Evidence map›Paper›PMID 30890735›Full record

ArticleScientific reports2019

Burden of unique and low prevalence somatic mutations correlates with cancer survival.

Nikolai Klebanov, Mykyta Artomov, William B Goggins, Emma Daly, Mark J Daly, Hensin Tsao

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

41 citing papers in PubMed, 72 citations in OpenAlex.

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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

6 authors at 4 institutions in 2 countries.

Nikolai KlebanovWellman Center for Photomedicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Mykyta ArtomovAnalytic and Translational Genetic Unit, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-5282-8764
William B GogginsSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, Hong Kong.
Emma DalyAnalytic and Translational Genetic Unit, Massachusetts General Hospital, Boston, MA, USA.
Mark J DalyAnalytic and Translational Genetic Unit, Massachusetts General Hospital, Boston, MA, USA.
Hensin TsaoWellman Center for Photomedicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. HTSAO@mgh.harvard.edu.
Broad Institute · USHarvard University · USChinese University of Hong Kong · HKMassachusetts General Hospital · US

Funding

Molecular Risk Assessment in Hereditary MelanomaK24CA149202 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI TSAO, HENSIN · 2010 to 2019
$1.9M
NCI NIH HHS K24 CA149202
6 · The paper itself

Abstract

Tumor mutational burden correlates with improved survival and immunotherapy response in some malignancies, and with tumor aggressiveness in others. To study the link between mutational burden and survival, we analyzed survival effects of tumor exonic missense mutation burden (TEMMB) across 6947 specimens spanning 31 cancers which have undergone whole exome sequencing as part of TCGA. We adjusted TEMMB for age, sex, stage, and recruitment center, and computed Cox-proportional models of TEMMB survival effects. We assigned a recurrence score (RS) to each cohort, defining RS as the burden of recurrent mutations exceeding 1% population prevalence. High TEMMB was associated with improved survival in cutaneous melanoma: hazard ratio (HR) = 0.71 [0.60-0.85], p = 0.0002, urothelial bladder carcinoma: HR = 0.74 [0.59-0.93], p = 0.01, and ovarian carcinoma: HR = 0.80 [0.70-0.93], p = 0.003. High TEMMB was associated with decreased survival in colorectal adenocarcinoma: HR = 1.32 [1.00-1.74], p < 0.05. We identified that TEMMB survival effects were governed by the balance of recurrent and non-recurrent mutations. In cancers with a low RS, high TEMMB was correlated with better survival outcomes (r = 0.49, p = 0.02). In conclusion, TEMMB effects on survival depend on recurrent mutation enrichment; tumor types that are highly enriched in passenger mutations show a survival benefit in the setting of high tumor mutational burden.

Indexed as

Cancer SurvivorsCohort StudiesExomeFemaleHumansMaleMutationNeoplasm Recurrence, LocalNeoplasmsPrevalencePrognosisTumor Burden

Identifiers

PMID30890735
PMCPMC6425006
OpenAlexW2922870792

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.