Evidence map›Paper›PMID 29740169›Full record

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

Gain-of-function mutations in DNMT3A in patients with paraganglioma.

Laura Remacha, Maria Currás-Freixes, Raúl Torres-Ruiz, Francesca Schiavi, Rafael Torres-Pérez, Bruna Calsina, Rocío Letón, Iñaki Comino-Méndez, Juan M Roldán-Romero, Cristina Montero-Conde and 16 more

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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 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
10.2field-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

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

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  3. Multidomain interaction governs the filamentous assembly of the dominant-negative DNMT3A R882H mutant.Proceedings of the National Academy of Sciences of the United States of America · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 8 institutions in 3 countries.

Laura RemachaHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Maria Currás-FreixesHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Raúl Torres-RuizMolecular Cytogenetics Unit, Human Cancer Genetics Programme, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Francesca SchiaviVeneto Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico, Padua, Italy.
Rafael Torres-PérezHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Bruna CalsinaHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Rocío LetónHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Iñaki Comino-MéndezHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Juan M Roldán-RomeroHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Cristina Montero-CondeHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
María SantosHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Lucía Inglada PérezHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Guillermo PitaHuman Genotyping Unit-CeGen, Human Cancer Genetics Programme, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
María R AlonsoHuman Genotyping Unit-CeGen, Human Cancer Genetics Programme, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Emiliano HonradoAnatomical Pathology Service, Hospital de León, León, Spain.
Susana PedrinaciDepartment of Genetics, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Benedicto Crespo-FacorroUniversity of Cantabria and HU Marqués de Valdecilla-IDIVAL, CIBER Mental Health Santander, Santander, Spain.
Antonio PercesepeMedical Genetics, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Maurizio FalcioniOtolaryngology and Otoneurosurgery Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Sandra Rodríguez-PeralesMolecular Cytogenetics Unit, Human Cancer Genetics Programme, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Esther KorpershoekDepartment of Pathology, Erasmus Medical Center Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Santiago Ramón-MaiquesStructural Bases of Genome Integrity Group, Structural Biology and Biocomputing Programme, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Giuseppe OpocherVeneto Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico, Padua, Italy.
Cristina Rodríguez-AntonaHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Mercedes RobledoHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Alberto CascónHereditary Endocrine Cancer Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain. acascon@cnio.es.
Spanish National Cancer Research Centre · ESIstituto Oncologico Veneto · ITErasmus MC Cancer Institute · NLHospital de León · ESHospital Universitario Virgen de las Nieves · ESOspedale di Parma · ITUniversidad de Cantabria · ESUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe high percentage of patients carrying germline mutations makes pheochromocytomas/paragangliomas the most heritable of all tumors. However, there are still cases unexplained by mutations in the known genes. We aimed to identify the genetic cause of disease in patients strongly suspected of having hereditary tumors.

methodsWhole-exome sequencing was applied to the germlines of a parent-proband trio. Genome-wide methylome analysis, RNA-seq, CRISPR/Cas9 gene editing, and targeted sequencing were also performed.

resultsWe identified a novel de novo germline mutation in DNMT3A, affecting a highly conserved residue located close to the aromatic cage that binds to trimethylated histone H3. DNMT3A-mutated tumors exhibited significant hypermethylation of homeobox-containing genes, suggesting an activating role of the mutation. CRISPR/Cas9-mediated knock-in in HeLa cells led to global changes in methylation, providing evidence of the DNMT3A-altered function. Targeted sequencing revealed subclonal somatic mutations in six additional paragangliomas. Finally, a second germline DNMT3A mutation, also causing global tumor DNA hypermethylation, was found in a patient with a family history of pheochromocytoma.

conclusionOur findings suggest that DNMT3A may be a susceptibility gene for paragangliomas and, if confirmed in future studies, would represent the first example of gain-of-function mutations affecting a DNA methyltransferase gene involved in cancer predisposition.

Indexed as

Adrenal Gland NeoplasmsAdultCRISPR-Cas SystemsDNA (Cytosine-5-)-MethyltransferasesDNA MethylationDNA Methyltransferase 3AExome SequencingFemaleGain of Function MutationGenetic Predisposition to DiseaseGenotypeGerm-Line MutationHumansMaleParagangliomaPheochromocytomaDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3ADNMT3A protein, humanCRISPR/Cas9 gene editingDNMT3Aexome sequencinghypermethylationparaganglioma

Identifiers

PMID29740169
OpenAlexW2800733995

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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.