Evidence map›Paper›PMID 15520370›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2004

Multiple rare variants in different genes account for multifactorial inherited susceptibility to colorectal adenomas.

Nicola S Fearnhead, Jennifer L Wilding, Bruce Winney, Susan Tonks, Sylvia Bartlett, David C Bicknell, Ian P M Tomlinson, Neil J McC Mortensen, Walter F Bodmer

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% 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

85 citing papers in PubMed, 1 synthesis or guideline pooled it, 198 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Polygenic inheritance, GWAS, polygenic risk scores, and the search for functional variants.Proceedings of the National Academy of Sciences of the United States of America · 2020
    Article
  6. Are Wnt/β-Catenin and PI3K/AKT/mTORC1 Distinct Pathways in Colorectal Cancer?Cellular and molecular gastroenterology and hepatology · 2020
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Altered glycosyltransferases in colorectal cancer.Expert review of gastroenterology & hepatology · 2017
    Article
  14. Article
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  17. Article
  18. Review
  19. Article
  20. Article

25 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

9 authors at 3 institutions in 1 country.

Nicola S FearnheadCancer Research UK Cancer and Immunogenetics Laboratory, Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, Oxford OX3 9DS, England.
Jennifer L Wilding
Bruce Winney
Susan Tonks
Sylvia Bartlett
David C Bicknell
Ian P M Tomlinson
Neil J McC Mortensen
Walter F Bodmer
Cancer Research UK · GBThe Honourable Society of Lincoln's Inn · GBJohn Radcliffe Hospital · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Clear-cut inherited Mendelian traits, such as familial adenomatous polyposis or hereditary nonpolyposis colorectal cancer, account for <4% of colorectal cancers. Another 20% of all colorectal cancers are thought to occur in individuals with a significant inherited multifactorial susceptibility to colorectal cancer that is not obviously familial. Incompletely penetrant, comparatively rare missense variants in the adenomatous polyposis coli gene, which is responsible for familial adenomatous polyposis, have been described in patients with multiple colorectal adenomas. These variants represent a category of variation that has been suggested, quite generally, to account for a substantial fraction of such multifactorial inherited susceptibility. The aim of this study was to explore this rare variant hypothesis for multifactorial inheritance by using multiple colorectal adenomas as the model. Patients with multiple adenomas were screened for germ-line variants in a panel of candidate genes. Germ-line DNA was obtained from 124 patients with between 3 and 100 histologically proven synchronous or metachronous adenomatous polyps. All patients were tested for the adenomatous polyposis coli variants I1307K and E1317Q, and variants were also sought in AXIN1 (axin), CTNNB1 (beta-catenin), and the mismatch repair genes hMLH1 and hMSH2. The control group consisted of 483 random controls. Thirty of 124 (24.9%) patients carried potentially pathogenic germ-line variants as compared with 55 ( approximately 12%) of the controls. This overall difference is highly significant, suggesting that many rare variants collectively contribute to the inherited susceptibility to colorectal adenomas.

Indexed as

AdenomaAllelesAxin ProteinBase Pair MismatchBase SequenceCase-Control StudiesColorectal NeoplasmsDNA Mutational AnalysisDNA, NeoplasmDNA RepairGene FrequencyGenes, APCGenetic VariationGerm-Line MutationHumansMicrosatellite RepeatsAXIN1 protein, humanAxin ProteinDNA, NeoplasmRepressor Proteins

Identifiers

PMID15520370
PMCPMC528777
OpenAlexW2171060123

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.