Evidence map›Paper›PMID 31237724›Full record

ArticleHuman mutation2019

Functional interrogation of Lynch syndrome-associated MSH2 missense variants via CRISPR-Cas9 gene editing in human embryonic stem cells.

Abhijit Rath, Akriti Mishra, Victoria Duque Ferreira, Chaoran Hu, Gregory Omerza, Kevin Kelly, Andrew Hesse, Honey V Reddi, James P Grady, Christopher D Heinen

Open access · greenAbstract read
In one paragraph

Article in Human mutation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
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, 34 citations in OpenAlex.

  1. Review
  2. 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
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  7. CRISPR/Cas9: a powerful tool in colorectal cancer research.Journal of experimental & clinical cancer research : CR · 2023
    Review
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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

10 authors at 5 institutions in 1 country.

Abhijit RathCenter for Molecular Oncology and Institute for Systems Genomics, UConn Health, Farmington, Connecticut.
Akriti MishraDepartment of Molecular and Cell Biology, University of Connecticut, Storrs, Connecticut.
Victoria Duque FerreiraUniversity of St. Joseph, West Hartford, Connecticut.
Chaoran HuDepartment of Statistics, University of Connecticut, Storrs, Connecticut.
Gregory OmerzaClinical Genomics Laboratory, The Jackson Laboratory for Genomic Medicine, Farmington, Connecticut.
Kevin KellyClinical Genomics Laboratory, The Jackson Laboratory for Genomic Medicine, Farmington, Connecticut.
Andrew HesseClinical Genomics Laboratory, The Jackson Laboratory for Genomic Medicine, Farmington, Connecticut.
Honey V ReddiClinical Genomics Laboratory, The Jackson Laboratory for Genomic Medicine, Farmington, Connecticut.
James P GradyConnecticut Institute for Clinical and Translational Science, UConn Health, Farmington, Connecticut.
Christopher D HeinenCenter for Molecular Oncology and Institute for Systems Genomics, UConn Health, Farmington, Connecticut.ORCID 0000-0003-4338-6858
Jackson Laboratory · USMolecular Oncology (United States) · USUniversity of Connecticut · USUConn Health · USUniversity of Saint Joseph · US

Funding

Hereditary Cancer Variants of Uncertain Significance in Stem CellsR01CA222477 · NCI · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI HEINEN, CHRISTOPHER D. · 2019 to 2024
$1.9M
Mismatch Repair Functions Affected During TumorigenesisR01CA115783 · NCI · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI HEINEN, CHRISTOPHER D. · 2008 to 2012
$1.2M
Pluripotent stem cells as a novel model to test hereditary cancer variantsR21CA181959 · NCI · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI HEINEN, CHRISTOPHER D. · 2014 to 2015
$341k
NCI NIH HHS CA115783NCI NIH HHS CA222477NCI NIH HHS R01 CA115783NCI NIH HHS R01 CA222477NCI NIH HHS R21 CA181959State of Connecticut Regenerative Medicine Fund 13SCB-UCHC-06
6 · The paper itself

Abstract

Lynch syndrome (LS) predisposes patients to cancer and is caused by germline mutations in the DNA mismatch repair (MMR) genes. Identifying the deleterious mutation, such as a frameshift or nonsense mutation, is important for confirming an LS diagnosis. However, discovery of a missense variant is often inconclusive. The effects of these variants of uncertain significance (VUS) on disease pathogenesis are unclear, though understanding their impact on protein function can help determine their significance. Laboratory functional studies performed to date have been limited by their artificial nature. We report here an in-cellulo functional assay in which we engineered site-specific MSH2 VUS using clustered regularly interspaced short palindromic repeats-Cas9 gene editing in human embryonic stem cells. This approach introduces the variant into the endogenous MSH2 loci, while simultaneously eliminating the wild-type gene. We characterized the impact of the variants on cellular MMR functions including DNA damage response signaling and the repair of DNA microsatellites. We classified the MMR functional capability of eight of 10 VUS providing valuable information for determining their likelihood of being bona fide pathogenic LS variants. This human cell-based assay system for functional testing of MMR gene VUS will facilitate the identification of high-risk LS patients.

Indexed as

CRISPR-Cas SystemsGene EditingMutation, MissenseCell Line, TumorColorectal Neoplasms, Hereditary NonpolyposisDNA DamageDNA RepairHigh-Throughput Nucleotide SequencingHuman Embryonic Stem CellsHumansMicrosatellite InstabilityModels, MolecularMutS Homolog 2 ProteinProtein ConformationSignal TransductionMSH2 protein, humanMutS Homolog 2 ProteinCRISPR-Cas9DNA mismatch repairhuman embryonic stem cellsLynch syndromeMSH2variants of uncertain significance

Identifiers

PMID31237724
PMCPMC6810757
OpenAlexW2954182937

What OpenQuestion holds

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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.