies, including BCL-xL inhibition. In paired longitudinal patient samples, we further revealed genetic evolution and cell-type plasticity as mechanisms of disease progression. By dissecting dynamic genomic, phenotypic and functional complexity of CK-AML, our findings offer clinically relevant avenues for characterizing and targeting disease-driving LSCs.

Indexed as

Clonal EvolutionLeukemia, Myeloid, AcutePhenotypeSingle-Cell AnalysisAnimalsChromosomal InstabilityFemaleHumansKaryotypeMaleMiceMultiomicsNeoplastic Stem Cells

Identifiers

PMID39587361
PMCPMC11631769

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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.