A combination of multiple test platforms was used to determine the MSI or MMR status of the profiled samples, including fragment analysis (FA, Promega, Madison, WI), IHC (MLH1, M1 antibody; MSH2, G2191129 antibody; MSH6, 44 antibodies; and PMS2, EPR3947 antibody (Ventana Medical Systems, Inc., Tucson, AZ) and NGS (7000 target microsatellite loci were examined and compared to the reference genome hg19 from the University of California). The three platforms generated highly concordant results as previously reported41 (link) and in the rare cases of discordant results, the MSI or MMR status of the tumor was determined in the order of IHC, FA, and NGS.
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