Evidence map›Paper›PMID 23887306›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2014

Improved molecular classification of serrated lesions of the colon by immunohistochemical detection of BRAF V600E.

Ildiko Mesteri, Günther Bayer, Jochen Meyer, David Capper, Sebastian F Schoppmann, Andreas von Deimling, Peter Birner

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In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.6field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 54 citations in OpenAlex.

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  8. Evolving pathologic concepts of serrated lesions of the colorectum.Journal of pathology and translational medicine · 2020
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  17. A cautionary note on the immunohistochemical detection of BRAF v600e mutations in serrated lesions of the colon.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2015
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Ildiko MesteriClinical Institute of Pathology, Medical University of Vienna, Vienna, Austria.
Günther BayerClinical Institute of Pathology, Medical University of Vienna, Vienna, Austria.
Jochen Meyer1] Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany [2] Clinical Cooperation Unit Neuropathology, German Cancer Research Centre, HeidelbergGermany.
David Capper1] Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany [2] Clinical Cooperation Unit Neuropathology, German Cancer Research Centre, HeidelbergGermany.
Sebastian F SchoppmannDepartment of Surgery, Medical University of Vienna, Vienna, Austria.
Andreas von Deimling1] Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany [2] Clinical Cooperation Unit Neuropathology, German Cancer Research Centre, HeidelbergGermany.
Peter Birner1] Clinical Institute of Pathology, Medical University of Vienna, Vienna, Austria [2] Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany.
Heidelberg University · DEMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BRAF V600E mutation in serrated lesions of the colon has been implicated as an important mutation and as a specific marker for the serrated carcinogenic pathway. Recent findings point to microvesicular hyperplastic polyps that have similar histologic and molecular features to sessile serrated adenomas/polyps, as potential colorectal carcinoma precursors. The aim of this study was to evaluate BRAF V600E mutation status by immunohistochemistry in serrated lesions of the colon with regard to histomorphology. We investigated 194 serrated lesions of the colon, comprising 42 sessile serrated adenomas/polyps, 16 traditional serrated adenomas, 136 hyperplastic polyps and 20 tubular/tubulovillous adenomas (conventional adenomas) with the novel BRAF V600E mutation-specific antibody VE1. In addition, BRAF exon 15 and KRAS exon 2 status was investigated by capillary sequencing in selected cases. All sessile serrated adenomas/polyps (42/42, 100%), 15/16 (94%) traditional serrated adenomas and 84/136 (62%) hyperplastic polyps were VE1+. None of the VE1- serrated lesions showed BRAF V600E mutation. Forty out of 42 (95%) sessile serrated adenomas/polyps displayed areas with microvesicular hyperplastic polyp-like features. In microvesicular hyperplastic polyps, VE1 positivity was significantly associated with nuclear atypia (P=0.003); however, nuclear atypia was also present in VE1- cases. Immunostaining with VE1 allows not only the detection of BRAF V600E mutation but also the correlation with histomorphology on a cellular level in serrated lesions. VE1 enables a subclassification of microvesicular hyperplastic polyps according to the mutation status. This improved classification of serrated lesions including immunohistochemical evaluation of BRAF V600E mutation may be the key to identify lesions with higher potential to progression into sessile serrated adenoma/polyp, and further to BRAF V600E-mutated colorectal cancer.

Indexed as

ImmunohistochemistryMutationAdenomaAdultAgedAged, 80 and overBiomarkers, TumorBiopsyColonic PolypsColorectal NeoplasmsDNA Mutational AnalysisExonsFemaleGenetic Predisposition to DiseaseHumansHyperplasiaBiomarkers, TumorBRAF protein, humanKRAS protein, humanProto-Oncogene ProteinsProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)ras Proteins

Identifiers

PMID23887306
OpenAlexW2161300328

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.