Evidence map›Paper›PMID 24592941›Full record

ArticleGenetic testing and molecular biomarkers2014

Association between IHC and MSI testing to identify mismatch repair-deficient patients with ovarian cancer.

Ji-Hyun Lee, Deborah Cragun, Zachary Thompson, Domenico Coppola, Santo V Nicosia, Mohammad Akbari, Shiyu Zhang, John McLaughlin, Steven Narod, Joellen Schildkraut and 2 more

Abstract read
In one paragraph

Article in Genetic testing and molecular biomarkers, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  13. Finding the hot spot: identifying immune sensitive gastrointestinal tumors.Translational gastroenterology and hepatology · 2020
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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

12 authors.

Ji-Hyun Lee1 Department of Biostatistics, H. Lee Moffitt Cancer Center , Tampa, Florida.
Deborah Cragun
Zachary Thompson
Domenico Coppola
Santo V Nicosia
Mohammad Akbari
Shiyu Zhang
John McLaughlin
Steven Narod
Joellen Schildkraut
Thomas A Sellers
Tuya Pal

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
Ovarian Cancer and Mismatch Repair DeficiencyR01CA111914 · NCI · H. LEE MOFFITT CANCER CTR &RES INST · PI PAL, TUYA · 2005 to 2009
$2.2M
Moffitt Postdoctoral Training Program in Molecular & Genetic EpidemiologyR25CA147832 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI EGAN, KATHLEEN M. · 2010 to 2014
$2.0M
Clinical Relevance of Mismatch Repair in Ovarian CancerK07CA108987 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI PAL, TUYA · 2006 to 2010
$664k
NCI NIH HHS K07CA108987NCI NIH HHS P30 CA076292NCI NIH HHS R01CA111914NCI NIH HHS R25 CA147832NCI NIH HHS R25T 5R25CA147832-04
6 · The paper itself

Abstract

objectiveIn epithelial ovarian cancer, concordance between results of microsatellite instability (MSI) and immunohistochemical (IHC) testing has not been demonstrated. This study evaluated the association of MSI-high (MSI-H) status with loss of expression (LoE) of mismatch repair (MMR) proteins on IHC and assessed for potential factors affecting the strength of the association.

methodsTumor specimens from three population-based studies of epithelial ovarian cancer were stained for MMR proteins through manual or automated methods, and results were interpreted by one of two pathologists. Tumor and germline DNA was extracted and MSI testing performed. Multivariable logistic regression models were fitted to predict loss of IHC expression based on MSI status after adjusting for staining method and reading pathologist.

resultsOf 834 cases, 564 (67.6%) were concordant; 41 were classified as MSI-H with LoE and 523 as microsatellite stable (MSS) with no LoE. Of the 270 discordant cases, 83 were MSI-H with no LoE and 187 were MSS with LoE. Both IHC staining method and reading pathologist were strongly associated with discordant results.

conclusionsLack of concordance in the current study may be related to inconsistencies in IHC testing methods and interpretation. Results support the need for validation studies before routine screening of ovarian tumors is implemented in clinical practice for the purpose of identifying Lynch syndrome.

Indexed as

Base Pair MismatchDNA RepairMicrosatellite InstabilityAgedCarcinoma, Ovarian EpithelialFemaleHumansImmunohistochemistryMiddle AgedNeoplasms, Glandular and EpithelialOvarian Neoplasms

Identifiers

PMID24592941
PMCPMC3976593

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.