Evidence map›Paper›PMID 34402883›Full record

ArticleBlood advances2021

Loss of erythroblasts in acute myeloid leukemia causes iron redistribution with clinical implications.

Marta Lopes, Tiago L Duarte, Maria J Teles, Laura Mosteo, Sérgio Chacim, Eliana Aguiar, Joana Pereira-Reis, Mónica Oliveira, André M N Silva, Nuno Gonçalves and 12 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. [Research progress of iron metabolism and ferroptosis in myeloid neoplasms].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2024
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Application of pyroptosis score in the treatment and prognosis evaluation of gastric cancer.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  9. Review
  10. Review
  11. The Role of Iron in Cancer Progression.Frontiers in oncology · 2021
    Review
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

22 authors at 6 institutions in 2 countries.

Marta LopesInstituto de Investigação e Inovação em Saúde (i3S), Universidade do Porto, Porto, Portugal.ORCID 0000-0001-6762-4844
Tiago L DuarteInstituto de Investigação e Inovação em Saúde (i3S), Universidade do Porto, Porto, Portugal.ORCID 0000-0002-4901-4580
Maria J TelesInstituto de Investigação e Inovação em Saúde (i3S), Universidade do Porto, Porto, Portugal.ORCID 0000-0001-8281-1146
Laura MosteoInstituto de Investigação e Inovação em Saúde (i3S), Universidade do Porto, Porto, Portugal.
Sérgio ChacimDepartment of Onco-Hematology, Instituto Português de Oncologia (IPO)-Porto, Portugal.ORCID 0000-0002-6316-8789
Eliana AguiarDepartment of Clinical Hematology, Centro Hospitalar Universitário São João, Porto, Portugal.
Joana Pereira-ReisInstituto de Investigação e Inovação em Saúde (i3S), Universidade do Porto, Porto, Portugal.ORCID 0000-0003-0823-4891
Mónica OliveiraInstituto de Investigação e Inovação em Saúde (i3S), Universidade do Porto, Porto, Portugal.
André M N SilvaREQUIMITE-LAQV, Department of Chemistry and Biochemistry, Faculdade de Ciências da Universidade do Porto (FCUP), Porto, Portugal.ORCID 0000-0001-5554-7714
Nuno GonçalvesDepartment of Clinical Pathology, IPO, Porto, Portugal.ORCID 0000-0002-4174-9320
Gabriela MartinsDepartment of Clinical Pathology, IPO, Porto, Portugal.ORCID 0000-0002-1367-8852
Isabella Y KongThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, Australia.
Magnus ZethovenBioinformatics Core Facility, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.ORCID 0000-0002-6528-891X
Stephin VervoortSir Peter MacCallum Department of Oncology, The University of Melbourne, VIC, Australia.ORCID 0000-0001-7459-126X
Sandra MartinsDepartment of Clinical Pathology, Centro Hospitalar Universitário São João, Porto, Portugal.
Miguel QuintelaDepartment of Onco-Hematology, Instituto Português de Oncologia (IPO)-Porto, Portugal.
Edwin D HawkinsThe Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, Australia.
Fernanda TrigoDepartment of Clinical Hematology, Centro Hospitalar Universitário São João, Porto, Portugal.
João T GuimarãesDepartment of Clinical Pathology, Centro Hospitalar Universitário São João, Porto, Portugal.ORCID 0000-0003-4836-6311
José M MarizDepartment of Onco-Hematology, Instituto Português de Oncologia (IPO)-Porto, Portugal.ORCID 000-0003-0240-4749
Graça PortoInstituto de Investigação e Inovação em Saúde (i3S), Universidade do Porto, Porto, Portugal.
Delfim DuarteInstituto de Investigação e Inovação em Saúde (i3S), Universidade do Porto, Porto, Portugal.ORCID 0000-0003-3476-0211
i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto · PTIPO Porto · PTHospital de São João · PTUniversidade do Porto · PTThe University of Melbourne · AUPeter MacCallum Cancer Centre · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute myeloid leukemia (AML) is a heterogeneous disease with poor prognosis and limited treatment strategies. Determining the role of cell-extrinsic regulators of leukemic cells is vital to gain clinical insights into the biology of AML. Iron is a key extrinsic regulator of cancer, but its systemic regulation remains poorly explored in AML. To address this question, we studied iron metabolism in patients with AML at diagnosis and explored the mechanisms involved using the syngeneic MLL-AF9-induced AML mouse model. We found that AML is a disorder with a unique iron profile, not associated with inflammation or transfusion, characterized by high ferritin, low transferrin, high transferrin saturation (TSAT), and high hepcidin. The increased TSAT in particular, contrasts with observations in other cancer types and in anemia of inflammation. Using the MLL-AF9 mouse model of AML, we demonstrated that the AML-induced loss of erythroblasts is responsible for iron redistribution and increased TSAT. We also show that AML progression is delayed in mouse models of systemic iron overload and that elevated TSAT at diagnosis is independently associated with increased overall survival in AML. We suggest that TSAT may be a relevant prognostic marker in AML.

Indexed as

AnemiaLeukemia, Myeloid, AcuteAnimalsErythroblastsHumansIronMiceTransferrinIronTransferrin

Identifiers

PMID34402883
PMCPMC8405200
OpenAlexW3195134253

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.