Evidence map›Paper›PMID 30584801›Full record

ReviewThe Journal of pathology2019

Genetic predisposition to colorectal cancer: syndromes, genes, classification of genetic variants and implications for precision medicine.

Laura Valle, Eduardo Vilar, Sean V Tavtigian, Elena M Stoffel

Open access · bronzeAbstract readReview
In one paragraph

Review in The Journal of pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 4 pooled it
10.8field-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

111 citing papers in PubMed, 4 syntheses or guidelines pooled it, 202 citations in OpenAlex.

  1. Pooled it
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  13. Review
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  15. Review
  16. Genetic predisposition to polyposis syndromes.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  17. Article
  18. Review
  19. Optimizing genetic testing strategy for suspected attenuated adenomatous polyposis: effective solutions in public health systems.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  20. Article

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

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

4 authors at 4 institutions in 2 countries.

Laura ValleHereditary Cancer Program, Catalan Institute of Oncology, IDIBELL, Barcelona, Spain.ORCID 0000-0003-0371-0844
Eduardo VilarDepartment of Clinical Cancer Prevention, GI Medical Oncology and Clinical Cancer Genetics Program, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Sean V TavtigianDepartment of Oncological Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA.
Elena M StoffelDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Institut d'Investigació Biomédica de Bellvitge · ESThe University of Texas MD Anderson Cancer Center · USUniversity of Michigan · USUniversity of Utah · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Massively Parallel Sequencing for Familial Colon Cancer GenesR01CA164138 · NCI · UNIVERSITY OF UTAH · PI ALBRIGHT, LISA CANNON, TAVTIGIAN, SEAN VAHRAM · 2012 to 2016
$2.9M
Classifying DNA Mismatch Repair Gene Variants of Unknown SignificanceR01CA164944 · NCI · UNIVERSITY OF UTAH · PI GREENBLATT, MARC S, TAVTIGIAN, SEAN VAHRAM · 2013 to 2016
$2.2M
Uncovering the Role of Colorectal Stem Cells on Disease Penetrance in Lynch SyndromeR01CA219463 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI VILAR SANCHEZ, EDUARDO · 2017 to 2021
$1.6M
Uncovering Gene Expression Differences between Benign and Premalignant Colorectal PolypsR21CA208461 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI VILAR SANCHEZ, EDUARDO · 2017 to 2018
$395k
NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA164138NCI NIH HHS R01 CA164944NCI NIH HHS R01 CA219463NCI NIH HHS R21 CA208461
6 · The paper itself

Abstract

This article reviews genes and syndromes associated with predisposition to colorectal cancer (CRC), with an overview of gene variant classification. We include updates on the application of preventive and therapeutic measures, focusing on the use of non-steroidal anti-inflammatory drugs (NSAIDs) and immunotherapy. Germline pathogenic variants in genes conferring high or moderate risk to cancer are detected in 6-10% of all CRCs and 20% of those diagnosed before age 50. CRC syndromes can be subdivided into nonpolyposis and polyposis entities, the most common of which are Lynch syndrome and familial adenomatous polyposis, respectively. In addition to known and novel genes associated with highly penetrant CRC risk, identification of pathogenic germline variants in genes associated with moderate-penetrance cancer risk and/or hereditary cancer syndromes not traditionally linked to CRC may have an impact on genetic testing, counseling, and surveillance. The use of multigene panels in genetic testing has exposed challenges in the classification of variants of uncertain significance. We provide an overview of the main classification systems and strategies for improving these. Finally, we highlight approaches for integrating chemoprevention in the care of individuals with genetic predisposition to CRC and use of targeted agents and immunotherapy for treatment of mismatch repair-deficient and hypermutant tumors. Copyright © 2018 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.

Indexed as

Adenomatous Polyposis ColiColorectal NeoplasmsGenes, NeoplasmGenetic Predisposition to DiseaseGenetic TestingHumansMutationPenetrancePrecision Medicinecancer genescancer predispositioncancer syndromescheckpoint inhibitorschemopreventionhereditary colorectal cancerimmuno-oncologypolyposisvariants of uncertain significanceVUS

Identifiers

PMID30584801
PMCPMC6747691
OpenAlexW2906210327

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.