Evidence map›Paper›PMID 35457245›Full record

ArticleInternational journal of molecular sciences2022

Heterogeneity of Mismatch Repair Status and Microsatellite Instability between Primary Tumour and Metastasis and Its Implications for Immunotherapy in Colorectal Cancers.

Camille Evrard, Stéphane Messina, David Sefrioui, Éric Frouin, Marie-Luce Auriault, Romain Chautard, Aziz Zaanan, Marion Jaffrelot, Christelle De La Fouchardière, Thomas Aparicio and 12 more

Abstract readMulticenter Study
In one paragraph

Article in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. 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

22 authors.

Camille EvrardMedical Oncology Department, Poitiers University Hospital, 86000 Poitiers, France.
Stéphane MessinaHepato-Gastroenterology Department, Poitiers University Hospital, 86000 Poitiers, France.
David SefriouiUNIROUEN, Inserm 1245, Group IRON, Normandie University, Gastroenterology Department, Rouen University Hospital, 76000 Rouen, France.
Éric FrouinPoitiers University Hospital, 86000 Poitiers, France.
Marie-Luce AuriaultDepartment of Pathology, La Rochelle Hospital, 17000 La Rochelle, France.
Romain ChautardGastroenterology and Digestive Oncology Department, Tours University Hospital, 37000 Tours, France.ORCID 0000-0001-6030-5621
Aziz ZaananGastroenterology and Digestive Oncology Department, Georges Pompidou European Hospital, Assistance Publique des Hôpitaux de Paris (APHP), 75015 Paris, France.
Marion JaffrelotGastroenterology Department, Toulouse Rangueil University Hospital, 31000 Toulouse, France.
Christelle De La FouchardièreMedical Oncology Department, Centre Léon Bérard, 69000 Lyon, France.ORCID 0000-0003-2291-5693
Thomas AparicioGastroenterology and Digestive Oncology Department, Saint Louis Hospital, Assistance Publique des Hôpitaux de Paris (APHP), 75012 Paris, France.ORCID 0000-0001-8834-6927
Romain CoriatGastroenterology and Digestive Oncology Department, Cochin Hospital, Assistance Publique des Hôpitaux de Paris (APHP), 75012 Paris, France.ORCID 0000-0003-4420-8340
Julie GodetDepartment of Pathology, Poitiers University Hospital, 86000 Poitiers, France.
Christine SilvainHepato-Gastroenterology Department, Poitiers University Hospital, 86000 Poitiers, France.
Violaine RandrianHepato-Gastroenterology Department, Poitiers University Hospital, 86000 Poitiers, France.ORCID 0000-0002-0155-1766
Jean-Christophe SabourinDepartment of Pathology, INSERM U1245, Rouen University Hospital, 76000 Rouen, France.ORCID 0000-0001-5490-066X
Rosine GuimbaudGastroenterology Department, Toulouse Rangueil University Hospital, 31000 Toulouse, France.
Elodie Miquelestorena-StandleyDepartment of Pathology, Tours University Hospital, 37000 Tours, France.
Thierry LecomteGastroenterology and Digestive Oncology Department, Tours University Hospital, 37000 Tours, France.
Valérie MoulinMedical Oncology Department, La Rochelle Hospital, 17000 La Rochelle, France.
Lucie Karayan-TaponPoitiers University Hospital, 86000 Poitiers, France.
Gaëlle TachonPoitiers University Hospital, 86000 Poitiers, France.
David TougeronHepato-Gastroenterology Department, Poitiers University Hospital, 86000 Poitiers, France.ORCID 0000-0002-8065-9635

Funding

Ligue Contre le Cancer noneSport et Collection none
6 · The paper itself

Abstract

Deficient mismatch repair system (dMMR)/microsatellite instability (MSI) is found in about 5% of metastatic colorectal cancers (mCRCs) with a major therapeutic impact for immune checkpoint inhibitor (ICI) use. We conducted a multicentre study including all consecutive patients with a dMMR/MSI mCRC. MSI status was determined using the Pentaplex panel and expression of the four MMR proteins was evaluated by immunohistochemistry (IHC). The primary endpoint was the rate of discordance of dMMR/MSI status between primary tumours and paired metastases. We included 99 patients with a dMMR/MSI primary CRC and 117 paired metastases. Only four discrepancies (3.4%) with a dMMR/MSI primary CRC and a pMMR/MSS metastasis were initially identified and reviewed by expert pathologists and molecular biologists. Two cases were false discrepancies due to human or technical errors. One discordant case could not be confirmed due to the low level of tumour cells. The last case had a confirmed discrepancy with a dMMR/MSI primary CRC and a pMMR/MSS peritoneal metastasis. Our study demonstrated a high concordance rate of dMMR/MSI status between primary CRCs and their metastases. The analysis of one sample, either from the primary tumour or metastasis, with consistent dMMR and MSI status seems to be sufficient prior to treatment with ICI.

Indexed as

Colorectal NeoplasmsMicrosatellite InstabilityDNA Mismatch RepairHumansImmunohistochemistryImmunotherapycolorectal cancerdeficient mismatch repairimmunohistochemistryinter-tumoral heterogeneitymicrosatellite instability

Identifiers

PMID35457245
PMCPMC9032866

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.