Evidence map›Paper›PMID 34740923›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2022

Pan-cancer Analysis of Homologous Recombination Repair-associated Gene Alterations and Genome-wide Loss-of-Heterozygosity Score.

C Benedikt Westphalen, Alexander D Fine, Fabrice André, Shridar Ganesan, Volker Heinemann, Etienne Rouleau, Clare Turnbull, Luis Garcia Palacios, Jorge-Antonio Lopez, Ethan S Sokol and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

53 citing papers in PubMed, 78 citations in OpenAlex.

  1. Treatment Efficacy and Molecular Dynamics of Neoadjuvant Durvalumab and Olaparib in Resectable Urothelial Bladder Cancer: The NEODURVARIB Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
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  20. Concurrent RB1 Loss and BRCA Deficiency Predicts Enhanced Immunologic Response and Long-term Survival in Tubo-ovarian High-grade Serous Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
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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

11 authors at 8 institutions in 7 countries.

C Benedikt WestphalenComprehensive Cancer Center Munich and Department of Medicine III, Ludwig Maximilian University of Munich, Munich, Germany.
Alexander D FineCancer Genomics Research, Foundation Medicine, Inc., Cambridge, Massachusetts.
Fabrice AndréInstitut Gustave Roussy, INSERM U981, Université Paris Saclay, Villejuif, France.ORCID 0000-0001-5795-8357
Shridar GanesanDepartment of Medicine, Rutgers Cancer Institute of New Jersey, Rutgers University, New Brunswick, New Jersey.
Volker HeinemannComprehensive Cancer Center Munich and Department of Medicine III, Ludwig Maximilian University of Munich, Munich, Germany.
Etienne RouleauInstitut Gustave Roussy, INSERM U981, Université Paris Saclay, Villejuif, France.ORCID 0000-0002-9046-257X
Clare TurnbullThe Institute of Cancer Research, London, England.
Luis Garcia PalaciosPHC Oncology, Roche Pharma, S.A. Madrid, Spain.
Jorge-Antonio LopezF. Hoffmann-La Roche Ltd, Basel, Switzerland.ORCID 0000-0003-2109-0001
Ethan S SokolCancer Genomics Research, Foundation Medicine, Inc., Cambridge, Massachusetts.
Joaquin MateoVall d'Hebron Institute of Oncology (VHIO) and Vall d'Hebron University Hospital, Barcelona, Spain.
Inserm · FRLudwig-Maximilians-Universität München · DESpencer Foundation · USCancer Research UK · GBHebron University · PSRoche (Spain) · ESRoche (Switzerland) · CHRutgers, The State University of New Jersey · US

Funding

TRANSCRIPTIONAL PROFILINGP30CA072720 · NCI · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI Tracie Saunders · 1997 to 2026
$94.5M
Variation in Receptor Tyrosine Kinases and Breast Cancer RiskP50CA089393 · NCI · DANA-FARBER CANCER INSTITUTE · PI WINER, ERIC P · 2000 to 2009
$28.8M
Project 4: The BRCA Network in Medulloblastoma Responses to Replication StressP01CA250957 · NCI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI XIA, BING · 2021 to 2025
$11.3M
NCI NIH HHS P01 CA250957NCI NIH HHS P30 CA072720NCI NIH HHS P50 CA089393
6 · The paper itself

Abstract

purposeTo study associations across tumor types between genome-wide loss of heterozygosity (gLOH) and alterations in homologous recombination repair (HRR)-associated genes beyond BRCA1 and BRCA2. EXPERIMENTAL

designGenomic profiling using a targeted next-generation sequencing assay examining 324-465 genes (FoundationOne, FoundationOne Heme, and FoundationOne CDx; Foundation Medicine, Inc.) was performed in a cohort of 160,790 samples across different tumor types. Zygosity predictions and gLOH status were calculated and linked with alterations in 18 HRR-associated genes (BRCA1, BRCA2, PALB2, BARD1, ATR, ATRX, ATM, BAP1, RAD51B, RAD51C, RAD51D, BRIP1, NBN, CHEK1, CHEK2, FANCA, FANCC, MRE11) and other genomic features, using Fisher's exact test and Mann-Whitney U tests.

resultsWe identified a strong correlation between elevated gLOH and biallelic alterations in a core set of HRR-associated genes beyond BRCA1 and BRCA2, such as BARD1, PALB2, FANCC, RAD51C, and RAD51D (particularly in breast, ovarian, pancreatic, and prostate cancer). Monoallelic/heterozygous alterations in HRR-associated genes were not associated with elevated gLOH. gLOH was also independently associated with TP53 loss. Co-occurrence of TP53 loss and alterations in HRR-associated genes, and combined loss of TP53-PTEN or TP53-RB1, was associated with a higher gLOH than each of the events separately.

conclusionsBiallelic alterations in core HRR-associated genes are frequent, strongly associated with elevated gLOH, and enriched in breast, ovarian, pancreatic, and prostate cancer. This analysis could inform the design of the next generation of clinical trials examining DNA repair-targeting agents, including PARP inhibitors.

Indexed as

Breast NeoplasmsProstatic NeoplasmsDNA RepairGenetic Predisposition to DiseaseHeterozygoteHomologous RecombinationHumansMalePoly(ADP-ribose) Polymerase InhibitorsRecombinational DNA RepairPoly(ADP-ribose) Polymerase Inhibitors

Identifiers

PMID34740923
PMCPMC8982267
OpenAlexW3208047819

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.