Evidence map›Paper›PMID 35816189›Full record

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

Molecular Subclasses of Clear Cell Ovarian Carcinoma and Their Impact on Disease Behavior and Outcomes.

Kelly L Bolton, Denise Chen, Rosario Corona de la Fuente, Zhuxuan Fu, Rajmohan Murali, Martin Köbel, Yanis Tazi, Julie M Cunningham, Irenaeus C C Chan, Brian J Wiley and 28 more

Open access · bronzeAbstract 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
20.5field-weighted citation impact, top 1% 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, 96 citations in OpenAlex.

  1. Trial
  2. Trial
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  4. p53 Normal and p53 Abnormal Clear Cell Ovarian Carcinomas: Clinical Characteristics and Biomarker Profiles.International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists · 2026
    Article
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  9. Article
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  12. Ovarian cancer.Nature reviews. Disease primers · 2026
    Review
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  16. Review
  17. Review
  18. Article
  19. Article
  20. Comprehensive Molecular, Pathological, and Clinical Characterization of Clear Cell Adenocarcinoma of the Urinary Tract.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

38 authors at 15 institutions in 4 countries.

Kelly L Bolton *Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-6584-3357
Denise Chen *Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania.
Rosario Corona de la Fuente *Cedars-Sinai Medical Center, Los Angeles, California.ORCID 0000-0003-0470-4446
Zhuxuan Fu *University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania.ORCID 0000-0002-9190-195X
Rajmohan Murali *Memorial Sloan-Kettering Cancer Center, New York, New York.ORCID 0000-0001-6988-4295
Martin Köbel *The University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-6615-2037
Yanis Tazi *Memorial Sloan-Kettering Cancer Center, New York, New York.ORCID 0000-0002-1595-9631
Julie M Cunningham *Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-8159-3025
Irenaeus C C ChanWashington University School of Medicine, St. Louis, Missouri.
Brian J WileyWashington University School of Medicine, St. Louis, Missouri.
Lea A Moukarzel *Memorial Sloan-Kettering Cancer Center, New York, New York.ORCID 0000-0002-6987-6962
Stacey J WinhamMayo Clinic, Rochester, Minnesota.ORCID 0000-0002-8492-9102
Sebastian M ArmasuMayo Clinic, Rochester, Minnesota.
Jenny LesterDavid Geffen School of Medicine, Department of Obstetrics and Gynecology, University of California at Los Angeles, Los Angeles, California.
Esther ElishaevUniversity of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania.ORCID 0000-0002-6271-0222
Angela LaslavicUniversity of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania.
Catherine J KennedyDepartment of Gynaecological Oncology, Westmead Hospital, Sydney, New South Wales, Australia.ORCID 0000-0002-4465-5784
Anna PiskorzUniversity of Cambridge, Cambridge, United Kingdom.
Magdalena SekowskaUniversity of Cambridge, Cambridge, United Kingdom.ORCID 0000-0003-1032-9275
Alison H BrandDepartment of Gynaecological Oncology, Westmead Hospital, Sydney, New South Wales, Australia.ORCID 0000-0001-7975-6326
Yoke-Eng ChiewDepartment of Gynaecological Oncology, Westmead Hospital, Sydney, New South Wales, Australia.ORCID 0000-0002-3712-9540
Paul PharoahUniversity of Cambridge, Cambridge, United Kingdom.ORCID 0000-0001-8494-732X
Kevin M EliasBrigham and Women's Hospital, Boston, Massachusetts.ORCID 0000-0003-1502-5553
Ronny DrapkinUniversity of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-6912-6977
Michael ChurchmanUniversity of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0003-1958-7692
Charlie GourleyUniversity of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-2377-7221
Anna DeFazioDepartment of Gynaecological Oncology, Westmead Hospital, Sydney, New South Wales, Australia.ORCID 0000-0003-0057-4744
Beth KarlanDavid Geffen School of Medicine, Department of Obstetrics and Gynecology, University of California at Los Angeles, Los Angeles, California.ORCID 0000-0002-9451-2933
James D BrentonUniversity of Cambridge, Cambridge, United Kingdom.ORCID 0000-0002-5738-6683
Britta WeigeltMemorial Sloan-Kettering Cancer Center, New York, New York.ORCID 0000-0001-9927-1270
Michael S AnglesioUniversity of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0003-1639-5003
David HuntsmanUniversity of British Columbia, Vancouver, British Columbia, Canada.
Simon Gayther *Cedars-Sinai Medical Center, Los Angeles, California.
Jason Konner *Memorial Sloan-Kettering Cancer Center, New York, New York.
Francesmary Modugno *University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania.ORCID 0000-0003-0637-1534
Kate Lawrenson *Cedars-Sinai Medical Center, Los Angeles, California.ORCID 0000-0002-6469-2515
Ellen L Goode *Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-9094-8326
Elli Papaemmanuil *Memorial Sloan-Kettering Cancer Center, New York, New York.
Memorial Sloan Kettering Cancer Center · USMayo Clinic · USUniversity of Cambridge · GBUniversity of Pittsburgh · USCedars-Sinai Medical Center · USWashington University in St. Louis · USThe University of Sydney · AUUniversity of British Columbia · CAUniversity of California, Los Angeles · USUniversity of Edinburgh · GBWestmead Hospital · AUBrigham and Women's Hospital · USPhiladelphia College of Osteopathic Medicine · USUniversity of Calgary · CAUniversity of Pennsylvania · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jessie Nedrow · 1988 to 2026
$158.0M
Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
Use of microfluidic tumor cultures to enable clinical trials of therapies for ovarian cancerP50CA136393 · NCI · MAYO CLINIC ROCHESTER · PI Zhenkun Lou · 2009 to 2026
$37.0M
Targeting Polθ to Overcome PARP Inhibitor Resistance in Homologous Recombination Deficient Breast CancerP50CA247749 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Sarat Chandarlapaty, Simon N. Powell · 2020 to 2026
$16.3M
Relating Molecular Subgroups of Endometriosis-Associated Ovarian Cancers to Survival and RiskR01CA248288 · NCI · MAYO CLINIC ROCHESTER · PI Stacey J Winham · 2021 to 2026
$4.8M
Impact of Oncologic Therapy on Clonal Hematopoiesis and Subsequent Risk of Therapy-Related LeukemiaK08CA241318 · NCI · WASHINGTON UNIVERSITY · PI BOLTON, KELLY LEIGH · 2019 to 2023
$1.2M
Epidemiology and Genomics of Ovarian Clear Cell CarcinomaR21CA222867 · NCI · MAYO CLINIC ROCHESTER · PI GOODE, ELLEN L. · 2018 to 2019
$375k
NCI NIH HHS K08 CA241318NCI NIH HHS L30 CA220884NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA015083NCI NIH HHS P30 CA047904NCI NIH HHS P50 CA136393NCI NIH HHS P50 CA247749NCI NIH HHS R01 CA248288NCI NIH HHS R21 CA222867
6 · The paper itself

