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BIOMARKER:

MSI-H/dMMR

i
Other names: MSI-H, Microsatellite instability - high, dMMR
Related biomarkers:
Related tests:
17h
A Study of MSK-TCR5 in People With Solid Tumor Cancers (clinicaltrials.gov)
P1, N=16, Recruiting, Memorial Sloan Kettering Cancer Center
New P1 trial
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EGFR (Epidermal growth factor receptor) • HER-2 (Human epidermal growth factor receptor 2) • PD-L1 (Programmed death ligand 1) • BRAF (B-raf proto-oncogene) • ALK (Anaplastic lymphoma kinase) • MSI (Microsatellite instability)
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PD-L1 expression • BRAF V600E • EGFR mutation • MSI-H/dMMR • HER-2 amplification • BRAF V600 • HER-2 expression • ALK rearrangement • RAS mutation • ROS1 rearrangement
20h
Integrative Proteogenomic Characterization of Left-Sided and Right-Sided Colorectal Cancer. (PubMed, MedComm (2020))
Additionally, the proportion of deficient mismatch repair that developed into microsatellite instability-high was observed to be lower in the left-sided CRC compared to the right-sided, indicating divergent DNA damage repair systems between laterality subtypes that contribute to differential immunotherapy efficacy. This integrated proteogenomic study provides a comprehensive and nuanced understanding of the molecular heterogeneity between left- and right-sided CRC, offering opportunities for optimizing these patients' treatment outcomes through tailored therapeutic strategies.
Journal
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MSI (Microsatellite instability)
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MSI-H/dMMR
2d
New P2 trial
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ER (Estrogen receptor)
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MSI-H/dMMR
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everolimus • Orserdu (elacestrant)
3d
Integrated Molecular and Clinical Analysis of Thymic Epithelial Tumors. (PubMed, JCO Precis Oncol)
Integrated profiling of TETs reveals distinct genomic, transcriptomic, and immune features across subtypes of TETs and identifies potentially actionable therapeutic targets that may inform future treatment strategies.
Journal • Tumor mutational burden • MSi-H Biomarker • PD(L)-1 Biomarker • IO biomarker
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EGFR (Epidermal growth factor receptor) • HER-2 (Human epidermal growth factor receptor 2) • PD-L1 (Programmed death ligand 1) • TP53 (Tumor protein P53) • TMB (Tumor Mutational Burden) • MSI (Microsatellite instability) • CDKN2A (Cyclin Dependent Kinase Inhibitor 2A) • ERBB3 (V-erb-b2 avian erythroblastic leukemia viral oncogene homolog 3) • MTAP (Methylthioadenosine Phosphorylase) • MSLN (Mesothelin) • CDKN2B (Cyclin Dependent Kinase Inhibitor 2B) • NECTIN4 (Nectin Cell Adhesion Molecule 4) • TACSTD2 (Tumor Associated Calcium Signal Transducer 2)
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PD-L1 expression • TP53 mutation • TMB-H • MSI-H/dMMR • PD-L1 overexpression • HER-2 overexpression • EGFR expression • TMB-L • CDKN2A deletion
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MI Tumor Seek™
3d
New P2 trial
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HER-2 (Human epidermal growth factor receptor 2) • BRAF (B-raf proto-oncogene) • MSI (Microsatellite instability)
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HER-2 positive • MSI-H/dMMR • BRAF mutation • BRAF wild-type
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Ziihera (zanidatamab-hrii)
4d
Microsatellite status and minimal microsatellite shift in atypical endometrial hyperplasia and endometrial cancer: an analysis of 848 cases (PubMed, Zhonghua Bing Li Xue Za Zhi)
Minimal microsatellite shift is commonly detected in MSI-H cases, and some cases are difficult to interpret due to their classification within the equivocal range. Increasing the number of microsatellite loci, combined with visualization graph comparison and integration of mismatch repair protein immunophenotype and histological features, can effectively improve the accuracy of MSI-H interpretation.
