Evidence map›Paper›PMID 29205775›Full record

ArticleThe Journal of pathology2018

Donor-derived, metastatic urothelial cancer after kidney transplantation associated with a potentially oncogenic BK polyomavirus.

David C Müller, Maarit Rämö, Klaudia Naegele, Sebastian Ribi, Christian Wetterauer, Valeria Perrina, Luca Quagliata, Tatjana Vlajnic, Christian Ruiz, Beate Balitzki and 6 more

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in The Journal of pathology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.9field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Variant morphology and random chromosomal integration of BK polyomavirus in posttransplant urothelial carcinomas.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2020
    Article
  14. Review
  15. Intra-patient viral evolution in polyomavirus-related diseases.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2019
    Review
  16. Article
  17. Article
  18. Role of BK human polyomavirus in cancer.Infectious agents and cancer · 2018
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 1 country.

David C MüllerDepartment of Urology, University Hospital Basel, University of Basel, Basel, Switzerland.ORCID 0000-0001-6471-6065
Maarit RämöDepartment of Urology, University Hospital Basel, University of Basel, Basel, Switzerland.
Klaudia NaegeleDivision of Infection Diagnostics, Department of Biomedicine, University of Basel, Basel, Switzerland.
Sebastian RibiInstitute for Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.
Christian WetterauerDepartment of Urology, University Hospital Basel, University of Basel, Basel, Switzerland.
Valeria PerrinaInstitute for Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.
Luca QuagliataInstitute for Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.
Tatjana VlajnicInstitute for Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.
Christian RuizInstitute for Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.
Beate BalitzkiInstitute of Forensic Medicine, University of Basel, Basel, Switzerland.
Rainer GrobholzInstitute for Pathology, Kantonsspital Aarau, Switzerland.
Rainer GosertDivision of Infection Diagnostics, Department of Biomedicine, University of Basel, Basel, Switzerland.
Elvis T AjuhTransplantation & Clinical Virology, Department of Biomedicine, University of Basel, Basel, Switzerland.
Hans H HirschDivision of Infection Diagnostics, Department of Biomedicine, University of Basel, Basel, Switzerland.
Lukas BubendorfInstitute for Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.
Cyrill A RentschDepartment of Urology, University Hospital Basel, University of Basel, Basel, Switzerland.
University of Basel · CHKantonsspital Aarau · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BK polyomavirus has been linked to urothelial carcinoma in immunosuppressed patients. Here, we performed comprehensive genomic analysis of a BK polyomavirus-associated, metachronous, multifocal and metastatic micropapillary urothelial cancer in a kidney transplant recipient. Dissecting cancer heterogeneity by sorting technologies prior to array-comparative genomic hybridization followed by short tandem repeat analysis revealed that the metastatic urothelial cancer was of donor origin (4-year-old male). The top 50 cancer-associated genes showed no key driver mutations as assessed by next-generation sequencing. Whole genome sequencing and BK polyomavirus-specific amplification provided evidence for episomal and subgenomic chromosomally integrated BK polyomavirus genomes, which carried the same unique 17-bp deletion signature in the viral non-coding control region (NCCR). Whereas no role in oncogenesis could be attributed to the host gene integration in chromosome 1, the 17-bp deletion in the NCCR increased early viral gene expression, but decreased viral replication capacity. Consequently, urothelial cells were exposed to high levels of the transforming BK polyomavirus early proteins large tumour antigen and small tumour antigen from episomal and integrated gene expression. Surgery combined with discontinuation of immunosuppression resulted in complete remission, but sacrificed the renal transplant. Thus, this report links, for the first time, BK polyomavirus NCCR rearrangements with oncogenic transformation in urothelial cancer in immunosuppressed patients. Copyright © 2017 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.

Indexed as

Tissue DonorsAdultBiomarkers, TumorBK VirusCell Transformation, ViralChild, PreschoolGene Expression Regulation, NeoplasticGene Expression Regulation, ViralHost-Pathogen InteractionsHumansImmunocompromised HostImmunosuppressive AgentsKidney TransplantationMaleNeoplasm MetastasisPolyomavirus InfectionsBiomarkers, TumorImmunosuppressive AgentsbladdergenomekidneyLTagmutationNCCRpolyomavirustransplantationurothelial cancer

Identifiers

PMID29205775
OpenAlexW2771123382

What OpenQuestion holds

Textmetadata
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.