Evidence map›Paper›PMID 27811275›Full record

ArticleScience (New York, N.Y.)2016

Mutational signatures associated with tobacco smoking in human cancer.

Ludmil B Alexandrov, Young Seok Ju, Kerstin Haase, Peter Van Loo, Iñigo Martincorena, Serena Nik-Zainal, Yasushi Totoki, Akihiro Fujimoto, Hidewaki Nakagawa, Tatsuhiro Shibata and 4 more

Open access · greenAbstract read
In one paragraph

Article in Science (New York, N.Y.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 648 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
648citing papers in PubMed, 3 pooled it
42.0field-weighted citation impact, top 1% 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

648 citing papers in PubMed, 3 syntheses or guidelines pooled it, 1,093 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Long-term Survival and Molecular Biomarker Evaluation of a Phase II Cetuximab and Nivolumab Clinical Trial in Recurrent/Metastatic Head and Neck Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
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  7. Article
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  11. Review
  12. Mutational signature refitting on sparse pan-cancer data.Algorithms for molecular biology : AMB · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
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  19. Article
  20. Review

588 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 5 countries.

Ludmil B AlexandrovTheoretical Biology and Biophysics (T-6), Los Alamos National Laboratory, Los Alamos, NM 87545, USA. lba@lanl.gov mrs@sanger.ac.uk.
Young Seok JuGraduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology, Daejeon 34141, Republic of Korea.
Kerstin HaaseThe Francis Crick Institute, 1 Midland Road, London NW1 1AT, UK.
Peter Van LooThe Francis Crick Institute, 1 Midland Road, London NW1 1AT, UK.
Iñigo MartincorenaCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton CB10 1SA, Cambridgeshire, UK.
Serena Nik-ZainalCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton CB10 1SA, Cambridgeshire, UK.
Yasushi TotokiDivision of Cancer Genomics, National Cancer Center Research Institute, Chuo-ku, Tokyo, Japan.
Akihiro FujimotoLaboratory for Genome Sequencing Analysis, RIKEN Center for Integrative Medical Sciences, Tokyo, Japan.
Hidewaki NakagawaLaboratory for Genome Sequencing Analysis, RIKEN Center for Integrative Medical Sciences, Tokyo, Japan.
Tatsuhiro ShibataDivision of Cancer Genomics, National Cancer Center Research Institute, Chuo-ku, Tokyo, Japan.
Peter J CampbellCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton CB10 1SA, Cambridgeshire, UK.
Paolo VineisHuman Genetics Foundation, 10126 Torino, Italy.
David H PhillipsKing's College London, MRC-PHE Centre for Environment and Health, Analytical and Environmental Sciences Division, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, UK.
Michael R StrattonCancer Genome Project, Wellcome Trust Sanger Institute, Hinxton CB10 1SA, Cambridgeshire, UK. lba@lanl.gov mrs@sanger.ac.uk.
Wellcome Sanger Institute · GBThe Francis Crick Institute · GBKing's College London · GBKorea Advanced Institute of Science and Technology · KRKyoto University · JPRIKEN Center for Integrative Medical Sciences · JPThe University of Tokyo · JPUniversity of New Mexico · US

Funding

Cancer Research UK 14329Cancer Research UK 21777Cancer Research UK FC001202Department of HealthWellcome Trust FC001202
6 · The paper itself

Abstract

Tobacco smoking increases the risk of at least 17 classes of human cancer. We analyzed somatic mutations and DNA methylation in 5243 cancers of types for which tobacco smoking confers an elevated risk. Smoking is associated with increased mutation burdens of multiple distinct mutational signatures, which contribute to different extents in different cancers. One of these signatures, mainly found in cancers derived from tissues directly exposed to tobacco smoke, is attributable to misreplication of DNA damage caused by tobacco carcinogens. Others likely reflect indirect activation of DNA editing by APOBEC cytidine deaminases and of an endogenous clocklike mutational process. Smoking is associated with limited differences in methylation. The results are consistent with the proposition that smoking increases cancer risk by increasing the somatic mutation load, although direct evidence for this mechanism is lacking in some smoking-related cancer types.

Indexed as

DNA MethylationMutationAPOBEC DeaminasesCarcinogensCpG IslandsDNA DamageExomeHumansNeoplasmsNicotianaRiskSmokingAPOBEC DeaminasesCarcinogens

Identifiers

PMID27811275
PMCPMC6141049
OpenAlexW2547187744

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.