Journal • MSi-H Biomarker
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MSI (Microsatellite instability) • POLE (DNA Polymerase Epsilon) • MLH1 (MutL homolog 1) • MSH6 (MutS homolog 6) • PMS2 (PMS1 protein homolog 2)
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MSI-H/dMMR • POLE mutation
6d
Immunotherapy rechallenge in gastric cancer: resistance mechanisms, molecular stratification, and precision decision-making. (PubMed, Front Immunol)
ICI rechallenge in GC should be regarded as a biomarker-informed investigational strategy rather than a standard of care. Prospective trials, standardized definitions, validated biomarkers, and careful toxicity monitoring are needed.
Review • Journal • MSi-H Biomarker • IO biomarker
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MSI (Microsatellite instability) • LAG3 (Lymphocyte Activating 3) • HAVCR2 (Hepatitis A Virus Cellular Receptor 2) • TIGIT (T Cell Immunoreceptor With Ig And ITIM Domains 2)
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MSI-H/dMMR
6d
Young onset rectal cancer (YORC): a descriptive tertiary center analysis. (PubMed, Eur J Surg Oncol)
YORC presents more often with symptoms and advanced disease (M+, N+, EMVI+), yet short-term survival in non-metastatic patients tended to parallel that of older individuals. These findings underscore the need for earlier diagnosis, tailored management, and increased clinical awareness.
Journal
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MSI (Microsatellite instability)
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MSI-H/dMMR
6d
Personalized pharmacotherapy of colorectal cancer (PubMed, Inn Med (Heidelb))
Colorectal cancer treatment is increasingly evolving into a precision oncology approach. Integration of molecular biomarkers enables tailored therapy decisions and opens new options, particularly in adjuvant and metastatic settings.
Review • Journal • MSi-H Biomarker • IO biomarker
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HER-2 (Human epidermal growth factor receptor 2) • BRAF (B-raf proto-oncogene) • MSI (Microsatellite instability)
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BRAF V600E • MSI-H/dMMR • BRAF V600
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aspirin
6d
Absence of co-occurrence between HER2 amplification and dMMR/MSI in a large multicentric colorectal cancer cohort. (PubMed, Sci Rep)
BRAF and RAS mutation occurred in 60% and 14% of the patients with available molecular data, respectively. No patients harbored HER2 amplification, suggesting that the co-occurrence of HER2 amplification and dMMR/MSI is essentially anecdotal, making therefore HER2 testing in this subgroup less compelling.
Journal • dMMR
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HER-2 (Human epidermal growth factor receptor 2) • BRAF (B-raf proto-oncogene) • MSI (Microsatellite instability) • RAS (Rat Sarcoma Virus)
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MSI-H/dMMR • BRAF mutation • HER-2 amplification • RAS mutation
6d
A Study to Learn About the Study Medicine Called PF-07799933 in People With Advanced Solid Tumors With BRAF Alterations. (clinicaltrials.gov)
P1, N=267, Recruiting, Pfizer | Trial completion date: Aug 2030 --> Oct 2029 | Trial primary completion date: Feb 2029 --> Apr 2028
Trial completion date • Trial primary completion date
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BRAF (B-raf proto-oncogene) • MSI (Microsatellite instability) • CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4)
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BRAF V600E • MSI-H/dMMR
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Erbitux (cetuximab) • 5-fluorouracil • Mektovi (binimetinib) • oxaliplatin • leucovorin calcium • claturafenib (PF-07799933) • midazolam hydrochloride
7d
Molecular subtypes and lymph-node metastasis in endometrial cancer: An updated systematic review and meta-analysis. (PubMed, Surg Oncol)
Molecular classification provides clinically meaningful information beyond traditional histopathologic factors and is closely associated with the risk of lymph-node metastasis in endometrial cancer. The consistently low nodal involvement observed in POLEmut and the high risk observed in p53abn support a more tailored approach to surgical staging.
Retrospective data • Review • Journal
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POLE (DNA Polymerase Epsilon)
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TP53 mutation • MSI-H/dMMR • POLE mutation