Evidence map›Paper›PMID 34950838›Full record

ArticleJCO precision oncology2021

Positive Association Between Location of Melanoma, Ultraviolet Signature, Tumor Mutational Burden, and Response to Anti-PD-1 Therapy.

Léa Dousset, Florence Poizeau, Caroline Robert, Sandrine Mansard, Laurent Mortier, Charline Caumont, Émilie Routier, Alain Dupuy, Jacques Rouanet, Maxime Battistella and 18 more

Open access · hybridAbstract read
In one paragraph

Article in JCO precision oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 4% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. Article
  5. Benefit of immune checkpoint inhibitors as adjuvant treatment for acral melanomas.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Article
  6. Article
  7. Review
  8. MYC as a key target for melanoma therapy.Frontiers in cell and developmental biology · 2026
    Review
  9. Current Surgical Management for Acral Melanoma.Current treatment options in oncology · 2025
    Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. 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

28 authors at 9 institutions in 1 country.

Léa DoussetDepartment of Dermatology, University Hospital of Bordeaux, Bordeaux, France.ORCID 0000-0002-5332-5736
Florence PoizeauDepartment of Dermatology, Pontchaillou Hospital, CHU de Rennes, Rennes, France.ORCID 0000-0002-0754-361X
Caroline RobertInstitut de Cancérologie Gustave Roussy et Université Paris-Saclay, Villejuif, France.ORCID 0000-0002-9493-0238
Sandrine MansardDepartment of Medical Oncology, Estaing Hospital, Clermont-Ferrand, France.
Laurent MortierDepartment of Dermatology, CHU de Lille, Université de Lille, Lille, France.
Charline CaumontDepartment of Tumor Pathology and Tumor Bank, University Hospital of Bordeaux, France.ORCID 0000-0002-0352-5406
Émilie RoutierInstitut de Cancérologie Gustave Roussy et Université Paris-Saclay, Villejuif, France.
Alain DupuyDepartment of Dermatology, Pontchaillou Hospital, CHU de Rennes, Rennes, France.
Jacques RouanetDepartment of Medical Oncology, Estaing Hospital, Clermont-Ferrand, France.
Maxime BattistellaDepartment of Pathology, AP-HP, Saint-Louis University Hospital, Paris, France.ORCID 0000-0002-7053-7431
Anna GreliakDepartment of Dermatology, CHU de Lille, Université de Lille, Lille, France.
David CappellenDepartment of Tumor Pathology and Tumor Bank, University Hospital of Bordeaux, France.ORCID 0000-0002-9634-2595
Marie-Dominique GalibertHospital University of Rennes, Department of Molecular Genetics and Genomic, Rennes, France.ORCID 0000-0003-0095-742X
Clara AllayousUniversité de Paris, AP-HP Dermatology Department, INSERM U976, Saint-Louis Hospital, France.
Alexandra LespagnolHospital University of Rennes, Department of Molecular Genetics and Genomic, Rennes, France.ORCID 0000-0001-9411-0515
Émilie GerardDepartment of Dermatology, University Hospital of Bordeaux, Bordeaux, France.ORCID 0000-0003-1765-461X
Inès KerneuzetDepartment of Dermatology, Pontchaillou Hospital, CHU de Rennes, Rennes, France.
Séverine RoyInstitut de Cancérologie Gustave Roussy et Université Paris-Saclay, Villejuif, France.
Caroline DutriauxDepartment of Dermatology, University Hospital of Bordeaux, Bordeaux, France.
Jean-Philippe MerlioDepartment of Tumor Pathology and Tumor Bank, University Hospital of Bordeaux, France.ORCID 0000-0002-0305-0850
Beatrice VergierDepartment of Pathology, University Hospital of Bordeaux, Bordeaux, France.
Alexa B SchrockFoundation Medicine, Inc, Cambridge, MA.ORCID 0000-0003-0106-9096
Jessica LeeFoundation Medicine, Inc, Cambridge, MA.
Siraj M AliFoundation Medicine, Inc, Cambridge, MA.ORCID 0000-0001-7477-4023
Solène-Florence Kammerer-JacquetUniversité Rennes, Inserm, EHESP (Ecole des Hautes Etudes en Santé Publique), IRSET (Institut de recherche en santé, environnement et travail), UMR 1085, Rennes, France.
Céleste LebbéUniversité de Paris, AP-HP Dermatology Department, INSERM U976, Saint-Louis Hospital, France.ORCID 0000-0002-5854-7290
Marie Beylot-BarryDepartment of Dermatology, University Hospital of Bordeaux, Bordeaux, France.ORCID 0000-0001-6150-1229
Lise BoussemartDepartment of Dermatology, Pontchaillou Hospital, CHU de Rennes, Rennes, France.ORCID 0000-0002-6895-0139
Université de Bordeaux · FRInserm · FRCentre National de la Recherche Scientifique · FRFoundation Medicine (United States)Hôpital Pontchaillou · FRUniversité Paris-Saclay · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRUniversité de Lille · FRAssistance Publique – Hôpitaux de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging evidence suggests a correlation between the tumor mutational burden (TMB) and the response to programmed cell death-1 protein (PD-1) monotherapy across multiple cancer types. In skin cancers, as high TMB is mostly because of ultraviolet (UV) exposure, we hypothesized a correlation between the primary melanoma cutaneous location according to sun exposure and response to anti-PD-1 monotherapy.

methodsThe aim of this study was to analyze, in advanced melanoma, the relationship between TMB, locations according to sun exposure, and response to PD-1 inhibitors. We conducted a prospective multicentric analysis, by sequencing the most recent metastatic sample before PD-1 inhibitors using FoundationOne assay.

resultsOne hundred two patients were included, with TMB available for 94 cases. In univariate and multivariate linear regression, TMB was significantly associated with sun-exposed areas of the primary melanoma location and with age (coefficients of the association with log-TMB: non-UV location, -1.05; chronic sun-exposed area, 1.12;

conclusionCumulative sun exposure related to skin location and molecular UV signature present on the metastatic site appear to be relevant biomarkers directly linked to TMB. Because TMB is not yet available to all for routine clinical use, the location of the primary melanoma in a sun-exposed area may play an important role in clinical decisions regarding therapeutic choice.

Indexed as

B7-H1 AntigenMelanomaBiomarkers, TumorChild, PreschoolHumansInfant, NewbornMutationProspective StudiesB7-H1 AntigenBiomarkers, Tumor

Identifiers

PMID34950838
PMCPMC8691497
OpenAlexW4200479769

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.