Evidence map›Paper›PMID 26993609›Full record

ArticleOncotarget2016

Concordance of anaplastic lymphoma kinase (ALK) gene rearrangements between circulating tumor cells and tumor in non-small cell lung cancer.

Chye Ling Tan, Tse Hui Lim, Tony Kh Lim, Daniel Shao-Weng Tan, Yong Wei Chua, Mei Kim Ang, Brendan Pang, Chwee Teck Lim, Angela Takano, Alvin Soon-Tiong Lim and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
9.7field-weighted citation impact, top 2% 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

46 citing papers in PubMed, 63 citations in OpenAlex.

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  7. Molecular Pathology of Lung Cancer.Cold Spring Harbor perspectives in medicine · 2022
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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

12 authors at 4 institutions in 1 country.

Chye Ling TanDepartment of Pathology, Singapore General Hospital, Singapore.
Tse Hui LimDepartment of Pathology, Singapore General Hospital, Singapore.
Tony Kh LimDepartment of Pathology, Singapore General Hospital, Singapore.
Daniel Shao-Weng TanDepartment of Medical Oncology, National Cancer Center Singapore, Singapore.
Yong Wei ChuaDepartment of Pathology, Singapore General Hospital, Singapore.
Mei Kim AngDepartment of Medical Oncology, National Cancer Center Singapore, Singapore.
Brendan PangDepartment of Molecular Oncology, National University Health System Singapore, Singapore.
Chwee Teck LimFaculty of Engineering, Department of Biomedical Engineering, National University of Singapore, Singapore.
Angela TakanoDepartment of Pathology, Singapore General Hospital, Singapore.
Alvin Soon-Tiong LimDepartment of Pathology, Singapore General Hospital, Singapore.
Man Chun LeongClearbridge Biomedics Pte Ltd., Singapore.
Wan-Teck LimDepartment of Medical Oncology, National Cancer Center Singapore, Singapore.
Singapore General Hospital · SGNational Cancer Centre Singapore · SGNational University Health System · SGNational University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anaplastic lymphoma kinase (ALK) gene rearrangement in non-small cell lung cancer (NSCLC) is routinely evaluated by fluorescent in-situ hybridization (FISH) testing on biopsy tissues. Testing can be challenging however, when suitable tissue samples are unavailable. We examined the relevance of circulating tumor cells (CTC) as a surrogate for biopsy-based FISH testing. We assessed paired tumor and CTC samples from patients with ALK rearranged lung cancer (n = 14), ALK-negative lung cancer (n = 12), and healthy controls (n = 5) to derive discriminant CTC counts, and to compare ALK rearrangement patterns. Blood samples were enriched for CTCs to be used for ALK FISH testing. ALK-positive CTCs counts were higher in ALK-positive NSCLC patients (3-15 cells/1.88 mL of blood) compared with ALK-negative NSCLC patients and healthy donors (0-2 cells/1.88 mL of blood). The latter range was validated as the 'false positive' cutoff for ALK FISH testing of CTCs. ALK FISH signal patterns observed on tumor biopsies were recapitulated in CTCs in all cases. Sequential CTC counts in an index case of lung cancer with no evaluable tumor tissue treated with crizotinib showed six, three and eleven ALK-positive CTCs per 1.88 mL blood at baseline, partial response and post-progression time points, respectively. Furthermore, ALK FISH rearrangement suggestive of gene copy number increase was observed in CTCs following progression. Recapitulation of ALK rearrangement patterns in the tumor on CTCs, suggested that CTCs might be used to complement tissue-based ALK testing in NSCLC to guide ALK-targeted therapy when suitable tissue biopsy samples are unavailable for testing.

Indexed as

AdenocarcinomaAdultAgedAnaplastic Lymphoma KinaseBiomarkers, TumorCarcinoma, Non-Small-Cell LungFemaleFollow-Up StudiesGene RearrangementHumansIn Situ Hybridization, FluorescenceLung NeoplasmsMaleMiddle AgedNeoplastic Cells, CirculatingPrognosisALK protein, humanAnaplastic Lymphoma KinaseBiomarkers, TumorReceptor Protein-Tyrosine KinasesALK-gene rearrangementcirculating tumor cellsfluorescent in-situ hybridizationlung cancermolecular diagnosis

Identifiers

PMID26993609
PMCPMC5029624
OpenAlexW2346956862

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LicenceCC BY
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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.