Evidence map›Paper›PMID 29866652›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2018

Identification of Clonal Hematopoiesis Mutations in Solid Tumor Patients Undergoing Unpaired Next-Generation Sequencing Assays.

Catherine C Coombs, Nancy K Gillis, Xianming Tan, Jonathan S Berg, Markus Ball, Maria E Balasis, Nathan D Montgomery, Kelly L Bolton, Joel S Parker, Tania E Mesa and 16 more

Abstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

78 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Review
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  7. plasmaCHORD: A Machine Learning Approach to Distinguish Clonal Hematopoiesis-Derived Variants in Liquid Biopsies from Patients with Solid Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  8. Article
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  14. Ageing, immune fitness and cancer.Nature reviews. Cancer · 2025
    Review
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  20. Review

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors.

Catherine C Coombs *Department of Medicine, Division of Hematology and Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. coombscc@med.unc.edu.
Nancy K Gillis *Department of Cancer Epidemiology, Moffitt Cancer Center and Research Institute, Tampa, Florida.
Xianming TanLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Jonathan S BergDepartment of Medicine, Division of Hematology and Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Markus BallDepartment of Malignant Hematology, Moffitt Cancer Center and Research Institute, Tampa, Florida.
Maria E BalasisDepartment of Malignant Hematology, Moffitt Cancer Center and Research Institute, Tampa, Florida.
Nathan D MontgomeryDepartment of Pathology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Kelly L BoltonMemorial Sloan Kettering Cancer Center, New York, New York.
Joel S ParkerLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Tania E MesaMolecular Genomics Core, Moffitt Cancer Center and Research Institute, Tampa, Florida.
Sean J YoderMolecular Genomics Core, Moffitt Cancer Center and Research Institute, Tampa, Florida.
Michele C HaywardLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Nirali M PatelDepartment of Pathology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Kristy L RichardsDepartment of Medicine, Division of Hematology and Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Christine M WalkoDeBartolo Family Personalized Medicine Institute, Moffitt Cancer Center and Research Institute, Tampa, Florida.
Todd C KnepperDeBartolo Family Personalized Medicine Institute, Moffitt Cancer Center and Research Institute, Tampa, Florida.
John T SoperDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Jared WeissDepartment of Medicine, Division of Hematology and Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Juneko E Grilley-OlsonDepartment of Medicine, Division of Hematology and Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
William Y KimDepartment of Medicine, Division of Hematology and Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
H Shelton EarpLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Ross L LevineMemorial Sloan Kettering Cancer Center, New York, New York.
Elli PapaemmanuilMemorial Sloan Kettering Cancer Center, New York, New York.
Ahmet ZehirMemorial Sloan Kettering Cancer Center, New York, New York.
D Neil HayesDepartment of Medicine, Division of Hematology and Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Eric PadronDepartment of Malignant Hematology, Moffitt Cancer Center and Research Institute, Tampa, Florida.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
Synergistic role of signaling and epigenetics in leukemic transformationR35CA197594 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Ross L Levine · 2017 to 2026
$11.4M
Role of TET2 mutations in malignant transformation and acute myeloid leukemiaR01CA173636 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI AIFANTIS, IANNIS, LEVINE, ROSS L · 2013 to 2022
$6.3M
ECOG-ACRIN INTEGRATED LEUKEMIA TRANSLATIONAL RESEARCH CENTERU10CA180827 · NCI · MONTEFIORE MEDICAL CENTER (BRONX, NY) · PI LEVINE, ROSS L, MELNICK, ARI M. · 2014 to 2018
$3.0M
Dynamics of Tumor Stem Cells in Cancer Initiation, Therapy, and ResistanceR01CA138234 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI LEVINE, ROSS L, MICHOR, FRANZISKA · 2008 to 2012
$3.0M
The cohesin complex as a tumor suppressor in myeloid leukemiaR01CA216421 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI AIFANTIS, IANNIS, LEVINE, ROSS L · 2017 to 2021
$2.5M
Molecular Pathogenesis and Therapy of ET and PMFR01CA151949 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI LEVINE, ROSS L · 2010 to 2016
$2.3M
Single-cell cytokine analysis to detect and measure human myelofibrosisU01DK104331 · NIDDK · YALE UNIVERSITY · PI FAN, RONG, LEVINE, ROSS L · 2014 to 2018
$1.9M
Genetic Dissection of Acute Myeloid Leukemia.R01CA169784 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI AIFANTIS, IANNIS, LEVINE, ROSS L · 2014 to 2018
$1.8M
Single cell cytokine analysis of circulating malignant hematopoietic cellsR33CA196411 · NCI · YALE UNIVERSITY · PI FAN, RONG, LEVINE, ROSS L · 2015 to 2017
$1.2M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016086NCI NIH HHS P30 CA076292NCI NIH HHS R01 CA138234NCI NIH HHS R01 CA151949NCI NIH HHS R01 CA169784NCI NIH HHS R01 CA173636NCI NIH HHS R01 CA216421NCI NIH HHS R33 CA196411NCI NIH HHS R35 CA197594NCI NIH HHS T32 CA147832NCI NIH HHS U10 CA180827NHLBI NIH HHS K08 HL082677NHLBI NIH HHS L30 HL078257NIDA NIH HHS R03 DA026206NIDDK NIH HHS U01 DK104331
6 · The paper itself

Abstract

purposeIn this era of precision-based medicine, for optimal patient care, results reported from commercial next-generation sequencing (NGS) assays should adequately reflect the burden of somatic mutations in the tumor being sequenced. Here, we sought to determine the prevalence of clonal hematopoiesis leading to possible misattribution of tumor mutation calls on unpaired Foundation Medicine NGS assays. EXPERIMENTAL

designThis was a retrospective cohort study of individuals undergoing NGS of solid tumors from two large cancer centers. We identified and quantified mutations in genes known to be frequently altered in clonal hematopoiesis (

resultsMutations in genes that are frequently altered in clonal hematopoiesis were identified in 65% (1,139/1,757) of patients undergoing NGS. When excluding

conclusionsClonal hematopoiesis mutations are commonly reported on unpaired NGS testing. It is important to recognize clonal hematopoiesis as a possible cause of misattribution of mutation origin when applying NGS findings to a patient's care.

Indexed as

MutationAdultAgedBiomarkersClonal EvolutionComputational BiologyFemaleGenome-Wide Association StudyHematopoiesisHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedNeoplasmsBiomarkers

Identifiers

PMID29866652
PMCPMC6812550

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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.