Evidence map›Paper›PMID 39741654›Full record

ArticleThe breast journal2022

Evaluating DNA Methylation in Random Fine Needle Aspirates from the Breast to Inform Cancer Risk.

Kala Visvanathan, Ashley Cimino-Mathews, Mary Jo Fackler, Pritesh S Karia, Christopher J VandenBussche, Mikiaila Orellana, Betty May, Marissa J White, Mehran Habibi, Julie Lange and 6 more

Erratum issuedAbstract read
In one paragraph

Article in The breast journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Kala VisvanathanJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0002-0582-8005
Ashley Cimino-MathewsDepartment of Pathology, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-0638-7969
Mary Jo FacklerWomen's Malignancy Program, Johns Hopkins Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-7249-3807
Pritesh S KariaJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0001-6440-9452
Christopher J VandenBusscheDepartment of Pathology, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-8822-5655
Mikiaila OrellanaJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Betty MayJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0003-3732-4140
Marissa J WhiteDepartment of Pathology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Mehran HabibiDepartment of Surgical Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Julie LangeDepartment of Surgical Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
David EuhusDepartment of Surgical Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-7832-1774
Vered StearnsWomen's Malignancy Program, Johns Hopkins Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-4018-4708
John FettingWomen's Malignancy Program, Johns Hopkins Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Melissa CampDepartment of Surgical Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-0539-2221
Lisa JacobsDepartment of Surgical Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Saraswati SukumarWomen's Malignancy Program, Johns Hopkins Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-5656-6703

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI ALAN KEITH MEEKER · 1985 to 2026
$208.6M
INSTITUTIONAL RESEARCH CANCER EPIDEMIOLOGY FELLOWSHIPT32CA009314 · NCI · JOHNS HOPKINS UNIVERSITY · PI Corinne E. Joshu, Meghan Bridgid Moran · 1985 to 2026
$11.2M
NCI NIH HHS P30 CA006973NCI NIH HHS T32 CA009314
6 · The paper itself

Abstract

Introduction: Critical regulatory genes are functionally silenced by DNA hypermethylation in breast cancer and premalignant lesions. The objective of this study was to examine whether DNA methylation assessed in random fine needle aspirates (rFNA) can be used to inform breast cancer risk. Methods: In 20 women with invasive breast cancer scheduled for surgery at Johns Hopkins Hospital, cumulative methylation status was assessed in a comprehensive manner. rFNA was performed on tumors, adjacent normal tissues, and all remaining quadrants. Pathology review was conducted on blocks from all excised tissue. The cumulative methylation index (CMI) for 12 genes was assessed by a highly sensitive QM-MSP assay in 280 aspirates and tissue from 11 incidental premalignant lesions. Mann-Whitney and Kruskal Wallis tests were used to compare median CMI by patient, location, and tumor characteristics. Results: The median age of participants was 49 years (interquartile range [IQR]: 44-58). DNA methylation was detectable at high levels in all tumor aspirates (median CMI = 252, IQR: 75-111). Methylation was zero or low in aspirates from adjacent tissue (median CMI = 11, IQR: 0-13), and other quadrants (median CMI = 2, IQR: 1-5). Nineteen incidental lesions were identified in 13 women (4 malignant and 15 premalignant). Median CMI levels were not significantly different in aspirates from quadrants ( Conclusions: The diagnostic accuracy of methylation based on rFNA alone to detect premalignant lesions or at-risk quadrants is poor and therefore should not be used to evaluate cancer risk. A more targeted approach needs to be evaluated.

Indexed as

Breast NeoplasmsDNA MethylationAdultBiopsy, Fine-NeedleFemaleHumansMiddle Aged

Identifiers

PMID39741654
PMCPMC11401740

What OpenQuestion holds

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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.