Evidence map›Paper›PMID 41318841›Full record

ArticleBone marrow transplantation2026

Sequential quantification of T-cell receptor excision circles (TRECs) and K-deleting recombination excision circles (KRECs) and overall survival after allogeneic HSCT.

Carlos de Miguel, Ferran Briansó, Rosalía Alonso, Guiomar Bautista, Luis Espinosa, Carlos Manchado-Perdiguero, María E Martínez-Muñoz, Lucía Núñez, Isabel Salcedo, Ali Sánchez-Peral and 1 more

Abstract read
In one paragraph

Article in Bone marrow transplantation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Carlos de MiguelDepartment of Hematology, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.
Ferran BriansóMedical & Innovation Department-Access & Development, Roche Diagnostics, Barcelona, Spain.
Rosalía AlonsoDepartment of Hematology, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.
Guiomar BautistaDepartment of Hematology, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.
Luis EspinosaDepartment of Hematology, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.
Carlos Manchado-PerdigueroMedical & Innovation Department-Access & Development, Roche Diagnostics, Barcelona, Spain.
María E Martínez-MuñozDepartment of Hematology, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.ORCID 0000-0002-6829-9710
Lucía NúñezDepartment of Hematology, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.
Isabel SalcedoDepartment of Hematology, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.ORCID 0009-0007-1976-320X
Ali Sánchez-PeralMedical & Innovation Department-Access & Development, Roche Diagnostics, Barcelona, Spain.
Rafael F DuarteDepartment of Hematology, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain. rduarte.work@gmail.com.ORCID 0000-0002-5240-9815

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of TRECs/KRECs in allogeneic HSCT (alloHSCT) has been limited by a lack of standard technical platforms to allow comparison and validation of results between centers. We quantified absolute TRECs/KRECs on sequential samples collected prospectively (pre-transplant, 1, 3, 6 and 12 months post-transplant) in 374 alloHSCT for hematological malignancies using LightCycler 480/TREC-KREC- ACTB (Roche Diagnostics). Following prompt decrease after transplant, KRECs recover as soon as 3 months posttransplant, while TRECs recovery takes up to 1 year (p < 0.001). KRECs do not associate with outcomes. However, higher pre-transplant TRECs strongly associate with reduced non-relapse mortality (NRM) and increased overall survival (OS), and remain independent in multivariate analysis (HR 0.37, p = 0.001, and HR 0.51, p < 0.001, respectively). In addition, faster TRECs recovery measured sequentially at 1, 3, 6 and 12 months after alloHSCT associates with better OS. Furthermore, landmark analyses showed that early survivors with higher TRECs levels at 6 and 12 months after alloHSCT had significantly better subsequent long-term survival, independent from graft-versus-host disease (GVHD) and other clinical factors in multivariate analysis (HR 0.33, p = 0.016 and HR 0.13, p < 0.001, respectively). TRECs levels pre-transplant and at 6 and 12 months post-transplant provide novel biomarker measurable data that associate with alloHSCT long-term outcomes.

Indexed as

Hematologic NeoplasmsHematopoietic Stem Cell TransplantationReceptors, Antigen, T-CellAdolescentAdultAgedAllograftsFemaleHumansMaleMiddle AgedSurvival RateTransplantation, HomologousYoung AdultReceptors, Antigen, T-Cell

Identifiers

PMID41318841
PMCPMC12909109

What Socratic holds

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LicenceCC BY-NC-ND
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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.