Evidence map›Paper›PMID 34838041›Full record

ArticleJournal of translational medicine2021

A two-stage genome-wide association study of radiation-induced acute toxicity in head and neck cancer.

Elnaz Naderi, Anne Petra Gerarda Crijns, Roel Johannes Henricus Marinus Steenbakkers, Johanna Geertruida Maria van den Hoek, Hendrika Marike Boezen, Behrooz Ziad Alizadeh, Johannes Albertus Langendijk

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Genome-Wide Association Study for Weight-Related Traits inAnimals : an open access journal from MDPI · 2025
    Article
  6. Article
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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

7 authors at 1 institution in 1 country.

Elnaz NaderiDepartment of Radiation Oncology, University Medical Center Groningen, Hanzeplein 1, HPC; DA 30, P.O. Box 30 001, 9700 RB, Groningen, The Netherlands. e.naderi@umcg.nl.ORCID 0000-0003-1671-7471
Anne Petra Gerarda CrijnsDepartment of Radiation Oncology, University Medical Center Groningen, Hanzeplein 1, HPC; DA 30, P.O. Box 30 001, 9700 RB, Groningen, The Netherlands.
Roel Johannes Henricus Marinus SteenbakkersDepartment of Radiation Oncology, University Medical Center Groningen, Hanzeplein 1, HPC; DA 30, P.O. Box 30 001, 9700 RB, Groningen, The Netherlands.
Johanna Geertruida Maria van den HoekDepartment of Radiation Oncology, University Medical Center Groningen, Hanzeplein 1, HPC; DA 30, P.O. Box 30 001, 9700 RB, Groningen, The Netherlands.
Hendrika Marike BoezenDepartment of Epidemiology, University Medical Center Groningen, Groningen, The Netherlands.
Behrooz Ziad Alizadeh *Department of Epidemiology, University Medical Center Groningen, Groningen, The Netherlands.
Johannes Albertus Langendijk *Department of Radiation Oncology, University Medical Center Groningen, Hanzeplein 1, HPC; DA 30, P.O. Box 30 001, 9700 RB, Groningen, The Netherlands. j.a.langendijk@umcg.nl.
University Medical Center Groningen · NL

Funding

Universitair Medisch Centrum Groningen Ph.D. scholarship
6 · The paper itself

Abstract

backgroundMost head and neck cancer (HNC) patients receive radiotherapy (RT) and develop toxicities. This genome-wide association study (GWAS) was designed to identify single nucleotide polymorphisms (SNPs) associated with common acute radiation-induced toxicities (RITs) in an HNC cohort.

methodsA two-stage GWAS was performed in 1279 HNC patients treated with RT and prospectively scored for mucositis, xerostomia, sticky saliva, and dysphagia. The area under the curve (AUC) was used to estimate the average load of toxicity during RT. At the discovery study, multivariate linear regression was used in 957 patients, and the top-ranking SNPs were tested in 322 independent replication cohort. Next, the discovery and the replication studies were meta-analyzed.

resultsA region on 5q21.3 containing 16 SNPs showed genome-wide (GW) significance association at P-value < 5.0 × 10

conclusionsThis GWAS suggested novel SNPs for patient-rated acute xerostomia in HNC patients. If validated, these SNPs and their related functional pathways could lead to a predictive assay to identify sensitive patients to radiation, which may eventually allow a more individualized RT treatment.

Indexed as

F-Box ProteinsHead and Neck NeoplasmsXerostomiaGenome-Wide Association StudyHumansProspective StudiesSalivaF-Box ProteinsFBXL17 protein, humanGWASHead and neck cancerRadiation-induced toxicityRadiogenomics

Identifiers

PMID34838041
PMCPMC8626989
OpenAlexW3215363424

What OpenQuestion holds

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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.