Evidence map›Paper›PMID 27641744›Full record

ArticleScientific reports2016

Circulating tumor DNA detection in lung cancer patients before and after surgery.

Nannan Guo, Feng Lou, Yongfu Ma, Jie Li, Bo Yang, Wei Chen, Hua Ye, Jing-Bo Zhang, Ming-Yu Zhao, Wen-Jun Wu and 6 more

Abstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

72 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Diagnostic accuracy of next-generation sequencing (NGS) for identifying actionable mutations in advanced non-small cell lung cancer: Systematic Review and Meta-Analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
  2. Pooled it
  3. Detection ofFrontiers in oncology · 2023
    Pooled it
  4. Review
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  14. MutatedBiomolecules · 2023
    Article
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12 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

16 authors.

Nannan GuoMedical School of Chinese PLA, Beijing, China.
Feng LouSan Valley Biotechnology Incorporated, Beijing, China.
Yongfu MaDepartment of Thoracic Surgery, The General Hospital of People's Liberation Army, Beijing, China.
Jie LiDepartment of Thoracic Surgery, The General Hospital of People's Liberation Army, Beijing, China.
Bo YangDepartment of Thoracic Surgery, The General Hospital of People's Liberation Army, Beijing, China.
Wei ChenSan Valley Biotechnology Incorporated, Beijing, China.
Hua YeSan Valley Biotechnology Incorporated, Beijing, China.
Jing-Bo ZhangSan Valley Biotechnology Incorporated, Beijing, China.
Ming-Yu ZhaoSan Valley Biotechnology Incorporated, Beijing, China.
Wen-Jun WuSan Valley Biotechnology Incorporated, Beijing, China.
Rong ShiSan Valley Biotechnology Incorporated, Beijing, China.
Lindsey JonesNorris Comprehensive Cancer Center, Department of Molecular Microbiology and Immunology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Katherine S ChenNorris Comprehensive Cancer Center, Department of Molecular Microbiology and Immunology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Xue F HuangNorris Comprehensive Cancer Center, Department of Molecular Microbiology and Immunology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Si-Yi ChenNorris Comprehensive Cancer Center, Department of Molecular Microbiology and Immunology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Yang LiuDepartment of Thoracic Surgery, The General Hospital of People's Liberation Army, Beijing, China.

Funding

Overcoming Immune Suppression to Enhance Tumor Vaccine EfficacyR01CA090427 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHEN, SI-YI · 2002 to 2013
$3.1M
Developing novel adjuvants for HIV vaccinationR01AI084811 · NIAID · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHEN, SI-YI · 2009 to 2013
$2.2M
NCI NIH HHS R01 CA090427NIAID NIH HHS R01 AI084811
6 · The paper itself

Abstract

Circulating tumor DNA (ctDNA) in peripheral blood is a "liquid biopsy" that contains representative tumor information including gene mutations. Additionally, repeated ctDNA samples can be easily obtained to monitor response to treatment and disease progression, which may be especially valuable to lung cancer patients with tumors that cannot be easily biopsied or removed. To investigate the changes in ctDNA after surgical tumor resection, tumor and blood samples obtained before and after surgery were collected prospectively from 41 non-small lung cancer (NSCLC) patients. Somatic driver mutations in tumor DNA (tDNA) and pre- and post-op plasma ctDNA sample pairs were identified by targeted sequencing in several genes including EGFR, KRAS, and TP53 with an overall study concordance of 78.1% and sensitivity and specificity of 69.2% and 93.3%, respectively. Importantly, the frequency of 91.7% of ctDNA mutations decreased after surgery and these changes were observed as little as 2 days post-op. Moreover, the presence of ctDNA had a higher positive predictive value than that of six tumor biomarkers in current clinical use. This study demonstrates the use of targeted sequencing to reliably identify ctDNA changes in response to treatment, indicating a potential utility of this approach in the clinical management of NSCLC.

Indexed as

AdultAgedBiomarkers, TumorCarcinoma, Non-Small-Cell LungCirculating Tumor DNAFemaleHumansLung NeoplasmsMaleMiddle AgedMutationMutation RateBiomarkers, TumorCirculating Tumor DNA

Identifiers

PMID27641744
PMCPMC5027588

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.