Evidence map›Paper›PMID 26493165›Full record

ArticleGenes, chromosomes & cancer2016

GREM1 and POLE variants in hereditary colorectal cancer syndromes.

Anna Rohlin, Frida Eiengård, Ulf Lundstam, Theofanis Zagoras, Staffan Nilsson, Anders Edsjö, Jan Pedersen, Janhenry Svensson, Stefan Skullman, B Göran Karlsson and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Genes, chromosomes & cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
3.8field-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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. SEOM-GETTHI clinical guideline for the practical management of molecular platforms (2021).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2022
    Guideline
  2. Guideline
  3. SEOM‑GETTHI clinical guideline for the practical management of molecular platforms (update 2026).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  4. Genetic regulation of the estrogen receptor and inherited predisposition to breast cancer.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  5. 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
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. How many is too many? Polyposis syndromes and what to do next.Current opinion in gastroenterology · 2022
    Review
  12. Evaluation of Classic, Attenuated, and Oligopolyposis of the Colon.Gastrointestinal endoscopy clinics of North America · 2022
    Review
  13. Review
  14. Article
  15. Role of POLE and POLD1 in familial cancer.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  16. Review
  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

12 authors at 6 institutions in 2 countries.

Anna RohlinDepartment of Medical and Clinical Genetics, Institute of Biomedicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Frida EiengårdDepartment of Medical and Clinical Genetics, Institute of Biomedicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Ulf LundstamDepartment of Surgery, Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden.
Theofanis ZagorasDepartment of Medical and Clinical Genetics, Institute of Biomedicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Staffan NilssonMathematical Sciences, Chalmers University of Technology, Gothenburg, Sweden.
Anders EdsjöDepartment of Clinical Pathology and Genetics, Sahlgrenska University Hospital, Gothenburg, Sweden.
Jan PedersenDepartment of Medical Genetics, Rikshospitalet, University Hospital, Oslo, Norway.
Janhenry SvenssonDepartment of Surgery, Skaraborg Hospital, Skövde, Sweden.
Stefan SkullmanDepartment of Surgery, Skaraborg Hospital, Skövde, Sweden.
B Göran KarlssonThe Swedish NMR-Centre at University of Gothenburg, Gothenburg, Sweden.
Jan BjörkDepartment of Medicine, The Swedish Polyposis Registry, Karolinska Institute, Stockholm, Sweden.
Margareta NordlingDepartment of Medical and Clinical Genetics, Institute of Biomedicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
University of Gothenburg · SESahlgrenska University Hospital · SESkaraborg Hospital · SEChalmers University of Technology · SEKarolinska Institutet · SEOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hereditary factors are thought to play a role in at least one third of patients with colorectal cancer (CRC) but only a limited proportion of these have mutations in known high-penetrant genes. In a relatively large part of patients with a few or multiple colorectal polyps the underlying genetic cause of the disease is still unknown. Using exome sequencing in combination with linkage analyses together with detection of copy-number variations (CNV), we have identified a duplication in the regulatory region of the GREM1 gene in a family with an attenuated/atypical polyposis syndrome. In addition, 107 patients with colorectal cancer and/or polyposis were analyzed for mutations in the candidate genes identified. We also performed screening of the exonuclease domain of the POLE gene in a subset of these patients. The duplication of 16 kb in the regulatory region of GREM1 was found to be disease-causing in the family. Functional analyses revealed a higher expression of the GREM1 gene in colorectal tissue in duplication carriers. Screening of the exonuclease domain of POLE in additional CRC patients identified a probable causative novel variant c.1274A>G, p.Lys425Arg. In conclusion a high penetrant duplication in the regulatory region of GREM1, predisposing to CRC, was identified in a family with attenuated/atypical polyposis. A POLE variant was identified in a patient with early onset CRC and a microsatellite stable (MSS) tumor. Mutations leading to increased expression of genes can constitute disease-causing mutations in hereditary CRC syndromes.

Indexed as

Polymorphism, Single NucleotideSegmental Duplications, GenomicAdenomatous Polyposis ColiColorectal NeoplasmsDNA Polymerase IIFemaleGene Expression Regulation, NeoplasticGenetic LinkageHumansIntercellular Signaling Peptides and ProteinsMalePedigreePoly-ADP-Ribose Binding ProteinsSequence Analysis, DNADNA Polymerase IIGREM1 protein, humanIntercellular Signaling Peptides and ProteinsPOLE protein, humanPoly-ADP-Ribose Binding Proteins

Identifiers

PMID26493165
PMCPMC5057327
OpenAlexW2097878546

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.