Evidence map›Paper›PMID 24253443›Full record

ArticleJournal of medical genetics2014

Colorectal cancer risk variants on 11q23 and 15q13 are associated with unexplained adenomatous polyposis.

Frederik J Hes, Dina Ruano, Marry Nieuwenhuis, Carli M Tops, Melanie Schrumpf, Maartje Nielsen, Petra E A Huijts, Juul T Wijnen, Anja Wagner, Encarna B Gómez García and 9 more

Open access · greenAbstract read
In one paragraph

Article in Journal of medical genetics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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  17. Clinical management of hereditary colorectal cancer syndromes.Nature reviews. Gastroenterology & hepatology · 2015
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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

19 authors at 9 institutions in 1 country.

Frederik J HesDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Dina Ruano
Marry Nieuwenhuis
Carli M Tops
Melanie Schrumpf
Maartje Nielsen
Petra E A Huijts
Juul T Wijnen
Anja Wagner
Encarna B Gómez García
Rolf H Sijmons
Fred H Menko
Tom G W Letteboer
Nicoline Hoogerbrugge
Jan Harryvan
Ellen Kampman
Hans Morreau
Hans F A Vasen
Tom van Wezel
Leiden University Medical Center · NLWageningen University & Research · NLAcademic Medical Center · NLErasmus MC · NLMaastricht University · NLNetherlands Consortium for Healthy Ageing · NLRadboud University Nijmegen · NLUniversity Medical Center Groningen · NLUniversity Medical Center Utrecht · NL

Funding

Worldwide Cancer Research 10-0619
6 · The paper itself

Abstract

backgroundColorectal adenomatous polyposis is associated with a high risk of colorectal cancer (CRC) and is frequently caused by germline mutations in APC or MUTYH. However, in about 20-30% of patients no underlying gene defect can be identified. In this study, we tested if recently identified CRC risk variants play a role in patients with >10 adenomas.

methodsWe analysed a total of 16 SNPs with a reported association with CRC in a cohort of 252 genetically unexplained index patients with >10 colorectal adenomas and 745 controls. In addition, we collected detailed clinical information from index patients and their first-degree relatives (FDRs).

resultsWe found a statistically significant association with two of the variants tested: rs3802842 (at chromosome 11q23, OR=1.60, 95% CI 1.3 to 2.0) and rs4779584 (at chromosome 15q13, OR=1.50, 95% CI 1.2 to 1.9). The majority of index patients (84%) had between 10 and 100 adenomas and 15% had >100 adenomas. Only two index patients (1%), both with >100 adenomas, had FDRs with polyposis. Forty-one per cent of the index patients had one or more FDRs with CRC.

conclusionsThese SNPs are the first common, low-penetrant variants reported to be associated with adenomatous polyposis not caused by a defect in the APC, MUTYH, POLD1 and POLE genes. Even though familial occurrence of polyposis was very rare, CRC was over-represented in FDRs of polyposis patients and, if confirmed, these relatives will therefore benefit from surveillance.

Indexed as

Chromosome AberrationsChromosomes, Human, Pair 11Chromosomes, Human, Pair 15Adenomatous Polyposis ColiAdolescentAdultAgedAged, 80 and overAge DistributionAllelesCase-Control StudiesColorectal NeoplasmsGene FrequencyGenetic Predisposition to DiseaseGenotypeHumansCancer: colonClinical geneticsGenetic screening/counselling

Identifiers

PMID24253443
PMCPMC3889192
OpenAlexW2113913406

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Registered trials

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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.