Evidence map›Paper›PMID 27161042›Full record

ArticleGenome biology2016

A comprehensive survey of the mutagenic impact of common cancer cytotoxics.

Bernadett Szikriszt, Ádám Póti, Orsolya Pipek, Marcin Krzystanek, Nnennaya Kanu, János Molnár, Dezső Ribli, Zoltán Szeltner, Gábor E Tusnády, István Csabai and 3 more

Open access · goldAbstract read
In one paragraph

Article in Genome biology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 2 pooled it
14.1field-weighted citation impact, top 1% 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

107 citing papers in PubMed, 2 syntheses or guidelines pooled it, 187 citations in OpenAlex.

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  14. Structural variant and nucleosome occupancy dynamics postchemotherapy in a HER2+ breast cancer organoid model.Proceedings of the National Academy of Sciences of the United States of America · 2025
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47 more citing papers are in PubMed but not listed here.

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 5 institutions in 3 countries.

Bernadett SzikrisztInstitute of Enzymology, Research Centre for Natural Sciences, Hungarian Academy of Sciences, 1117, Budapest, Hungary.
Ádám PótiInstitute of Enzymology, Research Centre for Natural Sciences, Hungarian Academy of Sciences, 1117, Budapest, Hungary.
Orsolya PipekDepartment of Physics of Complex Systems, Eötvös Loránd University, 1117, Budapest, Hungary.
Marcin KrzystanekCenter for Biological Sequence Analysis, Department of Systems Biology, Technical University of Denmark, 2800, Lyngby, Denmark.
Nnennaya KanuCRUK Lung Cancer Centre of Excellence, UCL Cancer Institute, London, UK.
János MolnárInstitute of Enzymology, Research Centre for Natural Sciences, Hungarian Academy of Sciences, 1117, Budapest, Hungary.
Dezső RibliDepartment of Physics of Complex Systems, Eötvös Loránd University, 1117, Budapest, Hungary.
Zoltán SzeltnerInstitute of Enzymology, Research Centre for Natural Sciences, Hungarian Academy of Sciences, 1117, Budapest, Hungary.
Gábor E TusnádyInstitute of Enzymology, Research Centre for Natural Sciences, Hungarian Academy of Sciences, 1117, Budapest, Hungary.
István CsabaiDepartment of Physics of Complex Systems, Eötvös Loránd University, 1117, Budapest, Hungary.
Zoltan SzallasiCenter for Biological Sequence Analysis, Department of Systems Biology, Technical University of Denmark, 2800, Lyngby, Denmark. zoltan.szallasi@childrens.harvard.edu.
Charles SwantonCRUK Lung Cancer Centre of Excellence, UCL Cancer Institute, London, UK. charles.swanton@crick.ac.uk.
Dávid SzütsInstitute of Enzymology, Research Centre for Natural Sciences, Hungarian Academy of Sciences, 1117, Budapest, Hungary. szuts.david@ttk.mta.hu.
Hungarian Academy of Sciences · HUEötvös Loránd University · HUInstitute of Molecular Life Sciences · HUTechnical University of Denmark · DKUniversity College London · GB

Funding

Cancer Research UK 20466
6 · The paper itself

Abstract

backgroundGenomic mutations caused by cytotoxic agents used in cancer chemotherapy may cause secondary malignancies as well as contribute to the evolution of treatment-resistant tumour cells. The stable diploid genome of the chicken DT40 lymphoblast cell line, an established DNA repair model system, is well suited to accurately assay genomic mutations.

resultsWe use whole genome sequencing of multiple DT40 clones to determine the mutagenic effect of eight common cytotoxics used for the treatment of millions of patients worldwide. We determine the spontaneous mutagenesis rate at 2.3 × 10(-10) per base per cell division and find that cisplatin, cyclophosphamide and etoposide induce extra base substitutions with distinct spectra. After four cycles of exposure, cisplatin induces 0.8 mutations per Mb, equivalent to the median mutational burden in common leukaemias. Cisplatin-induced mutations, including short insertions and deletions, are mainly located at sites of putative intrastrand crosslinks. We find two of the newly defined cisplatin-specific mutation types as causes of the reversion of BRCA2 mutations in emerging cisplatin-resistant tumours or cell clones. Gemcitabine, 5-fluorouracil, hydroxyurea, doxorubicin and paclitaxel have no measurable mutagenic effect. The cisplatin-induced mutation spectrum shows good correlation with cancer mutation signatures attributed to smoking and other sources of guanine-directed base damage.

conclusionThis study provides support for the use of cell line mutagenesis assays to validate or predict the mutagenic effect of environmental and iatrogenic exposures. Our results suggest genetic reversion due to cisplatin-induced mutations as a distinct mechanism for developing resistance.

Indexed as

Mutation RateAnimalsAntineoplastic AgentsCell Line, TumorChickensCisplatinCytotoxinsDrug Screening Assays, AntitumorGenes, BRCA2GenomeMutagensAntineoplastic AgentsCisplatinCytotoxinsMutagensBRCA2Cancer chemotherapyChemotherapy resistanceCisplatinCyclophosphamideCytotoxicsDT40EtoposideMutagenesisSpontaneous mutagenesisWhole genome sequencing

Identifiers

PMID27161042
PMCPMC4862131
OpenAlexW2347107809

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.