Evidence map›Paper›PMID 20420946›Full record

ReviewGastroenterology2010

The chromosomal instability pathway in colon cancer.

Maria S Pino, Daniel C Chung

Registry-linked trialOpen access · bronzeAbstract readPortraitReview
In one paragraph

Review in Gastroenterology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02596113 (Νew Molecular Biomarkers for the Prevention and Early Detection of Precancerous or Cancerous Colorectal Lesions During Screening for Colorectal Cancer), which is not on this map. Cited by 449 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
449citing papers in PubMed, 1 pooled it
22.4field-weighted citation impact, top 1% 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.

NCT02596113 completednot on this mapstarted 2015, after this paper: background citation

Νew Molecular Biomarkers for the Prevention and Early Detection of Precancerous or Cancerous Colorectal Lesions During Screening for Colorectal Cancer

TypeobservationalSponsorEvangelismos HospitalRan2015 to 2018Enrolled92ConditionsColorectal Cancer
3 · Its place in the literature

Who cites it

449 citing papers in PubMed, 1 synthesis or guideline pooled it, 922 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  7. Article
  8. Single-cell transcriptomic analysis reveals cellular heterogeneity and prognostic subtypes in colorectal cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  9. Article
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  11. Signet-ring cell colon carcinoma in a Northern Ghanaian child: a case report.International journal of surgery case reports · 2026
    Article
  12. Review
  13. Review
  14. Review
  15. Article
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389 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

2 authors at 2 institutions in 1 country.

Maria S PinoGastrointestinal Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Daniel C Chung
Harvard University · USMassachusetts General Hospital · US

Funding

Tissue and Pathology ResourcesP50CA127003 · NCI · DANA-FARBER CANCER INST · PI SICINSKA, · 2007 to 2023
$33.2M
Genetic Regulation of Angiogenesis in Colonic PolypsR01CA092594 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI CHUNG, DANIEL C · 2002 to 2011
$2.5M
NCI NIH HHS CA92594NCI NIH HHS P50 CA127003NCI NIH HHS R01 CA092594
6 · The paper itself

Abstract

The acquisition of genomic instability is a crucial feature in tumor development and there are at least 3 distinct pathways in colorectal cancer pathogenesis: the chromosomal instability (CIN), microsatellite instability, and CpG island methylator phenotype pathways. Most cases of colorectal cancer arise through the CIN pathway, which is characterized by widespread imbalances in chromosome number (aneuploidy) and loss of heterozygosity. It can result from defects in chromosomal segregation, telomere stability, and the DNA damage response, although the full complement of genes underlying CIN remains incompletely described. Coupled with the karyotypic abnormalities observed in CIN tumors are the accumulation of a characteristic set of mutations in specific tumor suppressor genes and oncogenes that activate pathways critical for colorectal cancer initiation and progression. Whether CIN creates the appropriate milieu for the accumulation of these mutations or vice versa remains a provocative and unanswered question. The goal of this review is to provide an updated perspective on the mechanisms that lead to CIN and the key mutations that are acquired in this pathway.

Indexed as

Chromosomal InstabilityGene Expression Regulation, NeoplasticAneuploidyAnimalsCell Transformation, NeoplasticColonic NeoplasmsGenotypeHumansLoss of HeterozygosityMutationNeoplastic Stem CellsPhenotypePrecancerous ConditionsSignal Transduction

Identifiers

PMID20420946
PMCPMC4243705
OpenAlexW2166982925

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.