Evidence map›Paper›PMID 40202536›Full record

ArticleAnnals of hematology2025

Mutational heterogeneities in STAT3 and clonal hematopoiesis-related genes in acquired pure red cell aplasia.

Toru Kawakami, Fumihiro Kawakami, Shuji Matsuzawa, Taku Yamane, Yuga Mizuno, Ami Asakura, Daigo Higano, Shotaro Miyairi, Kaoko Sakai, Sayaka Nishina and 5 more

Erratum issuedAbstract read
In one paragraph

Article in Annals of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Toru KawakamiDepartment of Hematology and Clinical Oncology, Shinshu University School of Medicine, Matsumoto, Japan.
Fumihiro KawakamiDepartment of Hematology and Clinical Oncology, Shinshu University School of Medicine, Matsumoto, Japan.
Shuji MatsuzawaDepartment of Hematology and Clinical Oncology, Shinshu University School of Medicine, Matsumoto, Japan.
Taku YamaneCentral Laboratory Department, Shinshu University Hospital, Matsumoto, Japan.
Yuga MizunoDepartment of Biomedical Laboratory Sciences, Shinshu University School of Medicine, Matsumoto, Japan.
Ami AsakuraDepartment of Biomedical Laboratory Sciences, Shinshu University School of Medicine, Matsumoto, Japan.
Daigo HiganoDepartment of Biomedical Laboratory Sciences, Shinshu University School of Medicine, Matsumoto, Japan.
Shotaro MiyairiDepartment of Biomedical Laboratory Sciences, Shinshu University School of Medicine, Matsumoto, Japan.
Kaoko SakaiDepartment of Hematology and Clinical Oncology, Shinshu University School of Medicine, Matsumoto, Japan.
Sayaka NishinaDepartment of Hematology and Clinical Oncology, Shinshu University School of Medicine, Matsumoto, Japan.
Hitoshi SakaiDepartment of Hematology and Clinical Oncology, Shinshu University School of Medicine, Matsumoto, Japan.
Yasushi KubotaDivision of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Yumiko HiguchiDepartment of Biomedical Laboratory Sciences, Shinshu University School of Medicine, Matsumoto, Japan.
Hideyuki NakazawaDepartment of Hematology and Clinical Oncology, Shinshu University School of Medicine, Matsumoto, Japan. hnaka@shinshu-u.ac.jp.
Fumihiro IshidaDepartment of Hematology and Clinical Oncology, Shinshu University School of Medicine, Matsumoto, Japan. fumishi@shinshu-u.ac.jp.

Funding

Ministry of Education, Culture, Sports, Science and Technology 20K080709Ministry of Education, Culture, Sports, Science and Technology 21K16302
6 · The paper itself

Abstract

Dysregulation of T cell-mediated immunity is considered a major pathophysiological mechanism in acquired pure red cell aplasia (PRCA), including idiopathic PRCA, large granular lymphocytic leukemia-associated PRCA, and thymoma-associated PRCA. Although STAT3 mutations are frequently detected in PRCA patients, the roles of other mutational profiles and their impact on clinical characteristics remain unclear. In this study, whole-exome sequencing and targeted sequencing using a custom-designed panel were performed on 53 PRCA patients. The most frequently mutated genes were STAT3 (36%), PCLO (9%), TET2 (9%), NEB (6%), DNMT3A (6%), and POT1 (6%). Based on genetic profiles, patients were classified into three groups: those with STAT3 variants (group S), those without STAT3 variants but with variants in clonal hematopoiesis (CH)-related genes (group C), and those without variants in either STAT3 or CH-related genes (group O). Patients in group O had a higher median age compared to group S, while group S exhibited milder anemia severity than group C. Additionally, POT1 variants were associated with the idiopathic subtype of PRCA in females, often co-occurring with STAT3 variants. Variants in CH-related genes and other genes, including STAT3 and POT1, may play crucial roles in the pathophysiology of PRCA.

Indexed as

Clonal HematopoiesisGenetic HeterogeneityMutationRed-Cell Aplasia, PureSTAT3 Transcription FactorAdultAgedAged, 80 and overDNA Methyltransferase 3AExome SequencingFemaleHumansMaleMiddle AgedDNA Methyltransferase 3ASTAT3 protein, humanSTAT3 Transcription FactorBone marrow failureClonal hematopoiesisPOT1Pure red cell aplasiaSTAT3TET2

Identifiers

PMID40202536
PMCPMC12031804

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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.