Evidence map›Paper›PMID 33876771›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

Integrated mutational landscape analysis of uterine leiomyosarcomas.

Jungmin Choi, Aranzazu Manzano, Weilai Dong, Stefania Bellone, Elena Bonazzoli, Luca Zammataro, Xiaotong Yao, Aditya Deshpande, Samir Zaidi, Adele Guglielmi and 34 more

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 2% 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

70 citing papers in PubMed, 1 synthesis or guideline pooled it, 113 citations in OpenAlex.

  1. Molecular Insights in Uterine Leiomyosarcoma: A Systematic Review.International journal of molecular sciences · 2022
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Chemical neighborhood exploration for substrate discovery in biocatalysis.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  7. Review
  8. Article
  9. Integrated mutational landscape analysis of endometrial stromal sarcoma.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. UTERINE FIBROIDS.Physiological reviews · 2025
    Review
  18. Therapeutic Targeting of BET Proteins in Sarcoma.Molecular cancer therapeutics · 2025
    Review
  19. Article
  20. Review

10 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

44 authors at 11 institutions in 3 countries.

Jungmin ChoiDepartment of Biomedical Sciences, Korea University College of Medicine, 02841 Seoul, Korea.
Aranzazu ManzanoDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.
Weilai DongDepartment of Genetics, Yale University School of Medicine, New Haven, CT 06510.ORCID 0000-0002-8376-1758
Stefania BelloneDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.
Elena BonazzoliDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.
Luca ZammataroDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.ORCID 0000-0002-4348-6341
Xiaotong YaoDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-5140-6639
Aditya DeshpandeDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-4463-2697
Samir ZaidiHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, NY 10065.
Adele GuglielmiDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.
Barbara GnuttiDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.ORCID 0000-0001-8583-2583
Nupur NagarkattiDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.ORCID 0000-0002-5736-4214
Joan R Tymon-RosarioDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.
Justin HaroldDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.
Dennis MauricioDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.ORCID 0000-0002-1511-9544
Burak ZeybekDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.
Gulden MenderesDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.
Gary AltwergerDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.
Kyungjo JeongDepartment of Biomedical Sciences, Korea University College of Medicine, 02841 Seoul, Korea.ORCID 0000-0001-5210-9962
Siming ZhaoDepartment of Human Genetics, University of Chicago, Chicago, IL 60637.
Natalia BuzaDepartment of Pathology, Yale University School of Medicine, New Haven, CT 06510.ORCID 0000-0002-0008-334X
Pei HuiDepartment of Pathology, Yale University School of Medicine, New Haven, CT 06510.
Antonella RavaggiDepartment of Obstetrics and Gynecology, "Angelo Nocivelli" Institute of Molecular Medicine, University of Brescia, 25100 Brescia, Italy.ORCID 0000-0003-4661-9979
Eliana BignottiDepartment of Obstetrics and Gynecology, "Angelo Nocivelli" Institute of Molecular Medicine, University of Brescia, 25100 Brescia, Italy.ORCID 0000-0001-6380-6181
Chiara RomaniDepartment of Obstetrics and Gynecology, "Angelo Nocivelli" Institute of Molecular Medicine, University of Brescia, 25100 Brescia, Italy.
Paola TodeschiniDepartment of Obstetrics and Gynecology, "Angelo Nocivelli" Institute of Molecular Medicine, University of Brescia, 25100 Brescia, Italy.
Laura ZanottiDepartment of Obstetrics and Gynecology, "Angelo Nocivelli" Institute of Molecular Medicine, University of Brescia, 25100 Brescia, Italy.
Franco OdicinoDepartment of Obstetrics and Gynecology, "Angelo Nocivelli" Institute of Molecular Medicine, University of Brescia, 25100 Brescia, Italy.ORCID 0000-0001-8870-4739
Sergio PecorelliDepartment of Obstetrics and Gynecology, "Angelo Nocivelli" Institute of Molecular Medicine, University of Brescia, 25100 Brescia, Italy.ORCID 0000-0002-5126-4300
Laura ArdighieriDepartment of Pathology, University of Brescia, Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia, 25100 Brescia, Italy.
Kaya BilguvarDepartment of Genetics, Yale University School of Medicine, New Haven, CT 06510.
Charles M QuickDepartment of Pathology, University of Arkansas for Medical sciences, Little Rock, AR 72205.ORCID 0000-0002-8619-3477
Dan-Arin SilasiDivision of Gynecologic Oncology, Mercy Clinic, St. Louis, MO 63141.
Gloria S HuangDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.ORCID 0000-0002-0001-888X
Vaagn AndikyanDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.ORCID 0000-0001-9326-0255
Mitchell ClarkDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.ORCID 0000-0003-1118-9585
Elena RatnerDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.
Masoud AzodiDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.
Marcin ImielinskiDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY.
Peter E SchwartzDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.ORCID 0000-0002-0845-3624
Ludmil B AlexandrovDepartment of Cellular and Molecular Medicine, University of California San Diego, La Jolla, CA 92093.ORCID 0000-0003-3596-4515
Richard P LiftonLaboratory of Human Genetics and Genomics, The Rockefeller University, New York, NY 10065.
Joseph SchlessingerDepartment of Pharmacology, Yale University School of Medicine, New Haven, CT 06510 Joseph.Schlessinger@Yale.edu.ORCID 0000-0002-5085-5969
Alessandro D SantinDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06510.ORCID 0000-0003-4724-9738
Yale University · USUniversity of Brescia · ITCornell University · USKorea University · KRAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITMemorial Sloan Kettering Cancer Center · USMercy Clinic Neurology · USRockefeller University · USUniversity of Arkansas for Medical Sciences · USUniversity of California San Diego · USUniversity of Chicago · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI DAVID L RIMM · 1985 to 2026
$85.0M
Integrated genomic analysis of racial disparities in endometrial cancerU01CA176067 · NCI · YALE UNIVERSITY · PI SANTIN, ALESSANDRO D · 2014 to 2018
$1.7M
NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016359NCI NIH HHS U01 CA176067
6 · The paper itself

