Evidence map›Paper›PMID 41147257›Full record

ArticlePediatric pulmonology2025

Enrichment of Germline Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) Pathogenic Variants in Patients With Solid Tumors: Evidence for Increased Cancer Risk.

Tyler Shugg, Katherine A Gallaway, Nick Powell, Todd C Skaar, Steven M Bray, Leigh Anne Stout, Abi Colwell, Cynthia D Brown, James E Slaven, Emma M Tillman

Abstract read
In one paragraph

Article in Pediatric pulmonology, 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. Article
  3. Pathogenic CFTR variants as cancer risk modifiers: Findings from the all of us cohort.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2026
    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

10 authors.

Tyler ShuggDivision of Clinical Pharmacology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Katherine A GallawayDivision of Clinical Pharmacology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Nick PowellDivision of Clinical Pharmacology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Todd C SkaarDivision of Clinical Pharmacology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Steven M BrayFountain Life, Indianapolis, Indiana, USA.
Leigh Anne StoutDivision of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Abi ColwellDivision of Clinical Pharmacology, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID 0009-0002-3804-9267
Cynthia D BrownDivision of Pulmonary, Critical Care, Sleep, and Occupational Medicine Indiana University School of Medicine, Indianapolis, Indiana, USA.
James E SlavenDepartment of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Emma M TillmanDivision of Clinical Pharmacology, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID 0000-0001-8019-9811

Funding

Tumor Microenvironment and Metastasis ProgramP30CA082709 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI David W Clapp · 1999 to 2026
$59.3M
Investigation of the Immune-Mediated Drug-Drug Interaction Potential of Immune Checkpoint InhibitorsK23GM147805 · NIGMS · INDIANA UNIVERSITY INDIANAPOLIS · PI Tyler A Shugg · 2022 to 2026
$836k
NCI NIH HHS P30 CA082709NIGMS NIH HHS K23 GM147805NIGMS NIH HHS L30 GM151735This research was funded by a pilot project grant from the Cancer Prevention and Control Program of the Indiana University Melvin and Bren Simon Comprehensive Cancer Center (NCI: 2P30CA082709-25).
6 · The paper itself

Abstract

introductionWide-spread use of cystic fibrosis (CF) transmembrane conductance regulator (CFTR) modulators has resulted in a dramatic increase in life expectancy of people with CF. Historically, CFTR carrier status has been thought to be benign; however, data are emerging that dysfunction of CFTR may play a role in cancer risk. The aims of this study were to (1) determine the frequency of germline pathogenic CFTR gene variations in a cohort of patients with cancer, and (2) investigate associations between germline pathogenic CFTR variants and established germline somatic oncogenic driver mutations.

methodsThe Indiana University Adult Precision Genomics (APG) clinical database was queried for all subjects having a germline CFTR pathogenic variant (PV). The CFTR PVs observed in our cohort were compared to published population minor allele frequencies from the Allele Frequency Aggregator (ALFA) Project then scaled to reflect our APG population.

resultsData were available for 2141 patients. Based on known minor allele frequencies and the racial distribution of our cohort, we expected 33 subjects (1.5%) to have CFTR PVs. However, CFTR PVs were present in 71 subjects (3.3%), 2.1-fold higher than expected (p < 0.001). The observed enrichment of CFTR PVs varied by cancer type, with CFTR PVs being overrepresented in patients with skin and gastrointestinal cancers.

conclusionsThe overall prevalence of CFTR PVs in people with solid tumors was higher than expected. These results suggest that carriers of CFTR PV may benefit from enhanced cancer screening.

Indexed as

Cystic Fibrosis Transmembrane Conductance RegulatorGerm-Line MutationNeoplasmsAdultCystic FibrosisFemaleGene FrequencyGenetic Predisposition to DiseaseHumansMaleMiddle AgedYoung AdultCFTR protein, humanCystic Fibrosis Transmembrane Conductance RegulatorcancerCFTRcystic fibrosis

Identifiers

PMID41147257
PMCPMC12560065

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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.