Evidence map›Paper›PMID 28466842›Full record

ArticleNature communications2017

Comprehensive population-wide analysis of Lynch syndrome in Iceland reveals founder mutations in MSH6 and PMS2.

Sigurdis Haraldsdottir, Thorunn Rafnar, Wendy L Frankel, Sylvia Einarsdottir, Asgeir Sigurdsson, Heather Hampel, Petur Snaebjornsson, Gisli Masson, Daniel Weng, Reynir Arngrimsson and 17 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 73 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 4 pooled it
7.0field-weighted citation impact, top 2% 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.

NCT04909671 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Evaluation of ArTificial Intelligence System (Gi-Genius) for adenoMa dEtection in Lynch Syndrome. A Randomized, Parallel, Multicenter, Controlled Trial. TIMELY Study.

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2021 to 2023Enrolled404ConditionsLynch SyndromeArmsGi Genius, Medtronic, White light standart colonoscopy
NCT06708429 recruitingnot on this mapstarted 2023, after this paper: background citation

Impact of Immune-surveillance on the Development of Colorectal Cancer in Patients With Lynch Syndrome

TypeobservationalSponsorSan Raffaele UniversityRan2023 to 2034Enrolled300ConditionsLynch Syndrome, Lynch Syndrome I, Lynch Syndrome II, Lynch Syndrome I (Site-specific Colonic Cancer)ArmsLYNX EYE (Lynch syndrome X-Talk of Enteral mucosa with Immune System)
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 4 syntheses or guidelines pooled it, 121 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Article
  6. Breast-Ovarian Hereditary Cancer Syndrome: BeyondCurrent oncology (Toronto, Ont.) · 2026
    Review
  7. Emerging trends in the global burden of colorectal cancer.Nature reviews. Clinical oncology · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Gastrointestinal Cancer Precursor Conditions and Their Detection.Hematology/oncology clinics of North America · 2024
    Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

13 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

27 authors at 12 institutions in 4 countries.

