Evidence map›Paper›PMID 31357948›Full record

ArticleBMC cancer2019

A case of intraplacental gestational choriocarcinoma; characterised by the methylation pattern of the early placenta and an absence of driver mutations.

Philip Savage, David Monk, Jose R Hernandez Mora, Nick van der Westhuizen, Jennifer Rauw, Anna Tinker, Wendy Robinson, Qianqian Song, Michael J Seckl, Rosemary A Fisher

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. Repurposing metformin for choriocarcinoma: targeting the AMPK/mTOR pathway.Naunyn-Schmiedeberg's archives of pharmacology · 2026
    Review
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  3. Article
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  7. Evolutionary determinants of curability in cancer.Nature ecology & evolution · 2023
    Review
  8. Article
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  12. An Overview of the Role of Long Non-Coding RNAs in Human Choriocarcinoma.International journal of molecular sciences · 2021
    Review
  13. 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 5 institutions in 4 countries.

Philip SavageTrophoblastic Tumour Screening & Treatment Centre, Charing Cross Hospital Campus of Imperial College, London, UK. savage13561@msn.com.ORCID http://orcid.org/0000-0002-4792-6869
David MonkImprinting and Cancer Group, Cancer Epigenetic and Biology Program (PEBC), Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
Jose R Hernandez MoraImprinting and Cancer Group, Cancer Epigenetic and Biology Program (PEBC), Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
Nick van der WesthuizenBCCA, Victoria, BC, Canada.
Jennifer RauwBCCA, Victoria, BC, Canada.
Anna TinkerBCCA, Victoria, BC, Canada.
Wendy RobinsonDepartment of Medical Genetics, University of British Columbia, Vancouver, BC, Canada.
Qianqian SongState Key Lab of Molecular Oncology, Laboratory of Cell and Molecular Biology, National Cancer Center, Beijing, China.
Michael J SecklTrophoblastic Tumour Screening & Treatment Centre, Charing Cross Hospital Campus of Imperial College, London, UK.
Rosemary A FisherTrophoblastic Tumour Screening & Treatment Centre, Charing Cross Hospital Campus of Imperial College, London, UK.
University of Victoria · CACharing Cross Hospital · GBInstitut d'Investigació Biomédica de Bellvitge · ESBeijing National Laboratory for Molecular Sciences · CNUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGestational choriocarcinoma is a rare malignancy believed to arise from the trophoblast cells of the placenta. Despite the frequently aggressive clinical nature, choriocarcinoma has been routinely curable with cytotoxic chemotherapy for over 50 years. To date little is known regarding the route to oncogenesis in this malignancy.

methodsIn a case of intraplacental choriocarcinoma, we have performed detailed genetic studies including microsatellite analysis, whole genome sequencing (WGS) and methylation analysis of the tumour and surrounding mature placenta.

resultsThe results of the WGS sequencing indicated a very low level of mutation and the absence of any driver mutations or oncogene activity in the tumour. The methylation analysis identified a distinctly different profile in the tumour from that of the mature placenta. Comparison with a panel of reference methylation profiles from different stages of placental development indicated that the tumour segregated with the first trimester samples.

conclusionsThese findings suggest that gestational choriocarcinoma is likely to arise as a result of aberrations of methylation during development, rather than from DNA mutations. The results support the hypothesis that gestational choriocarcinoma arises from a normally transient early trophoblast cell. At this point in development this cell naturally has a phenotype of rapid division, tissue invasion and sensitivity to DNA damaging chemotherapy that is very similar to that of the mature choriocarcinoma cell.

Indexed as

AdultChoriocarcinomaCpG IslandsDNA MethylationEpigenesis, GeneticFemaleFollow-Up StudiesGestational Trophoblastic DiseaseHumansMicrosatellite RepeatsMutationPhenotypePlacentaPregnancyTrophoblastsUterine NeoplasmsChemotherapyChoriocarcinomaEpigeneticsMethylationOncogenesisPlacentaPregnancyTrophoblast

Identifiers

PMID31357948
PMCPMC6664587
OpenAlexW2966585698

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.