Evidence map›Paper›PMID 34863587›Full record

ArticleEuropean urology2022

Inherited TP53 Variants and Risk of Prostate Cancer.

Kara N Maxwell, Heather H Cheng, Jacquelyn Powers, Roman Gulati, Elisa M Ledet, Casey Morrison, Anh Le, Ryan Hausler, Jill Stopfer, Sophie Hyman and 31 more

Open access · hybridAbstract read
In one paragraph

Article in European urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 3% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 88 citations in OpenAlex.

  1. Targeting p53 pathways: mechanisms, structures, and advances in therapy.Signal transduction and targeted therapy · 2023
    Pooled it
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  8. Multiple myeloma risk linked to DNA damage response genes.Journal of hematology & oncology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

41 authors at 13 institutions in 1 country.

Kara N MaxwellDivision of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; Department of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia PA, 19104.
Heather H ChengDivision of Oncology, Department of Medicine, University of Washington, Seattle, WA, USA; Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Jacquelyn PowersDivision of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Roman GulatiFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Elisa M LedetTulane Cancer Center, Tulane Medical School, New Orleans, LA, USA.
Casey MorrisonDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Anh LeDivision of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Ryan HauslerDivision of Hematology/Oncology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT 84148.
Jill StopferDivision of Population Sciences, Dana-Farber Cancer Institute, Boston, MA, USA.
Sophie HymanDivision of Population Sciences, Dana-Farber Cancer Institute, Boston, MA, USA.
Wendy KohlmannHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Anne NaumerHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Jennie VagherHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Samantha E GreenbergHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Lorraine NaylorSeattle Cancer Care Alliance, Seattle, WA, USA.
Mercy LaurinoSeattle Cancer Care Alliance, Seattle, WA, USA.
Eric Q KonnickDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.
Brian H ShirtsDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA; Brotman Baty Institute for Precision Medicine, Seattle, WA, USA.
Saud H AlDubayanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA; Cancer Program, The Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Eliezer M Van AllenDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA; Cancer Program, The Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Bastien NguyenDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Joseph VijaiDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Wassim AbidaDivision of Solid Tumor Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Maria I CarloDivision of Solid Tumor Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Marianne Dubard-GaultSeattle Cancer Care Alliance, Seattle, WA, USA; Division of Medical Genetics, Department of Medicine, University of Washington, Seattle, WA, USA.
Daniel J LeeDepartment of Surgery, Division of Urology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia PA, 19104.
Luke D MaeseHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA; Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA.
Diana MandelkerDiagnostic Molecular Genetics Laboratory, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Bruce MontgomeryDivision of Oncology, Department of Medicine, University of Washington, Seattle, WA, USA; Fred Hutchinson Cancer Research Center, Seattle, WA, USA; VA Puget Sound Health Care System, Seattle, WA 98108.
Michael J MorrisDivision of Solid Tumor Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Piper NicolosiInvitae Corporation, San Francisco, CA, USA.
Robert L NussbaumInvitae Corporation, San Francisco, CA, USA.
Lauren E SchwartzDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Zsofia StadlerDivision of Solid Tumor Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Judy E GarberDivision of Population Sciences, Dana-Farber Cancer Institute, Boston, MA, USA.
Kenneth OffitDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Joshua D SchiffmanHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA; Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA; PEEL Therapeutics, Inc., Salt Lake City, UT, USA.
Peter S NelsonFred Hutchinson Cancer Research Center, Seattle, WA, USA; Seattle Cancer Care Alliance, Seattle, WA, USA.
Oliver SartorTulane Cancer Center, Tulane Medical School, New Orleans, LA, USA.
Michael F WalshDivision of Solid Tumor Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Colin C PritchardDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA; Brotman Baty Institute for Precision Medicine, Seattle, WA, USA. Electronic address: cpritch@uw.edu.
Memorial Sloan Kettering Cancer Center · USUniversity of Pennsylvania · USUniversity of Utah · USDana-Farber Cancer Institute · USInvitae (United States) · USSeattle Cancer Care Alliance · USTulane Medical Center · USUniversity of Washington · USBroad Institute · USBrotman Baty Institute · USFred Hutch Cancer Center · USGeorge E. Wahlen Department of VA Medical Center · USHarvard University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Robert H. Vonderheide · 1985 to 2026
$222.3M
TRANSCRIPTOME AND PROTEOME STRATIFICATION OF PROSTATE ADENOCARCINOMA PHENOTYPESP50CA097186 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI PETER S NELSON · 2002 to 2026
$58.1M
Precision approaches to refining TP53-associated cancer riskR01CA242218 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI AMOS, CHRISTOPHER I., GARBER, JUDY E. · 2019 to 2023
$8.5M
Statistical modeling to support population and translational cancer researchR50CA221836 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Roman Gulati · 2017 to 2026
$2.0M
A genotype-phenotype study of tumors from patients with inherited mutations in DNA repair genesK08CA215312 · NCI · UNIVERSITY OF PENNSYLVANIA · PI MAXWELL, KARA N · 2018 to 2022
$924k
NCI NIH HHS K08 CA215312NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA015704NCI NIH HHS P30 CA016520NCI NIH HHS P50 CA097186NCI NIH HHS R01 CA242218NCI NIH HHS R50 CA221836
6 · The paper itself

