Evidence map›Paper›PMID 31467429›Full record

ArticleLeukemia2020

Bidirectional linkage between the B-cell receptor and NOTCH1 in chronic lymphocytic leukemia and in Richter's syndrome: therapeutic implications.

Francesca Arruga, Valeria Bracciamà, Nicoletta Vitale, Tiziana Vaisitti, Katiuscia Gizzi, Alison Yeomans, Marta Coscia, Giovanni D'Arena, Gianluca Gaidano, John N Allan and 4 more

Erratum issuedOpen access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
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

21 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. EJHaem · 2025
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. An Approach to Diagnosis of Richter Transformation in Chronic Lymphocytic Leukemia.Journal of the advanced practitioner in oncology · 2022
    Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Non-Coding RNAs: The "Dark Side Matter" of the CLL Universe.Pharmaceuticals (Basel, Switzerland) · 2021
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 4 countries.

Francesca ArrugaDepartment of Medical Sciences, University of Turin, Turin, Italy. francesca.arruga@unito.it.
Valeria BracciamàDepartment of Medical Sciences, University of Turin, Turin, Italy.
Nicoletta VitaleDepartment of Molecular Biotechnology and Health Sciences, University of Turin, Turin, Italy.
Tiziana VaisittiDepartment of Medical Sciences, University of Turin, Turin, Italy.
Katiuscia GizziItalian Institute for Genomic Medicine, IIGM, Turin, Italy.
Alison YeomansCancer Sciences Unit, Haematological Oncology Group, University of Southampton, Southampton, UK.
Marta CosciaDepartment of Molecular Biotechnology and Health Sciences, University of Turin, Turin, Italy.
Giovanni D'ArenaHematology and Stem Cell Transplantation Unit, IRCCS Referral Cancer Center of Basilicata, Rionero in Vulture, Italy.
Gianluca GaidanoDivision of Hematology, Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.
John N AllanDepartment of Hematology, Weill Cornell Medicine, New York, New York, USA.
Richard R FurmanDepartment of Hematology, Weill Cornell Medicine, New York, New York, USA.
Graham PackhamCancer Sciences Unit, Haematological Oncology Group, University of Southampton, Southampton, UK.
Francesco ForconiCancer Sciences Unit, Haematological Oncology Group, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-2211-1831
Silvia DeaglioDepartment of Medical Sciences, University of Turin, Turin, Italy. silvia.deaglio@unito.it.ORCID http://orcid.org/0000-0003-0632-5036
University of Southampton · GBUniversity of Turin · ITCornell University · USDepartment of Medical Sciences · BYAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITCentro di Riferimento Oncologico della Basilicata · ITItalian institute for Genomic Medicine · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

Cancer Research UK 23669Cancer Research UK 29370Cancer Research UK C2750/A23669Cancer Research UK C34999/A18087
6 · The paper itself

Abstract

NOTCH1 mutations in chronic lymphocytic leukemia (CLL) lead to accumulation of NOTCH1 intracellular domain (NICD) and prolong signaling. These mutations associate with a more aggressive disease compared to wild-type (WT) CLL. In this work we demonstrate a bidirectional functional relationship between NOTCH1 and the B cell receptor (BCR) pathways. By using highly homogeneous cohorts of primary CLL cells, activation of NOTCH1 is shown to increase expression of surface IgM, as well as LYN, BTK, and BLNK, ultimately enhancing BCR signaling responses, including global mRNA translation. Upon BCR cross-linking, NOTCH1 itself is actively translated and increased on cell surface. Furthermore, BCR ligation induces calcium mobilization that can facilitate ligand-independent NOTCH1 activation. These data suggest that the two pathways are functionally linked, providing a rationale for dual inhibition strategies. Consistently, addition of the γ-secretase inhibitor DAPT to ibrutinib significantly potentiates its effects, both in vitro and in a short-term patient-derived xenograft model. While this observation may find limited applications in the CLL field, it is more relevant for Richter's Syndrome (RS) management, where very few successful therapeutic options exist. Treatment of RS-patient-derived xenografts (RS-PDX) with the combination of ibrutinib and DAPT decreases disease burden and increases overall survival.

Indexed as

AdenineAdultAgedAged, 80 and overAmyloid Precursor Protein SecretasesAnimalsCalciumDiaminesFemaleHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiceMice, Inbred NODMice, SCIDMiddle Aged24-diamino-5-phenylthiazoleAdenineAmyloid Precursor Protein SecretasesCalciumDiaminesibrutinibNOTCH1 protein, humanPiperidinesPyrazolesPyrimidinesReceptor, Notch1Receptors, Antigen, B-CellThiazoles

Identifiers

PMID31467429
OpenAlexW2970115784

What Socratic 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 Socratic graph.