Evidence map›Paper›PMID 33028669›Full record

ArticleGut2021

Multiregion whole-exome sequencing of intraductal papillary mucinous neoplasms reveals frequent somatic

Kohei Fujikura, Waki Hosoda, Matthäus Felsenstein, Qianqian Song, Johannes G Reiter, Lily Zheng, Violeta Beleva Guthrie, Natalia Rincon, Marco Dal Molin, Jonathan Dudley and 18 more

Open access · greenAbstract read
In one paragraph

Article in Gut, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
3.8field-weighted citation impact, top 5% 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

47 citing papers in PubMed, 84 citations in OpenAlex.

  1. Review
  2. Metastasis-SpecificJournal of clinical medicine · 2026
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  9. Unraveling the therapeutic landscape of miRNAs in pancreatic cancer.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Review
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  12. Proteomics in pancreatic cancer.Biomarker research · 2025
    Review
  13. Article
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  16. Article
  17. Review
  18. Next-Generation Sequencing: An Advanced Diagnostic Tool for Detection of Pancreatic Disease/Disorder.JGH open : an open access journal of gastroenterology and hepatology · 2024
    Review
  19. Article
  20. 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

28 authors at 7 institutions in 5 countries.

Kohei Fujikura *Department of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Waki Hosoda *Department of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Matthäus Felsenstein *Department of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Qianqian Song *State Key Lab of Molecular Oncology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Johannes G ReiterCanary Center for Cancer Early Detection in Department of Radiology, Stanford Cancer Institute, and Department of Biomedical Data Science, Stanford University School of Medicine, Stanford, California, USA.
Lily ZhengMcKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Violeta Beleva GuthriePersonal Genome Diagnostics, Baltimore, Maryland, USA.
Natalia RinconInstitute for Computational Medicine and Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland, USA.
Marco Dal MolinLudwig Center for Cancer Genetics and Therapeutics, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jonathan DudleyLudwig Center for Cancer Genetics and Therapeutics, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Joshua D CohenLudwig Center for Cancer Genetics and Therapeutics, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Pei WangState Key Lab of Molecular Oncology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Catherine G FischerDepartment of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Alicia M BraxtonDepartment of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Michaël NoëDepartment of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Martine JongepierDepartment of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Carlos Fernández-Del CastilloDepartment of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Mari Mino-KenudsonDepartment of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
C Max SchmidtDepartment of Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Michele T Yip-SchneiderDepartment of Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Rita T LawlorARC-NET: Centre for Applied Research on Cancer, University and Hospital Trust of Verona, Verona, Italy.
Roberto SalviaGeneral and Pancreatic Surgery Department, The Pancreas Institute and Hospital Trust of Verona, Verona, Italy.
Nicholas J RobertsDepartment of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Elizabeth D ThompsonDepartment of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Rachel KarchinInstitute for Computational Medicine and Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland, USA.
Anne Marie LennonDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Yuchen JiaoState Key Lab of Molecular Oncology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China ldwood@jhmi.edu jiaoyuchen@cicams.ac.cn.
Laura D WoodDepartment of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA ldwood@jhmi.edu jiaoyuchen@cicams.ac.cn.ORCID 0000-0003-3096-652X
Johns Hopkins University · USChinese Academy of Medical Sciences & Peking Union Medical College · CNHarvard University · USIndiana University School of MedicineHuman Genome Sciences (United States) · USStanford University · USUniversity of Verona · IT

Funding

Tumor Antigens for Individual Signatures and TherapyP50CA062924 · NCI · JOHNS HOPKINS UNIVERSITY · PI KERN, SCOTT E · 1993 to 2022
$54.6M
Medical Scientist Training ProgramT32GM136577 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI ANDREA L COX · 2020 to 2026
$13.4M
Training Veterinarians for Careers in Biomedical ResearchT32OD011089 · OD · JOHNS HOPKINS UNIVERSITY · PI JOSEPH L MANKOWSKI · 2012 to 2026
$6.7M
Characterization of the Molecular Determinants of High-Grade Dysplasia in Pancreatic Cancer Precursor LesionsK08DK107781 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI WOOD, LAURA DELONG · 2016 to 2020
$846k
Inferring the roots of metastases and their effects on patient survivalR00CA229991 · NCI · STANFORD UNIVERSITY · PI REITER, JOHANNES G · 2019 to 2021
$743k
NCI NIH HHS P50 CA062924NCI NIH HHS R00 CA229991NIDDK NIH HHS K08 DK107781NIGMS NIH HHS T32 GM136577NIH HHS T32 OD011089
6 · The paper itself

Abstract

objectiveIntraductal papillary mucinous neoplasms (IPMNs) are non-invasive precursor lesions that can progress to invasive pancreatic cancer and are classified as low-grade or high-grade based on the morphology of the neoplastic epithelium. We aimed to compare genetic alterations in low-grade and high-grade regions of the same IPMN in order to identify molecular alterations underlying neoplastic progression.

designWe performed multiregion whole exome sequencing on tissue samples from 17 IPMNs with both low-grade and high-grade dysplasia (76 IPMN regions, including 49 from low-grade dysplasia and 27 from high-grade dysplasia). We reconstructed the phylogeny for each case, and we assessed mutations in a novel driver gene in an independent cohort of 63 IPMN cyst fluid samples.

resultsOur multiregion whole exome sequencing identified

conclusionHotspot mutations in

Indexed as

Exome SequencingAdenocarcinoma, MucinousBiomarkers, TumorCarcinoma, PapillaryHumansKruppel-Like Factor 4MutationNeoplasm GradingPancreatic Intraductal NeoplasmsRetrospective StudiesBiomarkers, TumorKLF4 protein, humanKruppel-Like Factor 4molecular geneticsmutationspancreatic cancerpancreatic pathologypancreatic tumours

Identifiers

PMID33028669
PMCPMC8262510
OpenAlexW3092302697

What OpenQuestion holds

Textmetadata
LicenceTDM
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.