Evidence map›Paper›PMID 36961501›Full record

ArticleeLife2023

Evidence for virus-mediated oncogenesis in bladder cancers arising in solid organ transplant recipients.

Gabriel J Starrett, Kelly Yu, Yelena Golubeva, Petra Lenz, Mary L Piaskowski, David Petersen, Michael Dean, Ajay Israni, Brenda Y Hernandez, Thomas C Tucker and 10 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.7field-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.

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

21 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. ISG20 RestrictsMicroorganisms · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Widespread Horizontal Gene Transfer Among Animal Viruses.bioRxiv : the preprint server for biology · 2024
    Article
  14. Review
  15. Brief Report: The Virome of Bladder Tumors Arising in People Living With HIV.Journal of acquired immune deficiency syndromes (1999) · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. 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

20 authors at 10 institutions in 1 country.

Gabriel J StarrettCCR, NCI, NIH, Bethesda, United States.ORCID 0000-0001-5871-5306
Kelly YuDCEG, NCI, NIH, Rockville, United States.
Yelena GolubevaLeidos Biomedical Research Inc, Frederick, United States.
Petra LenzLeidos Biomedical Research Inc, Frederick, United States.
Mary L PiaskowskiCCR, NCI, NIH, Bethesda, United States.ORCID 0000-0001-8453-6416
David PetersenCCR, NCI, NIH, Bethesda, United States.
Michael DeanDCEG, NCI, NIH, Rockville, United States.
Ajay IsraniDepartment of Medicine, Nephrology Division, Hennepin Healthcare System, University of Minnesota, Minneapolis, United States.
Brenda Y HernandezCancer Center, University of Hawaii, Honolulu, United States.
Thomas C TuckerThe Kentucky Cancer Registry, University of Kentucky, Lexington, United States.
Iona ChengDepartment of Epidemiology and Biostatistics,and Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, Fremont, United States.
Lou GonsalvesConnecticut Tumor Registry, Connecticut Department of Public Health, Hartford, United States.
Cyllene R MorrisCalifornia Cancer Reporting and Epidemiologic Surveillance Program, University of California, Davis, Davis, United States.
Shehnaz K HussainCedars-Sinai Cancer and Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, United States.
Charles F LynchThe Iowa Cancer Registry, University of Iowa, Iowa City, United States.
Reuben S HarrisHoward Hughes Medical Institute, University of Minnesota, Minneapolis, United States.ORCID 0000-0002-9034-9112
Ludmila Prokunina-OlssonDCEG, NCI, NIH, Rockville, United States.ORCID 0000-0002-9622-2091
Paul S MeltzerCCR, NCI, NIH, Bethesda, United States.
Christopher B Buck *CCR, NCI, NIH, Bethesda, United States.ORCID 0000-0003-3165-8094
Eric A Engels *DCEG, NCI, NIH, Rockville, United States.
Leidos (United States) · USCedars-Sinai Medical Center · USConnecticut Department of Public Health · USHoward Hughes Medical Institute · USUniversity of California, Davis · USUniversity of California, San Francisco · USUniversity of Hawaiʻi at Mānoa · USUniversity of Iowa · USUniversity of Kentucky · USUniversity of Minnesota · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Jon C.D. Houtman · 2000 to 2026
$70.0M
Infections, immunity, and inflammation in cancerZIACP010150 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ENGELS, ERIC A · 2009 to 2025
$24.0M
University of Guam/Cancer Research Center of Hawaii Partnership (2 of 2)U54CA143728 · NCI · UNIVERSITY OF GUAM · PI TRESSA P DIAZ · 2009 to 2026
$20.1M
University of Guam/Cancer Research Center of Hawaii Partnership (1 of 2)U54CA143727 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI Brenda Yukari Hernandez, RACHAEL T LEON GUERRERO · 2009 to 2026
$19.1M
Cancer Genomics Technology DevelopmentZIABC011091 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MELTZER, PAUL S. · 2009 to 2025
$16.9M
Molecular biology of human polyomavirusesZIABC011090 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI BUCK, CHRISTOPHER · 2009 to 2025
$9.3M
Biology of Virus-associated CancersZIABC011894 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI STARRETT, GABRIEL · 2019 to 2025
$5.4M
NCI NIH HHS P30 CA086862NCI NIH HHS U54 CA143727NCI NIH HHS U54 CA143728NIH HHS Intramural Research Program
6 · The paper itself

Abstract

A small percentage of bladder cancers in the general population have been found to harbor DNA viruses. In contrast, up to 25% of tumors of solid organ transplant recipients, who are at an increased risk of developing bladder cancer and have an overall poorer outcomes, harbor BK polyomavirus (BKPyV). To better understand the biology of the tumors and the mechanisms of carcinogenesis from potential oncoviruses, we performed whole genome and transcriptome sequencing on bladder cancer specimens from 43 transplant patients. Nearly half of the tumors from this patient population contained viral sequences. The most common were from BKPyV (N=9, 21%), JC polyomavirus (N=7, 16%), carcinogenic human papillomaviruses (N=3, 7%), and torque teno viruses (N=5, 12%). Immunohistochemistry revealed variable Large T antigen expression in BKPyV-positive tumors ranging from 100% positive staining of tumor tissue to less than 1%. In most cases of BKPyV-positive tumors, the viral genome appeared to be clonally integrated into the host chromosome consistent with microhomology-mediated end joining and coincided with focal amplifications of the tumor genome similar to other virus-mediated cancers. Significant changes in host gene expression consistent with the functions of BKPyV Large T antigen were also observed in these tumors. Lastly, we identified four mutation signatures in our cases, with those attributable to APOBEC3 and SBS5 being the most abundant. Mutation signatures associated with an antiviral drug, ganciclovir, and aristolochic acid, a nephrotoxic compound found in some herbal medicines, were also observed. The results suggest multiple pathways to carcinogenesis in solid organ transplant recipients with a large fraction being virus-associated.

Indexed as

BK VirusOrgan TransplantationPolyomavirus InfectionsUrinary Bladder NeoplasmsAntigens, Viral, TumorCarcinogenesisHumansAntigens, Viral, Tumorbladder cancercancer biologyhumaninfectious diseasemicrobiologypapillomaviruspolyomavirussolid organ transplant recipienttorque teno virus

Identifiers

PMID36961501
PMCPMC10446826
OpenAlexW4360810061

What OpenQuestion holds

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LicenceCC0
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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.