Evidence map›Paper›PMID 35436960›Full record

SynthesisBMC medicine2022

Identifying molecular mediators of the relationship between body mass index and endometrial cancer risk: a Mendelian randomization analysis.

Emma Hazelwood, Eleanor Sanderson, Vanessa Y Tan, Katherine S Ruth, Timothy M Frayling, Niki Dimou, Marc J Gunter, Laure Dossus, Claire Newton, Neil Ryan and 5 more

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 3 pooled it
7.2field-weighted citation impact, top 2% 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

50 citing papers in PubMed, 3 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  17. Observational
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  19. Article
  20. The Effect of Circulating Proteins and Their Role in Mediating Adiposity's Effect on Endometrial Cancer Risk: Mendelian Randomization and Colocalization Analyses.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
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

15 authors at 8 institutions in 3 countries.

Emma HazelwoodMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Eleanor SandersonMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Vanessa Y TanMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Katherine S RuthUniversity of Exeter Medical School, University of Exeter, Exeter, UK.
Timothy M FraylingGenetics of Complex Traits, College of Medicine and Health, University of Exeter, Exeter, UK.
Niki DimouNutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France.
Marc J GunterNutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France.
Laure DossusNutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France.
Claire NewtonDepartment of Gynecology, St Michaels Hospital University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Neil RyanDepartment of Gynecology, St Michaels Hospital University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Dimitri J PournarasDepartment of Upper GI and Bariatric/Metabolic Surgery, North Bristol NHS Trust, Southmead Hospital, Bristol, UK.
Tracy A O'MaraDepartment of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia.
George Davey SmithMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Richard M MartinMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
James YarmolinskyMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK. james.yarmolinsky@bristol.ac.uk.
University of Bristol · GBCentre International de Recherche sur le Cancer · FRMRC Epidemiology Unit · GBUniversity of Exeter · GBQIMR Berghofer Medical Research Institute · AUSouthmead Hospital · GBSt Michael's Hospital · GBUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

Epidemiologic StudiesU19CA148065 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI AHSAN, HABIBUL, BRUGGE, JOAN SIEFERT · 2010 to 2014
$10.6M
Ovarian cancer GWAS discovery, expansion and replication (N2 - Project #1)U19CA148112 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI SELLERS, THOMAS A · 2010 to 2014
$10.2M
COLLABORATIVE STUDY OF OVARIAN CANCER IN TWO RISK GROUPSR01CA058598 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI GOODMAN, MARC T · 1993 to 2012
$4.6M
Genome-Wide Association Study of Endometrial CancerR01CA134958 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI DE VIVO, IMMACULATA · 2009 to 2010
$4.3M
The Mitochondrial Genome and Ovarian Cancer RiskR01CA149429 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI PHELAN, CATHERINE · 2010 to 2015
$3.1M
Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00011/4Medical Research Council MC_UU_00011/6Medical Research Council MR/T002239/1NCI NIH HHS R01 CA058598NCI NIH HHS R01 CA134958NCI NIH HHS R01 CA149429NCI NIH HHS U19 CA148065NCI NIH HHS U19 CA148112Wellcome TrustWorld Health Organization 001
6 · The paper itself

Abstract

backgroundEndometrial cancer is the most common gynaecological cancer in high-income countries. Elevated body mass index (BMI) is an established modifiable risk factor for this condition and is estimated to confer a larger effect on endometrial cancer risk than any other cancer site. However, the molecular mechanisms underpinning this association remain unclear. We used Mendelian randomization (MR) to evaluate the causal role of 14 molecular risk factors (hormonal, metabolic and inflammatory markers) in endometrial cancer risk. We then evaluated and quantified the potential mediating role of these molecular traits in the relationship between BMI and endometrial cancer using multivariable MR.

methodsGenetic instruments to proxy 14 molecular risk factors and BMI were constructed by identifying single-nucleotide polymorphisms (SNPs) reliably associated (P < 5.0 × 10

resultsIn MR analyses, there was strong evidence that BMI (OR per standard deviation (SD) increase 1.88, 95% CI 1.69 to 2.09, P = 3.87 × 10

conclusionsOur comprehensive MR analysis provides insight into potential causal mechanisms linking BMI with endometrial cancer risk and suggests targeting of insulinemic and hormonal traits as a potential strategy for the prevention of endometrial cancer.

Indexed as

Endometrial NeoplasmsMendelian Randomization AnalysisBody Mass IndexFemaleGenome-Wide Association StudyHumansInsulinPolymorphism, Single NucleotideRisk FactorsTestosteroneInsulinTestosteroneBioavailable testosteroneBody mass indexEndometrial cancerFasting insulinMendelian randomizationSex hormone-binding globulin

Identifiers

PMID35436960
PMCPMC9017004
OpenAlexW4225506615

What OpenQuestion holds

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LicenceCC BY
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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.