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Article Synopsis
  • The study investigated the effectiveness of using two immunohistochemical markers (PMS2 and MSH6) as a replacement for four markers (MLH1, PMS2, MSH2, MSH6) in detecting mismatch repair deficient (dMMR) cancers across nearly 8,000 cases.
  • The results indicated high consistency between the two marker sets, with Cohen κ values ranging from 0.88 to 1.00, and overall sensitivity and specificity for 2-MMR at 99.6% and 100%, respectively.
  • The findings suggest that the more streamlined 2-MMR could effectively replace 4-MMR for dMMR screening due to its high reliability, with only a minuscule
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A Narrative Review of Molecular, Immunohistochemical and In-Situ Techniques in Dermatopathology.

Br J Biomed Sci

January 2025

St. John's Dermatopathology Laboratory, Synnovis Analytics, St. Thomas' Hospital, London, United Kingdom.

Article Synopsis
  • Skin disorders are a major global health issue, affecting millions and requiring improved understanding and treatment approaches.
  • Recent advancements in molecular techniques, like PCR and next-generation sequencing, have enhanced our ability to diagnose and treat these disorders accurately and effectively.
  • These technologies allow for precise identification of infectious agents, genetic mutations, and gene expression patterns, leading to personalized therapies and better management of conditions like skin cancer and infections.
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Ehrlichia sp. in dairy cattle from Bahia, Brazil: high seropositivity rates and molecular confirmation of Ehrlichia minasensis.

BMC Vet Res

December 2024

Departamento de Anatomia, Patologia e Clínicas Veterinárias, Universidade Federal da Bahia, Escola de Medicina Veterinária e Zootecnia, Av. Milton Santos 500, Salvador, Bahia, CEP 40170-110, Brazil.

Background: Ehrlichia spp. are obligate intracytoplasmic Gram-negative tickborne bacteria from the Anaplasmataceae family. Ehrlichiosis is considered an emerging disease in humans and animals.

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Impairment of DNA mismatch repair function in neoplasms can be assessed by DNA-based methods to assess for high microsatellite instability (MSI-High) or immunohistochemical (IHC) analysis to assess for deficiency of mismatch repair proteins (dMMR). Neoplasms with mismatch repair deficiency often have high tumor mutational burden (TMB-High). MSI-High, dMMR, and TMB-High are all histology agnostic biomarkers for potential therapy using immune checkpoint inhibitors (ICI).

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Article Synopsis
  • PD-1 inhibition shows effectiveness in treating patients with mismatch repair deficient (dMMR) solid tumors; however, routine testing for dMMR using immunohistochemistry (IHC) is not common across different tumor types.
  • A study involving over 15,000 solid tumor patients demonstrated that next-generation sequencing (NGS) can help identify mutations in MMR genes, revealing a correlation with IHC results in those tested.
  • The findings indicate that patients with MMR mutations showed a significant rate of dMMR, highlighting the potential benefits of employing IHC testing on patients with identified MMR mutations to optimize treatment options.
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