Evidence map›Paper›PMID 35304467›Full record

ArticleNPJ genomic medicine2022

VHL mosaicism: the added value of multi-tissue analysis.

Leslie E Oldfield, Jessica Grzybowski, Sylvie Grenier, Elizabeth Chao, Gregory S Downs, Kirsten M Farncombe, Tracy L Stockley, Ozgur Mete, Raymond H Kim

Open access · goldAbstract read
In one paragraph

Article in NPJ genomic medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. The evolving roles of pathologists in paragangliomas and pheochromocytomas.Virchows Archiv : an international journal of pathology · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Hemangioblastoma and mosaic von Hippel Lindau disease: rare presentation and review of the literature.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Review
  12. Article
  13. Review
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

9 authors at 3 institutions in 2 countries.

Leslie E OldfieldPrincess Margaret Cancer Centre, Toronto, ON, Canada.
Jessica GrzybowskiAmbry Genetics, Aliso Viejo, CA, USA.ORCID http://orcid.org/0000-0002-3422-6441
Sylvie GrenierDivision of Clinical Laboratory Genetics, Laboratory Medicine Program, University Health Network, Toronto, ON, Canada.
Elizabeth ChaoAmbry Genetics, Aliso Viejo, CA, USA.
Gregory S DownsDivision of Clinical Laboratory Genetics, Laboratory Medicine Program, University Health Network, Toronto, ON, Canada.
Kirsten M FarncombeToronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada.ORCID http://orcid.org/0000-0001-9413-201X
Tracy L StockleyDivision of Clinical Laboratory Genetics, Laboratory Medicine Program, University Health Network, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-4476-9722
Ozgur MetePrincess Margaret Cancer Centre, Toronto, ON, Canada.
Raymond H KimPrincess Margaret Cancer Centre, University Health Network, Sinai Health System, Hospital for Sick Children, Department of Medicine, University of Toronto, Toronto, ON, Canada. raymond.kim@uhn.ca.ORCID http://orcid.org/0000-0002-2147-8674
University Health Network · CAAmbry Genetics (United States) · USPrincess Margaret Cancer Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Von Hippel-Lindau disease (VHL) is an autosomal dominant, inherited syndrome with variants in the VHL gene causing predisposition to multi-organ benign and malignant neoplasms. A germline VHL variant is identified in 95-100% of individuals with a clinical diagnosis of VHL. Here, we present the case of an individual with a clinical diagnosis of VHL disease where peripheral blood DNA analysis did not detect a VHL variant. Sequencing of four tumor tissues (ccRCC, pheochromocytoma, lung via sputum, liver) revealed a VHL c.593 T > C (p.Leu198Pro) variant at varying allele fractions (range: 10-55%) in all tissues. Re-examination of the peripheral blood sequencing data identified this variant at 6% allele fraction. Tumor analysis revealed characteristic cytomorphological, immunohistochemical reactivity for alpha-inhibin, and CAIX, and reduced pVHL reactivity supported VHL-related pseudohypoxia. This report of a rare case of VHL mosaicism highlights the value of tissue testing in VHL variant negative cases.

Identifiers

PMID35304467
PMCPMC8933488
OpenAlexW4221035231

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.