Evidence map›Paper›PMID 40727946›Full record

ArticleHemaSphere2025

Ex vivo drug responses and molecular profiles of 597 pediatric acute lymphoblastic leukemia patients.

Anna Pia Enblad, Olga Krali, Henrik Gezelius, Anders Lundmark, Kristin Blom, Claes Andersson, Josefine Palle, Britt-Marie Frost, Samppa Ryhänen, Trond Flægstad and 8 more

Erratum issuedAbstract read
In one paragraph

Article in HemaSphere, 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Anna Pia EnbladDepartment of Medical Sciences Uppsala University Uppsala Sweden.
Olga KraliDepartment of Medical Sciences Uppsala University Uppsala Sweden.
Henrik GezeliusDepartment of Medical Sciences Uppsala University Uppsala Sweden.
Anders LundmarkDepartment of Medical Sciences Uppsala University Uppsala Sweden.
Kristin BlomDepartment of Medical Sciences Uppsala University Uppsala Sweden.
Claes AnderssonDepartment of Medical Sciences Uppsala University Uppsala Sweden.
Josefine PalleDepartment of Women's and Children's Health Uppsala University Uppsala Sweden.
Britt-Marie FrostDepartment of Women's and Children's Health Uppsala University Uppsala Sweden.
Samppa RyhänenDivision of Hematology, Oncology and Stem Cell Transplantation, Children's Hospital, and Pediatric Research Center, The New Children's Hospital University of Helsinki and Helsinki University Central Hospital Helsinki Finland.
Trond FlægstadFor the Nordic Society of Pediatric Hematology and Oncology (NOPHO).
Ólafur G JónssonFor the Nordic Society of Pediatric Hematology and Oncology (NOPHO).
Kjeld SchmiegelowFor the Nordic Society of Pediatric Hematology and Oncology (NOPHO).
Mats HeymanFor the Nordic Society of Pediatric Hematology and Oncology (NOPHO).
Arja HarilaDepartment of Women's and Children's Health Uppsala University Uppsala Sweden.
Peter NygrenDepartment of Immunology, Genetics and Pathology Uppsala University Uppsala Sweden.
Rolf LarssonDepartment of Medical Sciences Uppsala University Uppsala Sweden.
Gudmar LönnerholmDepartment of Women's and Children's Health Uppsala University Uppsala Sweden.
Jessica NordlundDepartment of Medical Sciences Uppsala University Uppsala Sweden.ORCID https://orcid.org/0000-0001-8699-9959

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ex vivo drug response profiling is emerging as a valuable tool for identifying drug resistance mechanisms and advancing precision medicine in hematological cancers. However, the functional impact of dysregulation of the epigenome and transcriptome in this context remains poorly understood. In this study, we combined ex vivo drug sensitivity profiling with transcriptomic and epigenomic analyses in diagnostic samples from 597 pediatric B-cell precursor acute lymphoblastic leukemia (BCP-ALL) patients. Ex vivo resistance to antimetabolites (e.g., cytarabine, thioguanine), glucocorticoids (e.g., dexamethasone, prednisolone), and doxorubicin was independently associated with reduced relapse-free survival (P < 0.05). Molecular profiling identified pretreatment DNA methylation and gene expression patterns distinguishing resistant from sensitive cases, revealing key drug resistance signatures. These included aberrant expression of genes related to heme metabolism (e.g.,

Identifiers

PMID40727946
PMCPMC12301861

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.