Evidence map›Paper›PMID 34341114›Full record

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

Oncogenic gene fusions in nonneoplastic precursors as evidence that bacterial infection can initiate prostate cancer.

Eva Shrestha, Jonathan B Coulter, William Guzman, Busra Ozbek, Megan M Hess, Luke Mummert, Sarah E Ernst, Janielle P Maynard, Alan K Meeker, Christopher M Heaphy and 3 more

Open access · bronzeAbstract 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 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
4.4field-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

42 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Harnessing the microbiome for cancer therapy.Nature reviews. Microbiology · 2026
    Review
  6. Article
  7. Signaling pathways and targeted interventions for precancers.Signal transduction and targeted therapy · 2026
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Contemporary review of prognostic markers of prostate cancer from a pathologist perspective.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Eva ShresthaDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0002-6868-3990
Jonathan B CoulterSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0003-0380-9254
William GuzmanDepartment of Art as Applied to Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287.
Busra OzbekDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0002-4221-0845
Megan M HessDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0003-0055-8365
Luke MummertDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0002-1128-9167
Sarah E ErnstDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0001-7165-523X
Janielle P MaynardDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0003-0448-8552
Alan K MeekerDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0003-4601-6481
Christopher M HeaphyDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0003-4264-1810
Michael C HaffnerDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0003-0809-6425
Angelo M De MarzoDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0003-4847-5307
Karen S SfanosDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21287; ksfanos@jhmi.edu.ORCID 0000-0002-7015-3059
Johns Hopkins University · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI WILLIAM George NELSON · 1985 to 2026
$208.6M
TRANSGENIC MODELS FOR PROSTATE CANCER AND AUTOIMMUNITYP50CA058236 · NCI · JOHNS HOPKINS UNIVERSITY · PI DENMEADE, SAMUEL R · 1992 to 2020
$43.9M
NCI NIH HHS P30 CA006973NCI NIH HHS P50 CA058236
6 · The paper itself

Abstract

Prostate adenocarcinoma is the second most commonly diagnosed cancer in men worldwide, and the initiating factors are unknown. Oncogenic TMPRSS2:ERG (ERG+) gene fusions are facilitated by DNA breaks and occur in up to 50% of prostate cancers. Infection-driven inflammation is implicated in the formation of ERG+ fusions, and we hypothesized that these fusions initiate in early inflammation-associated prostate cancer precursor lesions, such as proliferative inflammatory atrophy (PIA), prior to cancer development. We investigated whether bacterial prostatitis is associated with ERG+ precancerous lesions in unique cases with active bacterial infections at the time of radical prostatectomy. We identified a high frequency of ERG+ non-neoplastic-appearing glands in these cases, including ERG+ PIA transitioning to early invasive cancer. These lesions were positive for ERG protein by immunohistochemistry and

Indexed as

AtrophyBacterial InfectionsDNA BreaksHumansMaleOncogene FusionPeptidesPolyketidesProstateProstatectomyProstatic NeoplasmsProstatitisSerine EndopeptidasesTranscriptional Regulator ERGcolibactinERG protein, humanPeptidesPolyketidesSerine EndopeptidasesTMPRSS2 protein, humanTranscriptional Regulator ERGcolibactininfectioninflammationprostate cancerTMPRSS2:ERG fusion

Identifiers

PMID34341114
PMCPMC8364155
OpenAlexW3191855447

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.