Evidence map›Paper›PMID 36316687›Full record

ArticleGenome medicine2022

Ganciclovir-induced mutations are present in a diverse spectrum of post-transplant malignancies.

Hu Fang, Helen H N Yan, Rebecca A Bilardi, Christoffer Flensburg, Haocheng Yang, Jayne A Barbour, Hoi Cheong Siu, Michelle Turski, Edward Chew, Zhen Xu and 11 more

Open access · goldAbstract read
In one paragraph

Article in Genome medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Mutational Signature in Cancers Following Solid Organ or Allogeneic Stem Cell Transplantation.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2026
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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

21 authors at 9 institutions in 4 countries.

Hu Fang *School of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Helen H N Yan *Department of Pathology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Rebecca A Bilardi *The Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Parkville, VIC, 3052, Australia.
Christoffer FlensburgThe Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Parkville, VIC, 3052, Australia.
Haocheng YangSchool of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Jayne A BarbourSchool of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Hoi Cheong SiuDepartment of Pathology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Michelle TurskiDivision of Hematology/Oncology, Department of Pediatrics, University of California San Francisco, San Francisco, CA, USA.
Edward ChewThe Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Parkville, VIC, 3052, Australia.
Zhen XuThe Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Parkville, VIC, 3052, Australia.
Siu T LamCentre for PanorOmic Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Rakesh SharmaCentre for PanorOmic Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Mengya XuSchool of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Junshi LiSchool of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Ho W IpDepartment of Pathology, Queen Mary Hospital, Hong Kong SAR, China.
Carol Y M CheungDepartment of Medicine, Queen Mary Hospital, Hong Kong SAR, China.
Michael S Y HuenSchool of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
E Alejandro Sweet-CorderoDivision of Hematology/Oncology, Department of Pediatrics, University of California San Francisco, San Francisco, CA, USA.
Ian J MajewskiThe Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Parkville, VIC, 3052, Australia. majewski@wehi.edu.au.
Suet Y LeungDepartment of Pathology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China. suetyi@hku.hk.
Jason W H WongSchool of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China. jwhwong@hku.hk.ORCID 0000-0003-2953-7728
University of Hong Kong · HKThe University of Melbourne · AUChinese University of Hong Kong · HKHong Kong Science and Technology Parks Corporation · HKQueen Mary Hospital · CNUniversity of California, San Francisco · USShenzhen University Health Science Center · CNThe Royal Melbourne Hospital · AUWalter and Eliza Hall Institute of Medical Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGanciclovir (GCV) is widely used in solid organ and haematopoietic stem cell transplant patients for prophylaxis and treatment of cytomegalovirus. It has long been considered a mutagen and carcinogen. However, the contribution of GCV to cancer incidence and other factors that influence its mutagenicity remains unknown.

methodsThis retrospective cohort study analysed genomics data for 121,771 patients who had undergone targeted sequencing compiled by the Genomics Evidence Neoplasia Information Exchange (GENIE) or Foundation Medicine (FM). A statistical approach was developed to identify patients with GCV-associated mutational signature (GCV

resultsMutational profiles from 22 of 121,771 patient samples in the GENIE and FM cohorts showed evidence of GCV

conclusionsIn summary, GCV can cause a diverse range of cancers. Its mutagenicity may be potentiated by other therapies, such as mycophenolate, commonly co-prescribed with GCV for post-transplant patients. Further investigation of the optimal use of these drugs could help reduce GCV-associated mutagenesis in post-transplant patients.

Indexed as

Cytomegalovirus InfectionsGanciclovirNeoplasmsAntiviral AgentsHumansImmunosuppressive AgentsMutationRetrospective StudiesAntiviral AgentsGanciclovirImmunosuppressive AgentsDNA damageGanciclovirMutagenesisMutational signatureOrgan transplant

Identifiers

PMID36316687
PMCPMC9620652
OpenAlexW4307885415

What OpenQuestion holds

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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.