Evidence map›Paper›PMID 40546006›Full record

ArticleClinical genetics2025

PMS2 c.2117del (p.Lys706Serfs*19) is the Most Frequent Cancer-Associated Founder Pathogenic Variant in the French-Canadian Population of Quebec, Canada.

Anne-Laure Chong, Alejandro Mejia-Garcia, Supriya Behl, Zaki El Haffaf, Sébastien Chénier, Bruno Maranda, Valérie Désilets, Sébastien Lévesque, Lysanne Castonguay, Anne-Marie Mes-Masson and 6 more

Abstract read
In one paragraph

Article in Clinical genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Genotype-phenotype correlations inOncology reviews · 2025
    Pooled it
  2. Breast-Ovarian Hereditary Cancer Syndrome: BeyondCurrent oncology (Toronto, Ont.) · 2026
    Review
  3. 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

16 authors.

Anne-Laure ChongLady Davis Institute, Lady Davis Institute, Jewish General Hospital, Montreal, Quebec, Canada.ORCID 0009-0008-9484-7937
Alejandro Mejia-GarciaDepartment of Human Genetics, McGill University, Montreal, Quebec, Canada.
Supriya BehlDepartment of Human Genetics, McGill University, Montreal, Quebec, Canada.
Zaki El HaffafService de médecine génique, Centre Hospitalier de l'université de Montréal, Montreal, Quebec, Canada.
Sébastien ChénierService de génétique médicale, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada.
Bruno MarandaService de génétique médicale, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada.
Valérie DésiletsService de génétique médicale, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada.
Sébastien LévesqueService de génétique médicale, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada.
Lysanne CastonguayService de génétique médicale, CHU de Québec-Université Laval, Quebec City, Quebec, Canada.
Anne-Marie Mes-MassonCentre de recherche du Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
Sylvie GirouxCentre de recherche du CHU de Québec-Université Laval, Quebec City, Quebec, Canada.
François RousseauCentre de recherche du CHU de Québec-Université Laval, Quebec City, Quebec, Canada.
Nancy HamelResearch Institute of the McGill University Health Centre, Montreal, Quebec, Canada.
George ChongJewish General Hospital, Montreal, Quebec, Canada.
Simon GravelDepartment of Human Genetics, McGill University, Montreal, Quebec, Canada.
William D FoulkesLady Davis Institute, Lady Davis Institute, Jewish General Hospital, Montreal, Quebec, Canada.ORCID 0000-0001-7427-4651

Funding

CIHR FDN-148390FRQS Cancer DivisionMerck Canada Inc.Ministère de l'Économie, de l'Innovation et de l'Énergie du QuébecResearch Institute of the McGill University Health CentreRéseau de recherche sur le cancer (RRCancer)
6 · The paper itself

Abstract

We identified a PMS2 variant (NM_000535.7:c.2117del, p.Lys706Serfs*19) in 22 French-Canadian (FC) families from Quebec with Lynch syndrome (LS; n = 21) or constitutional mismatch repair deficiency (CMMRD; n = 1). We aimed to (a) confirm its founder origin, (b) assess its allele frequency in the FC population, and (c) determine its contribution to the risk of developing various cancers in this population. We identified a haplotype common to all c.2117del alleles spanning 666 kb to 1.37 Mb, confirming the founder nature of the variant. In affected cases, the variant was found in 0 out of 821 breast cancer cases, 8 out of 693 (1.15%) endometrial cancer (EC) cases, and 1 out of 191 (0.52%) colorectal cancer (CRC) cases. In unaffected persons, the variant was identified in 22/6347 newborns (0.35%) and in 21/18129 FC CARTaGENE cohort participants (0.12%). Within this cohort, an excess of CRC (odds ratio: 10.7; 95% CI: 1.42-80.1; p value = 0.022), but not EC, was seen among heterozygotes for the PMS2 founder variant. Analysis of the variant in 24 subregions of Quebec showed over-representation in 5 of them. Here, we report the most frequent genetic cause of mismatch repair deficiency syndromes identified thus far in the FC population of Quebec.

Indexed as

Colorectal Neoplasms, Hereditary NonpolyposisGenetic Predisposition to DiseaseMismatch Repair Endonuclease PMS2NeoplasmsNeoplastic Syndromes, HereditaryAdultAgedAllelesFemaleFounder EffectGene FrequencyHaplotypesHumansMaleMiddle AgedQuebecMismatch Repair Endonuclease PMS2PMS2 protein, humanancestral recombination graphcolorectal cancerendometrial cancerFrench‐Canadian variantimputation

Identifiers

PMID40546006
PMCPMC12580481

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.