Evidence map›Paper›PMID 30256826›Full record

ArticlePloS one2018

Novel genetic mutations detected by multigene panel are associated with hereditary colorectal cancer predisposition.

Lorena Martin-Morales, Paula Rofes, Eduardo Diaz-Rubio, Patricia Llovet, Victor Lorca, Inmaculada Bando, Pedro Perez-Segura, Miguel de la Hoya, Pilar Garre, Vanesa Garcia-Barberan and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Review
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  10. Review
  11. Comparison of Colorectal and Endometrial Microsatellite Instability Tumor Analysis and PremmJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Article
  12. Review
  13. Review
  14. Article
  15. Exome sequencing in 51 early onset non-familial CRC cases.Molecular genetics & genomic medicine · 2019
    Article
  16. 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

11 authors at 2 institutions in 1 country.

Lorena Martin-MoralesMolecular Oncology Laboratory, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.
Paula RofesMolecular Oncology Laboratory, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.
Eduardo Diaz-RubioCIBERONC (Centro de Investigacion Biomedica en Red de Cancer), Carlos III Health Institute, Madrid, Spain.
Patricia LlovetMolecular Oncology Laboratory, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.
Victor LorcaMolecular Oncology Laboratory, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.
Inmaculada BandoMolecular Oncology Laboratory, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.
Pedro Perez-SeguraMedical Oncology, Hospital Clinico San Carlos, Madrid, Spain.
Miguel de la HoyaMolecular Oncology Laboratory, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.
Pilar GarreMolecular Oncology Laboratory, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.ORCID 0000-0001-8285-4138
Vanesa Garcia-BarberanMolecular Oncology Laboratory, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.
Trinidad CaldesMolecular Oncology Laboratory, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.ORCID 0000-0002-1038-5392
Instituto de Salud Carlos III · ESHospital Clínico San Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Half of the high-risk colorectal cancer families that fulfill the clinical criteria for Lynch syndrome lack germline mutations in the mismatch repair (MMR) genes and remain unexplained. Genetic testing for hereditary cancers is rapidly evolving due to the introduction of multigene panels, which may identify more mutations than the old screening methods. The aim of this study is the use of a Next Generation Sequencing panel in order to find the genes involved in the cancer predisposition of these families. For this study, 98 patients from these unexplained families were tested with a multigene panel targeting 94 genes involved in cancer predisposition. The mutations found were validated by Sanger sequencing and the segregation was studied when possible. We identified 19 likely pathogenic variants in 18 patients. Out of these, 8 were found in MMR genes (5 in MLH1, 1 in MSH6 and 2 in PMS2). In addition, 11 mutations were detected in other genes, including high penetrance genes (APC, SMAD4 and TP53) and moderate penetrance genes (BRIP1, CHEK2, MUTYH, HNF1A and XPC). Mutations c.1194G>A in SMAD4, c.714_720dup in PMS2, c.2050T>G in MLH1 and c.1635_1636del in MSH6 were novel. In conclusion, the detection of new pathogenic mutations in high and moderate penetrance genes could contribute to the explanation of the heritability of colorectal cancer, changing the individual clinical management. Multigene panel testing is a more effective method to identify germline variants in cancer patients compared to single-gene approaches and should be therefore included in clinical laboratories.

Indexed as

MutationAdultAgedColorectal NeoplasmsColorectal Neoplasms, Hereditary NonpolyposisDNA Mismatch RepairDNA Mutational AnalysisFemaleGenetic Predisposition to DiseaseHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedPenetrance

Identifiers

PMID30256826
PMCPMC6157886
OpenAlexW2893940979

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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.