Evidence map›Paper›PMID 32958755›Full record

ArticleNature communications2020

The shared frameshift mutation landscape of microsatellite-unstable cancers suggests immunoediting during tumor evolution.

Alexej Ballhausen, Moritz Jakob Przybilla, Michael Jendrusch, Saskia Haupt, Elisabeth Pfaffendorf, Florian Seidler, Johannes Witt, Alejandro Hernandez Sanchez, Katharina Urban, Markus Draxlbauer and 20 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 1 pooled it
12.0field-weighted citation impact, top 1% 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

85 citing papers in PubMed, 1 synthesis or guideline pooled it, 126 citations in OpenAlex.

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  19. Therapeutic targeting of mismatch repair-deficient cancers.Nature reviews. Clinical oncology · 2025
    Review
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25 more citing papers are in PubMed but not listed here.

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

30 authors at 7 institutions in 3 countries.

Alexej Ballhausen *Department of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-5470-4973
Moritz Jakob Przybilla *Department of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-5645-9492
Michael Jendrusch *Department of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.
Saskia HauptEngineering Mathematics and Computing Lab (EMCL), Interdisciplinary Center for Scientific Computing (IWR), Heidelberg University, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-7537-9439
Elisabeth PfaffendorfDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.
Florian SeidlerDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-0818-3246
Johannes WittDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.
Alejandro Hernandez SanchezDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-9522-6595
Katharina UrbanDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.
Markus DraxlbauerDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.
Sonja KrausertDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.
Aysel AhadovaDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.
Martin Simon KalteisDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-2549-9736
Pauline L PfudererDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-2349-2920
Daniel HeidDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.
Damian StichelDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.
Johannes GebertDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.
Maria BonsackImmunotherapy and Immunoprevention, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID http://orcid.org/0000-0003-2087-7451
Sarah SchottDepartment of Obstetrics and Gynecology, University Hospital Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-1714-1147
Hendrik BläkerInstitute of Pathology, University Hospital Leipzig, Leipzig, Germany.
Toni SeppäläDepartment of Gastrointestinal Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID http://orcid.org/0000-0002-4940-3498
Jukka-Pekka MecklinDepartment of Education and Research, Central Finland Central Hospital, Jyväskylä, Finland.
Sanne Ten BroekeDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Maartje NielsenDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Vincent HeuvelineEngineering Mathematics and Computing Lab (EMCL), Interdisciplinary Center for Scientific Computing (IWR), Heidelberg University, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-2217-7558
Julia KrzykallaDivision of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Axel BennerDivision of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Angelika Beate RiemerImmunotherapy and Immunoprevention, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID http://orcid.org/0000-0002-5865-0714
Magnus von Knebel DoeberitzDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-0498-6781
Matthias KloorDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, Germany. matthias.kloor@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0002-4125-992X
European Molecular Biology Organization · DEGerman Cancer Research Center · DEHeidelberg University · DELeiden University Medical Center · NLCentral Finland Health Care District · FIUniversity Hospital Leipzig · DEUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The immune system can recognize and attack cancer cells, especially those with a high load of mutation-induced neoantigens. Such neoantigens are abundant in DNA mismatch repair (MMR)-deficient, microsatellite-unstable (MSI) cancers. MMR deficiency leads to insertion/deletion (indel) mutations at coding microsatellites (cMS) and to neoantigen-inducing translational frameshifts. Here, we develop a tool to quantify frameshift mutations in MSI colorectal and endometrial cancer. Our results show that frameshift mutation frequency is negatively correlated to the predicted immunogenicity of the resulting peptides, suggesting counterselection of cell clones with highly immunogenic frameshift peptides. This correlation is absent in tumors with Beta-2-microglobulin mutations, and HLA-A*02:01 status is related to cMS mutation patterns. Importantly, certain outlier mutations are common in MSI cancers despite being related to frameshift peptides with functionally confirmed immunogenicity, suggesting a possible driver role during MSI tumor evolution. Neoantigens resulting from shared mutations represent promising vaccine candidates for prevention of MSI cancers.

Indexed as

Frameshift MutationAntigens, Neoplasmbeta 2-MicroglobulinHLA AntigensHumansImmunologic SurveillanceINDEL MutationMicrosatellite InstabilityMicrosatellite RepeatsMutation RateNeoplasmsSelection, GeneticAntigens, NeoplasmB2M protein, humanbeta 2-MicroglobulinHLA Antigens

Identifiers

PMID32958755
PMCPMC7506541
OpenAlexW3087050969

What OpenQuestion holds

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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.