Evidence map›Paper›PMID 25634208›Full record

ArticleCancer research2015

Evolutionary Action Score of TP53 Identifies High-Risk Mutations Associated with Decreased Survival and Increased Distant Metastases in Head and Neck Cancer.

David M Neskey, Abdullah A Osman, Thomas J Ow, Panagiotis Katsonis, Thomas McDonald, Stephanie C Hicks, Teng-Kuei Hsu, Curtis R Pickering, Alexandra Ward, Ameeta Patel and 14 more

Abstract read
In one paragraph

Article in Cancer research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

117 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Fanconi Anemia as a Window into Premalignant Field Cancerization of the Oral Mucosa.medRxiv : the preprint server for health sciences · 2026
    Article
  5. Genomic Enrichment and Functional Impact of TP53 and CYLD Alterations in Recurrent and Metastatic HPV-Associated Head and Neck Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Nrf2 Hyperactivation as a Driver of Radiotherapy Resistance and Suppressed Antitumor Immunity in Head and Neck Squamous Cell Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  13. Review
  14. Mutational Landscape of Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma and Association with Immune Checkpoint Inhibitor Outcomes.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  15. Article
  16. Are TP53 mutations all alike?Hematology. American Society of Hematology. Education Program · 2024
    Review
  17. Unveiling therapeutic avenues targeting xCT in head and neck cancer.Cellular oncology (Dordrecht, Netherlands) · 2024
    Review
  18. Article
  19. Review
  20. Article

57 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

24 authors.

David M NeskeyDepartment of Otolaryngology Head and Neck Surgery, Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina.
Abdullah A OsmanDepartment of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
Thomas J OwDepartment of Otolaryngology Head and Neck Surgery, Albert Einstein School of Medicine, Yeshiva University, New York, New York.
Panagiotis KatsonisDepartment of Human and Molecular Genetics, Baylor College of Medicine, Houston, Texas.
Thomas McDonaldDepartment of Statistics, Rice University, Houston, Texas.
Stephanie C HicksDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Teng-Kuei HsuDepartment of Human and Molecular Genetics, Baylor College of Medicine, Houston, Texas.
Curtis R PickeringDepartment of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
Alexandra WardDepartment of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
Ameeta PatelDepartment of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
John S YordyRadiation Oncology, UT Southwestern Medical Center, Dallas, Texas.
Heath D SkinnerDepartment of Thoracic Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
Uma GiriDepartment of Experimental Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
Daisuke SanoDepartment of Otolaryngology-Head and Neck Surgery, Yokahama University, Yokahama, Japan.
Michael D StoryRadiation Oncology, UT Southwestern Medical Center, Dallas, Texas. Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, Texas.
Beth M BeadleDepartment of Head and Neck Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
Adel K El-NaggarDepartment of Pathology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
Merrill S KiesDepartment of Thoracic/Head and Neck Medical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
William N WilliamDepartment of Thoracic/Head and Neck Medical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
Carlos CaulinDepartment of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
Mitchell FrederickDepartment of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas.
Marek KimmelDepartment of Statistics, Rice University, Houston, Texas.
Jeffrey N MyersDepartment of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas. jmyers@mdanderson.org.
Olivier LichtargeDepartment of Human and Molecular Genetics, Baylor College of Medicine, Houston, Texas.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Targeting the p53 pathway for reversal of oral premalignancyP50CA097007 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MYERS, JEFFREY NICHOLAS · 2002 to 2012
$26.1M
X-RAY BEAM SPECTRA MEASUREMENTP01CA006294 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI ANG, K KIAN · 1985 to 2009
$11.0M
Functional Determinnats in G Protein-coupled ReceptorsR01GM066099 · NIGMS · BAYLOR COLLEGE OF MEDICINE · PI LICHTARGE, OLIVIER · 2003 to 2022
$7.5M
Progression of Metastasis of Oral Tongue CancerR01DE014613 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MYERS, JEFFREY NICHOLAS · 2003 to 2018
$5.4M
Comparative genomics of protein structure and functionR01GM079656 · NIGMS · BAYLOR COLLEGE OF MEDICINE · PI LICHTARGE, OLIVIER · 2007 to 2019
$4.3M
MUSC/HCC Paul Calabresi Clinical Oncology Training Program PlanK12CA157688 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI LOCKHART, ALBERT CRAIG, WRANGLE, JOHN M. · 2013 to 2022
$4.3M
Predicting and overcoming chemoradioresistance in p53-mutant head and neck cancerR01DE024601 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MYERS, JEFFREY NICHOLAS · 2014 to 2018
$2.6M
Training in Pharmacoinformatics(RMI)R90DK071505 · NIDDK · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI STANCEL, GEORGE M. · 2004 to 2008
$1.4M
TRAINING OF ACADEMIC HEAD AND NECK SURGICAL ONCOLOGISTST32CA060374 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MYERS, JEFFREY NICHOLAS · 1995 to 2010
$797k
NCI NIH HHS CA016672NCI NIH HHS CA06294NCI NIH HHS K12 CA157688NCI NIH HHS P01 CA006294NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA097007NCI NIH HHS P50CA097007NCI NIH HHS T32 CA060374NCI NIH HHS T32CA60374NIDCR NIH HHS R01 DE014613NIDCR NIH HHS R01 DE024601NIDCR NIH HHS R01 DE14613NIDDK NIH HHS R90 DK071505NIGMS NIH HHS R01 GM066099NIGMS NIH HHS R01 GM079656PHS HHS 5 R90 DKO71505
6 · The paper itself

Abstract

TP53 is the most frequently altered gene in head and neck squamous cell carcinoma, with mutations occurring in over two-thirds of cases, but the prognostic significance of these mutations remains elusive. In the current study, we evaluated a novel computational approach termed evolutionary action (EAp53) to stratify patients with tumors harboring TP53 mutations as high or low risk, and validated this system in both in vivo and in vitro models. Patients with high-risk TP53 mutations had the poorest survival outcomes and the shortest time to the development of distant metastases. Tumor cells expressing high-risk TP53 mutations were more invasive and tumorigenic and they exhibited a higher incidence of lung metastases. We also documented an association between the presence of high-risk mutations and decreased expression of TP53 target genes, highlighting key cellular pathways that are likely to be dysregulated by this subset of p53 mutations that confer particularly aggressive tumor behavior. Overall, our work validated EAp53 as a novel computational tool that may be useful in clinical prognosis of tumors harboring p53 mutations.

Indexed as

Carcinoma, Squamous CellCell Line, TumorGene Expression Regulation, NeoplasticGenetic Association StudiesGenomicsHead and Neck NeoplasmsHumansKaplan-Meier EstimateLung NeoplasmsMutationNeoplasm InvasivenessProportional Hazards ModelsTranscriptomeTumor Suppressor Protein p53TP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID25634208
PMCPMC4383697

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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.