Evidence map›Paper›PMID 28863073›Full record

ArticleInternational journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists2018

Fumarate Hydratase Mutations and Alterations in Leiomyoma With Bizarre Nuclei.

Qing Zhang, Kate Poropatich, Julianne Ubago, Jia Xie, Xiuhua Xu, Norma Frizzell, Julie Kim, Beihua Kong, Jian-Jun Wei

Abstract read
In one paragraph

Article in International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 29 citations in OpenAlex.

  1. Myolipoma of the uterus with bizarre-nucleated cells: a case report and literature review.International journal of clinical and experimental pathology · 2026
    Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Leiomyoma with Bizarre Nuclei: A Current Update.International journal of women's health · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Article
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

9 authors at 1 institution in 2 countries.

Qing ZhangDepartments of Pathology (Q.Z., K.P., J.U., J.X., X.X., J.-J.W.) Gynecology and Obstetrics (J.K., J.-J.W.), Feinberg School of Medicine, Northwestern University, Chicago, Illinois Department of Obstetrics and Gynecology, Qilu Hospital, Shandong University, Jinan, Shandong, P.R. China (Q.Z., B.K.) Department of Pharmacology, Physiology & Neuroscience, University of South Carolina, Columbia, South Carolina (N.F.).
Kate Poropatich
Julianne Ubago
Jia Xie
Xiuhua Xu
Norma Frizzell
Julie Kim
Beihua Kong
Jian-Jun Wei
National Natural Science Foundation of China · CN

Funding

Uterine Leiomyoma Research Center ProgramP01HD057877 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BULUN, SERDAR E. · 2009 to 2019
$12.2M
NICHD NIH HHS P01 HD057877
6 · The paper itself

Abstract

Leiomyoma with bizarre nuclei (LM-BN), is a variant of uterine smooth muscle tumor with atypical histologic features. Although some LM-BN share several significant genetic alterations with leiomyosarcoma, including p16 and p53, the underlying tumorigenesis of LM-BN remains largely unknown. As we previously reported, LM-BN can be divided into 2 subtypes, type I and type II, based on different nuclear features. Type I LM-BN have similar histologic features as uterine smooth muscle tumors with fumarate hydratase (FH) alterations. In this study, we examined FH expression and FH mutations in 77 LM-BN (40 type I cases and 37 type II cases). FH expression was examined by immunohistochemistry using S-(2-succino)-cysteine antibodies (2SC, a protein modification associated with FH inactivation and subsequent fumarate accumulation) and FH antibodies (FH gene products). Seventy-two LM-BN tumors underwent Sanger sequencing to detect FH mutations. We found that 51% (39/77) of LM-BN showed FH alterations detected by immunohistochemistry with both 2SC and FH. Mutational analysis showed that 21% (15/72) of LM-BN harbored FH gene mutations. Further analysis revealed that 85% (34/40) of those with FH alterations were type I LM-BN while 19% (7/37) were type II LM-BN. Our findings suggest that over half of histologically diagnosed LM-BN may be related to FH alterations or FH mutations and the majority of these have the characteristic histologic features of type I LM-BN.

Indexed as

AdultAgedBiomarkers, TumorCell NucleusDNA Mutational AnalysisFemaleFumarate HydrataseHumansLeiomyomaMiddle AgedMutationUterine NeoplasmsYoung AdultBiomarkers, TumorFumarate Hydratase

Identifiers

PMID28863073
PMCPMC5832508
OpenAlexW2751120996

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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.