Evidence map›Paper›PMID 25939664›Full record

Trial reportHuman genetics2015

Juvenile myelomonocytic leukemia due to a germline CBL Y371C mutation: 35-year follow-up of a large family.

Anand Pathak, Alexander Pemov, Mary L McMaster, Ramita Dewan, Sarangan Ravichandran, Evgenia Pak, Amalia Dutra, Hyo Jung Lee, Aurelie Vogt, Xijun Zhang and 9 more

Registry-linked trialOpen access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Human genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00001163 (Clinical, Laboratory, and Epidemiologic Characterization of Individuals and Families at High Risk of Cancer), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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.

NCT00001163 active not recruitingnot on this map

Clinical, Laboratory, and Epidemiologic Characterization of Individuals and Families at High Risk of Cancer

TypeobservationalSponsorNational Cancer Institute (NCI)Ran1985Enrolled5,201ConditionsHereditary Neoplasms, Cancer, Genetic Predisposition to Cancer, Environment
3 · Its place in the literature

Who cites it

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

  1. A Systematic Literature Review of Whole Exome and Genome Sequencing Population Studies of Genetic Susceptibility to Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Pooled it
  2. Disruption of CTCF binding by germline non-coding variants inmedRxiv : the preprint server for health sciences · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Cracking the Monoubiquitin Code of Genetic Diseases.International journal of molecular sciences · 2020
    Review
  13. Article
  14. Article
  15. Research participant interest in primary, secondary, and incidental genomic findings.Genetics in medicine : official journal of the American College of Medical Genetics · 2016
    Article
  16. 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

19 authors at 2 institutions in 1 country.

Anand PathakDivision of Cancer Epidemiology and Genetics, Clinical Genetics Branch, National Cancer Institute, National Institutes of Health, 9609 Medical Center Drive Rm 6E450, Bethesda, MD, 20892, USA, pathaka@mail.nih.gov.
Alexander Pemov
Mary L McMaster
Ramita Dewan
Sarangan Ravichandran
Evgenia Pak
Amalia Dutra
Hyo Jung Lee
Aurelie Vogt
Xijun Zhang
Meredith Yeager
Stacie Anderson
Martha Kirby
NCI DCEG Cancer Genomics Research Laboratory
NCI DCEG Cancer Sequencing Working Group
Neil Caporaso
Mark H Greene
Lynn R Goldin
Douglas R Stewart
National Institutes of Health · USLeidos (United States) · US

Funding

Clinical Genetic Studies of Familial and Hereditary Cancer SyndromesZIACP010144 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI SAVAGE, SHARON A. · 2009 to 2025
$111.8M
NHGRI/DIR Cytogenetics and Microscopy CoreZICHG200348 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI WINCOVITCH, STEPHEN · 2010 to 2025
$20.3M
NHGRI/DIR Flow Cytometry CoreZICHG200350 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI ANDERSON, STACIE · 2010 to 2025
$16.3M
Variation in Gene Expression in Neurofibromatosis Type 1Z01HG200329 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2005 to 2008
$1.0M
CCR NIH HHS HHSN261200800001CIntramural NIH HHS Z01 HG200329NCI NIH HHS HHSN261200800001E
6 · The paper itself

Abstract

Juvenile myelomonocytic leukemia (JMML) is a pediatric myeloproliferative neoplasm that arises from malignant transformation of the stem cell compartment and results in increased production of myeloid cells. Somatic and germline variants in CBL (Casitas B-lineage lymphoma proto-oncogene) have been associated with JMML. We report an incompletely penetrant CBL Y371C mutation discovered by whole-exome sequencing in three individuals with JMML in a large pedigree with 35 years of follow-up. The Y371 residue is highly evolutionarily conserved among CBL orthologs and paralogs. In silico bioinformatics prediction programs suggested that the Y371C mutation is highly deleterious. Protein structural modeling revealed that the Y371C mutation abrogated the ability of the CBL protein to adopt a conformation that is required for ubiquitination. Clinically, the three mutation-positive JMML individuals exhibited variable clinical courses; in two out of three, primary hematologic abnormalities persisted into adulthood with minimal clinical symptoms. The penetrance of the CBL Y371C mutation was 30% for JMML and 40% for all leukemia. Of the 8 mutation carriers in the family with available photographs, only one had significant dysmorphic features; we found no evidence of a clinical phenotype consistent with a "CBL syndrome". Although CBL Y371C has been previously reported in familial JMML, we are the first group to follow a complete pedigree harboring this mutation for an extended period, revealing additional information about this variant's penetrance, function and natural history.

Indexed as

Germ-Line MutationMutation, MissensePedigreeAdolescentAdultChildChild, PreschoolExomeFemaleFollow-Up StudiesHumansInfantLeukemia, Myelomonocytic, JuvenileMaleModels, MolecularPenetranceCBL protein, humanMAS1 protein, humanProto-Oncogene MasProto-Oncogene Proteins c-cbl

Identifiers

PMID25939664
PMCPMC6941732
OpenAlexW2468797021

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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.