Evidence map›Paper›PMID 10486318›Full record

ArticleAmerican journal of human genetics1999

Are there low-penetrance TP53 Alleles? evidence from childhood adrenocortical tumors.

J M Varley, G McGown, M Thorncroft, L A James, G P Margison, G Forster, D G Evans, M Harris, A M Kelsey, J M Birch

Open access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% of its field
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

79 citing papers in PubMed, 1 synthesis or guideline pooled it, 262 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Prenatal presentation of an adrenocortical tumor.Cancer reports (Hoboken, N.J.) · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Pediatric adrenocortical carcinoma.Frontiers in endocrinology · 2022
    Review
  13. Medical guidelines for Li-Fraumeni syndrome 2019, version 1.1.International journal of clinical oncology · 2021
    Article
  14. Article
  15. Article
  16. GermlineCancers · 2020
    Review
  17. Review
  18. Article
  19. Genetic predisposition in pediatric oncology.Medicine and pharmacy reports · 2020
    Review
  20. Review

19 more citing papers are in PubMed but not listed here.

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

10 authors at 5 institutions in 3 countries.

J M VarleyCancer Research Campaign, Section of Molecular Genetics, Paterson Institute for Cancer Research, Manchester, United Kingdom. jvarley@picr.man.ac.uk
G McGown
M Thorncroft
L A James
G P Margison
G Forster
D G Evans
M Harris
A M Kelsey
J M Birch
Cancer Genetics (United States) · USCancer Research UK Manchester Institute · GBRoyal Manchester Children's Hospital · GBSt. Mary’s Hospital · ZAThe Christie Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We have analyzed a panel of 14 cases of childhood adrenocortical tumors unselected for family history and have identified germline TP53 mutations in >80%, making this the highest known incidence of a germline mutation in a tumor-suppressor gene in any cancer. The spectrum of germline TP53 mutations detected is remarkably limited. Analysis of tumor tissue for loss of constitutional heterozygosity, with respect to the germline mutant allele and the occurrence of other somatic TP53 mutations, indicates complex sequences of genetic events in a number of tumors. None of the families had cancer histories that conformed to the criteria for Li-Fraumeni syndrome, but, in some families, we were able to demonstrate that the mutation had been inherited. In these families there were gene carriers unaffected in their 40s and 50s, and there were others with relatively late-onset cancers. These data provide evidence that certain TP53 alleles confer relatively low penetrance for predisposition to the development of cancer, and they imply that deleterious TP53 mutations may be more frequent in the population than has been estimated previously. Our findings have considerable implications for the clinical management of children with andrenocortical tumors and their parents, in terms of both genetic testing and the early detection and treatment of tumors.

Indexed as

AllelesDNA-Binding ProteinsPenetranceAdaptor Proteins, Signal TransducingAdolescentAdrenal Cortex NeoplasmsAdultAgedAge of OnsetCarrier ProteinsChildChild, PreschoolDNA Mutational AnalysisFemaleGenes, p53Genetic Predisposition to DiseaseAdaptor Proteins, Signal TransducingCarrier ProteinsDNA-Binding ProteinsMLH1 protein, humanMSH2 protein, humanMutL Protein Homolog 1MutS Homolog 2 ProteinNeoplasm ProteinsNuclear ProteinsProto-Oncogene Proteins

Identifiers

PMID10486318
PMCPMC1288270
OpenAlexW2039634774

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.