Evidence map›Paper›PMID 23446638›Full record

ArticleHuman molecular genetics2013

Germline and somatic KLLN alterations in breast cancer dysregulate G2 arrest.

Emily A Nizialek, Charissa Peterson, Jessica L Mester, Erinn Downes-Kelly, Charis Eng

Open access · bronzeAbstract read
In one paragraph

Article in Human molecular genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Rare Hereditary Gynecological Cancer Syndromes.International journal of molecular sciences · 2022
    Review
  5. Article
  6. Article
  7. Article
  8. Distinct subtypes of genomicMolecular cytogenetics · 2018
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
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

5 authors at 2 institutions in 2 countries.

Emily A NizialekGenomic Medicine Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Charissa Peterson
Jessica L Mester
Erinn Downes-Kelly
Charis Eng
Cerner (United States) · USCleveland Clinic · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007250 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI HUANG, ALEX YEE-CHEN · 1985 to 2023
$33.4M
Germline KLLN Alterations in PTEN Mutation Negative Cowden SyndromeF30CA168151 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI NIZIALEK, EMILY ALISON · 2013 to 2015
$130k
NCI NIH HHS F30 CA168151NIGMS NIH HHS T32 GM007250
6 · The paper itself

Abstract

PTEN is a well-described predisposition gene for Cowden syndrome (CS), a familial cancer syndrome characterized by a high risk of breast and other cancers. KLLN, which shares a bidirectional promoter with PTEN, causes cell cycle arrest and apoptosis. We previously identified germline hypermethylation of the KLLN promoter in 37% of PTEN mutation-negative CS/CS-like (CSL) patients. Patients with germline KLLN hypermethylation have an increased prevalence of breast and renal cancers when compared with PTEN mutation carriers. We have consequently sought to identify and characterize germline KLLN variants/mutations in CS/CSL and in apparently sporadic breast cancer patients. KLLN variants in CS/CSL patients are rare (1 of 136, 0.007%). Interestingly, among 438 breast cancer patients, 13 (3%) have germline KLLN variants when compared with none in 128 controls (P = 0.049). Patients with KLLN variants have a family history of breast cancer when compared with those without (P = 0.02). We demonstrate that germline KLLN variants dysregulate the cell cycle at G2. Of 24 breast carcinomas analyzed, 3 (13%) have somatic KLLN hemizygous deletions, with somatic loss of the wild-type allele in a patient with germline KLLN p.Leu119Leu. Of 452 breast carcinomas in The Cancer Genome Atlas project, 93 (21%) have KLLN hemizygous or homozygous deletions. This is the first study to associate germline KLLN variants with sporadic breast cancer and to recognize somatic KLLN deletions in breast carcinomas. Our observations suggest that KLLN may be a low penetrance susceptibility factor for apparently sporadic breast cancer.

Indexed as

G2 Phase Cell Cycle CheckpointsGerm-Line MutationAdultAgedBreast NeoplasmsCase-Control StudiesFemaleHumansMiddle AgedPTEN PhosphohydrolaseTumor Suppressor ProteinsKLLN protein, humanPTEN PhosphohydrolasePTEN protein, humanTumor Suppressor Proteins

Identifiers

PMID23446638
PMCPMC3858115
OpenAlexW2142692644

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.