Evidence map›Paper›PMID 24725477›Full record

ReviewJournal of the American Academy of Dermatology2014

Skin cancer in organ transplant recipients: more than the immune system.

Lee Wheless, Sarah Jacks, Kathryn Anne Mooneyham Potter, Brian C Leach, Joel Cook

Open access · greenAbstract readReview
In one paragraph

Review in Journal of the American Academy of Dermatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Observational
  6. Review
  7. Immunomodulators for Non-Melanoma Skin Cancers: Updated Perspectives.Clinical, cosmetic and investigational dermatology · 2023
    Review
  8. Article
  9. Review
  10. Review
  11. Recurrent squamous cell carcinoma in a post cardiac transplant patient.International journal of surgery case reports · 2021
    Article
  12. Genomic profiling of late-onset basal cell carcinomas from two brothers with nevoid basal cell carcinoma syndrome.Journal of the European Academy of Dermatology and Venereology : JEADV · 2021
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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 1 institution in 1 country.

Lee WhelessDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina; Department of Medicine, Medical University of South Carolina, Charleston, South Carolina; Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.
Sarah JacksDepartment of Medicine, Medical University of South Carolina, Charleston, South Carolina; Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.
Kathryn Anne Mooneyham PotterDepartment of Medicine, Medical University of South Carolina, Charleston, South Carolina; Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.
Brian C LeachDermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina. Electronic address: leachb@musc.edu.
Joel CookDermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.
Medical University of South Carolina · US

Funding

TRAINING PROGRAM FOR MEDICAL SCIENTISTST32GM008716 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DEMORE, NANCY · 1999 to 2024
$9.3M
NIGMS NIH HHS T32 GM008716NIGMS NIH HHS T32GM008716
6 · The paper itself

Abstract

Organ transplant recipients (OTRs) are at increased risk of developing nonmelanoma skin cancers. This has long been thought to be caused by immunosuppression and viral infection. However, skin cancer risk among individuals with AIDS or iatrogenic immunodeficiency does not approach the levels seen in OTRs, suggesting other factors play a critical role in oncogenesis. In clinical trials of OTRs, switching from calcineurin inhibitors to mammalian target of rapamycin inhibitors consistently led to a significant reduction in the risk of developing new skin cancers. New evidence suggests calcineurin inhibitors interfere with p53 signaling and nucleotide excision repair. These two pathways are associated with nonmelanoma skin cancer, and squamous cell carcinoma in particular. This finding may help explain the predominance of squamous cell carcinoma over basal cell carcinoma in this population. Mammalian target of rapamycin inhibitors do not appear to impact these pathways. Immunosuppression, viral infection, and impaired DNA repair and p53 signaling all interact in OTRs to create a phenotype of extreme risk for nonmelanoma skin cancer.

Indexed as

Organ TransplantationBasal Cell CarcinomaCalcineurin InhibitorsCarcinoma, Squamous CellDNA RepairHumansImmunosuppressive AgentsSignal TransductionSkin NeoplasmsTOR Serine-Threonine KinasesTumor Suppressor Protein p53Calcineurin InhibitorsImmunosuppressive AgentsMTOR protein, humanTOR Serine-Threonine KinasesTumor Suppressor Protein p53calcineurin inhibitorsimmunosuppressionmammalian target of rapamycin inhibitorsoncogenic virusesorgan transplant recipientsskin cancer

Identifiers

PMID24725477
PMCPMC4104255
OpenAlexW1984763510

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.