Evidence map›Paper›PMID 24037524›Full record

ArticleOncogene2014

ASCL1 and RET expression defines a clinically relevant subgroup of lung adenocarcinoma characterized by neuroendocrine differentiation.

F Kosari, C M Ida, M-C Aubry, L Yang, I V Kovtun, J L S Klein, Y Li, S Erdogan, S C Tomaszek, S J Murphy and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Oncogene, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

34 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Distinct molecular subtypes of KRASClinical and translational medicine · 2025
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  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Targeting RET Kinase in Neuroendocrine Prostate Cancer.Molecular cancer research : MCR · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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

15 authors at 4 institutions in 1 country.

F KosariDepartment of Molecular Medicine, Mayo Clinic, Rochester, MN, USA.
C M IdaDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
M-C AubryDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
L YangDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
I V KovtunDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.
J L S KleinDepartment of Molecular Medicine, Mayo Clinic, Rochester, MN, USA.
Y LiDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
S ErdoganDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
S C TomaszekDepartment of Surgery and Advanced Genomic Technology Center, Mayo Clinic, Rochester, MN, USA.
S J MurphyDepartment of Molecular Medicine, Mayo Clinic, Rochester, MN, USA.
L C BoletteDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
C P KolbertAdvanced Genomic Technology Center, Mayo Clinic, Rochester, MN, USA.
P YangDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
D A WigleDepartment of Surgery and Advanced Genomic Technology Center, Mayo Clinic, Rochester, MN, USA.
G VasmatzisDepartment of Molecular Medicine, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USAdvanced Genomic Technology (United States) · USMayo Clinic in Florida · USMayo Clinic · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
NCI NIH HHS P30 CA015083
6 · The paper itself

Abstract

ASCL1 is an important regulatory transcription factor in pulmonary neuroendocrine (NE) cell development, but its value as a biomarker of NE differentiation in lung adenocarcinoma (AD) and as a potential prognostic biomarker remains unclear. We examined ASCL1 expression in lung cancer samples of varied histologic subtype, clinical outcome and smoking status and compared with expression of traditional NE markers. ASCL1 mRNA expression was found almost exclusively in smokers with AD, in contrast to non-smokers and other lung cancer subtypes. ASCL1 protein expression by immunohistochemical (IHC) analysis correlated best with synaptophysin compared with chromogranin and CD56/NCAM. Analysis of a compendium of 367 microarray-based gene expression profiles in stage I lung adenocarcinomas identified significantly higher expression levels of the RET oncogene in ASCL1-positive tumors (ASCL1(+)) compared with ASCL1(-) tumors (q-value <10(-9)). High levels of RET expression in ASCL1(+) but not in ASCL1(-) tumors was associated with significantly shorter overall survival (OS) in stage 1 (P=0.007) and in all AD (P=0.037). RET protein expression by IHC had an association with OS in the context of ASCL1 expression. In silico gene set analysis and in vitro experiments by ASCL1 shRNA in AD cells with high endogenous expression of ASCL1 and RET implicated ASCL1 as a potential upstream regulator of the RET oncogene. Also, silencing ASCL1 in AD cells markedly reduced cell growth and motility. These results suggest that ASCL1 and RET expression defines a clinically relevant subgroup of ∼10% of AD characterized by NE differentiation.

Indexed as

Gene ExpressionAdenocarcinomaAdenocarcinoma of LungBasic Helix-Loop-Helix ProteinsBiomarkersCarcinoma, Squamous CellCell ProliferationCluster AnalysisFollow-Up StudiesGene Expression ProfilingGene Knockdown TechniquesHumansImmunohistochemistryLung NeoplasmsNeoplasm StagingNeuroendocrine CellsASCL1 protein, humanBasic Helix-Loop-Helix ProteinsBiomarkersProto-Oncogene Proteins c-retRNA, Messenger

Identifiers

PMID24037524
PMCPMC4329973
OpenAlexW1994125368

What OpenQuestion holds

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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.