Evidence map›Paper›PMID 33134534›Full record

ArticleLaryngoscope investigative otolaryngology2020

Comparing cell-free circulating tumor DNA mutational profiles of disease-free and nonresponders patients with oropharyngeal squamous cell carcinoma.

Alok R Khandelwal, Adam H Greer, Mickie Hamiter, Janmaris Marin Fermin, Thomas McMullen, Tara Moore-Medlin, Glenn Mills, Jose M Flores, Hong Yin, Cherie-Ann O Nathan

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Alok R KhandelwalDepartment of Otolaryngology/Head and Neck Surgery LSU-Health Shreveport Shreveport Louisiana USA.
Adam H GreerFeist-Weiller Cancer Center Shreveport Louisiana USA.
Mickie HamiterDepartment of Otolaryngology/Head and Neck Surgery LSU-Health Shreveport Shreveport Louisiana USA.ORCID https://orcid.org/0000-0001-8732-7468
Janmaris Marin FerminDepartment of Otolaryngology/Head and Neck Surgery LSU-Health Shreveport Shreveport Louisiana USA.
Thomas McMullenDepartment of Otolaryngology/Head and Neck Surgery LSU-Health Shreveport Shreveport Louisiana USA.
Tara Moore-MedlinDepartment of Otolaryngology/Head and Neck Surgery LSU-Health Shreveport Shreveport Louisiana USA.
Glenn MillsDepartment of Otolaryngology/Head and Neck Surgery LSU-Health Shreveport Shreveport Louisiana USA.
Jose M FloresDepartment of Epidemiology Johns Hopkins University Bloomberg School of Public Health Baltimore Maryland USA.
Hong YinFeist-Weiller Cancer Center Shreveport Louisiana USA.
Cherie-Ann O NathanDepartment of Otolaryngology/Head and Neck Surgery LSU-Health Shreveport Shreveport Louisiana USA.ORCID https://orcid.org/0000-0001-7386-318X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study was to investigate whether somatic nonsynonymous variants in tumor tissue can potentially be identified in circulating cell-free DNA (cfDNA) of head and neck oropharyngeal squamous cell carcinoma (OPSCC) patients using next-generation sequencing and can predict recurrence or persistence disease.

methodsA total of 22 OPSCC patients with tumor tissue and respective plasma samples were included in this study. Matching cfDNA and tumor tissues were processed, and DNA sequencing was conducted using the MiSeq platform. Variants were identified using Biomedical Genomic Workbench and Genialis's online data analysis platform for Swift Biosciences' Accel-amplicon panels.

resultsAmong 11 nonresponders, 6 matched mutations were detected in 5 patients suggesting a predictive factor for patients with likelihood of recurrence. The matched variants and their allele frequencies identified in the nonresponder group were (tumor DNA/cfDNA in %): TP53 G325fs (27/0.62), TP53 R282W (48/1.74), TP53 R273C (39/2.17), FBXW7 R505G (30/0.6), FBXW7 R505L (31/0.65), and TP53 Q331H (56.5/0.52). Interestingly, the matched somatic mutations were only detected in patients who did not respond to therapy or had persistent disease.

conclusionsSomatic nonsynonymous variants in tumor tissue can potentially be identified in cfDNA of OPSCC patients using NGS. The likelihood of variant detection in cfDNA is greater in nonresponders, especially in human papillomavirus-negative nonresponders, rendering it beneficial as a less invasive detection method for disease persistence/recurrence and prognosis. LEVEL OF EVIDENCE: Cohort study.

Indexed as

cfDNAoropharynxrecurrenceTP53

Identifiers

PMID33134534
PMCPMC7585239

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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.