Evidence map›Paper›PMID 31471937›Full record

ArticleHuman mutation2020

Sequencing-based microsatellite instability testing using as few as six markers for high-throughput clinical diagnostics.

Richard Gallon, Harsh Sheth, Christine Hayes, Lisa Redford, Ghanim Alhilal, Ottilia O'Brien, Helena Spiewak, Amanda Waltham, Ciaron McAnulty, Osagie G Izuogu and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Human mutation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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  12. Assessment of Microsatellite Instability from Next-Generation Sequencing Data.Advances in experimental medicine and biology · 2022
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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

18 authors at 6 institutions in 4 countries.

Richard GallonInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.ORCID 0000-0002-5395-0099
Harsh ShethInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Christine HayesInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Lisa RedfordInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Ghanim AlhilalInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Ottilia O'BrienNorthern Genetics Service, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.
Helena SpiewakNorthern Genetics Service, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.
Amanda WalthamNorthern Genetics Service, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.
Ciaron McAnultyNorthern Genetics Service, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.
Osagie G IzuoguInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Mark J ArendsDivision of Pathology, Institute of Genetics & Molecular Medicine, University of Edinburgh, Edinburgh, United Kingdom.
Anca OniscuDepartment of Molecular Pathology, Laboratory Medicine, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Angel M AlonsoOncogenetics and Hereditary Cancer Group, Navarrabiomed, Complejo Hospitalario de Navarra (CHN), Instituto de Investigación Sanitaria de Navarra (IdiSNA), Universidad Pública de Navarra (UPNA), Pamplona, Spain.
Sira M LagunaOncogenetics and Hereditary Cancer Group, Navarrabiomed, Complejo Hospitalario de Navarra (CHN), Instituto de Investigación Sanitaria de Navarra (IdiSNA), Universidad Pública de Navarra (UPNA), Pamplona, Spain.
Gillian M BorthwickInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Mauro Santibanez-KorefInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Michael S JacksonInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
John BurnInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Newcastle University · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBUniversidad Publica de Navarra · ESCentre For Human Genetics · INEdinburgh Royal Infirmary · GBInstitute of Genetics and Cancer · GB

Funding

Cancer Research UK 24991Cancer Research UK A15934Cancer Research UK C569/A24991Medical Research Council
6 · The paper itself

Abstract

Microsatellite instability (MSI) testing of colorectal cancers (CRCs) is used to screen for Lynch syndrome (LS), a hereditary cancer-predisposition, and can be used to predict response to immunotherapy. Here, we present a single-molecule molecular inversion probe and sequencing-based MSI assay and demonstrate its clinical validity according to existing guidelines. We amplified 24 microsatellites in multiplex and trained a classifier using 98 CRCs, which accommodates marker specific sensitivities to MSI. Sample classification achieved 100% concordance with the MSI Analysis System v1.2 (Promega) in three independent cohorts, totaling 220 CRCs. Backward-forward stepwise selection was used to identify a 6-marker subset of equal accuracy to the 24-marker panel. Assessment of assay detection limits showed that the 24-marker panel is marginally more robust to sample variables than the 6-marker subset, detecting as little as 3% high levels of MSI DNA in sample mixtures, and requiring a minimum of 10 template molecules to be sequenced per marker for >95% accuracy. BRAF c.1799 mutation analysis was also included to streamline LS testing, with all c.1799T>A variants being correctly identified. The assay, therefore, provides a cheap, robust, automatable, and scalable MSI test with internal quality controls, suitable for clinical cancer diagnostics.

Indexed as

Genetic MarkersGenetic Predisposition to DiseaseGenetic TestingHigh-Throughput Screening AssaysMicrosatellite InstabilityMicrosatellite RepeatsAllelesBiomarkers, TumorCell LineColorectal NeoplasmsDNA Mismatch RepairGenetic Association StudiesGenotypeHigh-Throughput Nucleotide SequencingHumansMolecular Diagnostic TechniquesBiomarkers, TumorGenetic Markerscolorectal cancerhigh-throughput diagnosticsmicrosatellite instabilitymismatch repair deficiencysingle-molecule molecular inversion probes

Identifiers

PMID31471937
PMCPMC6973255
OpenAlexW2970197822

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.