Evidence map›Paper›PMID 40858576›Full record

ArticleNature communications2025

Multi-omics analysis identifies an M-MDSC-like immunosuppressive phenotype in lineage-switched AML with KMT2A rearrangement.

Takashi Mikami, Itaru Kato, Akira Nishimura, Minenori Eguchi-Ishimae, Tatsuya Kamitori, Keiji Tasaka, Hirohito Kubota, Tomoya Isobe, Yoshinori Uchihara, Yui Namikawa and 15 more

Abstract read
In one paragraph

Article in Nature communications, 2025. 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
–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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
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

25 authors.

Takashi MikamiDepartment of Pediatrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID http://orcid.org/0000-0003-1846-4500
Itaru Kato *Department of Pediatrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan. itarkt@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0002-2932-4960
Akira NishimuraDepartment of Pediatrics and Developmental Biology, Institute of Science Tokyo, Tokyo, Japan.ORCID http://orcid.org/0000-0002-9127-807X
Minenori Eguchi-IshimaeDepartment of Pediatrics, Ehime University Graduate School of Medicine, Ehime, Japan.
Tatsuya KamitoriDepartment of Pediatrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID http://orcid.org/0009-0003-0472-4663
Keiji TasakaDepartment of Pediatrics, Kurashiki Central Hospital, Okayama, Japan.
Hirohito KubotaDepartment of Pediatrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID http://orcid.org/0000-0002-6935-5120
Tomoya IsobeWellcome-MRC Cambridge Stem Cell Institute, Department of Hematology, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-3487-3307
Yoshinori UchiharaDepartment of Pediatrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Yui NamikawaDepartment of Pediatrics and Developmental Biology, Institute of Science Tokyo, Tokyo, Japan.
Satoru HamadaDepartment of Child Health and Welfare, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
Shinichi TsujimotoDepartment of Pediatrics, Yokohama City University Graduate School of Medicine, Yokohama, Japan.ORCID http://orcid.org/0000-0001-5738-4138
Shotaro InoueDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Takayuki HamabataDepartment of Pediatrics, Kurashiki Central Hospital, Okayama, Japan.
Kazushi IzawaDepartment of Pediatrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID http://orcid.org/0000-0003-1080-0936
Takako MiyamuraDepartment of Pediatrics, the University of Osaka Graduate School of Medicine, Osaka, Japan.
Daisuke TomizawaDivision of Leukemia and Lymphoma, Children's Cancer Center, National Center for Child Health and Development, Tokyo, Japan.ORCID http://orcid.org/0000-0003-1520-7007
Toshihiko ImamuraDepartment of Pediatrics, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Hidemi ToyodaDepartment of Pediatrics, Mie University Graduate School of Medicine, Mie, Japan.
Mariko EguchiDepartment of Pediatrics, Ehime University Graduate School of Medicine, Ehime, Japan.ORCID http://orcid.org/0000-0001-8727-1732
Hiroaki GotoDivision of Hematology/Oncology, Kanagawa Children's Medical Center, Yokohama, Japan.
Seishi OgawaDepartment of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Masatoshi TakagiDepartment of Pediatrics and Developmental Biology, Institute of Science Tokyo, Tokyo, Japan.ORCID http://orcid.org/0000-0002-7580-9184
James Badger WingLaboratory of Human Single Cell Immunology, Immunology Frontier Research Center (IFReC), Osaka University, Osaka, Japan.ORCID http://orcid.org/0000-0002-3462-1003
Junko Takita *Department of Pediatrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan. jtakita@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0002-2452-6520

Funding

Japan Agency for Medical Research and Development (AMED) 22ama221514h0001Japan Agency for Medical Research and Development (AMED) 23ama221505h0002Japan Agency for Medical Research and Development (AMED) 23ama221514h002Japan Agency for Medical Research and Development (AMED) JP22cm0106xxxh000xJapan Agency for Medical Research and Development (AMED) JP24ck0106935MEXT | Japan Society for the Promotion of Science (JSPS) JP20H00528MEXT | Japan Society for the Promotion of Science (JSPS) JP21K19405MEXT | Japan Society for the Promotion of Science (JSPS) JP23K18264
6 · The paper itself

Abstract

Lineage switching (LS) is the conversion of cancer cell lineage during the course of a disease. LS in leukemia cell lineage facilitates cancer cells escaping targeting strategy like CD19 targeted immunotherapy. However, the genetic and biological mechanisms underlying immune evasion by LS leukemia cells are not well understood. Here, we conduct a multi-omics analysis of patient samples and find that lineage-switched acute myeloid leukemia (LS AML) cells with KMT2A rearrangement (KMT2A-r) possess monocytic myeloid derived suppressor cell (M-MDSC)-like characteristics. Single-cell mass cytometry analysis reveals an increase in the M-MDSC like LS AML as compared to those of lineage-consistent KMT2A-r AML, and single-cell transcriptomics identify distinct expression patterns of immunoregulatory genes within this population. Furthermore, in vitro assays confirm the immunosuppressive capacity of LS AML cells against T cells, which is analogous to that of MDSCs. These data provide insight into the immunological aspects of the complex pathogenesis of LS AML, as well as development of future treatments.

Indexed as

Histone-Lysine N-MethyltransferaseLeukemia, Myeloid, AcuteMyeloid-Derived Suppressor CellsMyeloid-Lymphoid Leukemia ProteinCell LineageGene RearrangementHumansMultiomicsPhenotypeSingle-Cell AnalysisT-LymphocytesTranscriptomeHistone-Lysine N-MethyltransferaseKMT2A protein, humanMyeloid-Lymphoid Leukemia Protein

Identifiers

PMID40858576
PMCPMC12381044

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.