Evidence map›Paper›PMID 27097112›Full record

ArticleOncotarget2016

Concomitant KIT/BRAF and PDGFRA/BRAF mutations are rare events in gastrointestinal stromal tumors.

Sabrina Rossi, Marta Sbaraglia, Marta Campo Dell'Orto, Daniela Gasparotto, Matilde Cacciatore, Elena Boscato, Valentina Carraro, Luisa Toffolatti, Giovanna Gallina, Monia Niero and 9 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

14 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
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  6. Molecular testing of soft tissue tumors.Diagnostic cytopathology · 2023
    Review
  7. Article
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  10. Neurofibromin C terminus-specific antibody (clone NFC) is a valuable tool for the identification of NF1-inactivated GISTs.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2018
    Article
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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

19 authors at 7 institutions in 1 country.

Sabrina RossiDepartment of Pathology and Molecular Genetics, Treviso General Hospital, Treviso, Italy.
Marta SbaragliaDepartment of Pathology and Molecular Genetics, Treviso General Hospital, Treviso, Italy.
Marta Campo Dell'OrtoDepartment of Pathology and Molecular Genetics, Treviso General Hospital, Treviso, Italy.
Daniela GasparottoDepartment of Experimental Oncology, CRO, Aviano, Italy.
Matilde CacciatoreDepartment of Pathology and Molecular Genetics, Treviso General Hospital, Treviso, Italy.
Elena BoscatoDepartment of Pathology and Molecular Genetics, Treviso General Hospital, Treviso, Italy.
Valentina CarraroDepartment of Pathology and Molecular Genetics, Treviso General Hospital, Treviso, Italy.
Luisa ToffolattiDepartment of Pathology and Molecular Genetics, Treviso General Hospital, Treviso, Italy.
Giovanna GallinaDepartment of Pathology and Molecular Genetics, Treviso General Hospital, Treviso, Italy.
Monia NieroDepartment of Pathology and Molecular Genetics, Treviso General Hospital, Treviso, Italy.
Emanuela PilozziDepartment of Clinical and Molecular Medicine, University of Rome "La Sapienza", Rome, Italy.
Alessandra MandolesiDepartment of Pathology, University of Marche, Ancona School of Medicine, Ancona, Italy.
Fausto SessaDepartment of Pathology, Macchi Fondation, Varese, Italy.
Aurelio SonzogniDepartment of Pathology, General Hospital, Bergamo, Italy.
Cristina ManciniDepartment of Pathology, Azienda Ospedaliera-Universitaria, Parma, Italy.
Guido MazzoleniDepartment of Pathology, General Hospital, Bolzano, Italy.
Salvatore RomeoDepartment of Pathology and Molecular Genetics, Treviso General Hospital, Treviso, Italy.
Roberta MaestroDepartment of Experimental Oncology, CRO, Aviano, Italy.
Angelo P Dei TosDepartment of Pathology and Molecular Genetics, Treviso General Hospital, Treviso, Italy.
Ca' Foncello Hospital · ITCentro di Riferimento Oncologico · ITMarche Polytechnic University · ITOspedale di Bolzano · ITOspedale di Circolo e Fondazione Macchi · ITSapienza University of Rome · ITUniversity of Bergamo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe BRAF mutation is a rare pathogenetic alternative to KIT/PDGFRA mutation in GIST and causes Imatinib resistance. A recent description of KIT and BRAF mutations co-occurring in an untreated GIST has challenged the concept of their being mutually exclusive and may account for ab initio resistance to Imatinib, even in the presence of Imatinib-sensitive KIT mutations. BRAF sequencing is generally limited to KIT/PDGFRA wild-type cases. Hence, the frequency of concomitant mutations may be underestimated.

methodsWe screened for KIT (exon 9, 11 ,13 ,17), PDGFRA (exon 12,14, 18) and BRAF (exon 15) mutations a series of 407 GIST. Additionally, we evaluated the BRAF V600E mutation-specific antibody, VE1, as a surrogate for V600E mutation, on a series of 313 GIST (24 on whole sections, 288 cases on tissue array), including 6 cases molecularly ascertained to carry the BRAF V600E mutation.

resultsNo concomitant KIT/BRAF or PDGFRA/BRAF mutations were detected. BRAF mutation was detected only in one case, wild-type for KIT/PDGFRA. All the 6 BRAF-mutant cases stained positive with the VE1 antibody. A weak VE1 expression was observed in 14/287 (4.9%) BRAF wild-type cases, as observed also in 2/6 BRAF-mutant cases. Overall in our series, sensitivity and specificity of the VE1 antobody were 100% and 95.1%, respectively.

conclusionsThe concomitance of BRAF mutation with either KIT or PDGFRA mutation is rare in GIST. In these tumors, moderate/strong VE1 immunoreactivity is a valuable surrogate for molecular analysis. Instead, genotyping is warranted in the presence of weak VE1 staining.

Indexed as

AdultAgedAged, 80 and overAntibodies, MonoclonalAntineoplastic AgentsDNA Mutational AnalysisDrug Resistance, NeoplasmExonsFemaleGastrointestinal NeoplasmsGastrointestinal Stromal TumorsGenotypeHumansImatinib MesylateImmunohistochemistryMaleAntibodies, MonoclonalAntineoplastic AgentsBRAF protein, humanImatinib MesylateProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-kitReceptor, Platelet-Derived Growth Factor alphaBRAF-mutated GISTBRAF VE1 antibodyGISTImatinib resistanceKIT/BRAF concomitant mutationsPathology Section

Identifiers

PMID27097112
PMCPMC5058667
OpenAlexW2341473611

What OpenQuestion holds

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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.