Evidence map›Paper›PMID 31848367›Full record

ArticleScientific reports2019

Mutation signature analysis identifies increased mutation caused by tobacco smoke associated DNA adducts in larynx squamous cell carcinoma compared with oral cavity and oropharynx.

Andrew P South, Nicoline Y den Breems, Tony Richa, Uche Nwagu, Tingting Zhan, Shiv Poojan, Ubaldo Martinez-Outschoorn, Jennifer M Johnson, Adam J Luginbuhl, Joseph M Curry

Open access · goldAbstract readComparative Study
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Passive smoking and risk of head and neck cancer: a systematic review and meta-analysis.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2025
    Pooled it
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  7. Impact ofJournal of Cancer · 2024
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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

10 authors at 3 institutions in 2 countries.

Andrew P SouthDepartment of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, PA, 19107, USA. Andrew.south@Jefferson.edu.
Nicoline Y den BreemsCenter for Advanced Computing (C-fACS), Lincoln University, Lincoln, 7647, New Zealand.
Tony RichaDepartment of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Uche NwaguDepartment of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Tingting ZhanSidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Shiv PoojanDepartment of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Ubaldo Martinez-OutschoornSidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Jennifer M JohnsonSidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Adam J LuginbuhlSidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Joseph M CurrySidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Thomas Jefferson University · USSidney Kimmel Cancer Center · USLincoln University · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Squamous cell carcinomas of the head and neck (HNSCC) arise from mucosal keratinocytes of the upper aero-digestive tract. Despite a common cell of origin and similar driver-gene mutations which divert cell fate from differentiation to proliferation, HNSCC are considered a heterogeneous group of tumors categorized by site of origin within the aero-digestive mucosa, and the presence or absence of HPV infection. Tobacco use is a major driver of carcinogenesis in HNSCC and is a poor prognosticator that has previously been associated with poor immune cell infiltration and higher mutation numbers. Here, we study patterns of mutations in HNSCC that are derived from the specific nucleotide changes and their surrounding nucleotide context (also known as mutation signatures). We identify that mutations linked to DNA adducts associated with tobacco smoke exposure are predominantly found in the larynx. Presence of this class of mutation, termed COSMIC signature 4, is responsible for the increased burden of mutation in this anatomical sub-site. In addition, we show that another mutation pattern, COSMIC signature 5, is positively associated with age in HNSCC from non-smokers and that larynx SCC from non-smokers have a greater number of signature 5 mutations compared with other HNSCC sub-sites. Immunohistochemistry demonstrates a significantly lower Ki-67 proliferation index in size matched larynx SCC compared with oral cavity SCC and oropharynx SCC. Collectively, these observations support a model where larynx SCC are characterized by slower growth and increased susceptibility to mutations from tobacco carcinogen DNA adducts.

Indexed as

DNA AdductsLaryngeal NeoplasmsMouth NeoplasmsMutationSquamous Cell Carcinoma of Head and NeckTobacco SmokingAdultDNA Mutational AnalysisFemaleHumansMaleMiddle AgedOropharynxTobacco Smoke PollutionDNA AdductsTobacco Smoke Pollution

Identifiers

PMID31848367
PMCPMC6917707
OpenAlexW2994751201

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.