Evidence map›Paper›PMID 41408008›Full record

SynthesisJournal of hematopathology2025

Acute myeloid leukemia with bipotential erythroid and megakaryocytic differentiation: a case series and literature review.

Li-Wei Liu, Shanelle J De Lancy, Stephanie N Hurwitz

Abstract readCase ReportsSystematic Review
In one paragraph

Synthesis in Journal of hematopathology, 2025. 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

3 authors.

Li-Wei LiuDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Shanelle J De LancyDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Stephanie N HurwitzDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN, USA. sthurw@iu.edu.ORCID http://orcid.org/0000-0002-6975-9168

Funding

Regulation of bone marrow homing by hematopoietic stem cell vesiclesK08HL175130 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI Stephanie N Hurwitz · 2025 to 2026
$360k
NHLBI NIH HHS 1K08HL175130-01NHLBI NIH HHS K08 HL175130
6 · The paper itself

Abstract

backgroundAcute myeloid leukemia with erythroid and megakaryocytic differentiation (AML-EMD) is a rare and aggressive presentation of AML characterized by overlapping morphologic, immunophenotypic, and genetic features of erythroid and megakaryocytic lineages. The classification, pathogenesis, and clinical behavior of this entity remain poorly defined.

methodsWe report a series of three patients in conjunction with a systematic review of reported cases in published literature with AML-EMD.

resultsCytogenetic and molecular studies revealed frequent abnormalities including complex karyotypes, TP53 mutations, and JAK1/2 mutations. Clinically, patients demonstrated a poor-risk profile.

conclusionsCollective phenotypic and genetic features suggest that AML-EMD represents a high-risk subgroup of either TP53-mutated AML or AML with myelodysplasia-related genetics, likely reflecting leukemic transformation from multipotent progenitors retaining erythro-megakaryocytic potential. Despite shared biologic features, current classification systems for AML-EMD are diagnostically incongruent. Recognition of this entity will allow for consistent subclassification, prognostication, and future studies aimed at defining its molecular underpinnings and therapeutic vulnerabilities.

Indexed as

Cell DifferentiationErythroid CellsLeukemia, Myeloid, AcuteMegakaryocytesHumansMutationAcute myeloid leukemiaJAK1JAK2Megakaryocyte-erythroid progenitorTP53

Identifiers

PMID41408008
PMCPMC12712107

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.