Evidence map›Paper›PMID 41739208›Full record

ArticleAnnals of hematology2026

Identification of the Philadelphia-like subgroup in Turkish pediatric patients with acute lymphoblastic leukemia.

Ecem Efendi Erdem, Gulsah Cecener, Ufuk Unal, Havva Tezcan Unlu, Melike Sezgin Evim, Birol Baytan, Unal Egeli, Yesim Oymak, Berrin Tunca, Adalet Meral Gunes

Abstract read
In one paragraph

Article in Annals of hematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Ecem Efendi ErdemDepartment of Medical Biology, Faculty of Medicine, Bursa Uludağ University, Bursa, Turkey.ORCID http://orcid.org/0000-0001-9003-8755
Gulsah CecenerDepartment of Medical Biology, Faculty of Medicine, Bursa Uludağ University, Bursa, Turkey. gcecener@uludag.edu.tr.ORCID http://orcid.org/0000-0002-3820-424X
Ufuk UnalDepartment of Medical Biology, Faculty of Medicine, Bursa Uludağ University, Bursa, Turkey.ORCID http://orcid.org/0000-0003-4913-3616
Havva Tezcan UnluDepartment of Medical Biology, Faculty of Medicine, Bursa Uludağ University, Bursa, Turkey.ORCID http://orcid.org/0000-0002-0910-4258
Melike Sezgin EvimDepartment of Paediatrics, Division of Paediatric Haematology and Oncology, Faculty of Medicine, Bursa Uludağ University, Bursa, Turkey.ORCID http://orcid.org/0000-0002-4792-269X
Birol BaytanDepartment of Paediatrics, Division of Paediatric Haematology and Oncology, Faculty of Medicine, Bursa Uludağ University, Bursa, Turkey.ORCID http://orcid.org/0000-0002-9375-2855
Unal EgeliDepartment of Medical Biology, Faculty of Medicine, Bursa Uludağ University, Bursa, Turkey.ORCID http://orcid.org/0000-0001-7904-883X
Yesim OymakDepartment of Pediatric Hematology and Oncology, Dr. Behçet Uz Pediatric Diseases and Surgery Training and Research Hospital, University of Health Sciences, İzmir, Turkey.ORCID http://orcid.org/0000-0002-6908-8309
Berrin TuncaDepartment of Medical Biology, Faculty of Medicine, Bursa Uludağ University, Bursa, Turkey.ORCID http://orcid.org/0000-0002-1619-6680
Adalet Meral GunesDepartment of Paediatrics, Division of Paediatric Haematology and Oncology, Faculty of Medicine, Bursa Uludağ University, Bursa, Turkey.ORCID http://orcid.org/0000-0002-0686-7129

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ph-like ALL, a high-risk subgroup of B-cell ALL, is associated with a poor prognosis. The genetic diversity observed across different ethnicities underscores the importance of population-specific studies to gain a deeper understanding of its genetic drivers and clinical outcomes. This study aims to characterize the Ph-like ALL group in Turkish pediatric B-ALL patients and evaluate our custom-developed gene panel for subgroup identification. To identify the Ph-like subgroup, RNA was isolated from 35 bone marrow samples, and targeted mRNA expression analysis was performed by RT-qPCR using a custom-designed panel consisting of 96 genes. Additionally, the Archer FusionPlex ALL Panel (ArcherDX, Boulder, CO) was employed for further evaluation of patients demonstrating the highest similarity rates. This study employed a gene panel designed to differentiate Turkish Ph-like ALL patients within the Ph-negative group, identifying two Ph-like cases (6%). The panel demonstrated 96.9% sensitivity and 93.9% specificity in detecting Ph-like ALL, highlighting its effectiveness in differential diagnosis. In the Ph-like cases, alterations in PAX5 (rs143723948, rs879020782) and IKZF1 (rs6975767) were observed. Both cases shared a novel EPOR variant (rs1312770718), with no known clinical impact. Additionally, a novel variantin the PTPN11 gene was interpreted as “Possibly Damaging”. This study introduces a gene profiling-based diagnostic approach for the Ph-like subgroup of pediatric B-ALL in Turkish patients. The integration of targeted tyrosine kinase inhibitors into treatment protocols, guided by the diagnostic algorithm, aims to improve prognosis and survival, advancing personalized management of Ph-like ALL.

Indexed as

Philadelphia ChromosomePrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentChildChild, PreschoolFemaleHumansInfantMaleTurkeyAcute lymphoblastic leukemiaGene expression profilePediatricPhiladelphia-likeRT-qPCR

Identifiers

PMID41739208
PMCPMC12935778

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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.