Evidence map›Paper›PMID 40014425›Full record

ArticleBlood advances2025

Integrative cytogenetic and molecular studies unmask "chromosomal mimicry" in hematologic malignancies.

Melissa Zhao, Scott Ryall, Samuel J Brody, Amyah C Harris, Kristin Cabral, Catherine Brownstein, Jaeseung C Kim, Adam C Smith, Paola Dal Cin, Rupa Narayan and 11 more

Abstract read
In one paragraph

Article in Blood advances, 2025. 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. Article
  2. Review
  3. 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

21 authors.

Melissa ZhaoDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Scott RyallDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Samuel J BrodyDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Amyah C HarrisDepartment of Hematology/Oncology, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA.
Kristin CabralDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA.
Catherine BrownsteinDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA.
Jaeseung C KimDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.ORCID 0009-0009-0387-8525
Adam C SmithDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada.
Paola Dal CinDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Rupa NarayanDepartment of Hematology/Oncology, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA.
Kristin SikkinkArima Genomics Inc., Carlsbad, CA.ORCID 0000-0002-0805-0622
Anthony SchmittArima Genomics Inc., Carlsbad, CA.
Gabriela S HobbsDepartment of Hematology/Oncology, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA.ORCID 0000-0002-0199-9333
Amir T FathiDepartment of Hematology/Oncology, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA.ORCID 0000-0003-4907-6447
Gabriel K GriffinDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Sheila N J SaitDepartment of Pathology, Roswell Park Comprehensive Cancer Center, Buffalo, NY.
Anthony J IafrateDepartment of Pathology, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA.
Jon C AsterDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Timothy A GraubertDepartment of Hematology/Oncology, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA.
Valentina NardiDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Adrian M DubucDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractThe detection of structural variants (SVs) represents a critical component in the diagnostic evaluation and treatment of many hematologic malignancies. Although clinical SV testing mainly consists of traditional cytogenetic methodologies, technological innovations have led to alternative approaches with improved resolution. In this study, we sought to characterize the clinical impact of targeted RNA sequencing on the diagnosis of myeloid and immature lymphoid malignancies. Across a cohort (n = 380) of myeloid (87%) and immature lymphoid (13%) tumors, we compared SVs detected by chromosome banding analysis (CBA) and fusion events detected by anchored multiplex polymerase chain reaction (AMP)-targeted RNA sequencing. Variants detected by either assay were categorized using a 5-tier system: tier 1 (established clinical significance); tier 2 (possible clinical significance); tier 3 (unknown significance); tier 4 (known germ line variants), and tier 5 (no variants detected). The combined use of AMP and CBA improved the detection of clinically relevant (tier 1 or 2) findings in 10% of cases. Unexpectedly, in 1% (3/380) of the patients in our study, CBA appeared to detect a defining SV, for example, t(9;22)(q34;q11.2), that was not confirmed by AMP fusion studies. Subsequent evaluation by orthogonal approaches confirmed breakpoints on the expected chromosomes but did not involve the anticipated genes. Our study indicates that "chromosomal mimicry," a phenomenon in which chromosome morphology resembles a known SV but lacks the expected gene-level rearrangement, is an infrequent but recurrent finding with the potential to confound clinical management. Our study highlights the need for assays with gene-level resolution in the diagnostic evaluation of hematologic malignancies.

Indexed as

Cytogenetic AnalysisHematologic NeoplasmsMolecular MimicryAdultAgedFemaleHumansMaleMiddle Aged

Identifiers

PMID40014425
PMCPMC11907439

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.