Abstract

Uterine leiomyosarcomas (uLMS) are aggressive tumors arising from the smooth muscle layer of the uterus. We analyzed 83 uLMS sample genetics, including 56 from Yale and 27 from The Cancer Genome Atlas (TCGA). Among them, a total of 55 Yale samples including two patient-derived xenografts (PDXs) and 27 TCGA samples have whole-exome sequencing (WES) data; 10 Yale and 27 TCGA samples have RNA-sequencing (RNA-Seq) data; and 11 Yale and 10 TCGA samples have whole-genome sequencing (WGS) data. We found recurrent somatic mutations in TP53, MED12, and PTEN genes. Top somatic mutated genes included TP53, ATRX, PTEN, and MEN1 genes. Somatic copy number variation (CNV) analysis identified 8 copy-number gains, including 5p15.33 (TERT), 8q24.21 (C-MYC), and 17p11.2 (MYOCD, MAP2K4) amplifications and 29 copy-number losses. Fusions involving tumor suppressors or oncogenes were deetected, with most fusions disrupting RB1, TP53, and ATRX/DAXX, and one fusion (ACTG2-ALK) being potentially targetable. WGS results demonstrated that 76% (16 of 21) of the samples harbored chromoplexy and/or chromothripsis. Clinically actionable mutational signatures of homologous-recombination DNA-repair deficiency (HRD) and microsatellite instability (MSI) were identified in 25% (12 of 48) and 2% (1 of 48) of fresh frozen uLMS, respectively. Finally, we found olaparib (PARPi;

Indexed as

GenotypeMutationOncogene FusionAnimalsAntineoplastic AgentsFemaleHumansLeiomyosarcomaMetabolic Networks and PathwaysMiceMice, Inbred C57BLMolecular Targeted TherapyPhthalazinesPiperazinesPyrimidinesQuinazolinesAntineoplastic AgentscopanlisibolaparibPhthalazinesPiperazinesPyrimidinesQuinazolinesmutational landscapeuterine leiomyosarcomaswhole-exome sequencingwhole-genome sequencing

Identifiers

PMID33876771
PMCPMC8053980
OpenAlexW3140638839

What OpenQuestion holds

Textmetadata
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.