Evidence map›Paper›PMID 26276752›Full record

ArticleCancer prevention research (Philadelphia, Pa.)2015

Colon Tumors with the Simultaneous Induction of Driver Mutations in APC, KRAS, and PIK3CA Still Progress through the Adenoma-to-carcinoma Sequence.

Jamie N Hadac, Alyssa A Leystra, Terrah J Paul Olson, Molly E Maher, Susan N Payne, Alexander E Yueh, Alexander R Schwartz, Dawn M Albrecht, Linda Clipson, Cheri A Pasch and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer prevention research (Philadelphia, Pa.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.4field-weighted citation impact, top 12% 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, 27 citations in OpenAlex.

  1. Review
  2. Review
  3. Early Onset Colorectal Cancer: Molecular Underpinnings Accelerating Occurrence.Cellular and molecular gastroenterology and hepatology · 2025
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Molecular Profiling of Appendiceal Adenocarcinoma and Comparison with Right-sided and Left-sided Colorectal Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. New insights into the earliest stages of colorectal tumorigenesis.Expert review of gastroenterology & hepatology · 2017
    Review
  14. Article
  15. Article
  16. Wnt Signaling and Colorectal Cancer.Current colorectal cancer reports · 2017
    Article
  17. Article
  18. Dual PI3K/mTOR Inhibition in Colorectal Cancers withMolecular cancer research : MCR · 2017
    Article
  19. The Conundrum of Genetic "Drivers" in Benign Conditions.Journal of the National Cancer Institute · 2016
    Review
  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

13 authors at 1 institution in 1 country.

Jamie N HadacDepartment of Oncology, University of Wisconsin, Madison, Wisconsin.
Alyssa A LeystraDepartment of Oncology, University of Wisconsin, Madison, Wisconsin.
Terrah J Paul OlsonDivision of General Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin.
Molly E MaherDivision of Hematology and Oncology, University of Wisconsin, Madison, Wisconsin.
Susan N PayneUniversity of Wisconsin Carbone Cancer Center, University of Wisconsin, Madison, Wisconsin.
Alexander E YuehDivision of Hematology and Oncology, University of Wisconsin, Madison, Wisconsin.
Alexander R SchwartzDivision of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin, Madison, Wisconsin.
Dawn M AlbrechtDivision of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin, Madison, Wisconsin.
Linda ClipsonDepartment of Oncology, University of Wisconsin, Madison, Wisconsin.
Cheri A PaschUniversity of Wisconsin Carbone Cancer Center, University of Wisconsin, Madison, Wisconsin.
Kristina A MatkowskyjUniversity of Wisconsin Carbone Cancer Center, University of Wisconsin, Madison, Wisconsin. Department of Pathology and Laboratory Medicine, University of Wisconsin, Madison, Wisconsin. William S Middleton Memorial Veterans Hospital, Madison, Wisconsin.
Richard B HalbergUniversity of Wisconsin Carbone Cancer Center, University of Wisconsin, Madison, Wisconsin. Division of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin, Madison, Wisconsin.
Dustin A DemingDivision of Hematology and Oncology, University of Wisconsin, Madison, Wisconsin. University of Wisconsin Carbone Cancer Center, University of Wisconsin, Madison, Wisconsin. William S Middleton Memorial Veterans Hospital, Madison, Wisconsin. ddeming@medicine.wisc.edu.
University of Wisconsin–Madison · US

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI AMY TRENTHAM-DIETZ · 1985 to 2026
$142.6M
Training in Cancer Biology Training GrantT32CA009135 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI SUGDEN, WILLIAM M. · 1985 to 2024
$10.4M
Polyclonal Intestinal Tumors: Formation, Progression, and SignificanceR01CA123438 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI HALBERG, RICHARD BROTT · 2009 to 2013
$1.5M
Molecular Differences Predicting Tumor Progression in Colorectal Cancer (PQ #14)R21CA170876 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI HALBERG, RICHARD BROTT, KENNEDY, GREGORY DEAN · 2012 to 2013
$350k
NCI NIH HHS L30 CA179860NCI NIH HHS P30 CA014520NCI NIH HHS R01 CA123438NCI NIH HHS R21 CA170876NCI NIH HHS T32 CA009135NCI NIH HHS T32 CA09017
6 · The paper itself

Abstract

Human colorectal cancers often possess multiple mutations, including three to six driver mutations per tumor. The timing of when these mutations occur during tumor development and progression continues to be debated. More advanced lesions carry a greater number of driver mutations, indicating that colon tumors might progress from adenomas to carcinomas through the stepwise accumulation of mutations following tumor initiation. However, mutations that have been implicated in tumor progression have been identified in normal-appearing epithelial cells of the colon, leaving the possibility that these mutations might be present before the initiation of tumorigenesis. We utilized mouse models of colon cancer to investigate whether tumorigenesis still occurs through the adenoma-to-carcinoma sequence when multiple mutations are present at the time of tumor initiation. To create a model in which tumors could concomitantly possess mutations in Apc, Kras, and Pik3ca, we developed a novel minimally invasive technique to administer an adenovirus expressing Cre recombinase to a focal region of the colon. Here, we demonstrate that the presence of these additional driver mutations at the time of tumor initiation results in increased tumor multiplicity and an increased rate of progression to invasive adenocarcinomas. These cancers can even metastasize to retroperitoneal lymph nodes or the liver. However, despite having as many as three concomitant driver mutations at the time of initiation, these tumors still proceed through the adenoma-to-carcinoma sequence.

Indexed as

Genes, APCAdenocarcinomaAdenomaAnimalsClass I Phosphatidylinositol 3-KinasesColonic NeoplasmsDisease Models, AnimalDisease ProgressionImmunohistochemistryMiceMice, Inbred C57BLMice, TransgenicMutationPhosphatidylinositol 3-KinasesProto-Oncogene Proteins p21(ras)Class I Phosphatidylinositol 3-KinasesHras protein, mousePhosphatidylinositol 3-KinasesPik3ca protein, mouseProto-Oncogene Proteins p21(ras)

Identifiers

PMID26276752
PMCPMC4596777
OpenAlexW2196214471

What OpenQuestion holds

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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.