Evidence map›Paper›PMID 21685915›Full record

ArticleNature genetics2011

Exome sequencing identifies MAX mutations as a cause of hereditary pheochromocytoma.

Iñaki Comino-Méndez, Francisco J Gracia-Aznárez, Francesca Schiavi, Iñigo Landa, Luis J Leandro-García, Rocío Letón, Emiliano Honrado, Rocío Ramos-Medina, Daniela Caronia, Guillermo Pita and 19 more

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PubMed Publisher
In one paragraph

Article in Nature genetics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 247 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
247citing papers in PubMed, 3 pooled it
34.2field-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.

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

247 citing papers in PubMed, 3 syntheses or guidelines pooled it, 528 citations in OpenAlex.

  1. Multiple Endocrine Neoplasia Type 5 due to Germline MAX Mutations: A Systematic Review of Tumor Spectrum and Clinical Features.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2026
    Pooled it
  2. Multidisciplinary practice guidelines for the diagnosis, genetic counseling and treatment of pheochromocytomas and paragangliomas.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Guideline
  3. A Systematic Literature Review of Whole Exome and Genome Sequencing Population Studies of Genetic Susceptibility to Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Pooled it
  4. Article
  5. Article
  6. Review
  7. Genetics of familial acromegaly and pituitary gigantism.The Journal of clinical endocrinology and metabolism · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. The genetics of hypertension.Nature reviews. Nephrology · 2026
    Review
  13. The evolving roles of pathologists in paragangliomas and pheochromocytomas.Virchows Archiv : an international journal of pathology · 2026
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Single-Cell Atlas Reveals Tumorigenic Profiles and Immune Dynamics of Adrenal Incidentalomas.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  19. Article
  20. Article

187 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

29 authors at 13 institutions in 3 countries.

Iñaki Comino-MéndezHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Francisco J Gracia-Aznárez
Francesca Schiavi
Iñigo Landa
Luis J Leandro-García
Rocío Letón
Emiliano Honrado
Rocío Ramos-Medina
Daniela Caronia
Guillermo Pita
Alvaro Gómez-Graña
Aguirre A de Cubas
Lucía Inglada-Pérez
Agnieszka Maliszewska
Elisa Taschin
Sara Bobisse
Giuseppe Pica
Paola Loli
Rafael Hernández-Lavado
José A Díaz
Mercedes Gómez-Morales
Anna González-Neira
Giovanna Roncador
Cristina Rodríguez-Antona
Javier Benítez
Massimo Mannelli
Giuseppe Opocher
Mercedes Robledo
Alberto Cascón
Spanish National Cancer Research Centre · ESCentre for Biomedical Network Research on Rare Diseases · ESIstituto Oncologico Veneto · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITCancer Clinic · USCentro de Investigación Biomédica en Red · ESHospital Clínico San Carlos · ESHospital de León · ESHospital Universitario Infanta Cristina · ESTumour Institute of Tuscany · ITUniversidad de Granada · ESUniversity of Foggia · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hereditary pheochromocytoma (PCC) is often caused by germline mutations in one of nine susceptibility genes described to date, but there are familial cases without mutations in these known genes. We sequenced the exomes of three unrelated individuals with hereditary PCC (cases) and identified mutations in MAX, the MYC associated factor X gene. Absence of MAX protein in the tumors and loss of heterozygosity caused by uniparental disomy supported the involvement of MAX alterations in the disease. A follow-up study of a selected series of 59 cases with PCC identified five additional MAX mutations and suggested an association with malignant outcome and preferential paternal transmission of MAX mutations. The involvement of the MYC-MAX-MXD1 network in the development and progression of neural crest cell tumors is further supported by the lack of functional MAX in rat PCC (PC12) cells and by the amplification of MYCN in neuroblastoma and suggests that loss of MAX function is correlated with metastatic potential.

Indexed as

Genetic Predisposition to DiseaseAdolescentAdrenal Gland NeoplasmsAdultAgedAged, 80 and overAmino Acid SequenceBase SequenceBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsBasic-Leucine Zipper Transcription FactorsChildChild, PreschoolExonsFemaleFollow-Up StudiesGerm-Line MutationBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsBasic-Leucine Zipper Transcription FactorsMAX protein, humanMyc associated factor X

Identifiers

PMID21685915
OpenAlexW1966955143

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.