Evidence map›Paper›PMID 26527286›Full record

ArticleCancer research2015

A Heritable Missense Polymorphism in CDKN2A Confers Strong Risk of Childhood Acute Lymphoblastic Leukemia and Is Preferentially Selected during Clonal Evolution.

Kyle M Walsh, Adam J de Smith, Helen M Hansen, Ivan V Smirnov, Semira Gonseth, Alyson A Endicott, Jianqiao Xiao, Terri Rice, Cecilia H Fu, Lucie S McCoy and 8 more

Open access · bronzeAbstract 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 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Acute lymphoblastic leukaemia.Nature reviews. Disease primers · 2024
    Review
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  10. Article
  11. Review
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  16. Article
  17. Deficiency ofOncoTargets and therapy · 2020
    Article
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  19. Article
  20. Review
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

18 authors at 6 institutions in 2 countries.

Kyle M WalshDivision of Neuroepidemiology, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California. kyle.walsh@ucsf.edu.
Adam J de SmithDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California.
Helen M HansenDivision of Neuroepidemiology, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California.
Ivan V SmirnovDivision of Neuroepidemiology, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California.
Semira GonsethDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California.
Alyson A EndicottDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California.
Jianqiao XiaoDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California.
Terri RiceDivision of Neuroepidemiology, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California.
Cecilia H FuDivision of Hematology/Oncology, Children's Hospital Los Angeles, Los Angeles, California.
Lucie S McCoyDivision of Neuroepidemiology, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California.
Daniel H LachanceDepartment of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota.
Jeanette E Eckel-PassowDivision of Biomedical Statistics and Informatics, Mayo Clinic College of Medicine, Rochester, Minnesota.
John K WienckeDivision of Neuroepidemiology, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California. Institute for Human Genetics, University of California, San Francisco, San Francisco, California.
Robert B JenkinsDepartment of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, Minnesota.
Margaret R WrenschDivision of Neuroepidemiology, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California. Institute for Human Genetics, University of California, San Francisco, San Francisco, California.
Xiaomei MaDepartment of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, Connecticut.
Catherine MetayerSchool of Public Health, University of California Berkeley, Berkeley, California.
Joseph L WiemelsDivision of Neuroepidemiology, Department of Neurological Surgery, University of California, San Francisco, San Francisco, California. Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California. Institute for Human Genetics, University of California, San Francisco, San Francisco, California.
University of California, San Francisco · USNeurological Surgery · USMayo Clinic · USBerkeley Public Health Division · USChildren's Hospital of Los Angeles · USYale University · US

Funding

COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
Tissue CoreP50CA097257 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Joseph F Costello · 2002 to 2026
$57.4M
CALIFORNIA COORDINATED CANCER PREVENTION & CONTROL PROGRAMU58DP003862 · DP · CALIFORNIA STATE DEPT OF PUBLIC HEALTH · PI SNIPES, KURT P · 2012 to 2014
$31.5M
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
UT M.D. Anderson Cancer Center SPORE in MelanomaP50CA093459 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI GRIMM, ELIZABETH A · 2004 to 2014
$23.7M
Targeted MV-CEA as a Potent Antitumor Agent against GBMP50CA108961 · NCI · MAYO CLINIC ROCHESTER · PI O'NEILL, BRIAN PATRICK · 2004 to 2015
$22.5M
Environmental and Molecular Epidemiology of Childhood LeukemiaR01ES009137 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI METAYER, CATHERINE · 1999 to 2013
$21.1M
GENETIC EPIDEMIOLOGY OF MALIGNANT GLIOMAR01CA052689 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WIENCKE, JOHN K., WRENSCH, MARGARET R. · 1991 to 2015
$20.5M
Support for Human Specimen Banking in NCI-Supported Cancer Clinical TrialsU24CA114766 · NCI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI RAMIREZ MILAN, NILSA DEL CARMEN · 2005 to 2014
$14.5M
PHARMACOGENOMICS OF CHILDHOOD LEUKEMIA (ALL)R37CA036401 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI EVANS, WILLIAM E · 1987 to 2014
$9.7M
NCCDPHP CDC HHS U58 DP003862NCI NIH HHS HHSN261201000034CNCI NIH HHS HHSN261201000035CNCI NIH HHS HHSN261201000035INCI NIH HHS HHSN261201000140CNCI NIH HHS P30 CA015083NCI NIH HHS P30 CA021765NCI NIH HHS P50 CA093459NCI NIH HHS P50 CA097007NCI NIH HHS P50 CA097257NCI NIH HHS P50 CA108961NCI NIH HHS R01 CA036401NCI NIH HHS R01 CA052689NCI NIH HHS R01 CA133996NCI NIH HHS R01 CA140729NCI NIH HHS R01 CA142665NCI NIH HHS R01 CA155461NCI NIH HHS R01CA155461NCI NIH HHS R21 CA158568NCI NIH HHS R25 CA112355NCI NIH HHS R25CA112355NCI NIH HHS R37 CA036401NCI NIH HHS RC4 CA156449NCI NIH HHS U10 CA098543NCI NIH HHS U24 CA114766NIEHS NIH HHS P01 ES018172NIEHS NIH HHS P01ES018172NIEHS NIH HHS R01 ES009137NIEHS NIH HHS R01 ES011740NIEHS NIH HHS R01ES09137NIGMS NIH HHS U01 GM092666NINDS NIH HHS RC1 NS068222Wellcome Trust
6 · The paper itself

Abstract

Genome-wide association studies (GWAS) have identified SNPs in six genes that are associated with childhood acute lymphoblastic leukemia (ALL). A lead SNP was found to occur on chromosome 9p21.3, a region that is deleted in 30% of childhood ALLs, suggesting the presence of causal polymorphisms linked to ALL risk. We used SNP genotyping and imputation-based fine-mapping of a multiethnic ALL case-control population (Ncases = 1,464, Ncontrols = 3,279) to identify variants of large effect within 9p21.3. We identified a CDKN2A missense variant (rs3731249) with 2% allele frequency in controls that confers three-fold increased risk of ALL in children of European ancestry (OR, 2.99; P = 1.51 × 10(-9)) and Hispanic children (OR, 2.77; P = 3.78 × 10(-4)). Moreover, of 17 patients whose tumors displayed allelic imbalance at CDKN2A, 14 preferentially retained the risk allele and lost the protective allele (PBinomial = 0.006), suggesting that the risk allele provides a selective advantage during tumor growth. Notably, the CDKN2A variant was not significantly associated with melanoma, glioblastoma, or pancreatic cancer risk, implying that this polymorphism specifically confers ALL risk but not general cancer risk. Taken together, our findings demonstrate that coding polymorphisms of large effect can underlie GWAS "hits" and that inherited polymorphisms may undergo directional selection during clonal expansion of tumors.

Indexed as

Genes, p16Case-Control StudiesChildEvolution, MolecularFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyGenotypeHumansMalePolymorphism, Single NucleotidePrecursor Cell Lymphoblastic Leukemia-Lymphoma

Identifiers

PMID26527286
PMCPMC4651745
OpenAlexW2230634176

What OpenQuestion holds

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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.