Evidence map›Paper›PMID 42469478›Full record

ReviewLeukemia2026

Central nervous system involvement in acute lymphoblastic leukemia: pathogenesis and targeted therapy.

Luke Quinlan, David Yeung, Susan Heatley, Deborah White, Elyse Page

Abstract readReview
In one paragraph

Review in Leukemia, 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
–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

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

5 authors.

Luke QuinlanBlood Cancer Program, Precision Cancer Medicine Theme, South Australian Health & Medical Research Institute (SAHMRI), Adelaide, SA, Australia.
David YeungBlood Cancer Program, Precision Cancer Medicine Theme, South Australian Health & Medical Research Institute (SAHMRI), Adelaide, SA, Australia.
Susan HeatleyAdelaide University, Adelaide, SA, Australia.ORCID http://orcid.org/0000-0001-7497-6477
Deborah WhiteBlood Cancer Program, Precision Cancer Medicine Theme, South Australian Health & Medical Research Institute (SAHMRI), Adelaide, SA, Australia.ORCID http://orcid.org/0000-0003-4844-333X
Elyse PageBlood Cancer Program, Precision Cancer Medicine Theme, South Australian Health & Medical Research Institute (SAHMRI), Adelaide, SA, Australia. elyse.page@sahmri.com.ORCID http://orcid.org/0000-0002-8990-2574

Funding

Cancer Council South Australia 022239
6 · The paper itself

Abstract

Involvement of the central nervous system (CNS) is an adverse complication of acute lymphoblastic leukemia (ALL) associated with poor patient outcomes. Clinical challenges in the diagnosis and treatment of ALL in the CNS arise from an incomplete understanding of CNS disease pathogenesis, a significant barrier to developing novel therapeutics and biomarkers to address these challenges. A concerted research effort over recent years has significantly improved our understanding of CNS disease pathogenesis in ALL. Numerous CNS-infiltrating mechanisms by ALL cells have been uncovered, so recent research focuses on how ALL persists in this site. The role of the CNS microenvironment in the survival and therapy resistance of ALL is emerging, driven by ALL cell adhesion and metabolic reprogramming, revealing pathways with therapeutic potential. Here, we integrate recent advances in CNS infiltration and persistence in ALL, focusing on the signaling and metabolic frameworks that enable leukemic survival and therapy resistance once established in this site. We also evaluate novel therapeutic avenues and emerging targeted therapies that could enhance the efficacy of CNS-directed therapy in ALL.

Indexed as

Central Nervous SystemCentral Nervous System NeoplasmsMolecular Targeted TherapyPrecursor Cell Lymphoblastic Leukemia-LymphomaAnimalsHumansSignal TransductionTumor Microenvironment

Identifiers

PMID42469478
PMCPMC13506329

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.