Evidence map›Paper›PMID 34479923›Full record

ArticleJournal for immunotherapy of cancer2021

Additive effects of variants of unknown significance in replication repair-associated DNA polymerase genes on mutational burden and prognosis across diverse cancers.

Jieer Ying, Lin Yang, Jiani C Yin, Guojie Xia, Minyan Xing, Xiaoxi Chen, Jiaohui Pang, Yong Wu, Hua Bao, Xue Wu and 3 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Circulating tumor DNA predicts clinical benefits of immune checkpoint blockade in HER2-negative patients with advanced gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Immune Checkpoint Inhibitors in pMMR/MSS Colorectal Cancer.Journal of gastrointestinal cancer · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Frontiers in oncology · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 1 country.

Jieer Ying *Department of Abdominal Medical Oncology, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou, Zhejiang, China.
Lin Yang *Department of Medical Oncology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0001-5049-7519
Jiani C YinNanjing Geneseeq Technology Inc, Nanjing, Jiangsu, China.ORCID 0000-0002-9523-1930
Guojie XiaDepartment of Medical Oncology, Traditional Chinese Medical Hospital of Huzhou, Huzhou, China.
Minyan XingDepartment of Medical Oncology, The First Affiliated Hospital of Zhejiang University, Haining, Zhejiang, China.
Xiaoxi ChenNanjing Geneseeq Technology Inc, Nanjing, Jiangsu, China.
Jiaohui PangNanjing Geneseeq Technology Inc, Nanjing, Jiangsu, China.
Yong WuNanjing Geneseeq Technology Inc, Nanjing, Jiangsu, China.
Hua BaoNanjing Geneseeq Technology Inc, Nanjing, Jiangsu, China.
Xue WuNanjing Geneseeq Technology Inc, Nanjing, Jiangsu, China.
Yang ShaoNanjing Geneseeq Technology Inc, Nanjing, Jiangsu, China.
Lingjun ZhuDepartment of Oncology, Sir Run Run Hospital Nanjing Medical University, Nanjing, Jiangsu, China.
Xiangdong ChengInstitute of Cancer and Basic Medicine (IBMC), Chinese Academy of Sciences, Hangzhou, Zhejiang, China chengxd516@126.com.
Chinese Academy of Sciences · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNFirst Affiliated Hospital Zhejiang University · CNHuzhou Central Hospital · CNJiangsu Province Hospital · CNNanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDefects in replication repair-associated DNA polymerases often manifest an ultra-high tumor mutational burden (TMB), which is associated with higher probabilities of response to immunotherapies. The functional and clinical implications of different polymerase variants remain unclear.

methodsTargeted next-generation sequencing using a 425-cancer gene panel, which covers all exonic regions of three polymerase genes (

resultsThe overall prevalence of somatic and germline polymerase variants was 4.2% (95% CI 3.8% to 4.5%) and 0.7% (95% CI 0.5% to 0.8%), respectively, with highest frequencies in endometrial, urinary, prostate, and colorectal cancers (CRCs). While most germline polymerase variants showed no clear functional consequences, we identified a candidate p.T466A affecting the exonuclease domain of POLE, which might be underlying the early onset in a case with childhood CRC. Low frequencies of known hot-spot somatic mutations in

conclusionsOur results demonstrate the pathogenicity and additive prognostic value of

Indexed as

Cohort StudiesDNA-Directed DNA PolymeraseFemaleHigh-Throughput Nucleotide SequencingHumansImmunotherapyMaleMutationNeoplasmsOncogenesPrognosisDNA-Directed DNA Polymerasebiomarkersgenetic markersgenome instabilityImmunotherapytranslational medical researchtumor

Identifiers

PMID34479923
PMCPMC8420654
OpenAlexW3197194053

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.