Evidence map›Paper›PMID 34009695›Full record

ArticleCancer science2021

Detection of von Hippel-Lindau gene mutation in circulating cell-free DNA for clear cell renal cell carcinoma.

Takayuki Sumiyoshi, Toshinari Yamasaki, Masashi Takeda, Kei Mizuno, Noriaki Utsunomiya, Hiromasa Sakamoto, Eijiro Nakamura, Osamu Ogawa, Shusuke Akamatsu

Abstract read
In one paragraph

Article in Cancer science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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.

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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

9 authors.

Takayuki SumiyoshiDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.ORCID https://orcid.org/0000-0001-5321-6014
Toshinari YamasakiDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Masashi TakedaDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Kei MizunoDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Noriaki UtsunomiyaDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Hiromasa SakamotoDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Eijiro NakamuraDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Osamu OgawaDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Shusuke AkamatsuDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The therapeutic landscape of metastatic clear cell renal cell carcinoma (ccRCC) has rapidly expanded, and there is an urgent need to develop noninvasive biomarkers that can select an optimal therapy or evaluate the response in real time. To evaluate the clinical utility of circulating tumor DNA (ctDNA) analysis in ccRCC, we established a highly sensitive assay to detect mutations in von Hippel-Lindau gene (VHL) using a combination of digital PCR and multiplex PCR-based targeted sequencing. The unique assay could detect VHL mutations with a variant allele frequency (VAF) <1.0%. Further, we profiled the mutation status of VHL in 76 cell-free DNA (cfDNA) and 50 tumor tissues from 56 patients with ccRCC using the assay. Thirteen VHL mutations were identified in cfDNA from 12 (21.4%) patients with a median VAF of 0.78% (range, 0.13%-4.20%). Of the 28 patients with VHL mutations in matched tumor tissues, eight (28.6%) also had VHL mutation in cfDNA with a median VAF of 0.47% (range, 0.13%-2.88%). In serial ctDNA analysis from one patient, we confirmed that the VAF of VHL mutation changed consistent with tumor size by radiographic imaging during systemic treatment. In conclusion, VHL mutation in cfDNA was detected only in a small number of patients even using the highly sensitive assay; nevertheless, we showed the potential of ctDNA analysis as a novel biomarker in ccRCC.

Indexed as

MutationAdultAgedAged, 80 and overBiomarkers, TumorCarcinoma, Renal CellCase-Control StudiesCell-Free Nucleic AcidsCell Line, TumorFemaleHumansMaleMiddle AgedSequence Analysis, DNAVon Hippel-Lindau Tumor Suppressor ProteinBiomarkers, TumorCell-Free Nucleic AcidsVHL protein, humanVon Hippel-Lindau Tumor Suppressor Proteinbiomarkerscell-free DNAclear cell renal cell carcinomanext-generation sequencingVHL

Identifiers

PMID34009695
PMCPMC8353948

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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.