Evidence map›Paper›PMID 32320050›Full record

ArticleCancer2020

11p15.5 epimutations in children with Wilms tumor and hepatoblastoma detected in peripheral blood.

Elise M Fiala, Michael V Ortiz, Jennifer A Kennedy, Dominik Glodzik, Megan Harlan Fleischut, Kelly A Duffy, Evan R Hathaway, Todd Heaton, Justin T Gerstle, Peter Steinherz and 20 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Wilms tumor characteristics in children with heterozygous germline DIS3L2 variants.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  5. Review
  6. Toward a Unified Theory of Why Young People Develop Cancer.Cold Spring Harbor perspectives in medicine · 2024
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. 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

30 authors at 2 institutions in 1 country.

Elise M FialaDivision of Clinical Genetics, Memorial Sloan Kettering Cancer Center, New York, New York.
Michael V OrtizDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.
Jennifer A KennedyDivision of Clinical Genetics, Memorial Sloan Kettering Cancer Center, New York, New York.
Dominik GlodzikSloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, New York.
Megan Harlan FleischutDivision of Clinical Genetics, Memorial Sloan Kettering Cancer Center, New York, New York.
Kelly A DuffyHuman Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-8902-8453
Evan R HathawayHuman Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-4399-0644
Todd HeatonDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.
Justin T GerstleDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.
Peter SteinherzDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.
Neerav ShuklaDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.
Nicole McNeerDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.
Kaitlyn TkachukDivision of Clinical Genetics, Memorial Sloan Kettering Cancer Center, New York, New York.
Nancy BouvierSloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, New York.
Karen CadooDivision of Clinical Genetics, Memorial Sloan Kettering Cancer Center, New York, New York.
Maria I CarloDivision of Clinical Genetics, Memorial Sloan Kettering Cancer Center, New York, New York.
Alicia LathamDivision of Clinical Genetics, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-9758-713X
Marianne Dubard GaultDivision of Clinical Genetics, Memorial Sloan Kettering Cancer Center, New York, New York.
Vijai JosephDivision of Clinical Genetics, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-7933-151X
Yelena KemelDivision of Clinical Genetics, Memorial Sloan Kettering Cancer Center, New York, New York.
Alex KentsisDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.
Zsofia StadlerDivision of Clinical Genetics, Memorial Sloan Kettering Cancer Center, New York, New York.
Michael La QuagliaDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-7059-9851
Elli PapaemmanuilDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.
Danielle FriedmanDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-4668-9176
Arupa GangulyHuman Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Andrew KungDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.
Kenneth OffitDivision of Clinical Genetics, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-2180-2032
Jennifer M KalishHuman Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-1500-9713
Michael F WalshDivision of Clinical Genetics, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-5006-6778
Memorial Sloan Kettering Cancer Center · USChildren's Hospital of Philadelphia · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
MSK Paul Calabresi Career Development Award for Clinical OncologyK12CA184746 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Omar Abdel-Wahab, Simon N. Powell · 2015 to 2026
$8.3M
Structure and function of genome plasticity in human cancerR01CA214812 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI KENTSIS, ALEX · 2018 to 2022
$2.5M
The Mechanism of Tumor Formation in Beckwith-Wiedemann SyndromeK08CA193915 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI KALISH, JENNIFER MELISSA · 2015 to 2019
$703k
Alex's Lemonade Stand Foundation for Childhood CancerCannonball Kids' CancerCorning Fund at MSKCrawford FundCrawford Pediatric Cancer Genomics Fund at MSKFamily and Friends of Caroline BhattNCI NIH HHS K08 CA193915NCI NIH HHS K08 / CA193915NCI NIH HHS K12 / CA18474NCI NIH HHS K12 CA184746NCI NIH HHS P30 CA008748NCI NIH HHS PO / CA008748NCI NIH HHS R01 CA214812Robert and Kate Niehaus Center for Inherited Cancer Genomics at Memorial Sloan Kettering Cancer CenterSt. Baldrick's FoundationV Foundation for Cancer Research
6 · The paper itself

Abstract

backgroundConstitutional or somatic mosaic epimutations are increasingly recognized as a mechanism of gene dysregulation resulting in cancer susceptibility. Beckwith-Wiedemann syndrome is the cancer predisposition syndrome most commonly associated with epimutation and is extremely variable in its phenotypic presentation, which can include isolated tumors. Because to the authors' knowledge large-scale germline DNA sequencing studies have not included methylation analysis, the percentage of pediatric cancer predisposition that is due to epimutations is unknown.

methodsGermline methylation testing at the 11p15.5 locus was performed in blood for 24 consecutive patients presenting with hepatoblastoma (3 patients) or Wilms tumor (21 patients).

resultsSix individuals with Wilms tumor and 1 patient with hepatoblastoma were found to have low-level gain of methylation at imprinting control 1, and a child with hepatoblastoma was found to have loss of methylation at imprinting control 2. The loss of methylation at imprinting control 2 was found to be maternally inherited, despite not being associated with any detectable genomic alteration.

conclusionsOverall, 33% of patients (8 of 24 patients) with Wilms tumor or hepatoblastoma were found to have an epigenetic susceptibility that was detectable in the blood. It is interesting to note that low-level gain of methylation at imprinting control 1 predominantly was detected in females with bilateral Wilms tumors. Further studies in larger cohorts are needed to determine the efficacy of testing all patients with Wilms tumor or hepatoblastoma for 11p15.5 epimutations in the blood as part of DNA analysis because this hallmark of predisposition will not be detected by sequencing-based approaches and detecting a cancer predisposition may modify treatment.

Indexed as

AdolescentAdultBeckwith-Wiedemann SyndromeChildChild, PreschoolChromosomes, Human, Pair 11DNA MethylationFemaleGenetic Predisposition to DiseaseGenomic ImprintingGerm-Line MutationHepatoblastomaHumansInfantMaleNeoplasm ProteinsNeoplasm ProteinsBeckwith-Wiedemann syndromegenetic predisposition to diseasehepatoblastomamethylationWilms tumor

Identifiers

PMID32320050
PMCPMC7383476
OpenAlexW3017148951

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.