Evidence map›Paper›PMID 27377421›Full record

ArticleNature communications2016

Patients with genetically heterogeneous synchronous colorectal cancer carry rare damaging germline mutations in immune-related genes.

Matteo Cereda, Gennaro Gambardella, Lorena Benedetti, Fabio Iannelli, Dominic Patel, Gianluca Basso, Rosalinda F Guerra, Thanos P Mourikis, Ignazio Puccio, Shruti Sinha and 4 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Colonic neoplasia and celiac disease: A systematic review.World journal of gastroenterology · 2025
    Pooled it
  2. Article
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  5. Observational
  6. Functional Profiling ofCirculation. Genomic and precision medicine · 2025
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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

14 authors at 4 institutions in 2 countries.

Matteo CeredaDivision of Cancer Studies, King's College London, London SE1 1UL, UK.
Gennaro GambardellaDivision of Cancer Studies, King's College London, London SE1 1UL, UK.
Lorena BenedettiDivision of Cancer Studies, King's College London, London SE1 1UL, UK.
Fabio IannelliIFOM, FIRC Institute of Molecular Oncology, Milan 20139, Italy.
Dominic PatelDepartment of Research Pathology, Cancer Institute, University College London, London WC1E 6JJ, UK.
Gianluca BassoLaboratory of Molecular Gastroenterology, Department of Gastroenterology, Humanitas Research Hospital, Rozzano (MI) 20089, Italy.
Rosalinda F GuerraDepartment of Craniofacial Development &Stem Cell Biology, King's College London, London SE1 9RT, UK.
Thanos P MourikisDivision of Cancer Studies, King's College London, London SE1 1UL, UK.
Ignazio PuccioDepartment of Research Pathology, Cancer Institute, University College London, London WC1E 6JJ, UK.
Shruti SinhaDivision of Cancer Studies, King's College London, London SE1 1UL, UK.
Luigi LaghiLaboratory of Molecular Gastroenterology, Department of Gastroenterology, Humanitas Research Hospital, Rozzano (MI) 20089, Italy.
Jo SpencerDepartment of Immunobiology, King's College London, London, SE1 9RT, UK.
Manuel Rodriguez-JustoDepartment of Research Pathology, Cancer Institute, University College London, London WC1E 6JJ, UK.
Francesca D CiccarelliDivision of Cancer Studies, King's College London, London SE1 1UL, UK.
King's College London · GBUniversity College London · GBIRCCS Humanitas Research Hospital · ITFIRC Institute of Molecular Oncology · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Synchronous colorectal cancers (syCRCs) are physically separated tumours that develop simultaneously. To understand how the genetic and environmental background influences the development of multiple tumours, here we conduct a comparative analysis of 20 syCRCs from 10 patients. We show that syCRCs have independent genetic origins, acquire dissimilar somatic alterations, and have different clone composition. This inter- and intratumour heterogeneity must be considered in the selection of therapy and in the monitoring of resistance. SyCRC patients show a higher occurrence of inherited damaging mutations in immune-related genes compared to patients with solitary colorectal cancer and to healthy individuals from the 1,000 Genomes Project. Moreover, they have a different composition of immune cell populations in tumour and normal mucosa, and transcriptional differences in immune-related biological processes. This suggests an environmental field effect that promotes multiple tumours likely in the background of inflammation.

Indexed as

Genetic HeterogeneityGerm-Line MutationAdultAgedAged, 80 and overCase-Control StudiesClone CellsColorectal NeoplasmsCytokinesFemaleGenetic Predisposition to DiseaseHigh-Throughput Nucleotide SequencingHumansMaleNeoplasm ProteinsNeoplasms, Multiple PrimaryCytokinesNeoplasm ProteinsReceptors, Antigen, T-CellToll-Like Receptors

Identifiers

PMID27377421
PMCPMC4935966
OpenAlexW2473537204

What OpenQuestion holds

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LicenceCC BY
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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.