Evidence map›Paper›PMID 34590599›Full record

ArticleCurrent oncology (Toronto, Ont.)2021

Mismatch Repair Protein Expression and Microsatellite Instability in Cutaneous Squamous Cell Carcinoma.

Thilo Gambichler, Nomun Ganjuur, Andrea Tannapfel, Markus Vogt, Lisa Scholl, Nessr Abu Rached, Stefanie Bruckmüller, Marina Skrygan, Jürgen C Becker, Heiko U Käfferlein and 2 more

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Clinical and histopathological features of advanced cutaneous squamous cell carcinoma with varying responses to cemiplimab.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Article
  3. Article
  4. Article
  5. 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

12 authors at 3 institutions in 1 country.

Thilo GambichlerSkin Cancer Center, Department of Dermatology, Ruhr-University Bochum, 44791 Bochum, Germany.ORCID 0000-0001-7862-3695
Nomun GanjuurSkin Cancer Center, Department of Dermatology, Ruhr-University Bochum, 44791 Bochum, Germany.ORCID 0000-0003-4327-4936
Andrea TannapfelInstitute of Pathology, Ruhr-University Bochum, 44789 Bochum, Germany.
Markus VogtInstitute of Pathology, Ruhr-University Bochum, 44789 Bochum, Germany.
Lisa SchollSkin Cancer Center, Department of Dermatology, Ruhr-University Bochum, 44791 Bochum, Germany.
Nessr Abu RachedSkin Cancer Center, Department of Dermatology, Ruhr-University Bochum, 44791 Bochum, Germany.
Stefanie BruckmüllerSkin Cancer Center, Department of Dermatology, Ruhr-University Bochum, 44791 Bochum, Germany.
Marina SkryganSkin Cancer Center, Department of Dermatology, Ruhr-University Bochum, 44791 Bochum, Germany.
Jürgen C BeckerTranslational Skin Cancer Research, German Cancer Consortium (DKTK) Partner Site Essen/Düsseldorf, Department of Dermatology, University Duisburg-Essen, 47057 Essen, Germany.ORCID 0000-0001-9183-653X
Heiko U KäfferleinInstitute for Prevention and Occupational Medicine of the German Social Accident Insurances, Ruhr-University Bochum (IPA), 44789 Bochum, Germany.ORCID 0000-0001-5150-4979
Thomas BrüningInstitute for Prevention and Occupational Medicine of the German Social Accident Insurances, Ruhr-University Bochum (IPA), 44789 Bochum, Germany.
Kerstin LangInstitute for Prevention and Occupational Medicine of the German Social Accident Insurances, Ruhr-University Bochum (IPA), 44789 Bochum, Germany.
Ruhr University Bochum · DEInstitute for Prevention and Occupational Medicine · DEGerman Cancer Research Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There exist relatively sparse and conflicting data on high-level microsatellite instability (MSI-H) and deficient mismatch repair (dMMR) in cutaneous malignancies. We aimed to determine the expression profiles of MMR proteins (MSH2, MSH6, MLH1, and PMS2) in different progression stages of cutaneous squamous cell carcinoma (cSCC, 102 patients in total) by immunohistochemistry, and search for MSI-H in patients with low-level MMR or dMMR using multiplex-PCR. Low-level MMR protein expression was observed in five patients: One patient with primary cSCC < 2 mm thickness and low-level MLH1, three patients with primary cSCC > 6 mm (including one with low-level MSH2, as well as MSH6 expression, and two with low-level PMS2), and one patient with a cSCC metastasis showing low-level MSH2 as well as MSH6. Intergroup protein expression analysis revealed that MLH1 and MSH2 expression in actinic keratosis was significantly decreased when compared to Bowen's disease, cSCC < 2 mm, cSCC > 6 mm, and cSCC metastasis. In cases with low-level MMR, we performed MSI-H tests revealing three cases with MSI-H and one with low-level MSI-L. We found low-level MMR expression in a small subset of patients with invasive or metastatic cSCC. Hence, loss of MMR expression may be associated with tumour progression in a small subgroup of patients with non-melanoma skin cancer.

Indexed as

Carcinoma, Squamous CellSkin NeoplasmsDNA-Binding ProteinsDNA Mismatch RepairHumansMicrosatellite InstabilityMismatch Repair Endonuclease PMS2MutL Protein Homolog 1MutS Homolog 2 ProteinDNA-Binding ProteinsMismatch Repair Endonuclease PMS2MutL Protein Homolog 1MutS Homolog 2 Proteinactinic keratosiscutaneous squamous cell carcinomamicrosatellite instabilitymismatch repair deficiencynon-melanoma skin cancer

Identifiers

PMID34590599
PMCPMC8482142
OpenAlexW3198608329

What OpenQuestion holds

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LicenceCC BY
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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.