Evidence map›Paper›PMID 31105275›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

Genotype-phenotype associations among panel-based TP53+ subjects.

Huma Q Rana, Jacob Clifford, Lily Hoang, Holly LaDuca, Mary Helen Black, Shuwei Li, Kelly McGoldrick, Virginia Speare, Jill S Dolinsky, Chia-Ling Gau and 1 more

Abstract read
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In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Observational
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  14. Observational
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  17. Cancer Genetic Counseling-Current Practice and Future Challenges.Cold Spring Harbor perspectives in medicine · 2020
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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.

Huma Q RanaDepartment of Medical Oncology, Division of Population Sciences, Dana-Farber Cancer Institute, Boston, MA, USA. HumaQ_Rana@DFCI.HARVARD.EDU.ORCID http://orcid.org/0000-0002-1598-6752
Jacob CliffordAmbry Genetics, Aliso Viejo, CA, USA.
Lily HoangAmbry Genetics, Aliso Viejo, CA, USA.
Holly LaDucaAmbry Genetics, Aliso Viejo, CA, USA.ORCID http://orcid.org/0000-0002-3745-9072
Mary Helen BlackAmbry Genetics, Aliso Viejo, CA, USA.ORCID http://orcid.org/0000-0002-1654-0234
Shuwei LiAmbry Genetics, Aliso Viejo, CA, USA.
Kelly McGoldrickAmbry Genetics, Aliso Viejo, CA, USA.ORCID http://orcid.org/0000-0002-8710-3496
Virginia SpeareAmbry Genetics, Aliso Viejo, CA, USA.
Jill S DolinskyAmbry Genetics, Aliso Viejo, CA, USA.
Chia-Ling GauAmbry Genetics, Aliso Viejo, CA, USA.
Judy E GarberDepartment of Medical Oncology, Division of Population Sciences, Dana-Farber Cancer Institute, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePanel testing has led to the identification of TP53 pathogenic/likely pathogenic (P/LP) variant carriers (TP53+) who exhibit a broad range of phenotypes. We sought to evaluate and compare genotype-phenotype associations among TP53+ panel-ascertained subjects.

methodsBetween 2012 and 2017, 317 TP53+ subjects (279 females and 38 males) identified through panel testing at one testing laboratory were found to have evaluable clinical histories and molecular results. Subject cancer histories were obtained from test requisition forms. P/LP variants were categorized by type and were examined in relation to phenotype.

resultsLoss-of-function (LOF) variants were associated with the earliest age at first cancer, with a median age of 30.5 years (P = 0.014); increased frequency of a sarcoma diagnosis (P = 0.016); and more often meeting classic LFS testing and Chompret 2015 criteria (P = 0.004 and 0.002 respectively), as compared with dominant-negative missense, other missense, or miscellaneous (splice or in-frame deletion) P/LP variant categories.

conclusionLoss-of-function variants were more often associated with characteristic LFS cancer histories than other variant categories in TP53+ carriers ascertained through multigene panel testing. These findings require validation in other TP53+ cohorts. Genetic counseling for panel-ascertained TP53+ individuals should reflect the dynamic expansion of the Li-Fraumeni syndrome phenotype.

Indexed as

AdultCohort StudiesFemaleGenetic Association StudiesGenetic Predisposition to DiseaseGenetic TestingGerm-Line MutationHeterozygoteHumansLi-Fraumeni SyndromeLoss of Function MutationMaleMiddle AgedTumor Suppressor Protein p53TP53 protein, humanTumor Suppressor Protein p53Li–Fraumeni syndromeloss-of-functionmultigene panel testingphenotypeTP53

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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.