Sigurdis HaraldsdottirDepartment of Internal Medicine, Stanford Cancer Center, 875 Blake Wilbur Drive, Stanford, California 94305-5826, USA.ORCID 0000-0002-5050-3699
Thorunn RafnardeCODE genetics/Amgen, Sturlugata 8, 101 Reykjavik, Iceland.
Wendy L FrankelDepartment of Pathology, The Ohio State University Comprehensive Cancer Center, 460 West 10th Avenue Columbus, Ohio 43210, USA.
Sylvia EinarsdottirLandspitali University Hospital, Hringbraut, 101 Reykjavik, Iceland.
Asgeir SigurdssondeCODE genetics/Amgen, Sturlugata 8, 101 Reykjavik, Iceland.
Heather HampelDepartment of Internal Medicine, The Ohio State University Comprehensive Cancer Center, 460West 10th Avenue Columbus, Ohio 43210, USA.
Petur SnaebjornssonNetherlands Cancer Institute-Antoni van Leeuwenhoek (NKI/AVL), Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands.
Gisli MassondeCODE genetics/Amgen, Sturlugata 8, 101 Reykjavik, Iceland.
Daniel WengDepartment of Internal Medicine, The Ohio State University Comprehensive Cancer Center, 460West 10th Avenue Columbus, Ohio 43210, USA.
Reynir ArngrimssonUniversity of Iceland, Sæmundargata 2, 101 Reykjavík, Iceland.
Birte KehrdeCODE genetics/Amgen, Sturlugata 8, 101 Reykjavik, Iceland.
Ahmet YilmazDepartment of Internal Medicine, The Ohio State University Comprehensive Cancer Center, 460West 10th Avenue Columbus, Ohio 43210, USA.
Stefan HaraldssonLandspitali University Hospital, Hringbraut, 101 Reykjavik, Iceland.
Patrick SulemdeCODE genetics/Amgen, Sturlugata 8, 101 Reykjavik, Iceland.ORCID 0000-0001-7123-6123
Tryggvi StefanssonLandspitali University Hospital, Hringbraut, 101 Reykjavik, Iceland.
Peter G ShieldsDepartment of Internal Medicine, The Ohio State University Comprehensive Cancer Center, 460West 10th Avenue Columbus, Ohio 43210, USA.
Fridbjorn SigurdssonLandspitali University Hospital, Hringbraut, 101 Reykjavik, Iceland.
Tanios Bekaii-SaabMayo Clinic, Department of Internal Medicine, 5881, E Mayo Blvd, Phoenix, Arizona 85054, USA.
Pall H MollerLandspitali University Hospital, Hringbraut, 101 Reykjavik, Iceland.
Margret SteinarsdottirLandspitali University Hospital, Hringbraut, 101 Reykjavik, Iceland.
Kristin AlexiusdottirIcelandic Cancer Registry, Skogarhlíð 8, 105 Reykjavík, Iceland.
Megan HitchinsDepartment of Internal Medicine, Stanford Cancer Center, 875 Blake Wilbur Drive, Stanford, California 94305-5826, USA.
Colin C PritchardUniversity of Washington, 1959 NE Pacific Street, Seattle, Washington 98195, USA.
Albert de la ChapelleDepartment of Internal Medicine, The Ohio State University Comprehensive Cancer Center, 460West 10th Avenue Columbus, Ohio 43210, USA.ORCID 0000-0001-9345-9248
Jon G JonassonUniversity of Iceland, Sæmundargata 2, 101 Reykjavík, Iceland.
Richard M GoldbergWest Virginia University Cancer Institute, Department of Internal Medicine, 1805 Health Sciences Center South Morgantown, 1959 NE Pacific Street, West Virginia 26506, USA.
Kari StefanssonUniversity of Iceland, Sæmundargata 2, 101 Reykjavík, Iceland.
deCODE Genetics (Iceland) · ISThe Ohio State University · USNational University Hospital of Iceland · ISUniversity of Iceland · ISAalborg University Hospital · DKHvidovre Hospital · DKIcelandic Cancer Society · ISMayo Clinic in Arizona · USSeattle Pacific University · USStanford Medicine · USThe Netherlands Cancer Institute · NLWest Virginia University · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
NCI NIH HHS P30 CA016058
6 · The paper itself

Abstract

Lynch syndrome, caused by germline mutations in the mismatch repair genes, is associated with increased cancer risk. Here using a large whole-genome sequencing data bank, cancer registry and colorectal tumour bank we determine the prevalence of Lynch syndrome, associated cancer risks and pathogenicity of several variants in the Icelandic population. We use colorectal cancer samples from 1,182 patients diagnosed between 2000-2009. One-hundred and thirty-two (11.2%) tumours are mismatch repair deficient per immunohistochemistry. Twenty-one (1.8%) have Lynch syndrome while 106 (9.0%) have somatic hypermethylation or mutations in the mismatch repair genes. The population prevalence of Lynch syndrome is 0.442%. We discover a translocation disrupting MLH1 and three mutations in MSH6 and PMS2 that increase endometrial, colorectal, brain and ovarian cancer risk. We find thirteen mismatch repair variants of uncertain significance that are not associated with cancer risk. We find that founder mutations in MSH6 and PMS2 prevail in Iceland unlike most other populations.

Indexed as

Founder EffectGerm-Line MutationAdultAgedAged, 80 and overBase Pair MismatchColorectal Neoplasms, Hereditary NonpolyposisDNA-Binding ProteinsFemaleGenetic Predisposition to DiseaseHumansIcelandMaleMiddle AgedMismatch Repair Endonuclease PMS2PrevalenceDNA-Binding ProteinsG-T mismatch-binding proteinMismatch Repair Endonuclease PMS2PMS2 protein, human

Identifiers

PMID28466842
PMCPMC5418568
OpenAlexW2610764386

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.