Evidence map›Paper›PMID 32246132›Full record

SynthesisNature genetics2020

A harmonized meta-knowledgebase of clinical interpretations of somatic genomic variants in cancer.

Alex H Wagner, Brian Walsh, Georgia Mayfield, David Tamborero, Dmitriy Sonkin, Kilannin Krysiak, Jordi Deu-Pons, Ryan P Duren, Jianjiong Gao, Julie McMurry and 30 more

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Nature genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 3 pooled it
9.5field-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

95 citing papers in PubMed, 3 syntheses or guidelines pooled it, 174 citations in OpenAlex.

  1. Guideline
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  3. Pooled it
  4. Trial
  5. Reclassification ofBiomolecules & biomedicine · 2026
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  18. New Gain-of-Function Mutations Prioritize Mechanisms of HER2 Activation.medRxiv : the preprint server for health sciences · 2025
    Article
  19. Review
  20. Review

35 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

40 authors at 20 institutions in 8 countries.

Alex H WagnerWashington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-2502-8961
Brian WalshOregon Health and Science University, Portland, OR, USA.ORCID http://orcid.org/0000-0003-0913-1528
Georgia MayfieldOregon Health and Science University, Portland, OR, USA.
David TamboreroPompeu Fabra University, Barcelona, Spain.
Dmitriy SonkinNational Cancer Institute, Rockville, MD, USA.ORCID http://orcid.org/0000-0002-1649-0652
Kilannin KrysiakWashington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-6299-9230
Jordi Deu-PonsInstitute for Research in Biomedicine, Barcelona, Spain.
Ryan P DurenMolecularMatch, Houston, TX, USA.
Jianjiong GaoMemorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-5739-1781
Julie McMurryOregon Health and Science University, Portland, OR, USA.
Sara PattersonThe Jackson Laboratory for Genomic Medicine, Farmington, CT, USA.
Catherine Del Vecchio FitzDana-Farber Cancer Institute, Boston, MA, USA.
Beth A PitelMayo Clinic, Rochester, MN, USA.
Ozman U SezermanAcibadem University, Istanbul, Turkey.
Kyle EllrottOregon Health and Science University, Portland, OR, USA.
Jeremy L WarnerVanderbilt University, Nashville, TN, USA.ORCID http://orcid.org/0000-0002-2851-7242
Damian T RiekeCharité-Berlin University of Medicine, Berlin, Germany.ORCID http://orcid.org/0000-0003-0027-7977
Tero AittokallioInstitute for Molecular Medicine Finland, Helsinki, Finland.ORCID http://orcid.org/0000-0002-0886-9769
Ethan CeramiDana-Farber Cancer Institute, Boston, MA, USA.
Deborah I RitterBaylor College of Medicine, Houston, TX, USA.
Lynn M SchrimlUniversity of Maryland School of Medicine, Baltimore, MD, USA.
Robert R FreimuthMayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-9673-5612
Melissa HaendelOregon Health and Science University, Portland, OR, USA.ORCID http://orcid.org/0000-0001-9114-8737
Gordana RacaChildren's Hospital Los Angeles, Los Angeles, CA, USA.
Subha MadhavanGeorgetown University Medical Center, Washington, DC, USA.
Michael BaudisUniversity of Zurich, Zurich, Switzerland.
Jacques S BeckmannUniversity of Lausanne, Lausanne, Switzerland.ORCID http://orcid.org/0000-0002-9741-1900
Rodrigo DienstmannVall d'Hebron Institute of Oncology, Barcelona, Spain.
Debyani ChakravartyMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Xuan Shirley LiMolecularMatch, Houston, TX, USA.
Susan MockusThe Jackson Laboratory for Genomic Medicine, Farmington, CT, USA.ORCID http://orcid.org/0000-0002-1939-5132
Olivier ElementoWeill Cornell Medicine, New York, NY, USA.
Nikolaus SchultzMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Nuria Lopez-BigasPompeu Fabra University, Barcelona, Spain.
Mark LawlerQueen's University Belfast, Belfast, UK.
Jeremy GoecksOregon Health and Science University, Portland, OR, USA.
Malachi GriffithWashington University School of Medicine, St. Louis, MO, USA. mgriffit@wustl.edu.ORCID http://orcid.org/0000-0002-6388-446X
Obi L GriffithWashington University School of Medicine, St. Louis, MO, USA. obigriffith@wustl.edu.ORCID http://orcid.org/0000-0002-0843-4271
Adam A MargolinOregon Health and Science University, Portland, OR, USA.
Variant Interpretation for Cancer Consortium
