Evidence map›Paper›PMID 30548481›Full record

ArticleCancer2019

Germline mutations of renal cancer predisposition genes and clinical relevance in Chinese patients with sporadic, early-onset disease.

Junlong Wu, Hongkai Wang, Christopher J Ricketts, Youfeng Yang, Maria J Merino, Hailiang Zhang, Guohai Shi, Hualei Gan, W Marston Linehan, Yao Zhu and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-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

22 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
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  4. PARP Inhibitors in Genitourinary Cancer: A New Paradigm Beyond Prostate Cancer.International journal of urology : official journal of the Japanese Urological Association · 2025
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  5. Malignant mesothelioma with a novelOncology letters · 2025
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  8. Hereditary Renal Cancer Syndromes.Medical sciences (Basel, Switzerland) · 2024
    Review
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  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Prevalence of pathogenic germline variants in patients with metastatic renal cell carcinoma.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article
  17. Article
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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

11 authors at 2 institutions in 2 countries.

Junlong WuDepartment of Urology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China.ORCID 0000-0002-4125-7975
Hongkai WangDepartment of Urology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China.
Christopher J RickettsUrologic Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Youfeng YangUrologic Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Maria J MerinoUrologic Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Hailiang ZhangDepartment of Urology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China.
Guohai ShiDepartment of Urology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China.
Hualei GanDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China.
W Marston LinehanUrologic Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Yao ZhuDepartment of Urology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China.
Dingwei YeDepartment of Urology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China.
Shanghai Medical College of Fudan University · CNNational Institutes of Health · US

Funding

Molecular Therapeutics of Kidney Cancer: VHL Gene and Fumarate Hydratase GeneZIABC011038 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI LINEHAN, WILLIAM MARSTON · 2009 to 2025
$29.8M
Study of Hereditary Renal and Other Familial SyndromesZIABC010696 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MERINO, MARIA · 2009 to 2025
$4.5M
Clinical Studies of the Molecular Genetic Basis of Kidney CancerZ01BC011028 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI LINEHAN, WILLIAM MARSTON · 2008 to 2008
$1.4M
Intramural NIH HHS Z01 BC011028Intramural NIH HHS ZIA BC010696
6 · The paper itself

Abstract

backgroundAn inherited susceptibility to renal cancers is associated with multiple predisposing genes, but most screening tests are limited to patients with a family history. Next-generation sequencing (NGS)-based multigene panels provide an efficient and adaptable tool for investigating pathogenic germline mutations on a larger scale. This study investigated the frequency of pathogenic germline mutations in renal cancer predisposition genes in patients with sporadic, early-onset disease.

methodsAn NGS-based panel of 23 known and potential renal cancer predisposition genes was used to analyze germline mutations in 190 unrelated Chinese patients under the age of 45 years who presented with renal tumors. The detected variants were filtered for pathogenicity, and then their frequencies were calculated and correlated with clinical features. Germline variants of the fumarate hydratase (FH) and BRCA1-associated protein 1 (BAP1) genes were comprehensively analyzed because of their aggressive potential.

resultsIn total, 18 patients (9.5%) had germline mutations in 10 genes. Twelve of these 18 patients had alterations in renal cancer predisposition genes (6.3%), and 6 patients had mutations in potential predisposition genes such as BRCA1/2. Notably, pathogenic mutation carriers had a significant family history in second-degree relatives in comparison with those without pathogenic mutations (P < .001). Variants of unknown clinical significance in FH and BAP1 demonstrated evidence of additional somatic loss in tumors.

conclusionsIn patients with early-onset disease, a multigene panel identified a high pathogenic germline mutation rate in renal cancer predisposition genes. This study emphasizes the importance of screening patients with early-onset disease for mutations in cancer predisposition genes. Germline screening should be encouraged in early-onset patients to provide personalized medicine and improve patient outcomes.

Indexed as

AdolescentAdultAngiomyolipomaAsian PeopleBRCA2 ProteinCarcinoma, Renal CellCyclin-Dependent Kinase Inhibitor p16FemaleFumarate HydrataseGenetic Predisposition to DiseaseGerm-Line MutationHigh-Throughput Nucleotide SequencingHumansKidney NeoplasmsMaleSequence Analysis, DNABAP1 protein, humanBRCA2 ProteinBRCA2 protein, humanCDKN2A protein, humanCyclin-Dependent Kinase Inhibitor p16Fumarate HydrataseTSC1 protein, humanTSC2 protein, humanTuberous Sclerosis Complex 1 ProteinTuberous Sclerosis Complex 2 ProteinTumor Suppressor ProteinsUbiquitin ThiolesteraseBRCA1-associated protein 1 (BAP1)cancer predispositionearly onsetfumarate hydratase (FH)next-generation sequencingrenal tumor

Identifiers

PMID30548481
PMCPMC8201926
OpenAlexW2905273326

What OpenQuestion holds

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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.