Evidence map›Paper›PMID 31222332›Full record

ArticleNeuro-oncology2019

Driver mutations in USP8 wild-type Cushing's disease.

Silviu Sbiera, Luis Gustavo Perez-Rivas, Lyudmyla Taranets, Isabel Weigand, Jörg Flitsch, Elisabeth Graf, Camelia-Maria Monoranu, Wolfgang Saeger, Christian Hagel, Jürgen Honegger and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
8.9field-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

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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  5. The value of targeting CXCR4 withEuropean journal of nuclear medicine and molecular imaging · 2026
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  17. Review
  18. Cushing syndrome.Nature reviews. Disease primers · 2025
    Review
  19. Review
  20. Grading and staging for pituitary neuroendocrine tumors.Brain pathology (Zurich, Switzerland) · 2025
    Review

5 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

21 authors at 9 institutions in 4 countries.

Silviu SbieraDepartment of Medicine I, Division of Endocrinology and Diabetes, University Hospital Würzburg (UKW), Würzburg, Germany.
Luis Gustavo Perez-RivasMedizinische Klinik und Poliklinik IV, Ludwig-Maximilians-Universität (LMU) München, Munich, Germany.
Lyudmyla TaranetsDepartment of Clinical Tumor Biology, University Hospital, University of Tübingen, Tübingen, Germany.
Isabel WeigandDepartment of Medicine I, Division of Endocrinology and Diabetes, University Hospital Würzburg (UKW), Würzburg, Germany.
Jörg FlitschDepartment of Neurosurgery, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Elisabeth GrafInstitute of Human Genetics, Helmholtz Zentrum München, Neuherberg, Germany.
Camelia-Maria MonoranuDepartment of Neuropathology, Institute of Pathology, University of Würzburg, Würzburg, Germany.
Wolfgang SaegerInstitute for Neuropathology, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Christian HagelInstitute for Neuropathology, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Jürgen HoneggerDepartment of Neurosurgery, Eberhard Karls University Tübingen, Tübingen, Germany.
Guillaume AssieInserm Unit 1016, National Center for Scientific Research Joint Research Unit, Cochin Institute, Paris Descartes University, Paris, France.
Ad R HermusDepartment of Internal Medicine, Division of Endocrinology, Radboud University Medical Centre, Nijmegen, the Netherlands.
Günter K StallaMedizinische Klinik und Poliklinik IV, Ludwig-Maximilians-Universität (LMU) München, Munich, Germany.
Sabine HerterichClinical Chemistry and Laboratory Medicine, University Hospital Würzburg, Würzburg, Germany.
Cristina L RonchiDepartment of Medicine I, Division of Endocrinology and Diabetes, University Hospital Würzburg (UKW), Würzburg, Germany.
Timo DeutschbeinDepartment of Medicine I, Division of Endocrinology and Diabetes, University Hospital Würzburg (UKW), Würzburg, Germany.
Martin ReinckeMedizinische Klinik und Poliklinik IV, Ludwig-Maximilians-Universität (LMU) München, Munich, Germany.
Tim M StromInstitute of Human Genetics, Technische Universität München, Munich, Germany.
Nikita PopovDepartment of Clinical Tumor Biology, University Hospital, University of Tübingen, Tübingen, Germany.
Marily TheodoropoulouMedizinische Klinik und Poliklinik IV, Ludwig-Maximilians-Universität (LMU) München, Munich, Germany.
Martin FassnachtDepartment of Medicine I, Division of Endocrinology and Diabetes, University Hospital Würzburg (UKW), Würzburg, Germany.
LMU Klinikum · DEUniversitätsklinikum Würzburg · DEUniversität Hamburg · DEUniversity of Tübingen · DEUniversity of Würzburg · DEHelmholtz Zentrum München · DEInserm · FRRadboud University Nijmegen · NLTechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical treatment in Cushing's disease (CD) is limited due to poor understanding of its pathogenesis. Pathogenic variants of ubiquitin specific peptidase 8 (USP8) have been confirmed as causative in around half of corticotroph tumors. We aimed to further characterize the molecular landscape of those CD tumors lacking USP8 mutations in a large cohort of patients.

methodsExome sequencing was performed on 18 paired tumor-blood samples with wild-type USP8 status. Candidate gene variants were screened by Sanger sequencing in 175 additional samples. The most frequent variant was characterized by further functional in vitro assays.

resultsRecurrent somatic hotspot mutations in another deubiquitinase, USP48, were found in 10.3% of analyzed samples. Several possibly damaging variants were found in TP53 in 6 of 18 samples. USP48 variants were associated with smaller tumors and trended toward higher frequency in female patients. They also changed the structural conformation of USP48 and increased its catalytic activity toward its physiological substrates histone 2A and zinc finger protein Gli1, as well as enhanced the stimulatory effect of corticotropin releasing hormone (CRH) on pro-opiomelanocortin production and adrenocorticotropic hormone secretion.

conclusionsUSP48 pathogenic variants are relatively frequent in USP8 wild-type tumors and enhance CRH-induced hormone production in a manner coherent with sonic hedgehog activation. In addition, TP53 pathogenic variants may be more frequent in larger CD tumors than previously reported.

Indexed as

AdultDNA Mutational AnalysisEndopeptidasesEndosomal Sorting Complexes Required for TransportFemaleHumansMaleMiddle AgedMutationPituitary ACTH HypersecretionTumor Suppressor Protein p53Ubiquitin-Specific ProteasesUbiquitin ThiolesteraseEndopeptidasesEndosomal Sorting Complexes Required for TransportTP53 protein, humanTumor Suppressor Protein p53Ubiquitin-Specific ProteasesUbiquitin ThiolesteraseUSP48 protein, humanUSP8 protein, humanCushing’s diseasedriver mutationsgenome sequencingTP53USP48

Identifiers

PMID31222332
PMCPMC6784271
OpenAlexW2953153127

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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.