Peer Review History

Original SubmissionOctober 6, 2020
Decision Letter - Sumitra Deb, Editor

PONE-D-20-31424

DACH1 mutation frequency in endometrial cancer is associated with high tumor mutation burden

PLOS ONE

Dear Dr. Kolesar,

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Kind regards,

Sumitra Deb, PhD

Academic Editor

PLOS ONE

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Partly

Reviewer #2: Yes

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

**********

3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: No

Reviewer #2: Yes

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4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

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5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: The title of this paper is DACH1 mutation frequency in endometrial cancer is associated with high tumor mutation burden. Based on that title a couple required elements are missing and pieces are out of place. Endometrial cancer, immediately thinking subsets (see major point 4). These subsets are somewhat addressed in table 6 (and are a confounder of table 3) but need to be flushed out in more detail and much earlier in the manuscript. The TCGA has MSI information in the unrestricted access clinical tables so this comparison is doable. It's possible DACH1 doesn't fit into neatly into those subsets and that could justify all the pathway analysis but right now I wonder why the pathway analysis is there. I'd like to see a much deeper dive into analyses that support the title of the paper (e.g. the mutations in DACH1 or TMB by DACH1 status and also analyzed within subgroups). What's reported is technically correct but it lacks a greater context.

Major points:

1) Data availability, the authors should state what data is available in addition to the current statements about what data is not available.

2) The bioinformatics method section only describes in very general terms the RNAseq methodology. Is Figure 1 copied from a brochure? Ideally would describe with references and version numbers. False discovery rate method for Figure 3 should be described here as well. Considering most of the figures are bioinformatics analyses, this section needs to be strengthened significantly.

3) Table 2 is screaming for comparison of MSS to MSI-H, ah there it is in Table 6.

4) In comparing to TCGA there needs to be some description or normalization of cohorts. What fraction of each cohort is POLE, MSI-H, and other (copy number high vs low can be a judgement call so lets ignore it). Then what fraction of POLE, MSI-H and other is DACH1 mutated. This flaw permeates the manuscript and especially figure 8 since the TMB covariate is not controlled for.

5) There are few enough DACH1 mutations that they should all be listed with protein effects. Are these nonsense alterations? Splicing? Silent? Are the amino acid changes consistent with loss of function (e.g. charge switch)?

Minor points:

1) Line 194: p = 0.053 is approaching significance. Saying it is marginally significant makes me think the p value is 0.04999.

2) Figure 2 would look better as a lollipop plot. If the data is formatted properly, cBioportal will make one for you.

3) Figure 3 would benefit from labeling some of the genes called out in the text.

4) Figures 4, 5, 6 have copyright QIAGEN all rights reserved on them. Are the authors allowed to publish these plots in PLOS ONE?

Reviewer #2: The authors have done a thorough job of doing all the relevant data analysis and the manuscript has also been well written. I have no additional comments on the paper and I recommend that the manuscript be accepted.

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6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: No

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Revision 1

Reviewer #1: The title of this paper is DACH1 mutation frequency in endometrial cancer is associated with high tumor mutation burden. Based on that title a couple required elements are missing and pieces are out of place. Endometrial cancer, immediately thinking subsets (see major point 4). These subsets are somewhat addressed in table 6 (and are a confounder of table 3) but need to be flushed out in more detail and much earlier in the manuscript. The TCGA has MSI information in the unrestricted access clinical tables so this comparison is doable. It's possible DACH1 doesn't fit into neatly into those subsets and that could justify all the pathway analysis but right now I wonder why the pathway analysis is there. I'd like to see a much deeper dive into analyses that support the title of the paper (e.g. the mutations in DACH1 or TMB by DACH1 status and also analyzed within subgroups). What's reported is technically correct but it lacks a greater context.

This was included as requested.

Major points:

1) Data availability, the authors should state what data is available in addition to the current statements about what data is not available.

This has been addressed above. Data must be requested through the Kentucky Cancer Registry as described as they are the third party honest broker due to the sensitivity and legal implications of using such data.

2) The bioinformatics method section only describes in very general terms the RNAseq methodology. Is Figure 1 copied from a brochure? Ideally would describe with references and version numbers. False discovery rate method for Figure 3 should be described here as well. Considering most of the figures are bioinformatics analyses, this section needs to be strengthened significantly.

Figure 1 is not copied from a brochure but is provided by M2Gen to depict their bioinformatics pipeline with additional details described in supplemental appendix 1.

3) Table 2 is screaming for comparison of MSS to MSI-H, ah there it is in Table 6.

This has been added as requested.

4) In comparing to TCGA there needs to be some description or normalization of cohorts. What fraction of each cohort is POLE, MSI-H, and other (copy number high vs low can be a judgement call so lets ignore it). Then what fraction of POLE, MSI-H and other is DACH1 mutated. This flaw permeates the manuscript and especially figure 8 since the TMB covariate is not controlled for.

Table 2b was added to address these concerns. Table 3 was updated to reflect and allow for normalization of the cohorts.

5) There are few enough DACH1 mutations that they should all be listed with protein effects. Are these nonsense alterations? Splicing? Silent? Are the amino acid changes consistent with loss of function (e.g. charge switch)?

This has been added as an additional table.

Minor points:

1) Line 194: p = 0.053 is approaching significance. Saying it is marginally significant makes me think the p value is 0.04999.

This is reworded to further clarify.

2) Figure 2 would look better as a lollipop plot. If the data is formatted properly, cBioportal will make one for you.

This has been changed to a lollipop plot as requested.

3) Figure 3 would benefit from labeling some of the genes called out in the text.

This has been updated to include the genes called out in the text as requested.

4) Figures 4, 5, 6 have copyright QIAGEN all rights reserved on them. Are the authors allowed to publish these plots in PLOS ONE?

The QIAGEN software was published by our department, allowing us the rights to publish the plots of our data using their software.

Reviewer #2: The authors have done a thorough job of doing all the relevant data analysis and the manuscript has also been well written. I have no additional comments on the paper and I recommend that the manuscript be accepted.

No additional requests noted from Reviewer #2.

________________________________________

6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: No

Attachments
Attachment
Submitted filename: Response to Reviewers.docx
Decision Letter - Sumitra Deb, Editor

DACH1 mutation frequency in endometrial cancer is associated with high tumor mutation burden

PONE-D-20-31424R1

Dear Dr. Kolesar,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org.

If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Sumitra Deb, PhD

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: (No Response)

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2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: All comments have been addressed and the data sharing is a satisfactory balance between access and patient privacy.

One minor comment: Line 286, Hochberg is spelled with an 'h'

**********

7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Formally Accepted
Acceptance Letter - Sumitra Deb, Editor

PONE-D-20-31424R1

DACH1 mutation frequency in endometrial cancer is associated with high tumor mutation burden

Dear Dr. Kolesar:

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department.

If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org.

If we can help with anything else, please email us at plosone@plos.org.

Thank you for submitting your work to PLOS ONE and supporting open access.

Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Dr. Sumitra Deb

Academic Editor

PLOS ONE

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