Evidence map›Paper›PMID 18931339›Full record

ArticleBlood2009

TERC and TERT gene mutations in patients with bone marrow failure and the significance of telomere length measurements.

Hong-Yan Du, Elena Pumbo, Jennifer Ivanovich, Ping An, Richard T Maziarz, Ulrike M Reiss, Deborah Chirnomas, Akiko Shimamura, Adrianna Vlachos, Jeffrey M Lipton and 5 more

Open access · greenAbstract read
In one paragraph

Article in Blood, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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

97 citing papers in PubMed, 2 syntheses or guidelines pooled it, 156 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A Reduced-Intensity Conditioning Regimen for Patients with Dyskeratosis Congenita Undergoing Hematopoietic Stem Cell Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Trial
  4. Trial
  5. Telomerase-Associated Genes as Prognostic Markers in High-Grade Serous Ovarian Cancer.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  6. Article
  7. Clonal Signatures of Telomere Biology Disorders.Current hematologic malignancy reports · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
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37 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

15 authors at 8 institutions in 1 country.

Hong-Yan DuDepartment of Internal Medicine, Washington University School of Medicine, St Louis, MO 63110, USA.
Elena Pumbo
Jennifer Ivanovich
Ping An
Richard T Maziarz
Ulrike M Reiss
Deborah Chirnomas
Akiko Shimamura
Adrianna Vlachos
Jeffrey M Lipton
Rakesh K Goyal
Frederick Goldman
David B Wilson
Philip J Mason
Monica Bessler
Washington University in St. Louis · USBoston Children's Museum · USChildren's Hospital of Pittsburgh · USFeinstein Institute for Medical Research · USOregon Health & Science University · USSchneider Children's Hospital · USSt. Jude Children's Research Hospital · USUniversity of Iowa Stead Family Children’s Hospital · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
MOLECULAR STUDIES OF BONE MARROW FAILURER01CA105312 · NCI · WASHINGTON UNIVERSITY · PI BESSLER, MONICA · 2004 to 2014
$4.9M
THE PATHOGENESIS OF DYSKERATOSIS CONGENITAR01CA106995 · NCI · WASHINGTON UNIVERSITY · PI MASON, PHILIP J · 2005 to 2014
$3.0M
NCI NIH HHS CA105312NCI NIH HHS CA106995NCI NIH HHS CA91842NCI NIH HHS P30 CA091842NCI NIH HHS R01 CA105312NCI NIH HHS R01 CA106995
6 · The paper itself

Abstract

Dyskeratosis congenita (DC) is a rare inherited form of bone marrow failure (BMF) caused by mutations in telomere maintaining genes including TERC and TERT. Here we studied the prevalence of TERC and TERT gene mutations and of telomere shortening in an unselected population of patients with BMF at our medical center and in a selected group of patients referred from outside institutions. Less than 5% of patients with BMF had pathogenic mutations in TERC or TERT. In patients with BMF, pathogenic TERC or TERT gene mutations were invariably associated with marked telomere shortening (<< 1st percentile) in peripheral blood mononuclear cells (PBMCs). In asymptomatic family members, however, telomere length was not a reliable predictor for the presence or absence of a TERC or TERT gene mutation. Telomere shortening was not pathognomonic of DC, as approximately 30% of patients with BMF due to other causes had PBMC telomere lengths at the 1st percentile or lower. We conclude that in the setting of BMF, measurement of telomere length is a sensitive but nonspecific screening method for DC. In the absence of BMF, telomere length measurements should be interpreted with caution.

Indexed as

MutationAdultBone Marrow DiseasesChildChild, PreschoolDyskeratosis CongenitaFemaleHumansInfantMaleMiddle AgedRNATelomeraseTelomereYoung AdultRNATelomerasetelomerase RNATERT protein, human

Identifiers

PMID18931339
PMCPMC2615648
OpenAlexW2034972753

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.