A comprehensive analysis of POLE/POLD1 genomic alterations in colorectal cancer.
Osama MosalemTucker W CostonRobin ImperialElizabeth MauerChristopher ThompsonBinyam YilmaTanios S Bekaii-SaabMelissa Conrad StopplerJason S StarrPublished in: The oncologist (2024)
Patients with POLE/POLD1 mutations exhibited significant differences across immunological markers (ie, TMB, MMR, and MSI-H) and molecular co-alterations. Those with short variant mutations represented 18% of the POLE/POLD1 cohort and 0.4% of the total cohort examined. This group of patients had a median TMB of 159 mut/Mb (range 34-488), representing the ultra-hypermutated phenotype. This group of patients is important to identify given the potential for exceptional response to immune checkpoint inhibitors.