Evidence map›Paper›PMID 32356167›Full record

ArticleFamilial cancer2020

Characterization of a germline splice site variant MLH1 c.678-3T>A in a Lynch syndrome family.

Ciyu Yang, Margaret Sheehan, Ester Borras, Karen Cadoo, Kenneth Offit, Liying Zhang

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Familial cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 53% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

6 authors at 2 institutions in 1 country.

Ciyu YangDepartments of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Margaret SheehanDepartments of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Ester BorrasDepartments of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Karen CadooDepartments of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Kenneth OffitDepartments of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Liying ZhangDepartment of Pathology and Laboratory Medicine, David Geffen School of Medicine, University of California at Los Angeles (UCLA), 10833 Le Conte Ave, Los Angeles, CA, 90095, USA. LiyingZhang@mednet.ucla.edu.ORCID 0000-0003-4517-0751
Memorial Sloan Kettering Cancer Center · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Germline mutations in the DNA mismatch repair (MMR) genes cause Lynch syndrome. Classification and interpretation of intronic variants, especially those outside the consensus ± 1 ~ 2 splice sites are challenging as it is uncertain whether such variants would affect splicing accuracy and efficiency. The assessment of the pathogenicity of splice site variants in MLH1 is further complicated by the various isoforms due to alternative splicing. In this report, we describe a 42-year-old female with Lynch syndrome who carries a germline variant, MLH1 c.678-3T>A, in the splice acceptor site of intron 8. Functional studies and semiquantitative analysis demonstrated that this variant causes a significant increase in the transcripts with exon 9 or exon 9 and 10 deletions, which presumably leads to premature protein truncation or abnormal protein. In addition, we also observed MSI-H and loss of MLH1 by IHC in patient's tumor tissue. This variant also segregated with Lynch Syndrome related cancers in three affected family members. Based on these evidence, the MLH1 c.678-3T>A variant is considered pathogenic.

Indexed as

Germ-Line MutationIntronsRNA Splice SitesAdultAgedColorectal Neoplasms, Hereditary NonpolyposisDNA, ComplementaryDNA Mismatch RepairExonsFemaleHumansMicrosatellite InstabilityMutL Protein Homolog 1PedigreeReverse Transcriptase Polymerase Chain ReactionDNA, ComplementaryMLH1 protein, humanMutL Protein Homolog 1RNA Splice Sitesc.678-3T>AGermlineLynch syndromeMLH1Splice site variant

Identifiers

PMID32356167
OpenAlexW3022036859

What OpenQuestion holds

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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.