Evidence map›Paper›PMID 40151933›Full record

ArticleCirculation. Genomic and precision medicine2025

DNA Damage Response and Repair Genes and Anthracycline-Induced Cardiomyopathy in Childhood Cancer Survivors: A Report From the Children's Oncology Group and the Childhood Cancer Survivor Study.

Xuexia Wang, Purnima Singh, Romina B Cejas, Liting Zhou, Noha Sharafeldin, Patrick J Trainor, Wendy Landier, Changde Cheng, Lindsey Hageman, Fan Wang and 11 more

Abstract read
In one paragraph

Article in Circulation. Genomic and precision medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Doxorubicin-Induced Cardiotoxicity: A Comprehensive Update.Journal of cardiovascular development and disease · 2025
    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

21 authors.

Xuexia Wang *Department of Biostatistics, Florida International University, Miami (X.W.).
Purnima Singh *Department of Pediatrics (P.S., L.Z., P.J.T., W.L., L.H., S.B.).ORCID 0000-0002-4968-7398
Romina B Cejas *Department of Pharmacology, Northwestern University, Chicago, IL (R.B.C., P. W. B.).ORCID 0000-0002-5484-4722
Liting ZhouDepartment of Biostatistics, Florida International University, Miami (X.W.).
Noha SharafeldinDepartment of Medicine, University of Alabama at Birmingham (N.S., C.C.).ORCID 0000-0001-8835-8899
Patrick J TrainorDepartment of Biostatistics, Florida International University, Miami (X.W.).ORCID 0000-0002-3012-9716
Wendy LandierDepartment of Biostatistics, Florida International University, Miami (X.W.).ORCID 0000-0003-3319-5652
Changde ChengDepartment of Pediatrics (P.S., L.Z., P.J.T., W.L., L.H., S.B.).ORCID 0000-0002-2458-2522
Lindsey HagemanDepartment of Biostatistics, Florida International University, Miami (X.W.).ORCID 0009-0009-2396-5634
Fan WangDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN (F.W., Y. S., Y.Y., M.M. H., G.T.A.).ORCID 0000-0001-9806-5037
Yadav SapkotaDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN (F.W., Y. S., Y.Y., M.M. H., G.T.A.).ORCID 0000-0001-5943-9454
Yutaka YasuiDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN (F.W., Y. S., Y.Y., M.M. H., G.T.A.).ORCID 0000-0002-7717-8638
Melissa M HudsonDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN (F.W., Y. S., Y.Y., M.M. H., G.T.A.).ORCID 0000-0001-6984-2407
Eric J ChowDepartment of Pediatrics, Seattle Children's Hospital, University of Washington, Fred Hutchinson Cancer Center (E.J.C., D.S.H.).ORCID 0000-0001-7712-961X
Saro H ArmenianDepartment of Pediatrics, City of Hope, Duarte, CA (S.H.A.).ORCID 0000-0003-2604-8603
Joseph P NegliaDepartment of Pediatrics, University of Minnesota, Minneapolis (J.P.N.).ORCID 0000-0002-5525-0598
Douglas S HawkinsDepartment of Pediatrics, Seattle Children's Hospital, University of Washington, Fred Hutchinson Cancer Center (E.J.C., D.S.H.).ORCID 0000-0003-3602-1375
Jill P GinsbergDepartment of Pediatrics, Children's Hospital of Philadelphia, PA (J.P.G.).ORCID 0000-0001-7412-2017
Paul W BurridgeDepartment of Pharmacology, Northwestern University, Chicago, IL (R.B.C., P. W. B.).ORCID 0000-0001-9616-0006
Gregory T ArmstrongDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN (F.W., Y. S., Y.Y., M.M. H., G.T.A.).ORCID 0000-0001-8722-4207
Smita BhatiaDepartment of Biostatistics, Florida International University, Miami (X.W.).ORCID 0000-0002-7755-5683

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Shondra Michelle Miller · 1985 to 2026
$166.9M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Mach-LETSGO: Machine-LEarning of Treatment, Survey, and Genetics towards Obtaining Correct Classification of Chronic Conditions in Adult Survivors in the Childhood Cancer Survivor Study - CCSS SupplU24CA055727 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Gregory Armstrong · 1999 to 2026
$96.7M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI DEVIDAS, MEENAKSHI · 2003 to 2013
$67.5M
Towards a preventive cancer vaccine for children with constitutional mismatch repair deficiencyUG1CA189955 · NCI · PUBLIC HEALTH INSTITUTE · PI BRAD H POLLOCK, Michael E. Roth · 2014 to 2026
$62.5M
Community Clinical Oncology Program Research BaseU10CA095861 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI POLLOCK, BRAD H · 2002 to 2013
$19.5M
Mitigating Long-term Treatment-related Morbidity in Childhood Cancer SurvivorsR35CA220502 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BHATIA, SMITA · 2018 to 2024
$5.9M
Role of Genetic Susceptibility in Therapy-related Subsequent MalignanciesR01CA139633 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BHATIA, SMITA · 2010 to 2014
$3.1M
FIU-Diversity Center for Genomic Research (FIU-DCGR)UG3HG013615 · NHGRI · FLORIDA INTERNATIONAL UNIVERSITY · PI BLACK, STEPHEN M, WANG, XUEXIA · 2024 to 2024
$817k
NCI NIH HHS P30 CA021765NCI NIH HHS R01 CA139633NCI NIH HHS R35 CA220502NCI NIH HHS U10 CA095861NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NCI NIH HHS U24 CA055727NCI NIH HHS UG1 CA189955NHGRI NIH HHS UG3 HG013615
6 · The paper itself

Abstract

backgroundAnthracyclines induce cardiotoxicity via DNA double-strand breaks and reactive oxygen species formation, resulting in cardiomyocyte dysfunction. The role of DNA damage response/repair (DDR) genes in anthracycline-induced cardiomyopathy remains unstudied.

methodsWe conducted a gene-based and pathway-based analysis to examine the main effect and gene-anthracycline interaction effect between DDR genes and anthracycline-induced cardiomyopathy. A discovery analysis performed with a matched case-control set of anthracycline-exposed non-Hispanic White childhood cancer survivors from Children's Oncology Group-ALTE03N1 (113 cases; 226 controls) was replicated using a cohort of anthracycline-exposed non-Hispanic White childhood cancer survivors from the Childhood Cancer Survivor Study cohort (n=1658; 97 cases). Functional analyses were performed by examining the response to doxorubicin of human-induced pluripotent stem cell-derived cardiomyocytes with CRISPR/Cas9-mediated knockout of prioritized genes.

resultsSuccessfully replicated DDR genes demonstrating main-effect association included

conclusionsThese findings provide evidence for the role of DDR genes and pathways in anthracycline-induced cardiomyopathy and provide a framework for targeted therapeutic interventions.

Indexed as

AnthracyclinesCancer SurvivorsCardiomyopathiesDNA DamageDNA RepairNeoplasmsAdolescentCase-Control StudiesChildChild, PreschoolFemaleHumansMaleMyocytes, CardiacAnthracyclinesanthracyclinescardiomyopathiesDNA repairneoplasmssurvivorship

Identifiers

PMID40151933
PMCPMC11999796

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