Evidence map›Paper›PMID 34482403›Full record

Trial reportBlood2022

Identification and prioritization of myeloid malignancy germline variants in a large cohort of adult patients with AML.

Fei Yang, Nicola Long, Tauangtham Anekpuritanang, Daniel Bottomly, Jonathan C Savage, Tiffany Lee, Jose Solis-Ruiz, Uma Borate, Beth Wilmot, Cristina Tognon and 15 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Blood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing 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

62 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. HemaSphere · 2026
    Article
  5. Article
  6. Article
  7. Cancer risk in adults with pathogenic germline variants in RAS/MAPK genes using genomic ascertainment.Genetics in medicine : official journal of the American College of Medical Genetics · 2026
    Article
  8. Article
  9. Impact of Germline CHEK2 Pathogenic Variants on the Risk of Acute Myeloid Leukemia and Myelodysplastic Syndrome.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Noonan Syndrome, Cancer Risk, and Growth Hormone TreatmentJournal of clinical research in pediatric endocrinology · 2025
    Review
  15. Article
  16. Article
  17. Review
  18. Validation of Guidelines for Genetic Investigation of Myeloid Neoplasms with Germline Predisposition: Results from a Prospective Cohort Study.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  19. Article
  20. Cancers · 2025
    Review

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Fei YangDepartment of Pathology and Laboratory Medicine and.
Nicola LongKnight Cancer Institute, Oregon Health & Science University, Portland, OR.ORCID 0000-0002-9010-8167
Tauangtham AnekpuritanangDepartment of Pathology and Laboratory Medicine and.ORCID 0000-0001-7027-5235
Daniel BottomlyKnight Cancer Institute, Oregon Health & Science University, Portland, OR.
Jonathan C SavageKnight Cancer Institute, Oregon Health & Science University, Portland, OR.
Tiffany LeeKnight Cancer Institute, Oregon Health & Science University, Portland, OR.ORCID 0000-0002-6875-8200
Jose Solis-RuizKnight Cancer Institute, Oregon Health & Science University, Portland, OR.
Uma BorateKnight Cancer Institute, Oregon Health & Science University, Portland, OR.
Beth WilmotKnight Cancer Institute, Oregon Health & Science University, Portland, OR.
Cristina TognonKnight Cancer Institute, Oregon Health & Science University, Portland, OR.
Allison M BockDepartment of Medicine, University of Colorado, Aurora, CO.
Daniel A PollyeaDepartment of Medicine, University of Colorado, Aurora, CO.ORCID 0000-0001-6519-4860
Saikripa RadhakrishnanUniversity of Texas Southwestern Medical Center, Dallas, TX.
Srinidhi RadhakrishnanUniversity of Texas Southwestern Medical Center, Dallas, TX.
Prapti PatelUniversity of Texas Southwestern Medical Center, Dallas, TX.
Robert H CollinsUniversity of Texas Southwestern Medical Center, Dallas, TX.
Srinivas TantravahiUniversity of Utah Huntsman Cancer Institute, Salt Lake City, UT; and.
Michael W DeiningerUniversity of Utah Huntsman Cancer Institute, Salt Lake City, UT; and.
Guang FanDepartment of Pathology and Laboratory Medicine and.
Brian DrukerKnight Cancer Institute, Oregon Health & Science University, Portland, OR.ORCID 0000-0001-8331-8206
Ujwal ShindeKnight Cancer Institute, Oregon Health & Science University, Portland, OR.
Jeffrey W TynerKnight Cancer Institute, Oregon Health & Science University, Portland, OR.
Richard D PressDepartment of Pathology and Laboratory Medicine and.ORCID 0000-0002-2103-5144
Shannon McWeeneyKnight Cancer Institute, Oregon Health & Science University, Portland, OR.
Anupriya AgarwalKnight Cancer Institute, Oregon Health & Science University, Portland, OR.ORCID 0000-0002-8319-6162

Funding

Tumor Intrinsic and Microenvironmental Mechanisms Driving Drug Combination Efficacy and Resistance in AMLU54CA224019 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Anupriya Agarwal · 2017 to 2026
$13.9M
Inflammation-Driven Clonal Evolution in RUNX1 Carriers: Mechanisms and Therapeutic VulnerabilitiesR01HL155426 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Anupriya Agarwal · 2021 to 2026
$2.7M
Studying drug resistance in AML and PDAC using a novel heterotypic 3D organoid modelR01CA229875 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI AGARWAL, ANUPRIYA · 2019 to 2023
$1.6M
Mechanisms and targeting of inflammatory cytokine-driven expansion and progression in AMLU01CA229875 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI AGARWAL, ANUPRIYA · 2024 to 2024
$277k
NCI NIH HHS R01 CA229875NCI NIH HHS U01 CA229875NCI NIH HHS U54 CA224019NHLBI NIH HHS R01 HL155426
6 · The paper itself

Abstract

Inherited predisposition to myeloid malignancies is more common than previously appreciated. We analyzed the whole-exome sequencing data of paired leukemia and skin biopsy samples from 391 adult patients from the Beat AML 1.0 consortium. Using the 2015 American College of Medical Genetics and Genomics (ACMG) guidelines for variant interpretation, we curated 1547 unique variants from 228 genes. The pathogenic/likely pathogenic (P/LP) germline variants were identified in 53 acute myeloid leukemia (AML) patients (13.6%) in 34 genes, including 6.39% (25/391) of patients harboring P/LP variants in genes considered clinically actionable (tier 1). 41.5% of the 53 patients with P/LP variants were in genes associated with the DNA damage response. The most frequently mutated genes were CHEK2 (8 patients) and DDX41 (7 patients). Pathogenic germline variants were also found in new candidate genes (DNAH5, DNAH9, DNMT3A, and SUZ12). No strong correlation was found between the germline mutational rate and age of AML onset. Among 49 patients who have a reported history of at least one family member affected with hematological malignancies, 6 patients harbored known P/LP germline variants and the remaining patients had at least one variant of uncertain significance, suggesting a need for further functional validation studies. Using CHEK2 as an example, we show that three-dimensional protein modeling can be one of the effective methodologies to prioritize variants of unknown significance for functional studies. Further, we evaluated an in silico approach that applies ACMG curation in an automated manner using the tool for assessment and (TAPES) prioritization in exome studies, which can minimize manual curation time for variants. Overall, our findings suggest a need to comprehensively understand the predisposition potential of many germline variants in order to enable closer monitoring for disease management and treatment interventions for affected patients and families.

Indexed as

Genetic Predisposition to DiseaseGerm-Line MutationAgedAge FactorsFemaleHumansLeukemia, Myeloid, AcuteMaleMiddle AgedNeoplasm ProteinsNeoplasm Proteins

Identifiers

PMID34482403
PMCPMC9211447

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.