Evidence map›Paper›PMID 28718437›Full record

ReviewTrends in cancer2017

Mutations, Cancer and the Telomere Length Paradox.

Abraham Aviv, James J Anderson, Jerry W Shay

Open access · greenAbstract readReview
In one paragraph

Review in Trends in cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 3 pooled it
7.9field-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.

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

87 citing papers in PubMed, 3 syntheses or guidelines pooled it, 159 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Dynamic Hydrogels in Breast Tumor Models.Gels (Basel, Switzerland) · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. The Causal Relationship between Telomere Length and Cancer Risk: A Two-Sample Mendelian Randomization.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  17. Article
  18. Review
  19. Article
  20. Article

27 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

3 authors at 3 institutions in 2 countries.

Abraham AvivThe Center of Human Development and Aging, New Jersey Medical School, Rutgers, Newark, NJ 07103, USA. Electronic address: avivab@njms.rutgers.edu.
James J AndersonCenter for Statistics and the Social Sciences and Center for Studies in Demography and Ecology, University of Washington, Seattle, WA 98105, USA.
Jerry W ShayDepartment of Cell Biology, UT Southwestern Medical Center, Dallas TX, 75390, USA; Center of Excellence in Genomic Medicine Research, King Abdulaziz University, Jeddah, Saudi Arabia.
Rutgers, The State University of New Jersey · USSouthwestern Medical CenterUniversity of Washington · US

Funding

UNIVERSITY OF TEXAS--SPORE IN LUNG CANCERP50CA070907 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GIBBONS, DON LYNN · 1996 to 2024
$57.4M
UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Sandi Leigh Pruitt · 2010 to 2026
$53.7M
Cell Biology Research Improvements and RenovationsC06RR030414 · NCRR · UT SOUTHWESTERN MEDICAL CENTER · PI FITZ, JOHN GREGORY · 2010 to 2010
$15.0M
GENE EXPRESSION IN AGING AND DEVELOPMENTR01AG001228 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI SHAY, JERRY WILLIAM · 1985 to 2018
$7.6M
Determinants of Leukocyte Telomere Length at BirthR01HD071180 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI AVIV, ABRAHAM, FACTOR-LITVAK, PAM R · 2012 to 2016
$3.3M
Leukocyte Telomere Length and Cardiovascular Disease in Jackson Heart StudyR01HL116446 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI AVIV, ABRAHAM, REINER, ALEXANDER P · 2013 to 2016
$3.1M
Telomeres and Female FecundityR01HL134840 · NHLBI · RBHS-NEW JERSEY MEDICAL SCHOOL · PI AVIV, ABRAHAM, MAGNUS, PER · 2017 to 2020
$2.6M
Leukocyte TelomerE Dynamics, Gender, Menopause, Insulin Resistance and SurvivalR01AG030678 · NIA · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI AVIV, ABRAHAM · 2009 to 2013
$2.2M
Telomeres and Vascular AgingR01AG021593 · NIA · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI AVIV, ABRAHAM · 2003 to 2007
$1.7M
Human Telomere GeneticsR01AG020132 · NIA · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI AVIV, ABRAHAM · 2005 to 2008
$1.5M
Vitality Theory for BiodemographyR21AG046760 · NIA · UNIVERSITY OF WASHINGTON · PI ANDERSON, JAMES JAY · 2014 to 2015
$330k
NCI NIH HHS P30 CA142543NCI NIH HHS P50 CA070907NCRR NIH HHS C06 RR030414NHLBI NIH HHS R01 HL116446NHLBI NIH HHS R01 HL134840NIA NIH HHS R01 AG001228NIA NIH HHS R01 AG020132NIA NIH HHS R01 AG021593NIA NIH HHS R01 AG030678NIA NIH HHS R21 AG046760NICHD NIH HHS R01 HD071180
6 · The paper itself

Abstract

Individuals with short telomeres should be at increased risk for cancer, since short telomeres lead to genomic instability - a hallmark of cancer. However, individuals with long telomeres also display an increased risk for major cancers, thus creating a cancer-telomere length (TL) paradox. The two-stage clonal expansion model we propose is based on the thesis that a series of mutational hits (1st Hit) at the stem-cell level generates a clone with replicative advantage. A series of additional mutational hits (2nd Hit) transforms the expanding clone into cancer. By proposing that the 1st Hit is largely telomere length-independent, while the 2nd Hit is largely TL-dependent, we resolve the paradox, highlighting a regulatory role of telomeres in cancer.

Indexed as

HumansMutationNeoplasmsTelomerecancerclonesevolutionmutationstem cellstelomeres

Identifiers

PMID28718437
PMCPMC5903276
OpenAlexW2601558386

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.