Evidence map›Paper›PMID 40626667›Full record

ReviewPathologica2025

Lights and shadows of microsatellite status characterization in gastrointestinal cancers in the era of cancer precision therapy.

Jessica Gasparello, Vittoria Matilde Piva, Valentina Angerilli, Carlotta Ceccon, Marianna Sabbadin, Claudio Luchini, Paola Parente, Luisa Toffolatti, Federica Grillo, Francesca Bergamo and 3 more

Abstract readReview
In one paragraph

Review in Pathologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

13 authors.

Jessica GasparelloDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Vittoria Matilde PivaDepartment of Oncology Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy.
Valentina AngerilliDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Carlotta CecconDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Marianna SabbadinDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Claudio LuchiniDepartment of Diagnostics and Public Health, Section of Pathology, University and Hospital Trust of Verona, Verona, Italy.
Paola ParenteUnit of Pathology, Fondazione IRCCS Ospedale Casa Sollievo Della Sofferenza, San Giovanni Rotondo, Foggia, Italy.
Luisa ToffolattiSurgical Pathology Unit, ULSS2 Marca Trevigiana, Treviso, Italy.
Federica GrilloPathology Unit, Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa and IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Francesca BergamoDepartment of Oncology Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy.
Umberto MalapelleDepartment of Public Health, University of Naples Federico II, Napoli, Italy.
Sara LonardiDepartment of Oncology Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy.
Matteo FassanDepartment of Medicine (DIMED), University of Padua, Padua, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The introduction of immunotherapy has dramatically changed the paradigm of solid tumor treatment with the creation of novel therapeutic opportunities even for tumors that currently lack valid therapeutic options in the advanced or metastatic setting. Initially, the role of deficient mismatch repair status (dMMR)/microsatellite instability (MSI) as a predictive biomarker was confined to colorectal cancer. In 2017, MSI/dMMR became the first true agnostic biomarker to stratify patient response to immune checkpoint inhibitors. MSI/dMMR evaluation is a crucial point in diagnostic-therapeutic decision-making for most gastrointestinal cancer patients and the pathologist must be responsible for the delivery of reliable reporting in this setting. The aim of this review is to summarize the current methods available in routine diagnostics for the evaluation of MSI/dMMR status, their limitations, and potential pitfalls that can be encountered. The authors also give an overview of the role of MSI/dMMR as a prognostic and predictive biomarker in gastrointestinal cancers, with a focus on non-colorectal malignancies.

Indexed as

Biomarkers, TumorGastrointestinal NeoplasmsMicrosatellite InstabilityPrecision MedicineDNA Mismatch RepairHumansImmunotherapyPrognosisBiomarkers, Tumorgastrointestinal cancermicrosatellitemicrosatellite instabilitymismatch repair

Identifiers

PMID40626667
PMCPMC12236133

What OpenQuestion holds

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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.