Evidence map›Paper›PMID 27184744›Full record

ArticleBreast cancer research : BCR2016

Increased chromosomal radiosensitivity in asymptomatic carriers of a heterozygous BRCA1 mutation.

Annelot Baert, Julie Depuydt, Tom Van Maerken, Bruce Poppe, Fransiska Malfait, Katrien Storm, Jenneke van den Ende, Tim Van Damme, Sylvia De Nobele, Gianpaolo Perletti and 3 more

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. GermlineImmuno-oncology technology · 2026
    Article
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  5. Article
  6. Review
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  8. Article
  9. Micronucleus Assay: The State of Art, and Future Directions.International journal of molecular sciences · 2020
    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

13 authors at 4 institutions in 2 countries.

Annelot BaertDepartment of Basic Medical Sciences, Ghent University, Ghent, Belgium.
Julie DepuydtDepartment of Basic Medical Sciences, Ghent University, Ghent, Belgium.
Tom Van MaerkenCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Bruce PoppeCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Fransiska MalfaitCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Katrien StormDepartment of Medical Genetics, University of Antwerp/University Hospital of Antwerp, Antwerp, Belgium.
Jenneke van den EndeDepartment of Medical Genetics, University of Antwerp/University Hospital of Antwerp, Antwerp, Belgium.
Tim Van DammeCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Sylvia De NobeleCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Gianpaolo PerlettiDepartment of Basic Medical Sciences, Ghent University, Ghent, Belgium.
Kim De LeeneerCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Kathleen B M ClaesCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Anne VralDepartment of Basic Medical Sciences, Ghent University, Ghent, Belgium. anne.vral@ugent.be.
Ghent University Hospital · BEGhent University · BEUniversity of Antwerp · BEUniversity of Insubria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer risk increases drastically in individuals carrying a germline BRCA1 mutation. The exposure to ionizing radiation for diagnostic or therapeutic purposes of BRCA1 mutation carriers is counterintuitive, since BRCA1 is active in the DNA damage response pathway. The aim of this study was to investigate whether healthy BRCA1 mutations carriers demonstrate an increased radiosensitivity compared with healthy individuals.

methodsWe defined a novel radiosensitivity indicator (RIND) based on two endpoints measured by the G2 micronucleus assay, reflecting defects in DNA repair and G2 arrest capacity after exposure to doses of 2 or 4 Gy. We investigated if a correlation between the RIND score and nonsense-mediated decay (NMD) could be established.

resultsWe found significantly increased radiosensitivity in the cohort of healthy BRCA1 mutation carriers compared with healthy controls. In addition, our analysis showed a significantly different distribution over the RIND scores (p = 0.034, Fisher's exact test) for healthy BRCA1 mutation carriers compared with non-carriers: 72 % of mutation carriers showed a radiosensitive phenotype (RIND score 1-4), whereas 72 % of the healthy volunteers showed no radiosensitivity (RIND score 0). Furthermore, 28 % of BRCA1 mutation carriers had a RIND score of 3 or 4 (not observed in control subjects). The radiosensitive phenotype was similar for relatives within several families, but not for unrelated individuals carrying the same mutation. The median RIND score was higher in patients with a mutation leading to a premature termination codon (PTC) located in the central part of the gene than in patients with a germline mutation in the 5' end of the gene.

conclusionsWe show that BRCA1 mutations are associated with a radiosensitive phenotype related to a compromised DNA repair and G2 arrest capacity after exposure to either 2 or 4 Gy. Our study confirms that haploinsufficiency is the mechanism involved in radiosensitivity in patients with a PTC allele, but it suggests that further research is needed to evaluate alternative mechanisms for mutations not subjected to NMD.

Indexed as

Genes, BRCA1HeterozygoteMutationAllelesCell CycleChromosomal InstabilityChromosomes, HumanHumansMicronuclei, Chromosome-DefectiveMicronucleus TestsRadiation ToleranceBRCA1 mutationsDNA damage repairG2/M cell-cycle checkpointG2 micronucleus assayHaploinsufficiencyHomologous recombinationIonizing radiationNonsense-mediated decayRadiosensitivity indicator

Identifiers

PMID27184744
PMCPMC4869288
OpenAlexW2405209617

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.