Evidence map›Paper›PMID 33375991›Full record

ArticleGynecologic oncology2021

Characterizing TP53 mutations in ovarian carcinomas with and without concurrent BRCA1 or BRCA2 mutations.

Talayeh S Ghezelayagh, Kathryn P Pennington, Barbara M Norquist, Nithisha Khasnavis, Marc R Radke, Mark R Kilgore, Rochelle L Garcia, Ming Lee, Ronit Katz, Kimberly K Leslie and 2 more

Open access · greenAbstract read
In one paragraph

Article in Gynecologic oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

26 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Ovarian cancer.Nature reviews. Disease primers · 2026
    Review
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  6. Clinicopathologic Features, Molecular Landscape, and Prognostic Implications of Ovarian Low-grade Serous Tumors with Histologic Transformation.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
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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 3 institutions in 1 country.

Talayeh S GhezelayaghDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA; Department of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA. Electronic address: tghezel@uw.edu.
Kathryn P PenningtonDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Barbara M NorquistDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Nithisha KhasnavisDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA; Department of Human Biology, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Marc R RadkeDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Mark R KilgoreDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.
Rochelle L GarciaDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.
Ming LeeDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Ronit KatzDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Kimberly K LeslieDepartment of Obstetrics and Gynecology and the Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, USA.
Rosa Ana RisquesDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.
Elizabeth M SwisherDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
University of Washington · USFred Hutch Cancer Center · USUniversity of Iowa · US

Funding

Vaccinating against IGFBP-2 to prevent ovarian cancer relapseP50CA083636 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DRESCHER, CHARLES, URBAN, NICOLE DENISE · 1999 to 2015
$35.1M
Targeted Therapy for Endometrial CancerR01CA099908 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI LESLIE, KIMBERLY K. · 2002 to 2023
$5.8M
Defining a Pre-Malignant Phenotype in Fallopian Tube EpitheliumR01CA131965 · NCI · UNIVERSITY OF WASHINGTON · PI SWISHER, ELIZABETH MARY · 2009 to 2013
$1.6M
Evaluation of TP53 mutations in non-cancerous tissue as novel biomarkers of ovarian cancer risk.R21CA240885 · NCI · UNIVERSITY OF WASHINGTON · PI RISQUES, ROSA ANA · 2019 to 2020
$372k
NCI NIH HHS P50 CA083636NCI NIH HHS R01 CA099908NCI NIH HHS R01 CA131965NCI NIH HHS R21 CA240885
6 · The paper itself

Abstract

objectivesMutations in the TP53 tumor suppressor gene are common in ovarian carcinoma (OC) but their impact on outcomes is controversial. We sought to define the relationship of TP53 mutations to cancer outcomes and their interactions with co-occurrent BRCA1 or BRCA2 (BRCA) mutations, comparing three different TP53 mutation classification schemes.

methodsWe performed next generation sequencing on 393 cases of OC prospectively followed for survival. TP53 mutations were classified according to three schemes termed Structural, Functional, and Hotspot. Mutation distribution was compared between cases with and without BRCA mutations. In a subset of 281 cases of high grade serous carcinoma (HGSC), overall survival was compared using Kaplan-Meier curves, logrank testing, and multivariate Cox regression analysis, both stratified and adjusted for BRCA mutation status. Multivariate logistic regression was used to analyze the effects of TP53 mutation type on platinum resistance.

resultsTP53 mutations were identified in 76.8% of the total cohort (n = 302/393) and 87.9% of HGSC (n = 247/281). Cases with BRCA mutations demonstrated significantly higher TP53 mutation frequency overall (n = 84/91, 92.3% vs. n = 218/302, 72.2%, p < 0.001). TP53 mutations were not associated with overall survival, even when stratified by BRCA mutation. TP53 mutations were associated with platinum sensitivity, even after adjusting for BRCA mutation status (OR 0.41, p = 0.048). The choice of TP53 mutation classification scheme was not found to alter any significant outcome.

conclusionsBRCA mutations significantly co-occur with TP53 mutations. After adjusting for BRCA mutations, TP53 mutations are associated with platinum sensitivity, and this effect is not dependent on TP53 mutation type.

Indexed as

FemaleGenes, BRCA1Genes, BRCA2High-Throughput Nucleotide SequencingHumansMiddle AgedMutationOvarian NeoplasmsProspective StudiesTumor Suppressor Protein p53TP53 protein, humanTumor Suppressor Protein p53BRCA1BRCA2Ovarian cancerOverall survivalp53 proteinTP53

Identifiers

PMID33375991
PMCPMC8491988
OpenAlexW3115999264

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.