Oregon Health & Science University · USWashington University in St. Louis · USMemorial Sloan Kettering Cancer Center · USDana-Farber Cancer Institute · USInstitució Catalana de Recerca i Estudis Avançats · ESJackson Laboratory · USMayo Clinic in Arizona · USWasatch Molecular (United States) · USAcıbadem University · TRBaylor College of Medicine · USCharité - Universitätsmedizin Berlin · DEChildren's Hospital of Los Angeles · USCornell University · USGeorgetown University · USNational Cancer Institute · USOregon State University · USQueen's University Belfast · GBUniversitat Pompeu Fabra · ESUniversity of Lausanne · CHUniversity of Maryland, Baltimore · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Resource ProjectU41HG006834 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI REHM, HEIDI L · 2013 to 2020
$26.9M
The Monarch Initiative: Linking Diseases to Model Organism ResourcesR24OD011883 · OD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HAENDEL, MELISSA A, MUNGALL, CHRISTOPHER J · 2012 to 2024
$16.0M
Training SubprojectU54HG007990 · NHGRI · UNIVERSITY OF CALIFORNIA SANTA CRUZ · PI HAUSSLER, DAVID H, PATTERSON, DAVID · 2014 to 2018
$14.8M
The Future of PharmGKB Funding Under NHGRIU41HG009649 · NHGRI · STANFORD UNIVERSITY · PI BUSTAMANTE, CARLOS DANIEL · 2017 to 2020
$13.4M
The Clinical Genome Resource - Expert Curation and EHR IntegrationU41HG009650 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERG, JONATHAN S · 2017 to 2020
$13.3M
A Knowledge Base for Clinically Relevant Genes and VariantsU01HG007437 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERG, JONATHAN S, EVANS, JAMES PHILIP · 2013 to 2016
$9.0M
Functional Genomic Discovery of Pathway Targeted and Immune Modulatory Therapeutic Combinations in Hematologic MalignanciesU01CA217862 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DRUKER, BRIAN J, TYNER, JEFFREY WALLACE · 2017 to 2021
$5.3M
Standardized and Genome-Wide Clinical Interpretation of Complex Genotypes for Cancer Precision MedicineU24CA237719 · NCI · WASHINGTON UNIVERSITY · PI GRIFFITH, OBI L. · 2019 to 2023
$3.8M
BIGDATA: Mid-Scale DCM: DA: ESCE: Discovering Molecular ProcessesR01CA180778 · NCI · UNIVERSITY OF CALIFORNIA SANTA CRUZ · PI STUART, JOSHUA MICHAEL · 2013 to 2017
$3.5M
Genomic and Functional Identification of Chemotherapy Resistance Mechanisms in Small Cell Lung CancerU01CA231844 · NCI · WASHINGTON UNIVERSITY · PI GOVINDAN, RAMASWAMY, GRIFFITH, OBI L. · 2018 to 2022
$3.1M
DEVELOPMENT OF INFORMATICS RESOURCES FOR INTERPRETATION OF CLINICALLY ACTIONABLE VARIANTS IN CANCERU01CA209936 · NCI · WASHINGTON UNIVERSITY · PI GRIFFITH, OBI L. · 2016 to 2018
$1.0M
Cancer Research UKMedical Research CouncilNCI NIH HHS F32 CA206247NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA180778NCI NIH HHS U01 CA209936NCI NIH HHS U01 CA217862NCI NIH HHS U01 CA231844NCI NIH HHS U24 CA237719NHGRI NIH HHS K99 HG010157NHGRI NIH HHS R00 HG007940NHGRI NIH HHS U01 HG007437NHGRI NIH HHS U41 HG006834NHGRI NIH HHS U41 HG009649NHGRI NIH HHS U41 HG009650NHGRI NIH HHS U54 HG007990NIH HHS R24 OD011883
6 · The paper itself

Abstract

Precision oncology relies on accurate discovery and interpretation of genomic variants, enabling individualized diagnosis, prognosis and therapy selection. We found that six prominent somatic cancer variant knowledgebases were highly disparate in content, structure and supporting primary literature, impeding consensus when evaluating variants and their relevance in a clinical setting. We developed a framework for harmonizing variant interpretations to produce a meta-knowledgebase of 12,856 aggregate interpretations. We demonstrated large gains in overlap between resources across variants, diseases and drugs as a result of this harmonization. We subsequently demonstrated improved matching between a patient cohort and harmonized interpretations of potential clinical significance, observing an increase from an average of 33% per individual knowledgebase to 57% in aggregate. Our analyses illuminate the need for open, interoperable sharing of variant interpretation data. We also provide a freely available web interface (search.cancervariants.org) for exploring the harmonized interpretations from these six knowledgebases.

Indexed as

Databases, GeneticDiploidyGenetic VariationGenomicsHumansKnowledge BasesNeoplasmsPrecision Medicine

Identifiers

PMID32246132
PMCPMC7127986
OpenAlexW3014707956

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.