Evidence map›Paper›PMID 31906887›Full record

ArticleBMC cancer2020

Loss of the SWI/SNF-ATPase subunit members SMARCF1 (ARID1A), SMARCA2 (BRM), SMARCA4 (BRG1) and SMARCB1 (INI1) in oesophageal adenocarcinoma.

Simon Schallenberg, Julian Bork, Ahlem Essakly, Hakan Alakus, Reinhard Buettner, Axel M Hillmer, Christiane Bruns, Wolfgang Schroeder, Thomas Zander, Heike Loeser and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
2.8field-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

38 citing papers in PubMed, 57 citations in OpenAlex.

  1. Trial
  2. SWI/SNF Complex-Deficient Undifferentiated Carcinoma of the Pancreas: Clinicopathologic and Genomic Analysis.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2024
    Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. The role of SMARCA4 in lung cancer.Scientific reports · 2025
    Review
  11. Article
  12. ARID1A and Its Impact Across the Hallmarks of Cancer.International journal of molecular sciences · 2025
    Review
  13. Article
  14. Potential Regulation ofInternational journal of molecular sciences · 2025
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. The role of SWI/SNF complexes in digestive system neoplasms.Medical oncology (Northwood, London, England) · 2024
    Review
  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

12 authors at 2 institutions in 1 country.

Simon SchallenbergInstitute of Pathology, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany. simon.schallenberg@uk-koeln.de.
Julian BorkInstitute of Pathology, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Ahlem EssaklyInstitute of Pathology, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Hakan AlakusDepartment of General, Visceral and Cancer Surgery, University of Cologne, Cologne, Germany.
Reinhard BuettnerInstitute of Pathology, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Axel M HillmerInstitute of Pathology, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Christiane BrunsDepartment of General, Visceral and Cancer Surgery, University of Cologne, Cologne, Germany.
Wolfgang SchroederDepartment of General, Visceral and Cancer Surgery, University of Cologne, Cologne, Germany.
Thomas ZanderDepartment I of Internal Medicine, Center for Integrated Oncology (CIO)University of Cologne, Cologne, Germany.
Heike LoeserInstitute of Pathology, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Florian GebauerDepartment of General, Visceral and Cancer Surgery, University of Cologne, Cologne, Germany.
Alexander QuaasInstitute of Pathology, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
University of Cologne · DEUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe SWI/SNF complex is an important chromatin remodeler, commonly dysregulated in cancer, with an estimated mutation frequency of 20%. ARID1A is the most frequently mutated subunit gene. Almost nothing is known about the other familiar members of the SWI/SNF complexes, SMARCA2 (BRM), SMARCA4 (BRG1) and SMARCB1 (INI1), in oesophageal adenocarcinoma (EAC).

methodsWe analysed a large cohort of 685 patients with EAC. We used four different antibodies to detect a loss-of-protein of ARID1A BRM, BRG1 and INI1 by immunohistochemistry and correlated these findings with molecular and clinical data.

resultsLoss of ARID1A, BRG1, BRM and INI1 was observed in 10.4, 3.4, 9.9 and 2% of EAC. We found a co-existing protein loss of ARID1A and BRM in 9.9% and of ARID1A and BRG1 in 2.2%. Patients with loss of ARID1A and TP53 wildtype EACs showed a shortened overall survival compared with AIRDA1A-positive tumours [median overall survival was 60.1 months (95%CI 1.2-139.9 months)] in patients with ARIDA-1A expression and 26.2 months (95%CI 3.7-19.1 months) in cases of ARIDA-1A loss (p = 0.044). Tumours with loss or expression of ARID1A and TP53 loss were not associated with a difference in survival. Only one tumour revealed high microsatellite instability (MSI-H) with concomitant ARID1A loss. All other ARID1A loss-EACs were microsatellite-stable (MSS). No predictive relevance was seen for SWI/SNF-complex alterations and simultaneous amplification of different genes (PIK3CA, KRAS, c-MYC, MET, GATA6, ERBB2).

conclusionOur work describes, for the first time, loss of one of the SWI/SNF ATPase subunit proteins in a large number of adenocarcinomas of the oesophagus. Several papers discuss possible therapeutic interventions for tumours showing a loss of function of the SWI/SNF complex, such as PARP inhibitors or PI3K and AKT inhibitors. Future studies will be needed to show whether SWI/SNF complex-deficient EACs may benefit from personalized therapy.

Indexed as

AdenocarcinomaAdenosine TriphosphatasesAgedBiomarkers, TumorChromatin Assembly and DisassemblyCohort StudiesDNA-Binding ProteinsDNA HelicasesEsophageal NeoplasmsFemaleHumansImmunohistochemistryKaplan-Meier EstimateLoss of Function MutationMaleMiddle AgedAdenosine TriphosphatasesARID1A protein, humanBiomarkers, TumorDNA-Binding ProteinsDNA HelicasesNuclear ProteinsSMARCA2 protein, humanSMARCA4 protein, humanSMARCB1 ProteinSMARCB1 protein, humanTP53 protein, humanTranscription FactorsTumor Suppressor Protein p53HeterogeneityLoss-of-functionOesophageal adenocarcinomaSWI/SNF-complexTP53 loss

Identifiers

PMID31906887
PMCPMC6945480
OpenAlexW3009510454

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Registered trials

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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.