Evidence map›Paper›PMID 27535289›Full record

ReviewVirchows Archiv : an international journal of pathology2016

Testing for ROS1 in non-small cell lung cancer: a review with recommendations.

Lukas Bubendorf, Reinhard Büttner, Fouad Al-Dayel, Manfred Dietel, Göran Elmberger, Keith Kerr, Fernando López-Ríos, Antonio Marchetti, Büge Öz, Patrick Pauwels and 4 more

Open access · hybridAbstract readReview
In one paragraph

Review in Virchows Archiv : an international journal of pathology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 2 pooled it
23.1field-weighted citation impact, top 1% 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

100 citing papers in PubMed, 2 syntheses or guidelines pooled it, 219 citations in OpenAlex.

  1. Update on recent key publications in lung oncology: picking up speed.European respiratory review : an official journal of the European Respiratory Society · 2021
    Pooled it
  2. Updated guidelines for predictive biomarker testing in advanced non-small-cell lung cancer: a National Consensus of the Spanish Society of Pathology and the Spanish Society of Medical Oncology.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
    Guideline
  3. Article
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  7. Review
  8. Article
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  10. Unravelling the complexity ofTranslational lung cancer research · 2025
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Comparison of DifferentBalkan medical journal · 2023
    Article
  18. Review
  19. Routine Clinically Detected IncreasedJTO clinical and research reports · 2023
    Article
  20. Article

40 more citing papers are in PubMed but not listed here.

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

14 authors at 13 institutions in 12 countries.

Lukas BubendorfInstitute of Pathology, University Hospital Basel, Basel, Switzerland.
Reinhard BüttnerInstitute of Pathology, University Hospital Cologne and Network Genomic Medicine, Cologne, Germany.
Fouad Al-DayelDepartment of Pathology and Laboratory Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Manfred DietelInstitute of Pathology, Charité Campus Mitte, Berlin, Germany.
Göran ElmbergerDepartment of Pathology and Cytology, Karolinska University Hospital, Stockholm, Sweden.
Keith KerrDepartment of Pathology, Aberdeen University Medical School, Aberdeen, UK.
Fernando López-RíosLaboratorio de Dianas Terapéuticas, Hospital Universitario HM Sanchinarro, C/Oña, 10, 28050, Madrid, Spain. flopezrios@hmhospitales.com.ORCID http://orcid.org/0000-0001-6813-0395
Antonio MarchettiCenter of Predictive Molecular Medicine, University-Foundation, Chieti, Italy.
Büge ÖzCerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
Patrick PauwelsInstitute of Pathology, University Hospital Antwerp, Edegem, Belgium.
Frédérique Penault-LlorcaDepartment of Pathology, Centre Jean Perrin, Clermont-Ferrand, France.
Giulio RossiUnit of Pathologic Anatomy, Azienda USL Valle d'Aosta, Aosta, Italy.
Aleš RyškaThe Fingerland Department of Pathology, Charles University Faculty of Medicine and Faculty Hospital in Hradec Kralove, Hradec Kralove, Czech Republic.
Erik ThunnissenDepartment of Pathology, VU University Medical Centre, Amsterdam, The Netherlands.
Amsterdam UMC Location Vrije Universiteit Amsterdam · NLAntwerp University Hospital · BEAzienda USL della Valle d’Aosta · ITCentre Jean Perrin · FRCharité - Universitätsmedizin Berlin · DECharles University · CZHospital Universitario HM Sanchinarro · ESIstanbul University · TRKarolinska University Hospital · SEKing Faisal Specialist Hospital & Research Centre · SAUniversity Hospital Cologne · DEUniversity Hospital of Basel · CHUniversity of Aberdeen · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rearrangements of the ROS1 gene occur in 1-2 % of non-small cell lung cancers (NSCLCs). Crizotinib, a highly effective inhibitor of ROS1 kinase activity, is now FDA-approved for the treatment of patients with advanced ROS1-positive NSCLC. Consequently, focus on ROS1 testing is growing. Most laboratories currently rely on fluorescence in situ hybridisation (FISH) assays using a dual-colour break-apart probe to detect ROS1 rearrangements. Given the rarity of these rearrangements in NSCLC, detection of elevated ROS1 protein levels by immunohistochemistry may provide cost-effective screening prior to confirmatory FISH testing. Non-in situ testing approaches also hold potential as stand-alone methods or complementary tests, including multiplex real-time PCR assays and next-generation sequencing (NGS) platforms which include commercial test kits covering a range of fusion genes. In order to ensure high-quality biomarker testing, appropriate tissue handling, adequate control materials and participation in external quality assessment programmes are essential, irrespective of the testing technique employed. ROS1 testing is often only considered after negative tests for EGFR mutation and ALK gene rearrangement, based on the assumption that these oncogenic driver events tend to be exclusive. However, as the use of ROS1 inhibitors becomes routine, accurate and timely detection of ROS1 gene rearrangements will be critical for the optimal treatment of patients with NSCLC. As NGS techniques are introduced into routine diagnostic practice, ROS1 fusion gene testing will be provided as part of the initial testing package.

Indexed as

Carcinoma, Non-Small-Cell LungGene RearrangementHumansLung NeoplasmsOncogenesProtein-Tyrosine KinasesProto-Oncogene ProteinsReceptor Protein-Tyrosine KinasesProtein-Tyrosine KinasesProto-Oncogene ProteinsReceptor Protein-Tyrosine KinasesROS1 protein, humanFluorescence in situ hybridisationImmunohistochemistryNon-small cell lung cancerPredictive markerROS1RT-PCR

Identifiers

PMID27535289
PMCPMC5082594
OpenAlexW2509633441

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.