Evidence map›Paper›PMID 18488160›Full record

ArticleMedical oncology (Northwood, London, England)2008

Molecular analysis of secondary kinase mutations in imatinib-resistant gastrointestinal stromal tumors.

Ken-Hong Lim, Ming-Jer Huang, Li-Tzong Chen, Tsang-En Wang, Chien-Liang Liu, Cheng-Shyong Chang, Mei-Chin Liu, Reuy-Kuen Hsieh, Chin-Yuan Tzen

Abstract read
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In one paragraph

Article in Medical oncology (Northwood, London, England), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 47 citations in OpenAlex.

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  11. Polyclonal SecondaryCancer discovery · 2017
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  16. Targeted therapy for cancer: the gastrointestinal stromal tumor model.Surgical oncology clinics of North America · 2013
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Ken-Hong LimDivision of Hematology and Oncology, Mackay Memorial Hospital, 92, Section 2, Chungshan North Road, Taipei 10449, Taiwan.
Ming-Jer Huang
Li-Tzong Chen
Tsang-En Wang
Chien-Liang Liu
Cheng-Shyong Chang
Mei-Chin Liu
Reuy-Kuen Hsieh
Chin-Yuan Tzen
Mackay Memorial Hospital · TWChanghua Christian Hospital · TWKoo Foundation Sun Yat-Sen Cancer Center · TWMackay Junior College of Medicine, Nursing and Management · TWNational Health Research Institutes · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most gastrointestinal stromal tumors (GISTs) are associated with activating kinase mutation in KIT or platelet-derived growth factor receptor alpha (PDGFRA) gene, and imatinib has revolutionized the care of advanced GISTs. However, most patients gradually developed resistance to imatinib. We intend to identify the secondary kinase mutations in imatinib-resistant GISTs and to study the relationship between secondary kinase mutations and the clinical response to imatinib. Twelve advanced GIST patients, who have developed resistance to imatinib were included in this study. Paraffin-embedded pretreatment GIST specimens and progression lesions of the tumors after resistance to imatinib were analyzed for kinase mutations in exons 9, 11, 13, and 17 of KIT gene and exons of 10, 12, 14, and 18 of PDGFRA gene. Primary KIT mutations have been found in all but one of the primary tumors including one case harboring de novo double KIT exon 11 mutations. Secondary kinase mutations in KIT and PDGFRA were found in seven and 1 of 12 patients, respectively. Two patients harbored more than one secondary KIT mutations in different progression sites, and there are four types of clonal or polyclonal evolution being observed. The secondary PDGFRA exon 14 mutation H687Y is a novel mutation that has never been reported before. Acquired secondary kinase mutations are the most important cause of secondary imatinib resistance in advanced GISTs. The identification of secondary kinase mutations is important in the development of new therapeutic strategies.

Indexed as

MutationAgedAged, 80 and overAntineoplastic AgentsBenzamidesDrug Resistance, NeoplasmFemaleGastrointestinal Stromal TumorsHumansImatinib MesylateMaleMiddle AgedPiperazinesProtein Kinase InhibitorsProto-Oncogene Proteins c-kitPyrimidinesAntineoplastic AgentsBenzamidesImatinib MesylatePiperazinesProtein Kinase InhibitorsProto-Oncogene Proteins c-kitPyrimidinesReceptor, Platelet-Derived Growth Factor alpha

Identifiers

PMID18488160
OpenAlexW1991891583

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.