Evidence map›Paper›PMID 32937743›Full record

ArticleInternational journal of molecular sciences2020

Mismatch-Repair Protein Expression in High-Grade Gliomas: A Large Retrospective Multicenter Study.

Mario Caccese, Tamara Ius, Matteo Simonelli, Matteo Fassan, Daniela Cesselli, Angelo Dipasquale, Francesco Cavallin, Marta Padovan, Alessandro Salvalaggio, Marina Paola Gardiman and 3 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in International journal of molecular sciences, 2020. 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
2.1field-weighted citation impact, top 12% 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, 24 citations in OpenAlex.

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  13. Sporadic and Lynch syndrome-associated mismatch repair-deficient brain tumors.Laboratory investigation; a journal of technical methods and pathology · 2022
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  17. Prognostic and Predictive Biomarkers in Gliomas.International journal of molecular sciences · 2021
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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

13 authors at 5 institutions in 1 country.

Mario CacceseDepartment of Oncology, Oncology 1, Veneto Institute of Oncology-IRCCS, 35128 Padua, Italy.
Tamara IusDepartment of Neurosurgery, University Hospital of Udine, 33100 Udine, Italy.ORCID 0000-0003-3741-0639
Matteo SimonelliHumanitas Clinical and Research Center-IRCCS, 20089 Rozzano, Italy.ORCID 0000-0002-5264-1251
Matteo FassanSurgical Pathology Unit, Department of Medicine, University of Padua, 35128 Padua, Italy.ORCID 0000-0001-6515-5482
Daniela CesselliDepartment of Medicine, University of Udine, 33100 Udine, Italy.ORCID 0000-0002-0562-7852
Angelo DipasqualeHumanitas Clinical and Research Center-IRCCS, 20089 Rozzano, Italy.
Francesco CavallinIndependent Statistician, 36020 Solagna, Italy.
Marta PadovanDepartment of Oncology, Oncology 1, Veneto Institute of Oncology-IRCCS, 35128 Padua, Italy.
Alessandro SalvalaggioClinica Neurologica, Department of Neuroscience, and Padova Neuroscience Center (PNC), University of Padua, 35128 Padua, Italy.ORCID 0000-0002-1273-7566
Marina Paola GardimanSurgical Pathology Unit, Department of Medicine, University of Padua, 35128 Padua, Italy.
Miran SkrapDepartment of Neurosurgery, University Hospital of Udine, 33100 Udine, Italy.
Vittorina ZagonelDepartment of Oncology, Oncology 1, Veneto Institute of Oncology-IRCCS, 35128 Padua, Italy.
Giuseppe LombardiDepartment of Oncology, Oncology 1, Veneto Institute of Oncology-IRCCS, 35128 Padua, Italy.ORCID 0000-0003-1316-2132
University of Padua · ITIstituto Oncologico Veneto · ITUniversity of Udine · ITHumanitas University · ITIstituto Nazionale di Statistica · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDNA mismatch repair (MMR) is a system for repairing errors in DNA replication. Cancer cells with MMR deficiency can have immunohistochemical loss of MMR protein expression leading to a hypermutable phenotype that may correlate with anti-PD1 efficacy. Scant data exist about immunohistochemical loss of MMR protein expression in high-grade gliomas (HGG). MATERIALS AND

methodsWe performed a large multicenter retrospective study to investigate the frequency and the prognostic role of immunohistochemical loss of MMR protein expression in HGG patients; we nevertheless evaluated the association between this status and clinical or molecular characteristics. Immunohistochemical loss of MMR protein expression was recorded as partial or complete loss of at least 1 MMR protein.

resultsWe analyzed the expression of MMR proteins in tumor tissue of 355 consecutive patients. Partial and complete immunohistochemical loss of MMR proteins was found in 43/355 samples (12.1%) and among these, 15 cases (4.2%) showed a complete loss of at the least one MMR protein. Alteration of MSH2 expression was found in 55.8%, MSH6 in 46.5%, PMS2 in 34.9%, and MLH1 in 30.2%. Alteration of MMR protein expression was statistically more frequent in anaplastic gliomas, in recurrent disease, in patients treated with temozolomide, and in IDH-mut gliomas. Immunohistochemical loss of MMR proteins was not associated with survival, adjusting for clinically relevant confounders.

conclusionsMMR protein expression status did not affect survival in HGG patients. We identified clinical and molecular characteristics correlating with immunohistochemical loss of MMR proteins expression. A large study should be performed to analyze its predictive role of immune checkpoint inhibitor efficacy in these subgroups of patients.

Indexed as

AdultAgedBiomarkers, TumorDNA-Binding ProteinsDNA Mismatch RepairFemaleGliomaHumansImmunohistochemistryMaleMiddle AgedPrognosisRetrospective StudiesBiomarkers, TumorDNA-Binding Proteinshigh-grade gliomaimmunotherapymicrosatellite instabilitymismatch repair

Identifiers

PMID32937743
PMCPMC7555820
OpenAlexW3085220818

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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.