Evidence map›Paper›PMID 29760383›Full record

ArticleNature communications2018

Outlier response to anti-PD1 in uveal melanoma reveals germline MBD4 mutations in hypermutated tumors.

Manuel Rodrigues, Lenha Mobuchon, Alexandre Houy, Alice Fiévet, Sophie Gardrat, Raymond L Barnhill, Tatiana Popova, Vincent Servois, Aurore Rampanou, Aurore Mouton and 12 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 3 pooled it
15.2field-weighted citation impact, top 1% 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

80 citing papers in PubMed, 3 syntheses or guidelines pooled it, 137 citations in OpenAlex.

  1. Pooled it
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  12. Towards a WHO classification of genetic tumour syndromes.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2025
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  20. Integrated mutational landscape analysis of poorly differentiated high-grade neuroendocrine carcinoma of the uterine cervix.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article

20 more citing papers are in PubMed but not listed here.

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

22 authors at 5 institutions in 1 country.

Manuel RodriguesInstitut Curie, PSL Research University, INSERM U830, DNA Repair and Uveal Melanoma (D.R.U.M.), Equipe labellisée par la Ligue Nationale contre le Cancer, Paris, 75248, France.ORCID http://orcid.org/0000-0002-5443-0802
Lenha MobuchonInstitut Curie, PSL Research University, INSERM U830, DNA Repair and Uveal Melanoma (D.R.U.M.), Equipe labellisée par la Ligue Nationale contre le Cancer, Paris, 75248, France.
Alexandre HouyInstitut Curie, PSL Research University, INSERM U830, DNA Repair and Uveal Melanoma (D.R.U.M.), Equipe labellisée par la Ligue Nationale contre le Cancer, Paris, 75248, France.
Alice FiévetInstitut Curie, PSL Research University, INSERM U830, DNA Repair and Uveal Melanoma (D.R.U.M.), Equipe labellisée par la Ligue Nationale contre le Cancer, Paris, 75248, France.
Sophie GardratDepartment of Biopathology, Institut Curie, PSL Research University, Paris, 75248, France.
Raymond L BarnhillDepartment of Biopathology, Institut Curie, PSL Research University, Paris, 75248, France.
Tatiana PopovaInstitut Curie, PSL Research University, INSERM U830, DNA Repair and Uveal Melanoma (D.R.U.M.), Equipe labellisée par la Ligue Nationale contre le Cancer, Paris, 75248, France.
Vincent ServoisDepartment of Medical Imaging, Institut Curie, PSL Research University, Paris, 75248, France.
Aurore RampanouInstitut Curie, PSL Research University, Laboratory of Circulating Tumor Biomarkers, SiRIC, Paris, 75248, France.
Aurore MoutonInstitut Curie, PSL Research University, INSERM CIC-BT 1428, Paris, 75248, France.
Stéphane DayotInstitut Curie, PSL Research University, INSERM U830, DNA Repair and Uveal Melanoma (D.R.U.M.), Equipe labellisée par la Ligue Nationale contre le Cancer, Paris, 75248, France.
Virginie RaynalInstitut Curie, PSL Research University, INSERM U830 and Institut Curie Genomics of Excellence (ICGex) Platform, Paris, 75248, France.
Michèle GalutInstitut Curie, PSL Research University, Biological Resource Center, Paris, 75248, France.
Marc PuttermanDepartment of Pathology, Quinze-Vingts National Ophthalmology Hospital, Paris, 75012, France.ORCID http://orcid.org/0000-0002-3385-7831
Sarah TickDepartment of Ophthalmology III, Quinze-Vingts National Ophthalmology Hospital, Paris, 75012, France.
Nathalie CassouxFaculty of Medicine, University of Paris Descartes, Paris, 75006, France.
Sergio Roman-RomanDepartment of Translational Research, Institut Curie, PSL Research University, Paris, 75248, France.
François-Clément BidardDepartment of Medical Oncology, Institut Curie, PSL Research University, Paris, 75248, France.
Olivier LantzInstitut Curie, PSL Research University, INSERM CIC-BT 1428, Paris, 75248, France.ORCID http://orcid.org/0000-0003-3161-7719
Pascale MarianiDepartment of Surgical Oncology, Institut Curie, PSL Research University, Paris, 75248, France.
Sophie Piperno-NeumannDepartment of Medical Oncology, Institut Curie, PSL Research University, Paris, 75248, France.
Marc-Henri SternInstitut Curie, PSL Research University, INSERM U830, DNA Repair and Uveal Melanoma (D.R.U.M.), Equipe labellisée par la Ligue Nationale contre le Cancer, Paris, 75248, France. marc-henri.stern@curie.fr.ORCID http://orcid.org/0000-0002-8100-2272
Inserm · FRUniversité Paris Sciences et Lettres · FRCentre hospitalier national d'ophtalmologie des Quinze-Vingts · FRDélégation Paris 5 · FRUniversité de Versailles Saint-Quentin-en-Yvelines · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metastatic uveal melanoma is a deadly disease with no proven standard of care. Here we present a metastatic uveal melanoma patient with an exceptional high sensitivity to a PD-1 inhibitor associated with outlier CpG>TpG mutation burden, MBD4 germline deleterious mutation, and somatic MBD4 inactivation in the tumor. We identify additional tumors in The Cancer Genome Atlas (TCGA) cohorts with similar hypermutator profiles in patients carrying germline deleterious MBD4 mutations and somatic loss of heterozygosity. This MBD4-related hypermutator phenotype may explain unexpected responses to immune checkpoint inhibitors.

Indexed as

Germ-Line MutationAgedAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalAtlases as TopicCpG IslandsEndodeoxyribonucleasesEye EnucleationFemaleGenome, HumanHumansLoss of HeterozygosityLymphatic MetastasisMelanomaPhenotypePoint MutationAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalEndodeoxyribonucleasesMBD4 protein, humanPDCD1 protein, humanpembrolizumabProgrammed Cell Death 1 Receptor

Identifiers

PMID29760383
PMCPMC5951831
OpenAlexW2799492638

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.