Evidence map›Paper›PMID 27443449›Full record

SynthesisRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology2016

Individual patient data meta-analysis shows a significant association between the ATM rs1801516 SNP and toxicity after radiotherapy in 5456 breast and prostate cancer patients.

Christian Nicolaj Andreassen, Barry S Rosenstein, Sarah L Kerns, Harry Ostrer, Dirk De Ruysscher, Jamie A Cesaretti, Gillian C Barnett, Alison M Dunning, Leila Dorling, Catharine M L West and 35 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 4 pooled it
–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

64 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Polymorphism rs1801516 (G > A) in theThe Journal of international medical research · 2020
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Integration of Dose Surface Maps and Genetic Data Identifies the Lower Posterior Rectum as a Key Region for Toxicity after Prostate Cancer Radiotherapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Imaging genomics of cancer: a bibliometric analysis and review.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Review
  18. Review
  19. Review
  20. Review

4 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

45 authors.

Christian Nicolaj AndreassenDepartment of Experimental Clinical Oncology, Aarhus University Hospital, Denmark. Electronic address: nicolaj@oncology.au.dk.
Barry S RosensteinDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, USA.
Sarah L KernsDepartment of Radiation Oncology, University of Rochester Medical Center, USA; Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, USA.
Harry OstrerDepartments of Pathology and Pediatrics, Albert Einstein College of Medicine, New York, USA.
Dirk De RuysscherDepartment of Radiotherapy (Maastro Clinic), Maastricht University Medical Center, The Netherlands.
Jamie A CesarettiSouthpoint Cancer Center, Jacksonville, USA.
Gillian C BarnettDepartment of Oncology, Cambridge University Hospitals NHS Foundation Trust, UK; Centre for Cancer Genetic Epidemiology, Strangeways Research Laboratory, University of Cambridge, UK.
Alison M DunningDepartment of Oncology, Cambridge University Hospitals NHS Foundation Trust, UK; Centre for Cancer Genetic Epidemiology, Strangeways Research Laboratory, University of Cambridge, UK.
Leila DorlingCentre for Cancer Genetic Epidemiology, Strangeways Research Laboratory, University of Cambridge, UK.
Catharine M L WestInstitute of Cancer Sciences, University of Manchester, The Christie NHS Foundation Trust, UK.
Neil G BurnetDepartment of Oncology, Cambridge University Hospitals NHS Foundation Trust, UK.
Rebecca ElliottDepartment of Oncology, Cambridge University Hospitals NHS Foundation Trust, UK.
Charlotte ColesDepartment of Oncology, Cambridge University Hospitals NHS Foundation Trust, UK.
Emma HallClinical Trials & Statistics Unit (ICR-CTSU), The Institute of Cancer Research, London, UK.
Laura FachalFundacion Publica Galega de Medicina Xenomica-SERGAS, Grupo de Medicina Xenomica-USC, IDIS, CIBERER, Santiago de Compostela, Spain.
Ana VegaFundacion Publica Galega de Medicina Xenomica-SERGAS, Grupo de Medicina Xenomica-USC, IDIS, CIBERER, Santiago de Compostela, Spain.
Antonio Gómez-CaamañoDepartment of Radiation Oncology, Complexo Hospitalario Universitario de Santiago, SERGAS, Santiago de Compostela, Spain.
Christopher J TalbotDepartment of Genetics, University of Leicester, UK.
R Paul SymondsDepartment of Cancer Studies, University of Leicester, UK.
Kim De RuyckDepartment of Basic Medical Sciences, Ghent University, Belgium.
Hubert ThierensDepartment of Basic Medical Sciences, Ghent University, Belgium.
Piet OstDepartment of Radiotherapy, Ghent University Hospital, Belgium.
Jenny Chang-ClaudeDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany; University Cancer Center Hamburg, University (UCCH), University Medical Center Hamburg-Eppendorf, Germany.
Petra SeiboldDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Odilia PopandaDivision of Epigenomics and Cancer Risk Factors, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Marie OvergaardDepartment of Experimental Clinical Oncology, Aarhus University Hospital, Denmark.
David DearnaleyThe Institute of Cancer Research and Royal Marsden NHS Foundation Trust, London, UK.
Matthew R SydesMRC Clinical Trials Unit at UCL, London, UK.
David AzriaDepartment of Radiation Oncology and Medical Physics, Institut regional du Cancer Montpellier, France.
Christine Anne KochRadiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Matthew ParliamentDepartment of Oncology, Cross Cancer Institute, University of Alberta, Edmonton, Canada.
Michael BlackshawDepartment of Oncology, Cross Cancer Institute, University of Alberta, Edmonton, Canada.
Michael SiaDepartment of Radiation Oncology, British Columbia Cancer Agency Abbotsford Clinic, Canada.
Maria J Fuentes-RaspallDepartment of Radiation Oncology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Teresa Ramon Y CajalMedical Oncology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Agustin BarnadasMedical Oncology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Danny VespriniDepartment of Radiation Oncology, Sunnybrook Health Sciences Centre, Toronto, Canada.
Sara Gutiérrez-EnríquezOncogenetics Group, Vall d'Hebron Institute of Oncology (VHIO), Universitat Autònoma de Barcelona, Spain.
Meritxell MollàDepartment of Radiation Oncology, Vall d'Hebron University Hospital, Barcelona, Spain.
Orland DíezOncogenetics Group, Vall d'Hebron Institute of Oncology (VHIO), Area of Clinical and Molecular Genetics, Vall d'Hebron University Hospital, Barcelona, Spain.
John R YarnoldThe Institute of Cancer Research and Royal Marsden NHS Foundation Trust, London, UK.
Jens OvergaardDepartment of Experimental Clinical Oncology, Aarhus University Hospital, Denmark.
Søren M BentzenGreenebaum Cancer Center and Department of Epidemiology & Public Health, University of Maryland School of Medicine, Baltimore, USA.
Jan AlsnerDepartment of Experimental Clinical Oncology, Aarhus University Hospital, Denmark.
International Radiogenomics Consortium (RgC)

