Evidence map›Paper›PMID 34594041›Full record

ArticleNature genetics2021

Increased somatic mutation burdens in normal human cells due to defective DNA polymerases.

Philip S Robinson, Tim H H Coorens, Claire Palles, Emily Mitchell, Federico Abascal, Sigurgeir Olafsson, Bernard C H Lee, Andrew R J Lawson, Henry Lee-Six, Luiza Moore and 10 more

Open access · hybridAbstract read
In one paragraph

Article in Nature genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed
11.2field-weighted citation impact, top 1% 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

119 citing papers in PubMed, 172 citations in OpenAlex.

  1. Dynamics of mutators of arbitrary dominance in humans.bioRxiv : the preprint server for biology · 2026
    Article
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  8. The aging genome exhibits organized vulnerability to somatic mutations.bioRxiv : the preprint server for biology · 2026
    Article
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  10. Review
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  14. Article
  15. What sets the mutation rate of a cell type in an animal species?bioRxiv : the preprint server for biology · 2025
    Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article

59 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

20 authors at 5 institutions in 3 countries.

Philip S Robinson *Wellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-6237-7159
Tim H H Coorens *Wellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-5826-3554
Claire Palles *Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Emily MitchellWellcome Sanger Institute, Hinxton, UK.
Federico AbascalWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-6201-1587
Sigurgeir OlafssonWellcome Sanger Institute, Hinxton, UK.
Bernard C H LeeWellcome Sanger Institute, Hinxton, UK.
Andrew R J LawsonWellcome Sanger Institute, Hinxton, UK.
Henry Lee-SixWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0003-4831-8088
Luiza MooreWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0001-5315-516X
Mathijs A SandersWellcome Sanger Institute, Hinxton, UK.
James HewinsonWellcome Sanger Institute, Hinxton, UK.
Lynn MartinInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Claudia M A PinnaInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-5618-7842
Sara GalavottiInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Raheleh RahbariWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-1839-7785
Peter J CampbellWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-3921-0510
Iñigo MartincorenaWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0003-1122-4416
Ian TomlinsonEdinburgh Cancer Research Centre, IGMM, University of Edinburgh, Edinburgh, UK. Ian.Tomlinson@igmm.ed.ac.uk.ORCID http://orcid.org/0000-0003-3037-1470
Michael R StrattonWellcome Sanger Institute, Hinxton, UK. mrs@sanger.ac.uk.ORCID http://orcid.org/0000-0001-6035-153X
Wellcome Sanger Institute · GBUniversity of Birmingham · GBEdinburgh Cancer Research · GBQueen Mary Hospital · CNUniversity of Cambridge · GB

Funding

Cancer Research UK 21777Cancer Research UK 27114Cancer Research UK 27327Cancer Research UK C6199/A27327Cancer Research UK C66259/A27114Cancer Research UK C98/A24032Wellcome TrustWellcome Trust 206194
6 · The paper itself

Abstract

Mutation accumulation in somatic cells contributes to cancer development and is proposed as a cause of aging. DNA polymerases Pol ε and Pol δ replicate DNA during cell division. However, in some cancers, defective proofreading due to acquired POLE/POLD1 exonuclease domain mutations causes markedly elevated somatic mutation burdens with distinctive mutational signatures. Germline POLE/POLD1 mutations cause familial cancer predisposition. Here, we sequenced normal tissue and tumor DNA from individuals with germline POLE/POLD1 mutations. Increased mutation burdens with characteristic mutational signatures were found in normal adult somatic cell types, during early embryogenesis and in sperm. Thus human physiology can tolerate ubiquitously elevated mutation burdens. Except for increased cancer risk, individuals with germline POLE/POLD1 mutations do not exhibit overt features of premature aging. These results do not support a model in which all features of aging are attributable to widespread cell malfunction directly resulting from somatic mutation burdens accrued during life.

Indexed as

AdolescentAdultAgedDNA Polymerase IIDNA Polymerase IIIEmbryonic DevelopmentGenome, HumanGerm-Line MutationHumansIntestinal NeoplasmsIntestinesMiddle AgedMutagenesisPhylogenyStem CellsYoung AdultDNA Polymerase IIDNA Polymerase IIIPOLD1 protein, human

Identifiers

PMID34594041
PMCPMC8492474
OpenAlexW3202536610

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.