Evidence map›Paper›PMID 41507381›Full record

ArticleLeukemia2026

Identifying targeted therapies for CBFA2T3::GLIS2 acute myeloid leukemia.

Fanny Gonzales, Constanze Schneider, Gabriela Alexe, Shan Lin, Delan Khalid, Montserrat Alvarez, Allen Basanthakumar, Jana M Ellegast, Lucy Merickel, Silvi Salhotra and 8 more

Abstract read
In one paragraph

Article in Leukemia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Fanny GonzalesDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA. fanny.gonzales@unige.ch.ORCID http://orcid.org/0000-0003-1093-351X
Constanze SchneiderDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA.
Gabriela AlexeDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5668-6297
Shan LinDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA.
Delan KhalidDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA.
Montserrat AlvarezCANSEARCH Research Platform for Pediatric Oncology and Hematology, Department of Pediatrics, Gynecology, and Obstetrics, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Allen BasanthakumarDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7664-5030
Jana M EllegastDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA.
Lucy MerickelDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0009-0008-8858-2776
Silvi SalhotraDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA.
Audrey TaillonDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA.
Mariateresa GiaimoDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-8748-7012
Mark WunderlichDivision of Experimental Hematology and Cancer Biology, Cancer and Blood Disease Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Marc AnsariCANSEARCH Research Platform for Pediatric Oncology and Hematology, Department of Pediatrics, Gynecology, and Obstetrics, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Jennifer A PerryDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA.
Barbara DegarDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA.
Yana PikmanDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5336-0216
Kimberly StegmaierDepartment of Pediatric Oncology, Dana-Farber Cancer Institute; Division of Hematology/Oncology, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA. kimberly_stegmaier@dfci.harvard.edu.ORCID http://orcid.org/0000-0003-0218-7895

Funding

Targeting Pediatric Cancer VulnerabilitiesR35CA283977 · NCI · DANA-FARBER CANCER INST · PI Kimberly Stegmaier · 2023 to 2026
$4.2M
Therapeutic insights through patient derived leukemia xenograftsR50CA211404 · NCI · CINCINNATI CHILDRENS HOSP MED CTR · PI Mark Wunderlich · 2016 to 2026
$1.9M
Characterizing the role of MARCH5 in apoptosis regulation in acute myeloid leukemiaR00CA263161 · NCI · SEATTLE CHILDREN'S HOSPITAL · PI Shan Lin · 2024 to 2026
$747k
NCI NIH HHS R00 CA263161NCI NIH HHS R35 CA283977NCI NIH HHS R50 CA211404
6 · The paper itself

Abstract

CBFA2T3::GLIS2-positive pediatric acute myeloid leukemia (AML) remains one of the worst prognostic AML subgroups. To uncover innovative targeted therapy approaches in this disease subtype we performed genome-scale CRISPR-Cas9 screening that highlighted a strong, selective dependency on JAK2 compared to other types of cancer. Using a doxycycline-inducible JAK2 knockout (KO) system, we validated JAK2 dependency in CBFA2T3::GLIS2 cell lines, observing impaired proliferation in vitro and in vivo and apoptosis induction in vitro. Both type I (ruxolitinib) and type II (CHZ868) JAK2 inhibitors showed selective in vitro activity in CBFA2T3::GLIS2-positive AML models. To identify resistance and sensitizer mechanisms to JAK2 inhibitors, we used CRISPR-Cas9 ruxolitinib anchor screening in CBFA2T3::GLIS2 AML. sgRNAs targeting negative regulators of the MAPK pathway were enriched in the ruxolitinib-treated cells. Similarly, CBFA2T3::GLIS2 AML sublines grown to resistance under chronic ruxolitinib treatment expressed pathogenic NRAS mutations. Both approaches converged on MAPK pathway activation as a resistance mechanism to ruxolitinib treatment. Combining ruxolitinib with MEK inhibitors showed a synergistic effect in cell lines and patient-derived xenograft (PDX) cells expressing the fusion and in vivo activity in a CBFA2T3::GLIS2 AML PDX, suggesting a potential approach to target this signaling circuitry in this poor outcome AML subtype.

Indexed as

Leukemia, Myeloid, AcuteMolecular Targeted TherapyAnimalsApoptosisCell Line, TumorCell ProliferationCRISPR-Cas SystemsHumansJanus Kinase 2MiceNitrilesProtein Kinase InhibitorsPyrazolesPyrimidinesXenograft Model Antitumor AssaysJAK2 protein, humanJanus Kinase 2NitrilesProtein Kinase InhibitorsPyrazolesPyrimidinesruxolitinib

Identifiers

PMID41507381
PMCPMC12875880

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.