Abstract

backgroundInherited germline TP53 pathogenic and likely pathogenic variants (gTP53) cause autosomal dominant multicancer predisposition including Li-Fraumeni syndrome (LFS). However, there is no known association of prostate cancer with gTP53.

objectiveTo determine whether gTP53 predisposes to prostate cancer. DESIGN, SETTING, AND

participantsThis multi-institutional retrospective study characterizes prostate cancer incidence in a cohort of LFS males and gTP53 prevalence in a prostate cancer cohort. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: We evaluated the spectrum of gTP53 variants and clinical features associated with prostate cancer. RESULTS AND LIMITATIONS: We identified 31 prostate cancer cases among 163 adult LFS males, including 26 of 54 aged ≥50 yr. Among 117 LFS males without prostate cancer at the time of genetic testing, six were diagnosed with prostate cancer over a median (interquartile range [IQR]) of 3.0 (1.3-7.2) yr of follow-up, a 25-fold increased risk (95% confidence interval [CI] 9.2-55; p < 0.0001). We identified gTP53 in 38 of 6850 males (0.6%) in the prostate cancer cohort, a relative risk 9.1-fold higher than that of population controls (95% CI 6.2-14; p < 0.0001; gnomAD). We observed hotspots at the sites of attenuated variants not associated with classic LFS. Two-thirds of available gTP53 prostate tumors had somatic inactivation of the second TP53 allele. Among gTP53 prostate cancer cases in this study, the median age at diagnosis was 56 (IQR: 51-62) yr, 44% had Gleason ≥8 tumors, and 29% had advanced disease at diagnosis.

conclusionsComplementary analyses of prostate cancer incidence in LFS males and gTP53 prevalence in prostate cancer cohorts suggest that gTP53 predisposes to aggressive prostate cancer. Prostate cancer should be considered as part of LFS screening protocols and TP53 considered in germline prostate cancer susceptibility testing. PATIENT SUMMARY: Inherited pathogenic variants in the TP53 gene are likely to predispose men to aggressive prostate cancer.

Indexed as

Li-Fraumeni SyndromeProstatic NeoplasmsAdultGenetic Predisposition to DiseaseGerm-Line MutationHumansMaleMiddle AgedRetrospective StudiesTumor Suppressor Protein p53TP53 protein, humanTumor Suppressor Protein p53AttenuatedGenetic testingGermlineHypomorphic mutationInherited cancer syndromeLi-Fraumeni syndromePathogenic variantProstate cancerScreeningTP53

Identifiers

PMID34863587
PMCPMC8891030
OpenAlexW3217349935

What OpenQuestion holds

Textmetadata
LicenceTDM
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.