Evidence map›Paper›PMID 40935826›Full record

ArticleLeukemia2025

Acute myeloid leukaemia cells express high levels of androgen receptor but do not depend on androgen signaling for survival.

Farideh Miraki-Moud, Linda Ariza-McNaughton, Thinzar KoKo, Jad Othman, Randal Stronge, Johann de Bono, Nigel Russell, Ian Thomas, Amanda Gilkes, Alan Burnett and 7 more

Abstract read
In one paragraph

Article in Leukemia, 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. ANXA2-mediated Phagocytosis Generates ARAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  2. Article
  3. Article
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

17 authors.

Farideh Miraki-MoudCancer Biology, Acute Leukemia Lab, Institute of Cancer Research, Sutton, United Kingdom.
Linda Ariza-McNaughtonHematopoietic Stem Cell Lab, The Francis Crick Institute, London, United Kingdom.
Thinzar KoKoCancer Biology, Acute Leukemia Lab, Institute of Cancer Research, Sutton, United Kingdom.
Jad OthmanFaculty of Medicine and Health, University of Sydney, Sydney, Australia and Department of Medical and Molecular Genetics, King's College London, London, United Kingdom.
Randal StrongeCancer Biology, Acute Leukemia Lab, Institute of Cancer Research, Sutton, United Kingdom.
Johann de BonoDepartment of urology, Drug development, Institute of Cancer Research and Medical oncology, Royal Marsden Hospital, Sutton, United Kingdom.
Nigel RussellDepartment of Hematology, Guy's and St Thomas Hospitals NHS Trust, London, United Kingdom.
Ian ThomasCentre for Trials Research, College of Biomedical & Life Sciences, Cardiff University, Cardiff, United Kingdom.ORCID 0000-0002-8395-8075
Amanda GilkesDepartment of Hematology, Division of Cancer & Genetics School of Medicine, Cardiff University, Cardiff, United Kingdom.ORCID 0009-0006-2236-8852
Alan BurnettPaul O'Gorman Leukaemia Centre, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0003-1734-5817
Leandro Rodrigues SantiagoCore Research Facilities - Genomics Facility, Institute of Cancer Research, Sutton, United Kingdom.
Fay CaffertyClinical Trials & Stats Unit, Institute of Cancer Research, Sutton, United Kingdom.ORCID 0000-0002-0973-660X
Leo TaussigDepartment of Hematology, Royal Marsden Hospital, Sutton, United Kingdom.
Allan ThornhillBiological Service Unit, Institute of Cancer Research, Sutton, United Kingdom.
Simon O'ConnorDepartment of Histopathology, Royal Marsden Hospital, Sutton, United Kingdom.
Dominique BonnetHematopoietic Stem Cell Lab, The Francis Crick Institute, London, United Kingdom.ORCID 0000-0002-4735-5226
David C TaussigCancer Biology, Acute Leukemia Lab, Institute of Cancer Research, Sutton, United Kingdom. david.taussig@rmh.nhs.uk.ORCID 0000-0002-9621-0146

Funding

Cancer Research UK (CRUK) C15966/A24375Cancer Research UK (CRUK) C26822, A16484Cancer Research UK (CRUK) CRUK/08/025, A29806
6 · The paper itself

Abstract

Male sex is associated with worse outcome in acute myeloid leukemia (AML) in many studies. We analyzed the survival of 4281 patients treated with intensive chemotherapy in the AML17 and AML19 trials based on sex. Men had a significantly lower remission rate than women. Men had a higher incidence of adverse cytogenetic features and a lower incidence of the relatively favorable NPM1 mutation. However, male sex was an independent risk factor for survival in multi-variate analysis. We hypothesized that androgen signaling in men could worsen outcomes by protecting AML cells from chemotherapy. We demonstrated high levels of androgen receptor (AR) expression in AML across cytogenetic risk groups. We showed the AR expression was induced by IL-6 signaling in vitro and correlates with poor overall survival. Androgens had no effect on survival of primary AML cells in vitro, nor did they impact gene expression. Androgens did not protect AML cells against chemotherapy either in vitro or in vivo. Similar results were observed with estrogen signaling through estrogen receptor in vitro in AML cells. In conclusion, targeting the androgen pathway may not be a promising clinical strategy and sex hormone signaling in AML cells does not explain the poorer outcomes of men.

Indexed as

AndrogensLeukemia, Myeloid, AcuteReceptors, AndrogenSignal TransductionAdultAgedAnimalsCell SurvivalFemaleHumansMaleMiceMiddle AgedNucleophosminPrognosisSurvival RateAndrogensAR protein, humanNPM1 protein, humanNucleophosminReceptors, Androgen

Identifiers

PMID40935826
PMCPMC12634449

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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.