Evidence map›Paper›PMID 27584834›Full record

ArticleClinical and translational gastroenterology2016

Time Lapse to Colorectal Cancer: Telomere Dynamics Define the Malignant Potential of Polyps.

Brooke R Druliner, Xiaoyang Ruan, Ruth Johnson, Diane Grill, Daniel O'Brien, Tsung-Po Lai, Shahrooz Rashtak, Donna Felmlee-Devine, Jill Washechek-Aletto, Andrei Malykh and 6 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Clinical and translational gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Telomere Maintenance and Oncogenesis.International journal of molecular sciences · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Brooke R DrulinerDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Xiaoyang RuanBiomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA.
Ruth JohnsonDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Diane GrillBiomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA.
Daniel O'BrienBiomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA.
Tsung-Po LaiDepartment of Cell Biology UT Southwestern Medical Center, Dallas, Texas, USA.
Shahrooz RashtakDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Donna Felmlee-DevineDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Jill Washechek-AlettoDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Andrei MalykhCapital Biosciences Inc., Gaithersburg, Maryland, USA.
Thomas SmyrkAnatomic Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Ann ObergBiomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA.
Hongfang LiuBiomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA.
Jerry W ShayDepartment of Cell Biology UT Southwestern Medical Center, Dallas, Texas, USA.
David A AhlquistDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Lisa A BoardmanDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Mayo Clinic · USWinnMed · USSouthwestern Medical CenterThe University of Texas Southwestern Medical Center · US

Funding

PILOT AND FEASIBILTY PROGRAMP30DK084567 · NIDDK · MAYO CLINIC ROCHESTER · PI GREGORY J. GORES · 2009 to 2026
$22.2M
Individualizing colorectal cancer patient care using the host and tumor telomere phenotypeR01CA204013 · NCI · MAYO CLINIC ROCHESTER · PI BOARDMAN, LISA ALLYN · 2016 to 2020
$3.2M
Time lapse to cancer: defining transition from polyp to colorectal cancer (PQ14)R01CA170357 · NCI · MAYO CLINIC ROCHESTER · PI BOARDMAN, LISA ALLYN · 2012 to 2016
$2.5M
NCI NIH HHS R01 CA170357NCI NIH HHS R01 CA204013NIDDK NIH HHS P30 DK084567
6 · The paper itself

Abstract

objectiveWhereas few adenomas become cancer, most colorectal cancers arise from adenomas. Telomere length is a recognized biomarker in multiple cancers, and telomere maintenance mechanisms (TMM) are exploited by malignant cells. We sought to determine whether telomere length and TMM distinguish cancer-associated adenomas from those that are cancer-free.

methodsTissues were identified as cancer-adjacent polyp (CAP)-residual adenoma contiguous with cancer-and cancer-free polyp (CFP)-adenomas without malignancy. Telomere length, TMM, and expression were measured in 102 tissues including peripheral blood leukocytes (PBLs), normal colon epithelium, adenoma, and cancer (in CAP cases) from 31 patients. Telomere length was measured in a separate cohort of 342 PBL from CAP and CFP patients.

resultsThe mean differences in telomere length between normal and adenoma were greater in CAP than in CFP cases, P=0.001; telomere length in PBL was 91.7 bp greater in CAP than in CFP, P=0.007. Each 100 bp telomere increase was associated with a 1.14 (1.04-1.26) increased odds of being a CAP, P=0.0063. The polyp tissue from CAP patients had shorter telomeres and higher Telomerase reverse transcriptase (hTERT) expression compared with polyps from CFP patients, P=0.05. There was a greater degree of alternative lengthening of telomere (ALT) level difference in CFP polyps than in CAP polyps. The polyp telomere lengths of aggressive CAPs were significantly different from the polyps of non-aggressive CAPs, P=0.01.

conclusionsAdenomas that progress to cancer exhibit distinct telomere length and TMM profiles. We report for the first time that PBL telomeres differ in patients with polyps that become malignant, and therefore may have clinical value in adenoma risk assessment and management.

Identifiers

PMID27584834
PMCPMC5288594
OpenAlexW2508006954

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.