Evidence map›Paper›PMID 24512911›Full record

ArticleGastroenterology2014

Germline mutations in oncogene-induced senescence pathways are associated with multiple sessile serrated adenomas.

Manish K Gala, Yusuke Mizukami, Long P Le, Kentaro Moriichi, Thomas Austin, Masayoshi Yamamoto, Gregory Y Lauwers, Nabeel Bardeesy, Daniel C Chung

Open access · bronzeAbstract read
In one paragraph

Article in Gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 5% 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

75 citing papers in PubMed, 3 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Guideline
  4. Article
  5. [Hereditary colorectal cancer].Pathologie (Heidelberg, Germany) · 2026
    Review
  6. Article
  7. Article
  8. Functional Characterization of Loss ofInternational journal of molecular sciences · 2026
    Article
  9. Review
  10. Article
  11. Genetic predisposition to polyposis syndromes.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. [Hereditary colorectal carcinogenesis].Pathologie (Heidelberg, Germany) · 2023
    Review
  20. Review

15 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

9 authors at 2 institutions in 2 countries.

Manish K Gala
Yusuke Mizukami
Long P Le
Kentaro Moriichi
Thomas Austin
Masayoshi Yamamoto
Gregory Y Lauwers
Nabeel Bardeesy
Daniel C Chung
Harvard University · USMassachusetts General Hospital · US

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG · 1991 to 2026
$35.3M
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 R01 CA092594NIDDK NIH HHS P30 DK043351
6 · The paper itself

Abstract

BACKGROUND &

aimsLittle is known about the genetic factors that contribute to the development of sessile serrated adenomas (SSAs). SSAs contain somatic mutations in BRAF or KRAS early in development. However, evidence from humans and mouse models indicates that these mutations result in oncogene-induced senescence (OIS) of intestinal crypt cells. Progression to serrated neoplasia requires cells to escape OIS via inactivation of tumor suppressor pathways. We investigated whether subjects with multiple SSAs carry germline loss-of function mutations (nonsense and splice site) in genes that regulate OIS: the p16-Rb and ATM-ATR DNA damage response pathways.

methodsThrough a bioinformatic analysis of the literature, we identified a set of genes that function at the main nodes of the p16-Rb and ATM-ATR DNA damage response pathways. We performed whole-exome sequencing of 20 unrelated subjects with multiple SSAs; most had features of serrated polyposis. We compared sequences with those from 4300 subjects matched for ethnicity (controls). We also used an integrative genomics approach to identify additional genes involved in senescence mechanisms.

resultsWe identified mutations in genes that regulate senescence (ATM, PIF1, TELO2,XAF1, and RBL1) in 5 of 20 subjects with multiple SSAs (odds ratio, 3.0; 95% confidence interval, 0.9–8.9; P =.04). In 2 subjects,we found nonsense mutations in RNF43, indicating that it is also associated with multiple serrated polyps (odds ratio, 460; 95% confidence interval, 23.1–16,384; P = 6.8 x 10(-5)). In knockdown experiments with pancreatic duct cells exposed to UV light, RNF43 appeared to function as a regulator of ATMATRDNA damage response.

conclusionsWe associated germline loss-of-function variants in genes that regulate senescence pathways with the development of multiple SSAs.We identified RNF43 as a regulator of the DNA damage response and associated nonsense variants in this gene with a high risk of developing SSAs.

Indexed as

Germ-Line MutationAdaptor Proteins, Signal TransducingAdenomatous PolypsAdultAgedApoptosis Regulatory ProteinsAtaxia Telangiectasia Mutated ProteinsCase-Control StudiesCellular SenescenceCodon, NonsenseColonic NeoplasmsDNA-Binding ProteinsDNA HelicasesExomeFemaleGenetic Association StudiesAdaptor Proteins, Signal TransducingApoptosis Regulatory ProteinsAtaxia Telangiectasia Mutated ProteinsATM protein, humanBRAF protein, humanCodon, NonsenseDNA-Binding ProteinsDNA HelicasesETV7 protein, humanGenetic MarkersIntracellular Signaling Peptides and ProteinsKRAS protein, humanNeoplasm ProteinsOncogene ProteinsPIF1 protein, humanProto-Oncogene ProteinsProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-etsProto-Oncogene Proteins p21(ras)ras ProteinsRBL1 protein, humanRetinoblastoma-Like Protein p107RNF43 protein, humanUbiquitin-Protein LigasesXAF1 protein, human

Identifiers

PMID24512911
PMCPMC3978775
OpenAlexW2100535647

What OpenQuestion holds

Textmetadata
LicenceTDM
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.