Funding

Genome-Wide Study to Identify SNPs and CNPs Associated with Radiation InjuryR01CA134444 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI OSTRER, HARRY, ROSENSTEIN, BARRY S · 2009 to 2012
$2.3M
Risk Prediction for Development of Adverse Effects FOllowing Radiotherapy for Prostate CancerK07CA187546 · NCI · UNIVERSITY OF ROCHESTER · PI KERNS, SARAH L. · 2015 to 2019
$649k
Cancer Research UK 10588Cancer Research UK 12518Cancer Research UK 16565Cancer Research UK 18504Cancer Research UK 19727Medical Research Council MC_U122861330Medical Research Council MC_UU_12023/28Medical Research Council MC_UU_12023/6NCI NIH HHS K07 CA187546NCI NIH HHS R01 CA134444
6 · The paper itself

Abstract

purposeSeveral small studies have indicated that the ATM rs1801516 SNP is associated with risk of normal tissue toxicity after radiotherapy. However, the findings have not been consistent. In order to test this SNP in a well-powered study, an individual patient data meta-analysis was carried out by the International Radiogenomics Consortium. MATERIALS AND

methodsThe analysis included 5456 patients from 17 different cohorts. 2759 patients were given radiotherapy for breast cancer and 2697 for prostate cancer. Eight toxicity scores (overall toxicity, acute toxicity, late toxicity, acute skin toxicity, acute rectal toxicity, telangiectasia, fibrosis and late rectal toxicity) were analyzed. Adjustments were made for treatment and patient related factors with potential impact on the risk of toxicity.

resultsFor all endpoints except late rectal toxicity, a significantly increased risk of toxicity was found for carriers of the minor (Asn) allele with odds ratios of approximately 1.5 for acute toxicity and 1.2 for late toxicity. The results were consistent with a co-dominant pattern of inheritance.

conclusionThis study convincingly showed a significant association between the ATM rs1801516 Asn allele and increased risk of radiation-induced normal tissue toxicity.

Indexed as

AllelesAtaxia Telangiectasia Mutated ProteinsBreast NeoplasmsFemaleGenetic Predisposition to DiseaseGenotypeHeterozygoteHumansMaleMiddle AgedOdds RatioPolymorphism, Single NucleotideProstatic NeoplasmsRadiation InjuriesRadiation ToleranceRadiotherapyAtaxia Telangiectasia Mutated ProteinsATM protein, humanAtaxia telangiectasia mutatedc.5557G>ANormal tissue toxicityp.Asp1853AsnRadiosensitivity

Identifiers

PMID27443449
PMCPMC5559879

What OpenQuestion holds

Textmetadata
LicenceTDM
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.