Evidence map›Paper›PMID 36604421›Full record

ArticleNature communications2023

Germline TP53 mutations undergo copy number gain years prior to tumor diagnosis.

Nicholas Light, Mehdi Layeghifard, Ayush Attery, Vallijah Subasri, Matthew Zatzman, Nathaniel D Anderson, Rupal Hatkar, Sasha Blay, David Chen, Ana Novokmet and 18 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
10.1field-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

33 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. The Dynamic Alliance of p53 and Metabolism in the Tumor Microenvironment Shapes Tumor Evolution.BioEssays : news and reviews in molecular, cellular and developmental biology · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Genetic landscape of cancer: mechanisms, key genes, and therapeutic implications.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  9. Article
  10. Multiple myeloma risk linked to DNA damage response genes.Journal of hematology & oncology · 2026
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. JTO clinical and research reports · 2025
    Article
  20. 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

28 authors at 9 institutions in 6 countries.

Nicholas LightGenetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Mehdi Layeghifard *Genetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0002-6224-3628
Ayush Attery *Department of Molecular Cell Biology, The Weizmann Institute of Science, Rehovot, Israel.
Vallijah SubasriGenetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0002-6584-877X
Matthew ZatzmanGenetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Nathaniel D AndersonGenetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0003-4523-6327
Rupal HatkarGenetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Sasha BlayGenetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0002-5611-2330
David ChenGenetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Ana NovokmetGenetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Fabio FuligniGenetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada.
James TranGenetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Richard de BorjaGenetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Himanshi AgarwalDepartment of Molecular Cell Biology, The Weizmann Institute of Science, Rehovot, Israel.ORCID 0000-0003-1738-4525
Larissa WaldmanDivision of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, Ontario, Canada.
Lisa M AbegglenDepartment of Pediatrics and Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0003-3607-3001
Daniel AlbertsonDepartment of Pathology, University of Utah School of Medicine, Salt Lake City, UT, USA.
Jonathan L FinlayDepartments of Pediatrics and Radiation Oncology, The Ohio State University College of Medicine, Columbus, OH, USA.
Jordan R HansfordChildren's Cancer Centre, Royal Children's Hospital, Parkville, VIC, Australia.ORCID 0000-0001-7733-383X
Sam BehjatiWellcome Sanger Institute, Hinxton, UK.ORCID 0000-0002-6600-7665
Anita VillaniDivision of Hematology/Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Moritz GerstungEuropean Molecular Biology Laboratory, European Bioinformatics Institute EMBL-EBI, Hinxton, UK.ORCID 0000-0001-6709-963X
Ludmil B AlexandrovDepartment of Cellular and Molecular Medicine, Department of Bioengineering and Moores Cancer Center, University of California, San Diego, La Jolla, CA, USA.ORCID 0000-0003-3596-4515
Gino R SomersDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada.
Joshua D SchiffmanDepartment of Pediatrics and Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0002-6968-7694
Varda RotterDepartment of Molecular Cell Biology, The Weizmann Institute of Science, Rehovot, Israel.
David MalkinGenetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada. david.malkin@sickkids.ca.ORCID 0000-0001-5752-9763
Adam ShlienGenetics and Genome Biology, The Hospital for Sick Children, Toronto, Ontario, Canada. adam.shlien@sickkids.ca.ORCID 0000-0002-0368-5370
University of Toronto · CAHospital for Sick Children · CAUniversity of Utah · USWeizmann Institute of Science · ILEuropean Bioinformatics Institute · GBRoyal Children's Hospital · AUThe Ohio State University · USUniversity of California San Diego · USUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Li-Fraumeni syndrome (LFS) is a hereditary cancer predisposition syndrome associated with germline TP53 pathogenic variants. Here, we perform whole-genome sequence (WGS) analysis of tumors from 22 patients with TP53 germline pathogenic variants. We observe somatic mutations affecting Wnt, PI3K/AKT signaling, epigenetic modifiers and homologous recombination genes as well as mutational signatures associated with prior chemotherapy. We identify near-ubiquitous early loss of heterozygosity of TP53, with gain of the mutant allele. This occurs earlier in these tumors compared to tumors with somatic TP53 mutations, suggesting the timing of this mark may distinguish germline from somatic TP53 mutations. Phylogenetic trees of tumor evolution, reconstructed from bulk and multi-region WGS, reveal that LFS tumors exhibit comparatively limited heterogeneity. Overall, our study delineates early copy number gains of mutant TP53 as a characteristic mutational process in LFS tumorigenesis, likely arising years prior to tumor diagnosis.

Indexed as

Li-Fraumeni SyndromeNeoplastic Syndromes, HereditaryDNA Copy Number VariationsGenetic Predisposition to DiseaseGerm-Line MutationHumansMutationPhosphatidylinositol 3-KinasesPhylogenyTumor Suppressor Protein p53Phosphatidylinositol 3-KinasesTP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID36604421
PMCPMC9816166
OpenAlexW4313564045

What OpenQuestion holds

Textmetadata
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.