Evidence map›Paper›PMID 27663899›Full record

ArticleCancer discovery2017

Role of KEAP1/NRF2 and TP53 Mutations in Lung Squamous Cell Carcinoma Development and Radiation Resistance.

Youngtae Jeong, Ngoc T Hoang, Alexander Lovejoy, Henning Stehr, Aaron M Newman, Andrew J Gentles, William Kong, Diana Truong, Shanique Martin, Aadel Chaudhuri and 10 more

Open access · greenAbstract read
In one paragraph

Article in Cancer discovery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 216 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
216citing papers in PubMed, 1 pooled it
12.4field-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

216 citing papers in PubMed, 1 synthesis or guideline pooled it, 357 citations in OpenAlex.

  1. Pooled it
  2. Preoperative chemoradiotherapy plus pembrolizumab for esophageal squamous cell carcinoma (ACTS-29).Esophagus : official journal of the Japan Esophageal Society · 2026
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  11. TheCancer management and research · 2026
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156 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

20 authors at 1 institution in 1 country.

Youngtae JeongStanford Cancer Institute, Stanford University School of Medicine, Stanford, California.
Ngoc T HoangStanford Cancer Institute, Stanford University School of Medicine, Stanford, California.
Alexander LovejoyStanford Cancer Institute, Stanford University School of Medicine, Stanford, California.
Henning StehrStanford Cancer Institute, Stanford University School of Medicine, Stanford, California.
Aaron M NewmanInstitute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, California.
Andrew J GentlesStanford Center for Cancer Systems Biology, Stanford University School of Medicine, Stanford, California.
William KongInstitute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, California.
Diana TruongStanford Cancer Institute, Stanford University School of Medicine, Stanford, California.
Shanique MartinInstitute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, California.
Aadel ChaudhuriDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, California.
Diane HeiserInstitute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, California.
Li ZhouStanford Cancer Institute, Stanford University School of Medicine, Stanford, California.
Carmen SayDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, California.
Justin N CarterDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, California.
Susan M HinikerDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, California.
Billy W LooStanford Cancer Institute, Stanford University School of Medicine, Stanford, California.
Robert B WestDepartment of Pathology, Stanford University School of Medicine, Stanford, California.
Philip BeachyInstitute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, California.
Ash A AlizadehDivision of Oncology, Department of Medicine, Stanford University, Stanford, California.
Maximilian DiehnStanford Cancer Institute, Stanford University School of Medicine, Stanford, California. diehn@stanford.edu.
Stanford University · US

Funding

Translational Oncology Research Program (Project-005)P30CA124435 · NCI · STANFORD UNIVERSITY · PI Melinda L. Telli · 2007 to 2026
$71.4M
Leveraging innovative technologies in basic and clinical cancer researchT32CA009302 · NCI · STANFORD UNIVERSITY · PI LAURA D ATTARDI, Aaron M Newman · 1985 to 2026
$19.1M
therapeutic Targeting of CD47 on Human Leukemia and Other Cancer Stem CellsP01CA139490 · NCI · STANFORD UNIVERSITY · PI ALTMAN, RUSS BIAGIO · 2009 to 2013
$8.7M
Modeling the Molecular Determinants of Induced Anti-Tumor Immune Responses in Mantle Cell LymphomaU01CA194389 · NCI · STANFORD UNIVERSITY · PI ALIZADEH, ASH ARASH, DAVIS, MARK MORRIS · 2015 to 2019
$3.1M
Developing a genomic approach for cancer screeningDP2CA186569 · NCI · STANFORD UNIVERSITY · PI DIEHN, MAXIMILIAN · 2013 to 2013
$2.4M
Postdoctoral Training in the Radiation ScincesT32CA121940 · NCI · STANFORD UNIVERSITY · PI GRAVES, EDWARD E. · 2007 to 2018
$2.1M
Noninvasive monitoring of lung cancer patients treated with radiotherapyR01CA188298 · NCI · STANFORD UNIVERSITY · PI ALIZADEH, ASH ARASH, DIEHN, MAXIMILIAN · 2015 to 2019
$1.8M
Cancer Stem Cells and Radiotherapy: New Approaches to RadiosensitizationP30CA147933 · NCI · STANFORD UNIVERSITY · PI MITCHELL, BEVERLY S. · 2009 to 2010
$1.6M
NCI NIH HHS DP2 CA186569NCI NIH HHS P01 CA139490NCI NIH HHS P30 CA124435NCI NIH HHS P30 CA147933NCI NIH HHS R01 CA188298NCI NIH HHS T32 CA009302NCI NIH HHS T32 CA121940NCI NIH HHS U01 CA194389
6 · The paper itself

Abstract

Lung squamous cell carcinoma (LSCC) pathogenesis remains incompletely understood, and biomarkers predicting treatment response remain lacking. Here, we describe novel murine LSCC models driven by loss of Trp53 and Keap1, both of which are frequently mutated in human LSCCs. Homozygous inactivation of Keap1 or Trp53 promoted airway basal stem cell (ABSC) self-renewal, suggesting that mutations in these genes lead to expansion of mutant stem cell clones. Deletion of Trp53 and Keap1 in ABSCs, but not more differentiated tracheal cells, produced tumors recapitulating histologic and molecular features of human LSCCs, indicating that they represent the likely cell of origin in this model. Deletion of Keap1 promoted tumor aggressiveness, metastasis, and resistance to oxidative stress and radiotherapy (RT). KEAP1/NRF2 mutation status predicted risk of local recurrence after RT in patients with non-small lung cancer (NSCLC) and could be noninvasively identified in circulating tumor DNA. Thus, KEAP1/NRF2 mutations could serve as predictive biomarkers for personalization of therapeutic strategies for NSCLCs. SIGNIFICANCE: We developed an LSCC mouse model involving Trp53 and Keap1, which are frequently mutated in human LSCCs. In this model, ABSCs are the cell of origin of these tumors. KEAP1/NRF2 mutations increase radioresistance and predict local tumor recurrence in radiotherapy patients. Our findings are of potential clinical relevance and could lead to personalized treatment strategies for tumors with KEAP1/NRF2 mutations. Cancer Discov; 7(1); 86-101. ©2016 AACR.This article is highlighted in the In This Issue feature, p. 1.

Indexed as

Radiation ToleranceAdultAgedAged, 80 and overAnimalsCarcinoma, Squamous CellCell Line, TumorCell Self RenewalDisease Models, AnimalFemaleGene Expression Regulation, NeoplasticHumansKelch-Like ECH-Associated Protein 1Lung NeoplasmsMaleMiceKEAP1 protein, humanKelch-Like ECH-Associated Protein 1NFE2L2 protein, humanNF-E2-Related Factor 2TP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID27663899
PMCPMC5222718
OpenAlexW2521343068

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.