Evidence map›Paper›PMID 40563586›Full record

ReviewCancers2025

The Telomere Length Signature in Leukemias-From Molecular Mechanisms Underlying Telomere Shortening to Immunotherapeutic Options Against Telomerase.

Stella Baliou, Iordanis Pelagiadis, Miruna-Maria Apetroaei, Elena Vakonaki, Andreea Letiția Arsene, Eleftheria Hatzidaki, Manolis N Tzatzarakis, Petros Ioannou, Aristides Tsatsakis, Eftichia Stiakaki

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

10 authors.

Stella BaliouLaboratory of Toxicology, School of Medicine, University of Crete, 71003 Heraklion, Greece.
Iordanis PelagiadisDepartment of Pediatric Hematology-Oncology, University Hospital of Heraklion, 71110 Heraklion, Greece.ORCID 0000-0001-5737-3770
Miruna-Maria ApetroaeiFaculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, 6 Traian Vuia Street, 020956 Bucharest, Romania.
Elena VakonakiLaboratory of Toxicology, School of Medicine, University of Crete, 71003 Heraklion, Greece.ORCID 0000-0003-1510-2205
Andreea Letiția ArseneFaculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, 6 Traian Vuia Street, 020956 Bucharest, Romania.ORCID 0000-0002-9478-6176
Eleftheria HatzidakiDepartment of Neonatology/NICU, University Hospital of Heraklion, 71110 Heraklion, Greece.ORCID 0000-0001-6256-3309
Manolis N TzatzarakisLaboratory of Toxicology, School of Medicine, University of Crete, 71003 Heraklion, Greece.
Petros IoannouSchool of Medicine, University of Crete, 71003 Heraklion, Greece.ORCID 0000-0003-1082-5674
Aristides TsatsakisLaboratory of Toxicology, School of Medicine, University of Crete, 71003 Heraklion, Greece.ORCID 0000-0003-3824-2462
Eftichia StiakakiDepartment of Pediatric Hematology-Oncology, University Hospital of Heraklion, 71110 Heraklion, Greece.ORCID 0000-0002-3343-5110

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The nucleoprotein structures known as telomeres provide genomic integrity by protecting the ends of chromosomes. Tumorigenesis is associated with alterations in telomere function and stability. This narrative review provides evidence of the potential prognostic value of telomere length and telomerase in leukemias. On the one hand, oxidative stress and mitochondrial dysfunction can accelerate telomere shortening, leading to higher susceptibility and the progression of leukemia. On the other hand, cytogenetic alterations (such as gene fusions and chromosomal abnormalities) and genomic complexity can result from checkpoint dysregulation, the induction of the DNA damage response (DDR), and defective repair signaling at telomeres. This review thoroughly outlines the ways by which telomere dysfunction can play a key role in the development and progression of four primary leukemias, including chronic lymphocytic leukemia (CLL), chronic myeloid leukemia (CML), and acute leukemias of myeloid or lymphoid origin, highlighting the potential prognostic value of telomere length in this field. However, telomerase, which is highly active in leukemias, can prevent the rate of telomere attrition. In line with this, leukemia cells can proliferate, suggesting telomerase as a promising therapeutic target in leukemias. For this reason, telomerase-based immunotherapy is analyzed in the fight against leukemias, leveraging the immune system to eliminate leukemia cells with uncontrolled proliferation.

Indexed as

genomic instabilityimmunotherapy in leukemialeukemialeukemia prognosismitochondrial dysfunctionoxidative stresstelomerase-based therapytelomerase inhibitorstelomerase vaccinestelomere length

Identifiers

PMID40563586
PMCPMC12190229

What OpenQuestion holds

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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.