Abstract

purposeTo identify molecular subclasses of clear cell ovarian carcinoma (CCOC) and assess their impact on clinical presentation and outcomes. EXPERIMENTAL

designWe profiled 421 primary CCOCs that passed quality control using a targeted deep sequencing panel of 163 putative CCOC driver genes and whole transcriptome sequencing of 211 of these tumors. Molecularly defined subgroups were identified and tested for association with clinical characteristics and overall survival.

resultsWe detected a putative somatic driver mutation in at least one candidate gene in 95% (401/421) of CCOC tumors including ARID1A (in 49% of tumors), PIK3CA (49%), TERT (20%), and TP53 (16%). Clustering of cancer driver mutations and RNA expression converged upon two distinct subclasses of CCOC. The first was dominated by ARID1A-mutated tumors with enriched expression of canonical CCOC genes and markers of platinum resistance; the second was largely comprised of tumors with TP53 mutations and enriched for the expression of genes involved in extracellular matrix organization and mesenchymal differentiation. Compared with the ARID1A-mutated group, women with TP53-mutated tumors were more likely to have advanced-stage disease, no antecedent history of endometriosis, and poorer survival, driven by their advanced stage at presentation. In women with ARID1A-mutated tumors, there was a trend toward a lower rate of response to first-line platinum-based therapy.

conclusionsOur study suggests that CCOC consists of two distinct molecular subclasses with distinct clinical presentation and outcomes, with potential relevance to both traditional and experimental therapy responsiveness. See related commentary by Lheureux, p. 4838.

Indexed as

Adenocarcinoma, Clear CellEndometriosisOvarian NeoplasmsFemaleHumansMutation

Identifiers

PMID35816189
PMCPMC9777703
OpenAlexW4285026485

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.