Evidence map›Paper›PMID 34111149›Full record

ArticlePloS one2021

Personalized tumor-specific DNA junctions to detect circulating tumor in patients with endometrial cancer.

Tommaso Grassi, Faye R Harris, James B Smadbeck, Stephen J Murphy, Matthew S Block, Francesco Multinu, Janet L Schaefer Klein, Piyan Zhang, Giannoula Karagouga, Minetta C Liu and 7 more

Abstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Feasibility ofCancers · 2026
    Article
  2. Review
  3. Review
  4. Article
  5. Updates and controversies in the management of uterine serous carcinoma and uterine carcinosarcoma.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. High-Sensitivity Mutation Analysis of Cell-Free DNA for Disease Monitoring in Endometrial Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
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

17 authors.

Tommaso GrassiDepartment of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, United States of America.ORCID 0000-0001-9404-0596
Faye R HarrisCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, United States of America.
James B SmadbeckCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, United States of America.
Stephen J MurphyCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, United States of America.
Matthew S BlockDepartment of Oncology, Mayo Clinic, Rochester, MN, United States of America.ORCID 0000-0001-5692-4219
Francesco MultinuDepartment of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, United States of America.
Janet L Schaefer KleinCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, United States of America.
Piyan ZhangCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, United States of America.
Giannoula KaragougaCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, United States of America.
Minetta C LiuDepartment of Oncology, Mayo Clinic, Rochester, MN, United States of America.
Alyssa LarishDepartment of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, United States of America.
Maureen A LemensDepartment of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, United States of America.
Marla Kay S SommerfieldDepartment of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, United States of America.
Serena CappuccioDepartment of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, United States of America.
John C ChevilleLaboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States of America.
George VasmatzisCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, United States of America.
Andrea MarianiDepartment of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, United States of America.

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI AKHILESH PANDEY · 1985 to 2026
$151.3M
NCI NIH HHS P30 CA015083
6 · The paper itself

Abstract

introductionThere are no reliable blood biomarkers for monitoring endometrial cancer patients in the current clinical practice. Circulating tumor DNA (ctDNA) is emerging as a promising non-invasive method to measure tumor burden, define prognosis and monitor disease status in many solid cancers. In this pilot study, we investigated if unique tumor-specific DNA junctions can be used to detect ctDNA levels in patients with endometrial cancer.

methodsChromosomal rearrangements in primary tumors of eleven patients with high-grade or advanced stage endometrial cancer were determined by whole-genome Mate-Pair sequencing. Identified unique tumor-specific junctions were evaluated in pre- and six-week post-surgery patient plasma using individualized quantitative polymerase chain reaction (qPCR) assays. The relationship between clinicopathological features and detection of ctDNA was investigated.

resultsCtDNA was detected in 60% (6/10) of cases pre-surgery and in 27% (3/11) post-surgery. The detection of ctDNA pre-surgery was consistent with clinical indicators of aggressive disease such as advanced stage (80% - 4/5), lymphatic spread of disease (100% - 3/3), serous histology (80% - 4/5), deep myometrial invasion (100% - 3/3), lympho-vascular space invasion (75% - 3/4). All patients in which ctDNA was detected post-surgically had type II endometrial cancer. DISCUSSION: This pilot study demonstrates the feasibility of using personalized tumor-specific junction panels for detecting ctDNA in the plasma of endometrial cancer patients. Larger studies and longer follow-up are needed to validate the potential association between pre-surgical ctDNA detection and the presence of cancers with aggressive pathologic tumor characteristics or advanced stage observed in this study.

Indexed as

Biomarkers, TumorCirculating Tumor DNAEndometrial NeoplasmsAgedFemaleHumansMiddle AgedPilot ProjectsPrecision MedicineBiomarkers, TumorCirculating Tumor DNA

Identifiers

PMID34111149
PMCPMC8192008

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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.