Evidence map›Paper›PMID 40596443›Full record

ArticleNature genetics2025

The long-term effects of chemotherapy on normal blood cells.

Emily Mitchell, My H Pham, Anna Clay, Rashesh Sanghvi, Nicholas Williams, Sandra Pietsch, Joanne I Hsu, Nina Friesgaard Øbro, Hyunchul Jung, Aditi Vedi and 25 more

Erratum issuedAbstract read
In one paragraph

Article in Nature genetics, 2025. 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 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

32 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors.

Emily Mitchell *Wellcome Sanger Institute, Hinxton, UK.
My H Pham *Wellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-0074-0733
Anna Clay *Wellcome-MRC Cambridge Stem Cell Institute, Cambridge Biomedical Campus, Cambridge, UK.
Rashesh SanghviWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-7703-9216
Nicholas WilliamsWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0003-3989-9167
Sandra PietschWellcome-MRC Cambridge Stem Cell Institute, Cambridge Biomedical Campus, Cambridge, UK.
Joanne I HsuDepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, USA.
Nina Friesgaard ØbroWellcome-MRC Cambridge Stem Cell Institute, Cambridge Biomedical Campus, Cambridge, UK.
Hyunchul JungWellcome Sanger Institute, Hinxton, UK.
Aditi VediWellcome-MRC Cambridge Stem Cell Institute, Cambridge Biomedical Campus, Cambridge, UK.ORCID http://orcid.org/0000-0001-6761-6510
Sarah MoodyWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0003-4904-1041
Jingwei WangWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-0201-2369
Daniel LeonganmornlertWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-3486-3168
Michael Spencer ChapmanWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-5320-8193
Ellie DunstoneWellcome Sanger Institute, Hinxton, UK.
Anna SantarsieriWellcome-MRC Cambridge Stem Cell Institute, Cambridge Biomedical Campus, Cambridge, UK.ORCID http://orcid.org/0000-0002-4449-2196
Alex CaganWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-7857-4771
Heather E MachadoWellcome Sanger Institute, Hinxton, UK.
E Joanna BaxterDepartment of Haematology, University of Cambridge, Cambridge, UK.
George FollowsDepartment of Haematology, University of Cambridge, Cambridge, UK.
Daniel J HodsonWellcome-MRC Cambridge Stem Cell Institute, Cambridge Biomedical Campus, Cambridge, UK.ORCID http://orcid.org/0000-0001-6225-2033
Ultan McDermottWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0001-9032-4700
Gary J DohertyDepartment of Oncology, Cambridge University Hospitals Foundation Trust, Cambridge, UK.ORCID http://orcid.org/0000-0002-8158-8111
Inigo MartincorenaWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0003-1122-4416
Laura HumphreysWellcome Sanger Institute, Hinxton, UK.
Krishnaa MahbubaniDepartment of Surgery, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-1327-2334
Kourosh Saeb ParsyDepartment of Surgery, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-0633-3696
Koichi TakahashiDepartment of Leukemia, Division of Cancer Medicine, MD Anderson Cancer Center, University of Texas, Houston, TX, USA.ORCID http://orcid.org/0000-0002-8027-9659
Margaret A GoodellDepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, USA.ORCID http://orcid.org/0000-0003-1111-2932
David KentYork Biomedical Research Institute, Department of Biology, University of York, York, UK.ORCID http://orcid.org/0000-0001-7871-8811
Elisa LaurentiWellcome-MRC Cambridge Stem Cell Institute, Cambridge Biomedical Campus, Cambridge, UK.ORCID http://orcid.org/0000-0002-9917-9092
Peter J CampbellWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-3921-0510
Raheleh RahbariWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-1839-7785
Jyoti Nangalia *Wellcome Sanger Institute, Hinxton, UK. jn5@sanger.ac.uk.ORCID http://orcid.org/0000-0001-7122-4608
Michael R Stratton *Wellcome Sanger Institute, Hinxton, UK. mrs@sanger.ac.uk.ORCID http://orcid.org/0000-0001-6035-153X

Funding

Project 3: Contribution of inflammation and DNA damaging factors to clonal expansion and malignant transformation in a community cohort of older adultsP01CA265748 · NCI · BAYLOR COLLEGE OF MEDICINE · PI Daisuke Nakada · 2022 to 2026
$13.6M
DNMT3A in Development of Hematologic MalignanciesR01CA183252 · NCI · BAYLOR COLLEGE OF MEDICINE · PI MARGARET A. GOODELL · 2014 to 2026
$7.1M
PPM1D in Clonal Hematopoiesis and MalignanciesR01CA237291 · NCI · BAYLOR COLLEGE OF MEDICINE · PI MARGARET A. GOODELL, Koichi Takahashi · 2019 to 2026
$3.7M
NCI NIH HHS P01 CA265748NCI NIH HHS R01 CA183252NCI NIH HHS R01 CA237291Wellcome Trust
6 · The paper itself

Abstract

Several chemotherapeutic agents act by increasing DNA damage in cancer cells, triggering cell death. However, there is limited understanding of the extent and long-term consequences of collateral DNA damage in normal tissues. To investigate the impact of chemotherapy on mutation burdens and the cell population structure of normal tissue, we sequenced blood cell genomes from 23 individuals aged 3-80 years who were treated with a range of chemotherapy regimens. Substantial additional somatic mutation loads with characteristic mutational signatures were imposed by some chemotherapeutic agents, but the effects were dependent on the drug and blood cell types. Chemotherapy induced premature changes in the cell population structure of normal blood, similar to those caused by normal aging. The results show the long-term biological consequences of cytotoxic agents to which a substantial fraction of the population is exposed as part of disease management, raising mechanistic questions and highlighting opportunities for the mitigation of adverse effects.

Indexed as

Antineoplastic AgentsBlood CellsNeoplasmsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolDNA DamageFemaleHumansMaleMiddle AgedMutationYoung AdultAntineoplastic Agents

Identifiers

PMID40596443
PMCPMC12283364

What Socratic holds

Textmetadata
LicenceCC BY
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.