Evidence map›Paper›PMID 23771924›Full record

ArticleThe Journal of clinical endocrinology and metabolism2013

Cyclic AMP and c-KIT signaling in familial testicular germ cell tumor predisposition.

Monalisa F Azevedo, Anelia Horvath, Ethan R Bornstein, Madson Q Almeida, Paraskevi Xekouki, Fabio R Faucz, Evgenia Gourgari, Kiran Nadella, Elaine F Remmers, Martha Quezado and 5 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00034424 (Multidisciplinary Etiologic Study of Familial Testicular Cancer), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% 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.

NCT00034424 completednot on this map

Multidisciplinary Etiologic Study of Familial Testicular Cancer

TypeobservationalSponsorNational Cancer Institute (NCI)Ran2003Enrolled749ConditionsTesticular Cancer
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Family-Based Study RevealsInternational journal of molecular sciences · 2026
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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 4 institutions in 1 country.

Monalisa F AzevedoSection on Endocrinology and Genetics, Program on Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland 20892, USA.
Anelia Horvath
Ethan R Bornstein
Madson Q Almeida
Paraskevi Xekouki
Fabio R Faucz
Evgenia Gourgari
Kiran Nadella
Elaine F Remmers
Martha Quezado
Rodrigo Bertollo de Alexandre
Christian P Kratz
Maria Nesterova
Mark H Greene
Constantine A Stratakis
Eunice Kennedy Shriver National Institute of Child Health and Human Development · USNational Cancer Institute · USNational Human Genome Research Institute · USNational Institutes of Health · US

Funding

Molecular Genetics of Endocrine Tumors and Related DisordersZIAHD008920 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI STRATAKIS, CONSTANTINE A. · 2012 to 2021
$25.8M
Intramural NIH HHSNCI NIH HHS N02 CP011019NCI NIH HHS N02 CP065504
6 · The paper itself

Abstract

backgroundFamilial testicular germ cell tumors (FTGCTs) are hypothesized to result from the combined interaction of multiple low-penetrance genes. We reported inactivating germline mutations of the cAMP-binding phosphodiesterase 11A (PDE11A) as modifiers of FTGCT risk. Recent genome-wide association studies have identified single-nucleotide polymorphisms in the KITLG gene, the ligand for the cKIT tyrosine kinase receptor, as strong modifiers of susceptibility to both familial and sporadic testicular germ cell tumors.

designWe studied 94 patients with FTGCTs and 50 at-risk male relatives from 63 unrelated kindreds, in whom the PDE11A gene had been sequenced by investigating the association between KITLG genome-wide association study single-nucleotide polymorphisms rs3782179 and rs4474514 and FTGCT risk in these patients and in 692 controls. We also examined cAMP and c-KIT signaling in testicular tissues and cell lines and extended the studies to 2 sporadic cases, one with a PDE11A defect and one without, as a comparison.

resultsWe found a higher frequency of the KITLG risk alleles in FTGCT patients who also had a PDE11A sequence variant, compared with those with a wild-type PDE11A sequence. In NTERA-2 and Tcam-2 cells transfected with the mutated forms of PDE11A (R52T, F258Y, Y727C, R804H, V820M, R867G, and M878V), cAMP levels were significantly higher, and the relative phosphodiesterase activity was lower than in the wild-type cells. KITLG expression was consistently increased in the presence of PDE11A-inactivating defects, both at the RNA and protein levels, in familial testicular germ cell tumors. The 2 sporadic cases that were studied, one with a PDE11A defect and another without, agreed with the data in FTGTCT and in the cell lines.

conclusionsPatients with FTGCT and PDE11A defects also carry KITLG risk alleles more frequently. There may be an interaction between cAMP and c-KIT signaling in predisposition to testicular germ cell tumors.

Indexed as

Polymorphism, Single Nucleotide3',5'-Cyclic-GMP PhosphodiesterasesCell Line, TumorCyclic AMPGenome-Wide Association StudyGenotypeHumansMaleNeoplasms, Germ Cell and EmbryonalPhosphoric Diester HydrolasesProto-Oncogene Proteins c-kitSignal TransductionStem Cell FactorTesticular Neoplasms3',5'-Cyclic-GMP PhosphodiesterasesCyclic AMPPDE11A protein, humanPhosphoric Diester HydrolasesProto-Oncogene Proteins c-kitStem Cell Factor

Identifiers

PMID23771924
PMCPMC3733859
OpenAlexW2076257029

What OpenQuestion holds

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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.