Evidence map›Paper›PMID 26693073›Full record

ArticleAmerican journal of cancer research2015

A common variant in MTHFR influences response to chemoradiotherapy and recurrence of rectal cancer.

Jason B Nikas, Janet T Lee, Elizabeth D Maring, Jill Washechek-Aletto, Donna Felmlee-Devine, Ruth A Johnson, Thomas C Smyrk, Patrick S Tawadros, Lisa A Boardman, Clifford J Steer

Abstract read
In one paragraph

Article in American journal of cancer research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
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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

10 authors.

Jason B NikasGenomix Inc. Minneapolis, MN, USA.
Janet T LeeDepartment of Surgery, University of Minnesota Minneapolis, MN, USA.
Elizabeth D MaringDepartment of Genetics, Cell Biology & Development, University of Minnesota Minneapolis, MN, USA.
Jill Washechek-AlettoDepartment of Gastroenterology & Hepatology, Mayo Clinic Rochester, MN, USA.
Donna Felmlee-DevineDepartment of Gastroenterology & Hepatology, Mayo Clinic Rochester, MN, USA.
Ruth A JohnsonDepartment of Laboratory Medicine & Pathology, Mayo Clinic Rochester, MN, USA.
Thomas C SmyrkDepartment of Laboratory Medicine & Pathology, Mayo Clinic Rochester, MN, USA.
Patrick S TawadrosDepartment of Surgery, University of Minnesota Minneapolis, MN, USA.
Lisa A BoardmanDepartment of Gastroenterology & Hepatology, Mayo Clinic Rochester, MN, USA.
Clifford J SteerDepartment of Genetics, Cell Biology & Development, University of Minnesota Minneapolis, MN, USA ; Department of Medicine, University of Minnesota Minneapolis, MN, USA.

Funding

PILOT AND FEASIBILTY PROGRAMP30DK084567 · NIDDK · MAYO CLINIC ROCHESTER · PI Nicholas F. LaRusso · 2009 to 2026
$22.2M
Time lapse to cancer: defining transition from polyp to colorectal cancer (PQ14)R01CA170357 · NCI · MAYO CLINIC ROCHESTER · PI BOARDMAN, LISA ALLYN · 2012 to 2016
$2.5M
NCI NIH HHS R01 CA170357NIDDK NIH HHS P30 DK084567
6 · The paper itself

Abstract

An important determinant of the pathogenesis and prognosis of various diseases is inherited genetic variation. Single-nucleotide polymorphisms (SNPs), variations at a single base position, have been identified in both protein-coding and noncoding DNA sequences, but the vast majority of millions of those variants are far from being functionally understood. Here we show that a common variant in the gene MTHFR [rs1801133 (C>T)] not only influences response to neoadjuvant chemoradiotherapy in patients with rectal cancer, but it also influences recurrence of the disease itself. More specifically, patients with the homozygous ancestral (wild type) genotype (C/C) were 2.91 times more likely (291% increased benefit) to respond to neoadjuvant chemoradiotherapy {95% CI: [1.23, 6.89]; P=0.0150} and 3.25 times more likely (325% increased benefit) not to experience recurrence of the disease {95% CI: [1.37, 7.72]; P=0.0079} than patients with either the heterozygous (C/T) or the homozygous mutation (T/T) genotype. These results identify MTHFR as an important genetic marker and open up new, pharmacogenomic strategies in the treatment and management of rectal cancer.

Indexed as

genetic variationMTHFR single nucleotide polymorphismpersonalized medicineRectal cancerrecurrence of rectal cancerresponse to chemoradiotherapy

Identifiers

PMID26693073
PMCPMC4656744

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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.