Evidence map›Paper›PMID 40983754›Full record

ArticleNature genetics2025

Rapid epigenomic classification of acute leukemia.

Til L Steinicke, Salvatore Benfatto, Maria R Capilla-Guerra, Andre B Monteleone, Jonathan H Young, Subha Shankar, Phillip D Michaels, Harrison K Tsai, Jonathan D Good, Antonia Kreso and 5 more

Abstract read
In one paragraph

Article in Nature genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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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

15 authors.

Til L Steinicke *Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0009-0007-0287-0076
Salvatore Benfatto *Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4439-3136
Maria R Capilla-GuerraBroad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID http://orcid.org/0009-0005-1199-4295
Andre B MonteleoneBroad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID http://orcid.org/0009-0006-9181-1467
Jonathan H YoungDepartment of Pathology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0003-3365-2702
Subha ShankarDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
Phillip D MichaelsDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
Harrison K TsaiDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
Jonathan D GoodBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Antonia KresoDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Peter van GalenBroad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-0735-1570
Christoph SchliemannDepartment of Medicine A, University Hospital Münster, Münster, Germany.ORCID http://orcid.org/0000-0003-1755-9583
Evan C ChenDivision of Leukemia, Dana-Farber Cancer Institute, Boston, MA, USA.
Gabriel K GriffinBroad Institute of MIT and Harvard, Cambridge, MA, USA. gabriel_griffin@dfci.harvard.edu.ORCID http://orcid.org/0000-0002-4042-6757
Volker HovestadtDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. volker_hovestadt@dfci.harvard.edu.ORCID http://orcid.org/0000-0002-3480-6649

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute leukemia requires precise molecular classification and urgent treatment. However, standard-of-care diagnostic tests are time-intensive and do not capture the full spectrum of acute leukemia heterogeneity. Here, we developed a framework to classify acute leukemia using genome-wide DNA methylation profiling. We first assembled a comprehensive reference cohort (n = 2,540 samples) and defined 38 methylation classes. Methylation-based classification matched standard-pathology lineage classification in most cases and revealed heterogeneity in addition to that captured by genetic categories. Using this reference, we developed a neural network (MARLIN; methylation- and AI-guided rapid leukemia subtype inference) for acute leukemia classification from sparse DNA methylation profiles. In retrospective cohorts profiled by nanopore sequencing, high-confidence predictions were concordant with conventional diagnoses in 25 out of 26 cases. Real-time MARLIN classification in patients with suspected acute leukemia provided accurate predictions in five out of five cases, which were typically generated within 2 h of sample receipt. In summary, we present a framework for rapid acute leukemia classification that complements and enhances standard-of-care diagnostics.

Indexed as

DNA MethylationEpigenomicsLeukemiaLeukemia, Myeloid, AcuteAdultEpigenesis, GeneticFemaleHumansMaleNeural Networks, ComputerRetrospective Studies

Identifiers

PMID40983754
PMCPMC12513838

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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.