Evidence map›Paper›PMID 23592419›Full record

ReviewCancer metastasis reviews2013

Do mutator mutations fuel tumorigenesis?

Edward J Fox, Marc J Prindle, Lawrence A Loeb

Open access · greenAbstract readReview
In one paragraph

Review in Cancer metastasis reviews, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
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

40 citing papers in PubMed, 103 citations in OpenAlex.

  1. Article
  2. Carcinogenesis trajectories.Frontiers in cell and developmental biology · 2025
    Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. DNA damage and tissue repair: What we can learn from planaria.Seminars in cell & developmental biology · 2019
    Review
  17. Defining the impact of mutation accumulation on replicative lifespan in yeast using cancer-associated mutator phenotypes.Proceedings of the National Academy of Sciences of the United States of America · 2019
    Article
  18. The variome concept: focus on CNVariome.Molecular cytogenetics · 2019
    Article
  19. Article
  20. 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

3 authors at 1 institution in 1 country.

Edward J FoxDepartment of Pathology, University of Washington, Seattle, WA, 98195, USA.
Marc J Prindle
Lawrence A Loeb
University of Washington · US

Funding

SPECIFICITY OF OXYGEN DNA DAMAGE AND MUTAGENESISP01AG001751 · NIA · UNIVERSITY OF WASHINGTON · PI PRUSKY, GLEN THOMAS · 1985 to 2021
$29.6M
Tumor mutation signaturesP01CA077852 · NCI · UNIVERSITY OF WASHINGTON · PI LOEB, LAWRENCE A · 1999 to 2019
$26.0M
Fidelity of DNA SynthesisR01CA102029 · NCI · UNIVERSITY OF WASHINGTON · PI LOEB, LAWRENCE A · 2003 to 2012
$3.3M
Clonally Expanded Mutations Identify Cancer Precursors in Chronic InflammationR01CA160674 · NCI · UNIVERSITY OF WASHINGTON · PI BRENTNALL, TERESA A, LOEB, LAWRENCE A · 2012 to 2016
$2.8M
The Werner Syndrome Protein in DNA Replication, Mutagenesis and Genomic StabilityR01AG033061 · NIA · UNIVERSITY OF WASHINGTON · PI LOEB, LAWRENCE A · 2009 to 2010
$592k
NCI NIH HHS P01 CA077852NCI NIH HHS P01-CA077852NCI NIH HHS R01 CA102029NCI NIH HHS R01-CA102029NCI NIH HHS R01 CA160674NCI NIH HHS R01-CA160674NIA NIH HHS P01 AG001751NIA NIH HHS P01-AG-033061NIA NIH HHS R01 AG033061
6 · The paper itself

Abstract

The mutator phenotype hypothesis proposes that the mutation rate of normal cells is insufficient to account for the large number of mutations found in human cancers. Consequently, human tumors exhibit an elevated mutation rate that increases the likelihood of a tumor acquiring advantageous mutations. The hypothesis predicts that tumors are composed of cells harboring hundreds of thousands of mutations, as opposed to a small number of specific driver mutations, and that malignant cells within a tumor therefore constitute a highly heterogeneous population. As a result, drugs targeting specific mutated driver genes or even pathways of mutated driver genes will have only limited anticancer potential. In addition, because the tumor is composed of such a diverse cell population, tumor cells harboring drug-resistant mutations will exist prior to the administration of any chemotherapeutic agent. We present recent evidence in support of the mutator phenotype hypothesis, major arguments against this concept, and discuss the clinical consequences of tumor evolution fueled by an elevated mutation rate. We also consider the therapeutic possibility of altering the rate of mutation accumulation. Most significantly, we contend that there is a need to fundamentally reconsider current approaches to personalized cancer therapy. We propose that targeting cellular pathways that alter the rate of mutation accumulation in tumors will ultimately prove more effective than attempting to identify and target mutant driver genes or driver pathways.

Indexed as

MutationAnimalsCell Transformation, NeoplasticHumansNeoplasmsPhenotype

Identifiers

PMID23592419
PMCPMC3987827
OpenAlexW2023570941

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 Socratic graph.