Evidence map›Paper›PMID 26951660›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

Oligonucleotide-directed mutagenesis screen to identify pathogenic Lynch syndrome-associated MSH2 DNA mismatch repair gene variants.

Hellen Houlleberghs, Marleen Dekker, Hildo Lantermans, Roos Kleinendorst, Hendrikus Jan Dubbink, Robert M W Hofstra, Senno Verhoef, Hein Te Riele

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.2field-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

23 citing papers in PubMed, 35 citations in OpenAlex.

  1. An accurate cellular assay to determine pathogenicity of coding and noncoding variants in Lynch syndrome genes.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. A novel frameshift variant inFrontiers in medicine · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Hellen HoulleberghsDivision of Biological Stress Response, The Netherlands Cancer Institute, 1066 CX Amsterdam, The Netherlands;
Marleen DekkerDivision of Biological Stress Response, The Netherlands Cancer Institute, 1066 CX Amsterdam, The Netherlands;
Hildo LantermansDivision of Biological Stress Response, The Netherlands Cancer Institute, 1066 CX Amsterdam, The Netherlands;
Roos KleinendorstDivision of Biological Stress Response, The Netherlands Cancer Institute, 1066 CX Amsterdam, The Netherlands;
Hendrikus Jan DubbinkDepartment of Pathology, Erasmus Medical Center, 3015 CN Rotterdam, The Netherlands;
Robert M W HofstraDepartment of Clinical Genetics, Erasmus Medical Center, 3015 CN Rotterdam, The Netherlands;
Senno VerhoefFamily Cancer Clinic, The Netherlands Cancer Institute, 1066 CX Amsterdam, The Netherlands.
Hein Te RieleDivision of Biological Stress Response, The Netherlands Cancer Institute, 1066 CX Amsterdam, The Netherlands; h.t.riele@nki.nl.
Oncode Institute · NLThe Netherlands Cancer Institute · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Single-stranded DNA oligonucleotides can achieve targeted base-pair substitution with modest efficiency but high precision. We show that "oligo targeting" can be used effectively to study missense mutations in DNA mismatch repair (MMR) genes. Inherited inactivating mutations in DNA MMR genes are causative for the cancer predisposition Lynch syndrome (LS). Although overtly deleterious mutations in MMR genes can clearly be ascribed as the cause of LS, the functional implications of missense mutations are often unclear. We developed a genetic screen to determine the pathogenicity of these variants of uncertain significance (VUS), focusing on mutator S homolog 2 (MSH2). VUS were introduced into the endogenous Msh2 gene of mouse embryonic stem cells by oligo targeting. Subsequent selection for MMR-deficient cells using the guanine analog 6-thioguanine allowed the detection of MMR-abrogating VUS. The screen was able to distinguish weak and strong pathogenic variants from polymorphisms and was used to investigate 59 Msh2 VUS. Nineteen of the 59 VUS were identified as pathogenic. Functional assays revealed that 14 of the 19 detected variants fully abrogated MMR activity and that five of the detected variants attenuated MMR activity. Implementation of the screen in clinical practice allows proper counseling of mutation carriers and treatment of their tumors.

Indexed as

DNA Mismatch RepairMutagenesisColorectal Neoplasms, Hereditary NonpolyposisHumansMutS Homolog 2 ProteinOligonucleotidesMSH2 protein, humanMutS Homolog 2 ProteinOligonucleotidesDNA mismatch repairLynch syndromeMSH2site-directed mutagenesisvariants of uncertain significance

Identifiers

PMID26951660
PMCPMC4839441
OpenAlexW2293392103

What OpenQuestion holds

Textmetadata
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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.