Evidence map›Paper›PMID 34108637›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2021

TERT promoter mutation is an objective clinical marker for disease progression in chondrosarcoma.

Yifan Zhang, Yi Chen, Chen Yang, Nelly Seger, Asle C Hesla, Panagiotis Tsagkozis, Olle Larsson, Yingbo Lin, Felix Haglund

Open access · hybridAbstract read
In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  11. Diagnostics ofDiagnostics (Basel, Switzerland) · 2024
    Article
  12. Telomeres and telomerase in Sarcoma disease and therapy.International journal of medical sciences · 2024
    Review
  13. Article
  14. Cancers · 2023
    Review
  15. Article
  16. Article
  17. Article
  18. DNA and RNA Binding Proteins: From Motifs to Roles in Cancer.International journal of molecular sciences · 2022
    Review
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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

9 authors at 2 institutions in 1 country.

Yifan Zhang *Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-8525-4736
Yi Chen *Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-4891-8289
Chen YangDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Nelly SegerDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Asle C HeslaDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-6205-0773
Panagiotis TsagkozisDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Olle LarssonDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Yingbo LinDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Felix HaglundDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden. Felix.Haglund@ki.se.ORCID 0000-0002-7015-3841
Karolinska University Hospital · SEKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chondrosarcomas are the second most common malignant bone tumor. Activating promoter mutations in telomerase reverse transcriptase (TERT) was recently described by us and others as a frequent mutation in high-grade chondrosarcoma. In this study, we investigate the prognostic significance of TERT promoter mutations in 241 chondrosarcomas from 190 patients collected over 24 years (1994-2017). The TERT promoter was sequenced after microdissection of 135 chondrosarcomas from 106 patients in addition to data from our previous cohort. The TERT promoter mutation at -124 C > T was found in 45% of all patients and was significantly associated (p > 0,001) with higher tumor grade, shorter metastasis-free survival, and disease-specific survival. Additionally, TERT promoter-mutated tumors were associated with a more aggressive metastatic pattern. Shorter survival was observed in patients with wild-type primary tumors who developed a mutated metastasis indicative of tumor progression. Primary tumor genetic heterogeneity and altering mutational status between nonsynchronous metastatic lesions suggests that chondrosarcoma is a multiclonal disease progressing through a branching evolution. Conclusion: TERT promoter mutation seems to be a central event in chondrosarcoma progression with association to metastatic disease and disease-related mortality. As an easily analyzed marker, there is future potential to utilize TERT promoter mutation status as a prognostic marker and investigate telomerase-targeted therapy in chondrosarcomas.

Indexed as

Promoter Regions, GeneticAdolescentAdultAgedAged, 80 and overBiomarkers, TumorBone NeoplasmsChildChondrosarcomaDisease ProgressionFemaleHumansMaleMiddle AgedMutationPrognosisBiomarkers, TumorTelomeraseTERT protein, human

Identifiers

PMID34108637
PMCPMC8514332
OpenAlexW3171039058

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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.