Evidence map›Paper›PMID 34601571›Full record

ArticleBlood2022

Effective therapy for AML with RUNX1 mutation by cotreatment with inhibitors of protein translation and BCL2.

Christopher P Mill, Warren Fiskus, Courtney D DiNardo, Christine Birdwell, John A Davis, Tapan M Kadia, Koichi Takahashi, Nicholas Short, Naval Daver, Maro Ohanian and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 2% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

  1. Pooled it
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  7. Histone modification clocks for robust cross-species biological age prediction and elucidating senescence regulation.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  8. [Clinical characteristics of RUNX1-mutated acute myeloid leukemia patients].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2026
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 1 institution in 1 country.

Christopher P MillDepartment of Leukemia.
Warren FiskusDepartment of Leukemia.
Courtney D DiNardoDepartment of Leukemia.ORCID 0000-0001-9003-0390
Christine BirdwellDepartment of Leukemia.
John A DavisDepartment of Leukemia.
Tapan M KadiaDepartment of Leukemia.
Koichi TakahashiDepartment of Leukemia.
Nicholas ShortDepartment of Leukemia.
Naval DaverDepartment of Leukemia.ORCID 0000-0001-7103-373X
Maro OhanianDepartment of Leukemia.
Gautam BorthakurDepartment of Leukemia.
Steven M KornblauDepartment of Leukemia.
Michael R GreenDepartment of Leukemia.
Yuan QiDepartment of Leukemia.ORCID 0000-0001-9718-7593
Xiaoping SuDepartment of Leukemia.
Joseph D KhouryDepartment of Leukemia.ORCID 0000-0003-2621-3584
Kapil N BhallaDepartment of Leukemia.
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DIANE BODURKA · 1985 to 2026
$290.8M
University of Texas M.D. Anderson Cancer SPORE-LeukemiaP50CA100632 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI REZVANI, KATY · 2003 to 2023
$43.7M
Biology and novel therapy of AML expressing somatic or germline mutant RUNX1R01CA255721 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BHALLA, KAPIL, DINARDO, COURTNEY · 2021 to 2025
$2.4M
Novel combination therapy for AML expressing mutant RUNX1R01CA262636 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BHALLA, KAPIL, DINARDO, COURTNEY · 2021 to 2024
$2.1M
NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA100632NCI NIH HHS R01 CA255721NCI NIH HHS R01 CA262636
6 · The paper itself

Abstract

The majority of RUNX1 mutations in acute myeloid leukemia (AML) are missense or deletion-truncation and behave as loss-of-function mutations. Following standard therapy, AML patients expressing mtRUNX1 exhibit inferior clinical outcome than those without mutant RUNX1. Studies presented here demonstrate that as compared with AML cells lacking mtRUNX1, their isogenic counterparts harboring mtRUNX1 display impaired ribosomal biogenesis and differentiation, as well as exhibit reduced levels of wild-type RUNX1, PU.1, and c-Myc. Compared with AML cells with only wild-type RUNX1, AML cells expressing mtRUNX1 were also more sensitive to the protein translation inhibitor homoharringtonine (omacetaxine) and BCL2 inhibitor venetoclax. Homoharringtonine treatment repressed enhancers and their BRD4 occupancy and was associated with reduced levels of c-Myc, c-Myb, MCL1, and Bcl-xL. Consistent with this, cotreatment with omacetaxine and venetoclax or BET inhibitor induced synergistic in vitro lethality in AML expressing mtRUNX1. Compared with each agent alone, cotreatment with omacetaxine and venetoclax or BET inhibitor also displayed improved in vivo anti-AML efficacy, associated with improved survival of immune-depleted mice engrafted with AML cells harboring mtRUNX1. These findings highlight superior efficacy of omacetaxine-based combination therapies for AML harboring mtRUNX1.

Indexed as

Antineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicCell Line, TumorCore Binding Factor Alpha 2 SubunitDrug SynergismHomoharringtonineHumansLeukemia, Myeloid, AcuteMutationProtein Synthesis InhibitorsProto-Oncogene Proteins c-bcl-2SulfonamidesAntineoplastic AgentsBCL2 protein, humanBridged Bicyclo Compounds, HeterocyclicCore Binding Factor Alpha 2 SubunitHomoharringtonineProtein Synthesis InhibitorsProto-Oncogene Proteins c-bcl-2RUNX1 protein, humanSulfonamidesvenetoclax

Identifiers

PMID34601571
PMCPMC8832475
OpenAlexW3202134939

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.