Evidence map›Paper›PMID 30478739›Full record

ArticleFamilial cancer2019

Hereditary brain tumor with a homozygous germline mutation in PMS2: pedigree analysis and prenatal screening in a family with constitutional mismatch repair deficiency (CMMRD) syndrome.

Shahid Mahmood Baig, Ambrin Fatima, Muhammad Tariq, Tahir Naeem Khan, Zafar Ali, Mohammad Faheem, Humera Mahmood, Patrick Killela, Matthew Waitkus, Yiping He and 4 more

Abstract read
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In one paragraph

Article in Familial cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 44% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Genotype-phenotype correlations inOncology reviews · 2025
    Pooled it
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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

14 authors at 5 institutions in 3 countries.

Shahid Mahmood BaigHuman Molecular Genetics Laboratory, Health Biotechnology Division, National Institute for Biotechnology and Genetic Engineering (NIBGE)-PIEAS, Faisalabad, 38000, Pakistan.
Ambrin FatimaHuman Molecular Genetics Laboratory, Health Biotechnology Division, National Institute for Biotechnology and Genetic Engineering (NIBGE)-PIEAS, Faisalabad, 38000, Pakistan.
Muhammad TariqHuman Molecular Genetics Laboratory, Health Biotechnology Division, National Institute for Biotechnology and Genetic Engineering (NIBGE)-PIEAS, Faisalabad, 38000, Pakistan.
Tahir Naeem KhanHuman Molecular Genetics Laboratory, Health Biotechnology Division, National Institute for Biotechnology and Genetic Engineering (NIBGE)-PIEAS, Faisalabad, 38000, Pakistan.
Zafar AliHuman Molecular Genetics Laboratory, Health Biotechnology Division, National Institute for Biotechnology and Genetic Engineering (NIBGE)-PIEAS, Faisalabad, 38000, Pakistan.
Mohammad FaheemOncology Department, Nuclear Medicine Oncology and Radiotherapy Institute (NORI), G-8/3, Islamabad, 44000, Pakistan.
Humera MahmoodOncology Department, Nuclear Medicine Oncology and Radiotherapy Institute (NORI), G-8/3, Islamabad, 44000, Pakistan.
Patrick KillelaDepartment of Pathology, Duke University Medical Center, 199B-MSRB Building, Research Drive, DUMC-3156, Durham, NC, 27710, USA.
Matthew WaitkusDepartment of Pathology, Duke University Medical Center, 199B-MSRB Building, Research Drive, DUMC-3156, Durham, NC, 27710, USA.
Yiping HeDepartment of Pathology, Duke University Medical Center, 199B-MSRB Building, Research Drive, DUMC-3156, Durham, NC, 27710, USA.
Fangping ZhaoGenetron Health (Beijing) Co. Ltd, Beijing, China.
Sizhen WangGenetron Health (Beijing) Co. Ltd, Beijing, China.
Yuchen JiaoCancer Institute & Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Hai YanDepartment of Pathology, Duke University Medical Center, 199B-MSRB Building, Research Drive, DUMC-3156, Durham, NC, 27710, USA. hai.yan@duke.edu.
Duke Medical Center · USPakistan Institute of Engineering and Applied Sciences · PKKarachi Institute of Radiotherapy and Nuclear Medicine · PKNational Institute for Biotechnology and Genetic Engineering · PKChinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Precise genetic counseling and prenatal diagnosis are often hindered by incomplete penetrance of risk variance and complex patterns of inheritance. Here, we performed a clinical and genetic study of a five-generation Pakistani family with a history of multiple cases of childhood brain tumors. Six affected individuals died of brain tumors at very early ages and three were confirmed as having a homozygous mutation in exon 6 of the PMS2 gene (c.543delT). Fifteen members of the family were identified as heterozygous carriers of this mutation with a lack of cancer incidence. Both clinical manifestations and genetic test results of brain tumor patients in the family support the diagnosis of constitutional mismatch repair deficiency (CMMRD) syndrome, a condition in which individuals carry homozygous germline mutations in mismatch repair machinery genes with an early onset of malignancies such as glioma. This information was used to guide prenatal diagnosis with genetic testing on chorionic villus samples for the family. This is the first report of prenatal genetic diagnosis of hereditary brain tumor.

Indexed as

Chorionic Villi SamplingAge FactorsAge of OnsetBrain NeoplasmsChildChild, PreschoolColorectal NeoplasmsConsanguinityExonsFemaleGenetic CounselingGenetic TestingGerm-Line MutationHeterozygoteHomozygoteHumansMismatch Repair Endonuclease PMS2PMS2 protein, humanConstitutional mismatch repair deficiency (CMMRD) syndromeGenetic counselingHereditary brain tumorPMS2Prenatal diagnosis

Identifiers

PMID30478739
OpenAlexW2902601724

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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.