Evidence map›Paper›PMID 30736836›Full record

ArticleBreast cancer research : BCR2019

Targeted mutation detection in breast cancer using MammaSeq™.

Nicholas G Smith, Rekha Gyanchandani, Osama S Shah, Grzegorz T Gurda, Peter C Lucas, Ryan J Hartmaier, Adam M Brufsky, Shannon Puhalla, Amir Bahreini, Karthik Kota and 5 more

Open access · goldAbstract readValidation Study
In one paragraph

Article in Breast cancer research : BCR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Review
  3. Proteogenomic discovery ofScience advances · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Comprehensive comparison of theranostic nanoparticles in breast cancer.American journal of clinical and experimental immunology · 2022
    Review
  9. Review
  10. Article
  11. Article
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  13. Article
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  15. Article
  16. Immuno-Oncology Biomarkers for Personalized Immunotherapy in Breast Cancer.Frontiers in cell and developmental biology · 2020
    Review
  17. Review
  18. 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

15 authors at 3 institutions in 2 countries.

Nicholas G SmithDepartment of Pharmacology and Chemical Biology, and Human Genetics, UPMC Hillman Cancer Center, Magee-Womens Research Institute, University of Pittsburgh, 204 Craft Avenue, Pittsburgh, PA, 15213, USA.
Rekha GyanchandaniDepartment of Pharmacology and Chemical Biology, and Human Genetics, UPMC Hillman Cancer Center, Magee-Womens Research Institute, University of Pittsburgh, 204 Craft Avenue, Pittsburgh, PA, 15213, USA.
Osama S ShahGraduate Program in Integrated Systems Biology, University of Pittsburgh, Pittsburgh, USA.
Grzegorz T GurdaDepartment of Pathology, Gundersen Health System, La Crosse, WI, USA.
Peter C LucasDepartment of Pathology, University of Pittsburgh, Pittsburgh, PA, USA.
Ryan J HartmaierDepartment of Pharmacology and Chemical Biology, and Human Genetics, UPMC Hillman Cancer Center, Magee-Womens Research Institute, University of Pittsburgh, 204 Craft Avenue, Pittsburgh, PA, 15213, USA.
Adam M BrufskyDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Shannon PuhallaDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Amir BahreiniDepartment of Genetics and Molecular Biology, School of Medicine, University of Medical Sciences, Isfahan, Iran.
Karthik KotaDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Abigail I WaldDepartment of Pathology, University of Pittsburgh, Pittsburgh, PA, USA.
Yuri E NikiforovDepartment of Pathology, University of Pittsburgh, Pittsburgh, PA, USA.
Marina N NikiforovaDepartment of Pathology, University of Pittsburgh, Pittsburgh, PA, USA.
Steffi OesterreichDepartment of Pharmacology and Chemical Biology, and Human Genetics, UPMC Hillman Cancer Center, Magee-Womens Research Institute, University of Pittsburgh, 204 Craft Avenue, Pittsburgh, PA, 15213, USA.
Adrian V LeeDepartment of Pharmacology and Chemical Biology, and Human Genetics, UPMC Hillman Cancer Center, Magee-Womens Research Institute, University of Pittsburgh, 204 Craft Avenue, Pittsburgh, PA, 15213, USA. leeav@upmc.edu.ORCID 0000-0001-9917-514X
University of Pittsburgh · USGundersen Health System · USIsfahan University of Medical Sciences · IR

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jessie Nedrow · 1988 to 2026
$158.0M
NCI NIH HHS P30 CA047904
6 · The paper itself

Abstract

backgroundBreast cancer is the most common invasive cancer among women worldwide. Next-generation sequencing (NGS) has revolutionized the study of cancer across research labs around the globe; however, genomic testing in clinical settings remains limited. Advances in sequencing reliability, pipeline analysis, accumulation of relevant data, and the reduction of costs are rapidly increasing the feasibility of NGS-based clinical decision making.

methodsWe report the development of MammaSeq, a breast cancer-specific NGS panel, targeting 79 genes and 1369 mutations, optimized for use in primary and metastatic breast cancer. To validate the panel, 46 solid tumors and 14 plasma circulating tumor DNA (ctDNA) samples were sequenced to a mean depth of 2311× and 1820×, respectively. Variants were called using Ion Torrent Suite 4.0 and annotated with cravat CHASM. CNVKit was used to call copy number variants in the solid tumor cohort. The oncoKB Precision Oncology Database was used to identify clinically actionable variants. Droplet digital PCR was used to validate select ctDNA mutations.

resultsIn cohorts of 46 solid tumors and 14 ctDNA samples from patients with advanced breast cancer, we identified 592 and 43 protein-coding mutations. Mutations per sample in the solid tumor cohort ranged from 1 to 128 (median 3), and the ctDNA cohort ranged from 0 to 26 (median 2.5). Copy number analysis in the solid tumor cohort identified 46 amplifications and 35 deletions. We identified 26 clinically actionable variants (levels 1-3) annotated by OncoKB, distributed across 20 out of 46 cases (40%), in the solid tumor cohort. Allele frequencies of ESR1 and FOXA1 mutations correlated with CA.27.29 levels in patient-matched blood draws.

conclusionsIn solid tumor biopsies and ctDNA, MammaSeq detects clinically actionable mutations (OncoKB levels 1-3) in 22/46 (48%) solid tumors and in 4/14 (29%) of ctDNA samples. MammaSeq is a targeted panel suitable for clinically actionable mutation detection in breast cancer.

Indexed as

AdultAgedAntigens, Tumor-Associated, CarbohydrateBiomarkers, TumorBiopsyBreastBreast NeoplasmsCirculating Tumor DNADNA Copy Number VariationsDNA Mutational AnalysisDNA, NeoplasmEstrogen Receptor alphaFemaleHepatocyte Nuclear Factor 3-alphaHigh-Throughput Nucleotide SequencingHumansAntigens, Tumor-Associated, CarbohydrateBiomarkers, TumorCA 27-29 antigenCirculating Tumor DNADNA, NeoplasmESR1 protein, humanEstrogen Receptor alphaFOXA1 protein, humanHepatocyte Nuclear Factor 3-alphaBreast cancerClinical utilityctDNATargeted sequencingTumor burden

Identifiers

PMID30736836
PMCPMC6368740
OpenAlexW2949338304

What OpenQuestion holds

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LicenceCC BY
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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.