Evidence map›Paper›PMID 39322633›Full record

ArticleNPJ genomic medicine2024

CDK4 is co-amplified with either TP53 promoter gene fusions or MDM2 through distinct mechanisms in osteosarcoma.

Karim H Saba, Valeria Difilippo, Emelie Styring, Jenny Nilsson, Linda Magnusson, Hilda van den Bos, René Wardenaar, Diana C J Spierings, Floris Foijer, Michaela Nathrath and 3 more

Abstract read
In one paragraph

Article in NPJ genomic medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Low-Grade Fibro-Osseous Lesions With Isolated Chromosome 12 Chromothripsis: A Distinct Entity Or a Low-Grade Central Osteosarcoma With a Novel Driver?Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2026
    Article
  5. Review
  6. 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

13 authors.

Karim H SabaDepartment of Laboratory Medicine, Division of Clinical Genetics, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0003-4946-6488
Valeria DifilippoDepartment of Laboratory Medicine, Division of Clinical Genetics, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-5965-942X
Emelie StyringDepartment of Orthopedics, Lund University, Skåne University Hospital, Lund, Sweden.
Jenny NilssonDepartment of Laboratory Medicine, Division of Clinical Genetics, Lund University, Lund, Sweden.
Linda MagnussonDepartment of Laboratory Medicine, Division of Clinical Genetics, Lund University, Lund, Sweden.
Hilda van den BosEuropean Research Institute for the Biology of Ageing, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.
René WardenaarEuropean Research Institute for the Biology of Ageing, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.ORCID http://orcid.org/0000-0001-9891-1897
Diana C J SpieringsEuropean Research Institute for the Biology of Ageing, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.ORCID http://orcid.org/0000-0001-8403-474X
Floris FoijerEuropean Research Institute for the Biology of Ageing, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.ORCID http://orcid.org/0000-0003-0989-3127
Michaela NathrathChildren's Cancer Research Centre and Department of Pediatrics, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.ORCID http://orcid.org/0000-0002-1584-1115
Felix Haglund de FlonDepartment of Clinical Pathology and Cytology, Karolinska University Hospital, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-7015-3841
Daniel BaumhoerBone Tumour Reference Centre at the Institute of Pathology, University Hospital Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0002-2137-7507
Karolin H NordDepartment of Laboratory Medicine, Division of Clinical Genetics, Lund University, Lund, Sweden. karolin.hansen_nord@med.lu.se.ORCID http://orcid.org/0000-0002-2397-2254

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Amplification of the MDM2 and CDK4 genes on chromosome 12 is commonly associated with low-grade osteosarcomas. In this study, we conducted high-resolution genomic and transcriptomic analyses on 33 samples from 25 osteosarcomas, encompassing both high- and low-grade cases with MDM2 and/or CDK4 amplification. We discerned four major subgroups, ranging from nearly intact genomes to heavily rearranged ones, each harbouring CDK4 and MDM2 amplification or CDK4 amplification with TP53 structural alterations. While amplicons involving MDM2 exhibited signs of an initial chromothripsis event, no evidence of chromothripsis was found in TP53-rearranged cases. Instead, the initial disruption of the TP53 locus led to co-amplification of the CDK4 locus. Additionally, we observed recurring promoter swapping events involving the regulatory regions of the FRS2, PLEKHA5, and TP53 genes. These events resulted in ectopic expression of partner genes, with the ELF1 gene being upregulated by the FRS2 and TP53 promoter regions in two distinct cases.

Identifiers

PMID39322633
PMCPMC11424644

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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.