Evidence map›Paper›PMID 40958033›Full record

ArticleLeukemia2025

Granulocyte abundance and maturation state at diagnosis predicts treatment-free remission in CML.

Mikko Purhonen, Mikael Tatun, Katariina Luukkainen, Kevin Hung, Henri Sundquist, Oda Tafjord, Stina Söderlund, Shady Adnan-Awad, Anni Dohlen, Johanna Heikkinen and 12 more

Abstract readMulticenter Study
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 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. Trial
  2. Review
  3. Article
  4. 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

22 authors.

Mikko PurhonenHematoscope Lab, Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.
Mikael TatunHematoscope Lab, Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.
Katariina LuukkainenHematoscope Lab, Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.
Kevin HungRoyal Adelaide Hospital and SA Pathology, Central Adelaide Local Health Network, Adelaide, SA, Australia.ORCID 0009-0001-9354-5864
Henri SundquistHematoscope Lab, Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.ORCID 0009-0008-8145-9994
Oda TafjordDepartment of Hematology, St. Olavs Hospital, Trondheim, Norway.
Stina SöderlundDepartment of Medical Science and Division of Hematology, Uppsala University Hospital, Uppsala, Sweden.
Shady Adnan-AwadHematology Research Unit Helsinki, Department of Hematology, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.ORCID 0000-0001-6205-7799
Anni DohlenHematoscope Lab, Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.
Johanna HeikkinenHematoscope Lab, Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.
Perttu KoskenvesaDepartment of Hematology, Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
Sanna SiitonenHematoscope Lab, Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.
Satu MustjokiHematology Research Unit Helsinki, Department of Hematology, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.ORCID 0000-0002-0816-8241
Naranie ShanmuganathanRoyal Adelaide Hospital and SA Pathology, Central Adelaide Local Health Network, Adelaide, SA, Australia.ORCID 0000-0001-5895-8797
Coral BryceRoyal Adelaide Hospital and SA Pathology, Central Adelaide Local Health Network, Adelaide, SA, Australia.
Signe DanielssonMedicinska kliniken, Universitetssjukhuset, Orebro, Sweden.
Henrik Hjorth-HansenDepartment of Hematology, St. Olavs Hospital, Trondheim, Norway.ORCID 0000-0002-2670-5696
Ulla Olsson-StrömbergDepartment of Medical Science and Division of Hematology, Uppsala University Hospital, Uppsala, Sweden.
Takashi KumagaiDepartment of Hematology, Ome Medical Center, Ome-Shi, Tokyo, Japan.
Shinya KimuraDivision of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.ORCID 0000-0003-1717-6208
David M RossRoyal Adelaide Hospital and SA Pathology, Central Adelaide Local Health Network, Adelaide, SA, Australia.ORCID 0000-0001-7171-2935
Oscar BrückHematoscope Lab, Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland. oscar.bruck@hus.fi.ORCID 0000-0002-7842-9419

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment-free remission (TFR) has become a therapeutic objective for selected chronic-phase chronic myeloid leukemia (CP CML). However, no standardized biomarker is yet in clinical use. In this multi-center study, we explored the potential of bone marrow (BM) cytomorphology given its global accessibility and integral role in clinical diagnostics. We included diagnostic BM aspirate samples of 113 CP CML patients from seven clinical sites having attempted first TKI discontinuation. We digitized cytomorphological slides into 100x-magnified high-resolution images and analyzed these with deep learning-based image analysis. We profiled the BM cytomorphological fingerprint of CP CML patients and recapitulated the known granulocytic predominance and reduction of lymphoid, monocytic and erythroid cells in comparison to an extensive cohort of 942 control BM samples. We discovered neutrophil abundance and granulocytic maturation to associate with sustained TFR. We confirmed these visually and demonstrated their independent impact over known clinical factors. Our study underlines the potential of computational BM cytomorphology to identify novel clinical biomarkers and suggests that granulocytic expansion and maturation at diagnosis could reflect intrinsic disease pathology influencing TFR maintenance.

Indexed as

GranulocytesLeukemia, Myelogenous, Chronic, BCR-ABL PositiveAdultAgedBone MarrowFemaleHumansMaleMiddle AgedPrognosisRemission Induction

Identifiers

PMID40958033
PMCPMC12634435

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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.