Evidence map›Paper›PMID 27499889›Full record

ReviewThe journal of pathology. Clinical research2015

The molecular background of mucinous carcinoma beyond MUC2.

Niek Hugen, Michiel Simons, Altuna Halilović, Rachel S van der Post, Anna J Bogers, Monica Aj Marijnissen-van Zanten, Johannes Hw de Wilt, Iris D Nagtegaal

Open access · hybridAbstract readReview
In one paragraph

Review in The journal of pathology. Clinical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. The Power of MUC2 in Mucinous Adenocarcinomas.Pathobiology : journal of immunopathology, molecular and cellular biology · 2026
    Review
  5. Article
  6. Article
  7. Lung metastases.Nature reviews. Disease primers · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
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  14. Review
  15. Article
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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

8 authors at 2 institutions in 1 country.

Niek HugenDepartment of Surgery Radboud University Medical Center Nijmegen The Netherlands.
Michiel SimonsDepartment of Pathology Radboud University Medical Center Nijmegen The Netherlands.
Altuna HalilovićDepartment of Pathology Radboud University Medical Center Nijmegen The Netherlands.
Rachel S van der PostDepartment of Pathology Radboud University Medical Center Nijmegen The Netherlands.
Anna J BogersDepartment of Pathology Radboud University Medical Center Nijmegen The Netherlands.
Monica Aj Marijnissen-van ZantenDepartment of Pathology Radboud University Medical Center Nijmegen The Netherlands.
Johannes Hw de WiltDepartment of Surgery Radboud University Medical Center Nijmegen The Netherlands.
Iris D NagtegaalDepartment of Pathology Radboud University Medical Center Nijmegen The Netherlands.
Radboud University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The increasing interest of the oncology community in tumour classification and prediction of outcome to targeted therapies has put emphasis on an improved identification of tumour types. Colorectal mucinous adenocarcinoma (MC) is a subtype that is characterized by the presence of abundant extracellular mucin that comprises at least 50% of the tumour volume and is found in 10-15% of colorectal cancer patients. MC development is poorly understood, however, the distinct clinical and pathological presentation of MC suggests a deviant development and molecular background. In this review we identify common molecular and genetic alterations in colorectal MC. MC is characterized by a high rate of MUC2 expression. Mutation rates in the therapeutically important RAS/RAF/MAPK and PI3K/AKT pathways are significantly higher in MC compared with non-mucinous adenocarcinoma. Furthermore, mucinous adenocarcinoma shows higher rates of microsatellite instability and is more frequently of the CpG island methylator phenotype. Although the majority of MCs arise from the large intestine, this subtype also develops in other organs, such as the stomach, pancreas, biliary tract, ovary, breast and lung. We compared findings from colorectal MC with tumour characteristics of MCs from other organs. In these organs, MCs show different mutation rates in the RAS/RAF/MAPK and PI3K/AKT pathways as well, but a common mucinous pathway cannot be identified. Identification of conditions and molecular aberrations that are associated with MC generates insight into the aetiology of this subtype and improves understanding of resistance to therapies.

Indexed as

colorectal carcinomagenotypemolecular pathologymucinous carcinomaphenotype

Identifiers

PMID27499889
PMCPMC4858120
OpenAlexW1907421440

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.