Evidence map›Paper›PMID 40877983›Full record

ArticleHuman genomics2025

Comparative outcome and prognostic factor analysis among MDS/AML patients with TP53 mutations, snps, and wild type.

Xiaodi Yang, Zeyin Liang, Li Ji, Wei Liu, Bingjie Wang, Yuan Li, Jinping Ou, Xinan Cen, Hanyun Ren, Stefan Wuchty and 2 more

Abstract readComparative Study
In one paragraph

Article in Human genomics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. Review
  4. Article
  5. Pandora's Box of AML: HowBiomedicines · 2025
    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

12 authors.

Xiaodi Yang *Department of Hematology, Peking University First Hospital, Beijing, China.
Zeyin Liang *Department of Hematology, Peking University First Hospital, Beijing, China.
Li JiDepartment of Hematology, Peking University First Hospital, Beijing, China.
Wei LiuDepartment of Hematology, Peking University First Hospital, Beijing, China.
Bingjie WangDepartment of Hematology, Peking University First Hospital, Beijing, China.
Yuan LiDepartment of Hematology, Peking University First Hospital, Beijing, China.
Jinping OuDepartment of Hematology, Peking University First Hospital, Beijing, China.
Xinan CenDepartment of Hematology, Peking University First Hospital, Beijing, China.
Hanyun RenDepartment of Hematology, Peking University First Hospital, Beijing, China.
Stefan WuchtyDepartment of Computer Science, University of Miami, Miami, FL, 33146, USA.
Ziding ZhangState Key Laboratory of Farm Animal Biotech Breeding, College of Biological Sciences, China Agricultural University, Beijing, 100193, China.
Yujun DongDepartment of Hematology, Peking University First Hospital, Beijing, China. dongy@hsc.pku.edu.cn.

Funding

National High Level Hospital Clinical Research Funding (Interdisciplinary Clinical Research Project of Peking University First Hospital) 2022CR38National High Level Hospital Clinical Research Funding (Scientific Research Seed Fund of Peking University First Hospital) 2023SF50
6 · The paper itself

Abstract

While variant TP53 is an adverse prognosis factor in myelodysplastic syndromes (MDS)/acute myeloid leukemia (AML), current clinical prognosis and variation feature analysis of TP53 alterations remain limited. We evaluated 333 MDS/AML patients with TP53 mutations, single nucleotide polymorphisms (SNPs), and wild-type TP53 to characterize clinical features and identify prognostic factors using next-generation sequencing (NGS) data. Interpretation requires caution due to sample size limitations, particularly in subgroup analyses. Multivariate analysis identified age, gender, cytogenetic risk, transplantation, white blood cell (WBC) count, TP53 status, and TP53 variant allele frequency (VAF) > 40% as independent prognostic factors. Patients with TP53 mutations (n = 45) had significantly worse overall survival (OS) and disease-free survival (DFS) (2-year OS: 34.94%; DFS: 38.26%) compared to those with TP53 SNPs (n = 84; 2-year OS: 77.25%; DFS: 87.54%; P < 0.001) and TP53 wild-type patients (n = 204; 2-year OS: 63.25%; DFS: 70.72%; P < 0.05). Notably, TP53 SNP carriers exhibited comparable or superior survival to TP53 wild-type patients. Focusing on the TP53 mutated cases, we identified TET2 as a possible disadvantageous prognosis factor among the coexistent gene mutations of TP53, suggesting that a potential dual-gene (TET2-TP53) mutation signature is associated with shorter survival. Therapeutic analysis revealed that transplantation improved survival in TP53 variant patients compared to chemotherapy alone, supporting its role as an effective intervention. Our findings highlight the prognostic significance of TP53 alterations in MDS/AML and underscore the importance of karyotype risk stratification, post-transplant relapse prevention, and mutation monitoring to optimize outcomes. Future studies with larger cohorts are needed to validate these results.

Indexed as

Leukemia, Myeloid, AcuteMyelodysplastic SyndromesPolymorphism, Single NucleotideTumor Suppressor Protein p53AdultAgedAged, 80 and overDioxygenasesDisease-Free SurvivalDNA-Binding ProteinsFemaleHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedMutationDioxygenasesDNA-Binding ProteinsProto-Oncogene ProteinsTET2 protein, humanTP53 protein, humanTumor Suppressor Protein p53Gene mutationHematopoietic stem cell transplantationMDS/AMLPrognosisTP53

Identifiers

PMID40877983
PMCPMC12395695

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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.