Evidence map›Paper›PMID 30604180›Full record

ArticleFamilial cancer2019

Multi-gene panel testing confirms phenotypic variability in MUTYH-Associated Polyposis.

Erin G Sutcliffe, Amanda Bartenbaker Thompson, Amy R Stettner, Megan L Marshall, Maegan E Roberts, Lisa R Susswein, Ying Wang, Rachel T Klein, Kathleen S Hruska, Benjamin D Solomon

Abstract read
PubMed Publisher
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 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.8field-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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Review
  4. Review
  5. Article
  6. Review
  7. World journal of gastrointestinal oncology · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Germline variant testing in serrated polyposis syndrome.Journal of gastroenterology and hepatology · 2022
    Article
  13. Review
  14. Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022
    Article
  15. Article
  16. Review
  17. MUTYH: Not just polyposis.World journal of clinical oncology · 2020
    Review
  18. Article
  19. Article
  20. 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

10 authors at 1 institution in 1 country.

Erin G SutcliffeGeneDx, 207 Perry Parkway, Gaithersburg, MD, 20877, USA. esutcliffe@genedx.com.ORCID http://orcid.org/0000-0002-0699-1728
Amanda Bartenbaker ThompsonGeneDx, 207 Perry Parkway, Gaithersburg, MD, 20877, USA.
Amy R StettnerMy Gene Team, Miami, FL, USA.
Megan L MarshallGeneDx, 207 Perry Parkway, Gaithersburg, MD, 20877, USA.
Maegan E RobertsGeneDx, 207 Perry Parkway, Gaithersburg, MD, 20877, USA.
Lisa R SussweinGeneDx, 207 Perry Parkway, Gaithersburg, MD, 20877, USA.
Ying WangGeneDx, 207 Perry Parkway, Gaithersburg, MD, 20877, USA.
Rachel T KleinMy Gene Team, Miami, FL, USA.
Kathleen S HruskaGeneDx, 207 Perry Parkway, Gaithersburg, MD, 20877, USA.
Benjamin D SolomonGeneDx, 207 Perry Parkway, Gaithersburg, MD, 20877, USA.
GenVec · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biallelic pathogenic variants (PVs) in MUTYH cause MUTYH-Associated Polyposis (MAP), which displays phenotypic overlap with other hereditary colorectal cancer (CRC) syndromes including Familial Adenomatous Polyposis (FAP) and Lynch syndrome. We report the phenotypic spectrum of MAP in the context of multi-gene hereditary cancer panel testing. Genetic testing results and clinical histories were reviewed for individuals with biallelic MUTYH PVs detected by panel testing at a single commercial molecular diagnostic laboratory. Biallelic MUTYH PVs were identified in 82 individuals (representing 0.2% of tested individuals) with most (75/82; 91.5%) reporting a personal history of CRC and/or polyps. Ten percent (6/61) of individuals reporting polyp number reported fewer than 10 polyps and therefore did not meet current MAP testing criteria. Extracolonic cancers (21/82; 25.6%), multiple primaries (19/82; 23.2%), Lynch-like (17/82; 20.7%) and FAP-like phenotypes (16/82; 19.5%) were observed, including individuals with mismatch repair-deficient tumors (3/82; 3.7%), sebaceous neoplasms (2/82; 2.4%), or congenital hypertrophy of the retinal pigment epithelium (CHRPE) (2/82; 2.4%). We report what is to our knowledge the first cohort of individuals with MAP identified by panel testing. The phenotypic spectrum of MAP observed in this cohort aligns with the published literature. In addition to standard indications for MUTYH testing, our data provide evidence to support consideration of MAP in the differential diagnosis for some individuals with fewer than 10 polyps, depending on other personal and/or family history, as well as for individuals suspected to have Lynch syndrome or FAP.

Indexed as

PhenotypeAdenomatous Polyposis ColiAdultAgedAllelesBiological Variation, PopulationCohort StudiesDiagnosis, DifferentialDNA GlycosylasesFemaleGenetic TestingHumansMaleMiddle AgedNeoplasms, Multiple PrimaryRetrospective StudiesDNA GlycosylasesmutY adenine glycosylaseFAPGenetic testingInherited cancerMAPMUTYH

Identifiers

PMID30604180
OpenAlexW2906728912

What OpenQuestion holds

Textmetadata
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.