Evidence map›Paper›PMID 30945461›Full record

ArticleCancer medicine2019

Screening of MSI detection loci and their heterogeneity in East Asian colorectal cancer patients.

Wenqi Bai, Jinfeng Ma, Yangyang Liu, Jing Liang, Yueqin Wu, Xuanqin Yang, Enwei Xu, Yan Li, Yanfeng Xi

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  10. Microsatellite Instability in Russian Patients with Colorectal Cancer.International journal of molecular sciences · 2022
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  18. Clinical significance ofWorld journal of gastrointestinal oncology · 2019
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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

9 authors at 2 institutions in 1 country.

Wenqi BaiDepartment of Colorectal Surgery, Shanxi Cancer Hospital, Taiyuan, Shanxi, P.R. China.
Jinfeng MaDepartment of General Surgery, Shanxi Cancer Hospital, Taiyuan, Shanxi, P.R. China.
Yangyang LiuDepartment of Oncology, Union hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, P.R. China.
Jing LiangGraduate School of Shanxi Medical University, Taiyuan, Shanxi, P.R. China.
Yueqin WuDepartment of Pathology, Shanxi Cancer Hospital, Taiyuan, Shanxi, P.R. China.
Xuanqin YangDepartment of Pathology, Shanxi Cancer Hospital, Taiyuan, Shanxi, P.R. China.
Enwei XuDepartment of Pathology, Shanxi Cancer Hospital, Taiyuan, Shanxi, P.R. China.
Yan LiDepartment of Pathology, Union hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, P.R. China.ORCID 0000-0002-4290-9306
Yanfeng XiDepartment of Pathology, Shanxi Cancer Hospital, Taiyuan, Shanxi, P.R. China.
Shanxi Provincial Cancer Hospital · CNShanxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to screen the MSI detection loci suitable for the East Asian colorectal cancer patients. and explore its intratumoral heterogeneity.

methodsA total of 271 pathological tissues specimens of colorectal cancer were collected. The MSI status was detected using different PCR reagent kits with different detection loci. Then, the results were compared with the immunohistochemical (IHC) staining results. Microdissection of pathological tissues specimens detected to be MSI-H was performed to examine whether there was intratumoral heterogeneity of MSI status.

resultsThirty-nine out of 271 cases were dMMR. dMMR occurred mostly in patients with right-hemi colon cancer (P < 0.0001). Compared with dMMR patients, the clinical stages of pMMR patients were more inclined to be in the late stage with lymph node metastasis (P < 0.0001). MSI-H tumors were significantly associated with KRAS mutation (P = 0.036) and PD-L1 expression (P = 0.038). Compared with Promega panel and 24-locus detection, the consistency between NCI MSI panel and IHC staining results were the highest with the Kappa value of 0.850. The sensitivity of detection decreased from 87.18% to 56.41% with the increase in detection loci. Single locus analysis showed that the first two loci with the highest sensitivity were both mononucleotide loci, namely, BAT-26 (95.45%) and BAT-25 (86.36%). The dinucleotide locus with highest sensitivity was D2S123 (50%). The main detection loci of MSI-H showed no intratumoral heterogeneity.

conclusionThe combination of 2 mononucleotide loci (BAT25, BAT26) and 3 dinucleotide loci (D2S123, D5S346, D17S250) might be the most suitable loci for MSI detection in East Asian population. There is no intratumoral heterogeneity in the main MSI loci.

Indexed as

Gene Regulatory NetworksGenetic HeterogeneityMicrosatellite InstabilityAdultAgedAged, 80 and overAsian PeopleB7-H1 AntigenColorectal NeoplasmsFemaleGene Expression Regulation, NeoplasticHumansLymphatic MetastasisMaleMiddle AgedMutationB7-H1 AntigenCD274 protein, humanKRAS protein, humanProto-Oncogene Proteins p21(ras)colorectal cancerintratumoral heterogeneitymicrosatellite instability

Identifiers

PMID30945461
PMCPMC6536949
OpenAlexW2933140472

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.