Evidence map›Paper›PMID 42277993›Full record

ReviewJournal of clinical laboratory analysis2026

Reconceptualizing Aplastic Anemia-Seed, Worm, Soil.

Xintong Xu, Zining Wang, Jiaming Hu, Chunyan Liu, Rong Fu

Abstract readReview
In one paragraph

Review in Journal of clinical laboratory analysis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Xintong XuDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Zining WangDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Jiaming HuDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.ORCID https://orcid.org/0009-0003-6355-9602
Chunyan LiuDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Rong FuDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.ORCID https://orcid.org/0000-0002-9928-9224

Funding

the Key research and development projects of the Ministry of Science and Technology 2024YFC2510500the National Natural Science Foundation Project 82270142the National Natural Science Foundation Project 82300239the National Natural Science Foundation Project 82470141the Tianjin Municipal Natural Science Foundation 24ZGSSSS00050the Tianjin Science and Technology Planning Project 24ZXGZSY00090Tianjin Municipal Health Commission Project TJWJ2023XK003
6 · The paper itself

Abstract

backgroundAplastic anemia (AA) encompasses a group of hematological syndromes often misdiagnosed, resulting in a decrease in the overall blood cell count and representing a form of bone marrow failure. The disease is defined by damage to hematopoietic stem cells due to various physical, chemical, and biological factors. The diagnosis of the disease is based on clinical presentation, as the underlying etiology remains poorly understood, which complicates treatment options. Understanding bone marrow failure disorders began with cytomorphological studies, which led to the identification of AA syndrome based on the shared characteristics of pancytopenia and bone marrow failure. However, the pathological mechanisms underlying these conditions remain complex and confusing. A comprehensive analysis of biological characteristics, clinical regression, and therapeutic responses was subsequently conducted. This multifaceted approach employed various diagnostic techniques, including immunology, histochemistry, molecular genetics, and second-generation sequencing, to progressively elucidate the underlying syndrome of AA and clarify the disease classification. Consequently, there is a pressing need to adopt a new conceptual framework for understanding AA.

objectiveTo clarify the definition, characteristics, diagnostic basis and existing problems of AA, and to put forward the necessity of establishing a new conceptual framework for understanding AA.

methodsThis review reinterpret AA based on the "seed, worm, and soil" doctrine.

conclusionResearch advancements have gradually clarified the mechanistic understanding of AA. The disease has evolved from a "hybrid" entity, characterized by disparate elements, to a more analytically recognized condition. We anticipate comprehensive investigations into its characteristics, ultimately enhancing treatment efficacy through precision medicine.

Indexed as

Anemia, AplasticHumansaplastic anemiaimmune abnormalityimmune microenvironmentstem cell

Identifiers

PMID42277993
PMCPMC13399862

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.