Evidence map›Paper›PMID 34945805›Full record

ReviewJournal of personalized medicine2021

Defects in MMR Genes as a Seminal Example of Personalized Medicine: From Diagnosis to Therapy.

Arianna Dal Buono, Federica Gaiani, Laura Poliani, Carmen Correale, Luigi Laghi

Abstract readReview
In one paragraph

Review in Journal of personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Association ofGut microbiome (Cambridge, England) · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
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

5 authors.

Arianna Dal BuonoDivision of Gastroenterology, Department of Gastroenterology, Humanitas Research Hospital-IRCCS, 20089 Rozzano, Italy.ORCID 0000-0002-8543-4355
Federica GaianiDepartment of Medicine and Surgery, University of Parma, 43121 Parma, Italy.ORCID 0000-0001-9615-0086
Laura PolianiDivision of Gastroenterology, Department of Gastroenterology, Humanitas Research Hospital-IRCCS, 20089 Rozzano, Italy.
Carmen CorrealeDivision of Gastroenterology, Department of Gastroenterology, Humanitas Research Hospital-IRCCS, 20089 Rozzano, Italy.
Luigi LaghiDepartment of Medicine and Surgery, University of Parma, 43121 Parma, Italy.ORCID 0000-0003-4187-1059

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Microsatellite instability (MSI) is the landmark feature of DNA mismatch repair deficiency, which can be found in 15-20% of all colorectal cancers (CRC). This specific set of tumors has been initially perceived as a niche for geneticists or gastroenterologists focused on inherited predispositions. However, over the years, MSI has established itself as a key biomarker for the diagnosis, then extending to forecasting the disease behavior and prognostication, including the prediction of responsiveness to immunotherapy and eventually to kinase inhibitors, and possibly even to specific biological drugs. Thanks to the contribution of the characterization of MSI tumors, researchers have first acknowledged that a strong lymphocytic reaction is associated with a good prognosis. This understanding supported the prognostic implications in terms of the low metastatic potential of MSI-CRC and has led to modifications in the indications for adjuvant treatment. Furthermore, with the emergence of immunotherapy, this strong biomarker of responsiveness has exemplified the capability of re-activating an effective immune control by removing the brakes of immune evasion. Lately, a subset of MSI-CRC emerged as the ideal target for kinase inhibitors. This therapeutic scenario implies a paradox in which appropriate treatments for advanced disease are effective in a set of tumors that seldom evolve towards metastases.

Indexed as

colorectal cancerimmunotherapymicrosatellite instabilitytargeted therapy

Identifiers

PMID34945805
PMCPMC8707096

What OpenQuestion holds

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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.