Evidence map›Paper›PMID 37994961›Full record

ArticleDiscover oncology2023

ALOX5AP is a new prognostic indicator in acute myeloid leukemia.

Xin-Yi Chen, Xiang-Mei Wen, Wei Zhao, Ming-Qiang Chu, Yu Gu, Hai-Hui Huang, Qian Yuan, Zi-Jun Xu, Jun Qian, Jiang Lin

Open access · goldAbstract read
In one paragraph

Article in Discover oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Xin-Yi ChenLaboratory Center, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China.
Xiang-Mei WenLaboratory Center, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China.
Wei ZhaoZhenjiang Clinical Research Center of Hematology, Zhenjiang, Jiangsu, China.
Ming-Qiang ChuZhenjiang Clinical Research Center of Hematology, Zhenjiang, Jiangsu, China.
Yu GuZhenjiang Clinical Research Center of Hematology, Zhenjiang, Jiangsu, China.
Hai-Hui HuangLaboratory Center, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China.
Qian YuanZhenjiang Clinical Research Center of Hematology, Zhenjiang, Jiangsu, China.
Zi-Jun XuLaboratory Center, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China. xuzijun1989@hotmail.com.
Jun QianZhenjiang Clinical Research Center of Hematology, Zhenjiang, Jiangsu, China. qianjun0007@hotmail.com.
Jiang LinLaboratory Center, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China. 2651329493@qq.com.
Affiliated Hospital of Jiangsu University · CNShanghai Clinical Research Center · CNJiangsu University · CN

Funding

Medical Innovation Team of Jiangsu Province CXTDB2017002National Natural Science Foundation of China 81970118National Natural Science Foundation of China 82270179Scientific Research Project of The Fifth 169 Project of Zhenjiang 21Social Development Foundation of Zhenjiang SH2021052Social Development Foundation of Zhenjiang SH2022026Social Development Foundation of Zhenjiang SH2022086Zhenjiang Clinical Research Center of Hematology SS2018009
6 · The paper itself

Abstract

backgroundThe overexpression of ALOX5AP has been observed in many types of cancer and has been identified as an oncogene. However, its role in acute myeloid leukemia (AML) has not been extensively studied. This study aimed to identify the expression and methylation patterns of ALOX5AP in bone marrow (BM) samples of AML patients, and further explore its clinical significance.

methodsEighty-two de novo AML patients and 20 healthy donors were included in the study. Meanwhile, seven public datasets from Gene Expression Omnibus (GEO) and The Cancer Genome Atlas (TCGA) were included to confirm the alteration of ALOX5AP. Receiver operating characteristic (ROC) curve analysis was applied to determine the discriminative capacity of ALOX5AP expression to discriminate AML. The prognostic value of ALOX5AP was identified by the Kaplan-Meier method and log-rank test. It was further validated in four independent cohorts (n = 1186). Significantly different genes associated with ALOX5AP expression were subsequently compared by LinkedOmics, and Metascape database.

resultsThe level of ALOX5AP expression was significantly increased in bone marrow cells of AML patients compared with healthy donors (P < 0.05). ROC curve analysis suggested that ALOX5AP expression might be a potential biomarker to discriminate AML from controls. ALOX5AP overexpression was associated with decreased overall survival (OS) in AML according to the TCGA data (P = 0.006), which was validated by other four independent cohorts. DNA methylation levels of ALOX5AP were significantly lower in AML patients compared to normal samples (P < 0.05), as confirmed in the Diseasemeth database and the independent cohort GSE63409. ALOX5AP level was positively associated with genes with proleukemic effects such as PAX2, HOX family, SOX11, H19, and microRNAs that act as oncogenes in leukemia, such as miR125b, miR-93, miR-494, miR-193b, while anti-leukemia-related genes and tumor suppressor microRNAs such as miR-582, miR-9 family and miR-205 were negatively correlated.

conclusionALOX5AP overexpression, associated with its hypomethylation, predicts poorer prognosis in AML.

Indexed as

Acute myeloid leukemiaALOX5APDNA methylationGene expressionPrognosis

Identifiers

PMID37994961
PMCPMC10667204
OpenAlexW4388945914

What Socratic holds

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Registered trials

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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.