Evidence map›Paper›PMID 39231944›Full record

ArticleNature communications2024

Large-scale analysis of whole genome sequencing data from formalin-fixed paraffin-embedded cancer specimens demonstrates preservation of clinical utility.

Shadi Basyuni, Laura Heskin, Andrea Degasperi, Daniella Black, Gene C C Koh, Lucia Chmelova, Giuseppe Rinaldi, Steven Bell, Louise Grybowicz, Greg Elgar and 13 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

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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

23 authors.

Shadi Basyuni *Department of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.
Laura Heskin *Department of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.ORCID 0000-0003-1918-6266
Andrea DegasperiDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.ORCID 0000-0001-6879-0596
Daniella BlackDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.
Gene C C KohDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.ORCID 0000-0002-3840-4954
Lucia ChmelovaDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.
Giuseppe RinaldiDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.ORCID 0000-0002-5650-6049
Steven BellPrecision Breast Cancer Institute, Department of Oncology, University of Cambridge, Cambridge, UK.ORCID 0000-0001-6774-3149
Louise GrybowiczCambridge Cancer Trials Centre, Department of Oncology, Cambridge University Hospitals, Cambridge, UK.
Greg ElgarGenomics England, One Canada Square, London, UK.ORCID 0000-0001-7323-1596
Yasin MemariDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.
Pauline RobbeDepartment of Oncology, University of Oxford, Oxford, UK.
Zoya KingsburyIllumina Cambridge, Ltd, Illumina Centre, Cambridge, UK.
Carlos CaldasCancer Research UK Cambridge Centre, University of Cambridge, Li Ka Shing Centre, Cambridge, UK.
Jean AbrahamPrecision Breast Cancer Institute, Department of Oncology, University of Cambridge, Cambridge, UK.ORCID 0000-0003-0688-4807
Anna SchuhDepartment of Oncology, University of Oxford, Oxford, UK.ORCID 0000-0002-3938-8490
Louise JonesBarts Cancer Institute, Queen Mary University of London, Charterhouse Square, London, UK.
PARTNER Trial Group
Personalised Breast Cancer Program Group
Marc TischkowitzDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.ORCID 0000-0002-7880-0628
Matthew A BrownDepartment of Oncology, University of Oxford, Oxford, UK.ORCID 0000-0003-0538-8211
Helen R DaviesDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.ORCID 0000-0001-6381-3664
Serena Nik-ZainalDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK. sn206@cam.ac.uk.ORCID 0000-0001-5054-1727

Funding

Cancer Research UK 23433Cancer Research UK 23916Wellcome Trust
6 · The paper itself

Abstract

Whole genome sequencing (WGS) provides comprehensive, individualised cancer genomic information. However, routine tumour biopsies are formalin-fixed and paraffin-embedded (FFPE), damaging DNA, historically limiting their use in WGS. Here we analyse FFPE cancer WGS datasets from England's 100,000 Genomes Project, comparing 578 FFPE samples with 11,014 fresh frozen (FF) samples across multiple tumour types. We use an approach that characterises rather than discards artefacts. We identify three artefactual signatures, including one known (SBS57) and two previously uncharacterised (SBS FFPE, ID FFPE), and develop an "FFPEImpact" score that quantifies sample artefacts. Despite inferior sequencing quality, FFPE-derived data identifies clinically-actionable variants, mutational signatures and permits algorithmic stratification. Matched FF/FFPE validation cohorts shows good concordance while acknowledging SBS, ID and copy-number artefacts. While FF-derived WGS data remains the gold standard, FFPE-samples can be used for WGS if required, using analytical advancements developed here, potentially democratising whole cancer genomics to many.

Indexed as

FormaldehydeNeoplasmsParaffin EmbeddingTissue FixationWhole Genome SequencingArtifactsGenome, HumanGenomicsHumansMutationFormaldehyde

Identifiers

PMID39231944
PMCPMC11374794

What OpenQuestion holds

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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.