Evidence map›Paper›PMID 36520636›Full record

ArticleCancer discovery2023

Racial/Ethnic and Sex Differences in Somatic Cancer Gene Mutations among Patients with Early-Onset Colorectal Cancer.

Andreana N Holowatyj, Wanqing Wen, Timothy Gibbs, Hannah M Seagle, Samantha R Keller, Digna R Velez Edwards, Mary K Washington, Cathy Eng, Jose Perea, Wei Zheng and 1 more

Open access · greenAbstract read
In one paragraph

Article in Cancer discovery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The Landscape of Genomic and Socioeconomic Variables in Patients with Colorectal Cancer Based on Genetic Ancestry.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
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  14. Real-World Molecular Testing in European Early-Onset Colorectal Cancer.United European gastroenterology journal · 2025
    Article
  15. Article
  16. Black-White disparities across the colorectal cancer care continuum in the USA.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Andreana N HolowatyjDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0001-8001-8793
Wanqing WenDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0002-3004-5168
Timothy GibbsMeharry Medical College, Nashville, Tennessee.ORCID 0000-0001-9198-5076
Hannah M SeagleDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0002-3834-4357
Samantha R KellerDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0002-0859-9068
Digna R Velez EdwardsDepartment of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0001-5293-0056
Mary K WashingtonVanderbilt-Ingram Cancer Center, Nashville, Tennessee.ORCID 0000-0002-9589-7695
Cathy EngDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0003-2335-0612
Jose PereaMolecular Medicine Unit, Department of Medicine, Biomedical Research Institute of Salamanca (IBSAL), Salamanca, Spain.ORCID 0000-0001-5522-8844
Wei ZhengDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0003-1226-070X
Xingyi GuoDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0001-5269-1294
Vanderbilt University · USVanderbilt University Medical Center · USInstituto de Investigación Biomédica de Salamanca · ESMeharry Medical College · US

Funding

Vanderbilt-Ingram Cancer Center SPORE in Gastrointestinal CancerP50CA236733 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MARY Kay WASHINGTON · 2019 to 2026
$19.6M
Building Interdisciplinary Research Careers in Women's HealthK12HD043483 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARTMANN, KATHERINE E, MAJOR, AMY S · 2002 to 2023
$10.3M
Transcriptome-wide association study to identify susceptibility genes for colorectal cancerR37CA227130 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GUO, XINGYI · 2018 to 2023
$3.7M
Colorectal cancer risk loci: GWAS, fine-mapping, and functional analysisR01CA188214 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI LONG, JIRONG, ZHENG, WEI · 2014 to 2018
$3.1M
Uncovering colorectal cancer etiology and biology by integrating proteomics with other omics dataR01CA269589 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Xingyi Guo, Wei Zheng · 2023 to 2026
$2.9M
Building Interdisciplinary Research Careers in Women's HealthK12AR084232 · NIAMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI AMY S MAJOR, Digna R Velez Edwards · 2023 to 2026
$1.3M
NCI NIH HHS P50 CA236733NCI NIH HHS R01 CA188214NCI NIH HHS R01 CA269589NCI NIH HHS R37 CA227130NIAMS NIH HHS K12 AR084232NICHD NIH HHS K12 HD043483
6 · The paper itself

Abstract

Molecular features underlying colorectal cancer disparities remain uncharacterized. Here, we investigated somatic mutation patterns by race/ethnicity and sex among 5,856 non-Hispanic white (NHW), 535 non-Hispanic Black (NHB), and 512 Asian/Pacific Islander (API) patients with colorectal cancer (2,016 early-onset colorectal cancer patients: sequencing age <50 years). NHB patients with early-onset nonhypermutated colorectal cancer, but not API patients, had higher adjusted tumor mutation rates than NHW patients. There were significant differences for LRP1B, FLT4, FBXW7, RNF43, ATRX, APC, and PIK3CA mutation frequencies in early-onset nonhypermutated colorectal cancers between racial/ethnic groups. Heterogeneities by race/ethnicity were observed for the effect of APC, FLT4, and FAT1 between early-onset and late-onset nonhypermutated colorectal cancer. By sex, heterogeneity was observed for the effect of EP300, BRAF, WRN, KRAS, AXIN2, and SMAD2. Males and females with nonhypermutated colorectal cancer had different trends in EP300 mutations by age group. These findings define genomic patterns of early-onset nonhypermutated colorectal cancer by race/ethnicity and sex, which yields novel biological clues into early-onset colorectal cancer disparities. SIGNIFICANCE: NHBs, but not APIs, with early-onset nonhypermutated colorectal cancer had higher adjusted tumor mutation rates versus NHWs. Differences for FLT4, FBXW7, RNF43, LRP1B, APC, PIK3CA, and ATRX mutation rates between racial/ethnic groups and EP300, KRAS, AXIN2, WRN, BRAF, and LRP1B mutation rates by sex were observed in tumors of young patients. See related commentary by Shen et al., p. 530 . This article is highlighted in the In This Issue feature, p. 517.

Indexed as

Colorectal NeoplasmsProto-Oncogene Proteins B-rafF-Box-WD Repeat-Containing Protein 7FemaleGenes, NeoplasmHumansMaleMiddle AgedMutationProto-Oncogene Proteins p21(ras)Sex CharacteristicsF-Box-WD Repeat-Containing Protein 7Proto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)

Identifiers

PMID36520636
PMCPMC10436779
OpenAlexW4311572504

What OpenQuestion holds

Textmetadata
LicenceTDM
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.