Evidence map›Paper›PMID 34059744›Full record

ArticleScientific reports2021

A genetic variant in telomerase reverse transcriptase (TERT) modifies cancer risk in Lynch syndrome patients harbouring pathogenic MSH2 variants.

Mariann Unhjem Wiik, Tiffany-Jane Evans, Sami Belhadj, Katherine A Bolton, Dagmara Dymerska, Shantie Jagmohan-Changur, Gabriel Capellá, Grzegorz Kurzawski, Juul T Wijnen, Laura Valle and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 25% 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

10 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. A common genetic variation inFrontiers in oncology · 2023
    Article
  8. Modifier genes and Lynch syndrome: some considerations.Hereditary cancer in clinical practice · 2022
    Review
  9. Review
  10. 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

14 authors at 9 institutions in 5 countries.

Mariann Unhjem WiikResearch Unit, Ålesund Hospital, Møre and Romsdal Hospital Trust, Ålesund, Norway.
Tiffany-Jane EvansHunter Medical Research Institute, New Lambton Heights, Australia.
Sami BelhadjHereditary Cancer Program, Catalan Institute of Oncology, IDIBELL and CIBERONC, Hospitalet de Llobregat, Barcelona, Spain.
Katherine A BoltonSchool of Biomedical Science and Pharmacy, Faculty of Health and Medicine, University of Newcastle, Newcastle, NSW, Australia.
Dagmara DymerskaDepartment of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, Szczecin, Poland.
Shantie Jagmohan-ChangurDepartment of Human Genetics, Leiden University Medical Center, Leiden, the Netherlands.
Gabriel CapelláHereditary Cancer Program, Catalan Institute of Oncology, IDIBELL and CIBERONC, Hospitalet de Llobregat, Barcelona, Spain.
Grzegorz KurzawskiDepartment of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, Szczecin, Poland.
Juul T WijnenDepartment of Human Genetics, Leiden University Medical Center, Leiden, the Netherlands.
Laura ValleHereditary Cancer Program, Catalan Institute of Oncology, IDIBELL and CIBERONC, Hospitalet de Llobregat, Barcelona, Spain.
Hans F A VasenDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, the Netherlands.
Jan LubinskiDepartment of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, Szczecin, Poland.
Rodney J ScottHunter Medical Research Institute, New Lambton Heights, Australia.
Bente A Talseth-PalmerResearch Unit, Ålesund Hospital, Møre and Romsdal Hospital Trust, Ålesund, Norway. bente.talseth-palmer@newcastle.edu.au.
Leiden University Medical Center · NLInstitut Català d'Oncologia · ESPomeranian Medical University · PLUniversity of Newcastle Australia · AUÅlesund Hospital · NOHunter Medical Research Institute · AUInstitut d'Investigació Biomédica de Bellvitge · ESInternational Hereditary Cancer Center · PLJohn Hunter Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Individuals with Lynch syndrome (LS), have an increased risk of developing cancer. Common genetic variants of telomerase reverse transcriptase (TERT) have been associated with a wide range of cancers, including colorectal cancer (CRC) in LS. We combined genotype data from 1881 LS patients, carrying pathogenic variants in MLH1, MSH2 or MSH6, for rs2075786 (G>A, intronic variant), 1207 LS patients for rs2736108 (C>T, upstream variant) and 1201 LS patients for rs7705526 (C>A, intronic variant). The risk of cancer was estimated by heterozygous/homozygous odds ratio (OR) with mixed-effects logistic regression to adjust for gene/gender/country of sample origin considering family identity. The AA genotype of SNP rs2075786 is associated with 85% higher odds at developing cancer compared to GG genotype in MSH2 pathogenic variant carriers (p = 0.0160). Kaplan-Meier analysis also shows an association for rs2075786; the AA allele for MSH2 variant carriers confers risk for earlier diagnosis of LS cancer (log-rank p = 0.0011). We report a polymorphism in TERT to be a possible modifier of disease risk in MSH2 pathogenic variant carriers. The rs2075786 SNP in TERT is associated with a differential risk of developing cancer for MSH2 pathogenic variant carriers. Use of this information has the potential to personalise screening protocols for LS patients.

Indexed as

Genetic Predisposition to DiseaseAdolescentAdultAgedAged, 80 and overChromosomes, Human, Pair 5Colorectal NeoplasmsColorectal Neoplasms, Hereditary NonpolyposisFemaleHumansMaleMiddle AgedMutS Homolog 2 ProteinPolymorphism, Single NucleotideRNA-Directed DNA PolymeraseTelomeraseMSH2 protein, humanMutS Homolog 2 ProteinRNA-Directed DNA PolymeraseTelomerase

Identifiers

PMID34059744
PMCPMC8166931
OpenAlexW3165267004

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.