Evidence map›Paper›PMID 42181931›Full record

ArticleNAR cancer2026

Disruption of the structural maintenance of chromosomes 5/6 complex enables tumor mutagenesis.

Thi Tran, Jiayi Fan, Xiaolan Zhao, Abby M Green

Abstract read
In one paragraph

Article in NAR cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Thi TranDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO 63110, United States.
Jiayi FanDepartment of Molecular Biology, Memorial Sloan Kettering Cancer Center, NY, NY 10065, United States.
Xiaolan ZhaoDepartment of Molecular Biology, Memorial Sloan Kettering Cancer Center, NY, NY 10065, United States.
Abby M GreenDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO 63110, United States.ORCID 0000-0002-6436-2217

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Regulation of genome replication, recombination, and stress responseR35GM145260 · NIGMS · SLOAN-KETTERING INST CAN RESEARCH · PI Xiaolan Zhao · 2022 to 2026
$3.6M
Maintenance of genome integrity by the SMC5/6 complex during deaminase-mediated mutagenesisR01GM153923 · NIGMS · WASHINGTON UNIVERSITY · PI ABBY Margaret GREEN · 2025 to 2026
$594k
Department of Defense CA200867NCI NIH HHS P30 CA008748NIGMS NIH HHS R01 GM153923NIGMS NIH HHS R35 GM145260
6 · The paper itself

Abstract

The structural maintenance of chromosomes (SMC) 5/6 complex is conserved and essential for mammalian development. SMC5/6 germline variants in cells, model organisms, and patients results in genome instability. However, the consequences of somatic SMC5/6 dysfunction in cancer are unknown. We report a pan-cancer analysis of SMC5/6 variants across three databases in which thousands of tumors across all tissue types harbored copy number alteration (CNA) and/or small variants in SMC5/6 genes. We found that deleterious variants-those predicted to cause protein disruption, but not CNAs, in SMC5/6 genes were associated with elevated tumor mutational burden (TMB). Mutagenesis in tumors with deleterious SMC5/6 variants was largely due to polymerase epsilon dysfunction and mismatch repair deficiency. Patients with SMC5/6 gene variants in tumors exhibited improved survival, in part due to a superior response to immunotherapy. Our findings demonstrate that SMC5/6 complex disruption in cancer predicts elevated TMB and susceptibility to immunotherapy, indicating the potential to use SMC5/6 gene status for prognostic implications and tailored therapeutic approaches.

Indexed as

Cell Cycle ProteinsChromosomal Proteins, Non-HistoneMutagenesisNeoplasmsDNA Copy Number VariationsHumansMutationCell Cycle ProteinsChromosomal Proteins, Non-HistoneSMC5 protein, humanSMC6 protein, human

Identifiers

PMID42181931
PMCPMC13191284

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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.