Evidence map›Paper›PMID 29345684›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2018

MSH6 and PMS2 germ-line pathogenic variants implicated in Lynch syndrome are associated with breast cancer.

Maegan E Roberts, Sarah A Jackson, Lisa R Susswein, Nur Zeinomar, Xinran Ma, Megan L Marshall, Amy R Stettner, Becky Milewski, Zhixiong Xu, Benjamin D Solomon and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed
14.0field-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

98 citing papers in PubMed, 171 citations in OpenAlex.

  1. Article
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  3. Case Report: A combination ofFrontiers in oncology · 2026
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  6. Dysfunctional mismatch repair in patients with early triple-negative breast cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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  9. Moderate-Low Risk Breast Cancer Gene Expression in a Romanian Population.International journal of molecular sciences · 2025
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  16. Review
  17. International journal of ophthalmology · 2025
    Article
  18. Article
  19. Article
  20. Review

38 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 1 institution in 1 country.

Maegan E RobertsGeneDx, Gaithersburg, USA, Maryland. mroberts@genedx.com.
Sarah A JacksonGeneDx, Gaithersburg, USA, Maryland.
Lisa R SussweinGeneDx, Gaithersburg, USA, Maryland.
Nur ZeinomarDepartment of Epidemiology, Columbia University, New York, New York, USA.
Xinran MaDepartment of Epidemiology, Columbia University, New York, New York, USA.
Megan L MarshallGeneDx, Gaithersburg, USA, Maryland.
Amy R StettnerGeneDx, Gaithersburg, USA, Maryland.
Becky MilewskiGeneDx, Gaithersburg, USA, Maryland.
Zhixiong XuGeneDx, Gaithersburg, USA, Maryland.
Benjamin D SolomonGeneDx, Gaithersburg, USA, Maryland.
Mary Beth TerryDepartment of Epidemiology, Columbia University, New York, New York, USA.
Kathleen S HruskaGeneDx, Gaithersburg, USA, Maryland.
Rachel T KleinGeneDx, Gaithersburg, USA, Maryland.
Wendy K ChungDepartments of Pediatrics and Medicine, Columbia University, New York, New York, USA.
Columbia University · US

Funding

CANCER EPIDEMIOLOGY/BIOSTATISTICS/ENVIRONMENTAL SCIENCEST32CA009529 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI NEUGUT, ALFRED I. · 1985 to 2012
$4.3M
Training Program in Cancer-related Population SciencesT32CA094061 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NEUGUT, ALFRED I., TERRY, MARY BETH · 2017 to 2021
$1.1M
NCI NIH HHS T32 CA009529NCI NIH HHS T32 CA094061
6 · The paper itself

Abstract

purposeAn association of Lynch syndrome (LS) with breast cancer has been long suspected; however, there have been insufficient data to address this question for each of the LS genes individually.

methodsWe conducted a retrospective review of personal and family history in 423 women with pathogenic or likely pathogenic germ-line variants in MLH1 (N = 65), MSH2 (N = 94), MSH6 (N = 140), or PMS2 (N = 124) identified via clinical multigene hereditary cancer testing. Standard incidence ratios (SIRs) of breast cancer were calculated by comparing breast cancer frequencies in our study population with those in the general population (Surveillance, Epidemiology, and End Results 18 data).

resultsWhen evaluating by gene, the age-standardized breast cancer risks for MSH6 (SIR = 2.11; 95% confidence interval (CI), 1.56-2.86) and PMS2 (SIR = 2.92; 95% CI, 2.17-3.92) were associated with a statistically significant risk for breast cancer whereas no association was observed for MLH1 (SIR = 0.87; 95% CI, 0.42-1.83) or MSH2 (SIR = 1.22; 95% CI, 0.72-2.06).

conclusionOur data demonstrate that two LS genes, MSH6 and PMS2, are associated with an increased risk for breast cancer and should be considered when ordering genetic testing for individuals who have a personal and/or family history of breast cancer.

Indexed as

AdultAgedBreast NeoplasmsColorectal Neoplasms, Hereditary NonpolyposisDNA-Binding ProteinsFemaleGenetic Association StudiesGenetic Predisposition to DiseaseGenetic TestingGerm-Line MutationHumansMedical History TakingMiddle AgedMismatch Repair Endonuclease PMS2MutL Protein Homolog 1MutS Homolog 2 ProteinDNA-Binding ProteinsG-T mismatch-binding proteinMismatch Repair Endonuclease PMS2MLH1 protein, humanMSH2 protein, humanMutL Protein Homolog 1MutS Homolog 2 ProteinPMS2 protein, humanbreast cancerLynch syndromemismatch repairMSH6PMS2

Identifiers

PMID29345684
PMCPMC6051923
OpenAlexW2785205851

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.