Evidence map›Paper›PMID 36123588›Full record

ArticleActa neuropathologica communications2022

TP53 mutations in functional corticotroph tumors are linked to invasion and worse clinical outcome.

Luis Gustavo Perez-Rivas, Julia Simon, Adriana Albani, Sicheng Tang, Sigrun Roeber, Guillaume Assié, Timo Deutschbein, Martin Fassnacht, Monica R Gadelha, Ad R Hermus and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Acta neuropathologica communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06523582 (Genetic Bases of Neuroendocrine Neoplasms in Mexican Patients), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
6.0field-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.

NCT06523582 recruitingnot on this map

Genetic Bases of Neuroendocrine Neoplasms in Mexican Patients

TypeobservationalSponsorUniversidad Nacional Autonoma de MexicoRan2022 to 2037Enrolled750ConditionsNeuroendocrine Neoplasm, Neuroendocrine Neoplasm of Gastrointestinal Tract, Neuroendocrine Neoplasm of Lung, Thymic Neuroendocrine Neoplasm
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
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  4. The value of targeting CXCR4 withEuropean journal of nuclear medicine and molecular imaging · 2026
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  16. Adrenocortical stem cells in health and disease.Nature reviews. Endocrinology · 2025
    Review
  17. Article
  18. Article
  19. Article
  20. 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

22 authors at 10 institutions in 5 countries.

Luis Gustavo Perez-RivasMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, Ludwig-Maximilians-Universität München, Munich, Germany. Luis.Perez@med.uni-muenchen.de.ORCID 0000-0002-2555-0602
Julia SimonMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, Ludwig-Maximilians-Universität München, Munich, Germany.
Adriana AlbaniMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, Ludwig-Maximilians-Universität München, Munich, Germany.
Sicheng TangMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, Ludwig-Maximilians-Universität München, Munich, Germany.
Sigrun RoeberCenter for Neuropathology and Prion Research, Ludwig-Maximilians-Universität München, Munich, Germany.
Guillaume AssiéDepartment of Endocrinology, Center for Rare Adrenal Diseases, Assistance Publique-Hôpitaux de Paris, Hôpital Cochin, Paris, France.
Timo DeutschbeinDivision of Endocrinology and Diabetes, Department of Internal Medicine I, University Hospital, University of Würzburg, Würzburg, Germany.
Martin FassnachtDivision of Endocrinology and Diabetes, Department of Internal Medicine I, University Hospital, University of Würzburg, Würzburg, Germany.
Monica R GadelhaDivision of Endocrinology, Hospital Universitário Clementino Fraga Filho, Rio de Janeiro, Brazil.
Ad R HermusDivision of Endocrinology, Department of Internal Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands.
Günter K StallaMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, Ludwig-Maximilians-Universität München, Munich, Germany.
Maria A TichomirowaService d'Endocrinologie, Centre Hospitalier du Nord, Ettelbruck, Luxembourg.
Roman RotermundDepartment of Neurosurgery, Universitätskrankenhaus Hamburg-Eppendorf, Hamburg, Germany.
Jörg FlitschDepartment of Neurosurgery, Universitätskrankenhaus Hamburg-Eppendorf, Hamburg, Germany.
Michael BuchfelderDepartment of Neurosurgery, University of Erlangen-Nürnberg, Erlangen, Germany.
Isabella Nasi-KordhishtiDepartment of Neurosurgery, University of Tübingen, Tübingen, Germany.
Jürgen HoneggerDepartment of Neurosurgery, University of Tübingen, Tübingen, Germany.
Jun ThorsteinsdottirNeurochirurgische Klinik und Poliklinik, Klinikum der Universität München, Ludwig-Maximilians-Universität München, Munich, Germany.
Wolfgang SaegerInstitute of Neuropathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jochen HermsCenter for Neuropathology and Prion Research, Ludwig-Maximilians-Universität München, Munich, Germany.
Martin ReinckeMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, Ludwig-Maximilians-Universität München, Munich, Germany.
Marily TheodoropoulouMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, Ludwig-Maximilians-Universität München, Munich, Germany. marily.theodoropoulou@med.uni-muenchen.de.
LMU Klinikum · DELudwig-Maximilians-Universität München · DEUniversität Hamburg · DEUniversity of Tübingen · DEUniversity of Würzburg · DECentre Hospitalier de Luxembourg · LUCentre National de la Recherche Scientifique · FRFriedrich-Alexander-Universität Erlangen-Nürnberg · DEHospital Universitário Clementino Fraga Filho · BRRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Corticotroph macroadenomas are rare but difficult to manage intracranial neoplasms. Mutations in the two Cushing's disease mutational hotspots USP8 and USP48 are less frequent in corticotroph macroadenomas and invasive tumors. There is evidence that TP53 mutations are not as rare as previously thought in these tumors. The aim of this study was to determine the prevalence of TP53 mutations in corticotroph tumors, with emphasis on macroadenomas, and their possible association with clinical and tumor characteristics. To this end, the entire TP53 coding region was sequenced in 86 functional corticotroph tumors (61 USP8 wild type; 66 macroadenomas) and the clinical characteristics of patients with TP53 mutant tumors were compared with TP53/USP8 wild type and USP8 mutant tumors. We found pathogenic TP53 variants in 9 corticotroph tumors (all macroadenomas and USP8 wild type). TP53 mutant tumors represented 14% of all functional corticotroph macroadenomas and 24% of all invasive tumors, were significantly larger and invasive, and had higher Ki67 indices and Knosp grades compared to wild type tumors. Patients with TP53 mutant tumors had undergone more therapeutic interventions, including radiation and bilateral adrenalectomy. In conclusion, pathogenic TP53 variants are more frequent than expected, representing a relevant amount of functional corticotroph macroadenomas and invasive tumors. TP53 mutations associated with more aggressive tumor features and difficult to manage disease.

Indexed as

AdenomaPituitary ACTH HypersecretionCorticotrophsHumansKi-67 AntigenMutationTumor Suppressor Protein p53Ki-67 AntigenTP53 protein, humanTumor Suppressor Protein p53CorticotrophCushing’s diseaseMacroadenomasTP53USP8

Identifiers

PMID36123588
PMCPMC9484083
OpenAlexW4296369296

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Registered trials

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.