Article
Phenotypic POLE Variant Classification Identifies Patients Who May Have Favorable Prognosis and Benefit from Immunotherapy.
The Journal of molecular diagnostics : JMD - 1 Mar 2026
Keller-Evans Rachel B, Fleischmann Zoe, Sivakumar Smruthy, Sharaf Radwa, Williams Erik A, Kaplan Benjamin, Sokol Ethan S, Schrock Alexa B, Tukachinsky Hanna, Mata Douglas A, Janovitz Tyler, Lin Douglas I, Zhong Lei, Lopez Lyle, Patel Nimesh R, Frampton Garrett M, Oxnard Geoffrey R, Elvin Julia A, Decker Brennan
Abstract excerpt
Pathogenic POLE mutations (pPOLE) undermine mismatch error correction by polymerase ε during DNA replication, and the resulting somatic ultramutation predicts response to immunotherapy. Beyond frequently recurrent alleles, historical pPOLE classification has been largely based on exonuclease domain localization. A POLE-specific phenotypic classification model was developed, encompassing tumor mutational burden...
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