Evidence map›Paper›PMID 27741505›Full record

ArticleOncotarget2017

Wide spetcrum mutational analysis of metastatic renal cell cancer: a retrospective next generation sequencing approach.

Michelangelo Fiorentino, Elisa Gruppioni, Francesco Massari, Francesca Giunchi, Annalisa Altimari, Chiara Ciccarese, Davide Bimbatti, Aldo Scarpa, Roberto Iacovelli, Camillo Porta and 8 more

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Investigative and clinical urology · 2019
    Article
  10. Article
  11. Renal Cell Carcinoma: Molecular Aspects.Indian journal of clinical biochemistry : IJCB · 2018
    Review
  12. Circulating tumor cells in genitourinary tumors.Therapeutic advances in urology · 2018
    Review
  13. Review
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

18 authors at 4 institutions in 2 countries.

Michelangelo FiorentinoLaboratory of Oncologic Molecular Pathology, S.Orsola-Malpighi Hospital, Bologna, Italy.
Elisa GruppioniLaboratory of Oncologic Molecular Pathology, S.Orsola-Malpighi Hospital, Bologna, Italy.
Francesco MassariDepartment of Medical Oncology, S.Orsola-Malpighi Hospital, Bologna, Italy.
Francesca GiunchiLaboratory of Oncologic Molecular Pathology, S.Orsola-Malpighi Hospital, Bologna, Italy.
Annalisa AltimariLaboratory of Oncologic Molecular Pathology, S.Orsola-Malpighi Hospital, Bologna, Italy.
Chiara CiccareseDepartment of Medical Oncology, Diagnostics and Public Health University of Verona, Verona, Italy.
Davide BimbattiDepartment of Urology, Diagnostics and Public Health University of Verona, Verona, Italy.
Aldo ScarpaDiagnostics and Public Health University of Verona, Verona, Italy.
Roberto IacovelliDepartment of Medical Oncology, Diagnostics and Public Health University of Verona, Verona, Italy.
Camillo PortaDepartment of Medical Oncology, University of Pavia, Pavia, Italy.
Sarhadi VirinderDepartment of Pathology, University of Helsinki, Faculty of Medicine, Helsinki, Finland.
Giampaolo TortoraDepartment of Medical Oncology, Diagnostics and Public Health University of Verona, Verona, Italy.
Walter ArtibaniDepartment of Urology, Diagnostics and Public Health University of Verona, Verona, Italy.
Riccardo SchiavinaDepartment of Urology, S.Orsola-Malpighi Hospital, Bologna, Italy.
Andrea ArdizzoniDepartment of Medical Oncology, S.Orsola-Malpighi Hospital, Bologna, Italy.
Matteo BrunelliDepartment of Pathology, Diagnostics and Public Health University of Verona, Verona, Italy.
Sakari KnuutilaDepartment of Pathology, University of Helsinki, Faculty of Medicine, Helsinki, Finland.
Guido MartignoniDepartment of Pathology, Diagnostics and Public Health University of Verona, Verona, Italy.
University of Verona · ITPoliclinico S.Orsola-Malpighi · ITUniversity of Helsinki · FIUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Renal cell cancer (RCC) is characterized by histological and molecular heterogeneity that may account for variable response to targeted therapies. We evaluated retrospectively with a next generation sequencing (NGS) approach using a pre-designed cancer panel the mutation burden of 32 lesions from 22 metastatic RCC patients treated with at least one tyrosine kinase or mTOR inhibitor. We identified mutations in the VHL, PTEN, JAK3, MET, ERBB4, APC, CDKN2A, FGFR3, EGFR, RB1, TP53 genes. Somatic alterations were correlated with response to therapy. Most mutations hit VHL1 (31,8%) followed by PTEN (13,6%), JAK3, FGFR and TP53 (9% each). Eight (36%) patients were wild-type at least for the genes included in the panel.A genotype concordance between primary RCC and its secondary lesion was found in 3/6 cases. Patients were treated with Sorafenib, Sunitinib and Temsirolimus with partial responses in 4 (18,2%) and disease stabilization in 7 (31,8%). Among the 4 partial responders, 1 (25%) was wild-type and 3 (75%) harbored different VHL1 variants. Among the 7 patients with disease stabilization 2 (29%) were wild-type, 2 (29%) PTEN mutated, and single patients (14% each) displayed mutations in VHL1, JAK3 and APC/CDKN2A. Among the 11 non-responders 7 (64%) were wild-type, 2 (18%) were p53 mutated and 2 (18%) VHL1 mutated.No significant associations were found among RCC histotype, mutation variants and response to therapies. In the absence of predictive biomarkers for metastatic RCC treatment, a NGS approach may address single patients to basket clinical trials according to actionable molecular specific alterations.

Indexed as

High-Throughput Nucleotide SequencingMutationAdultAgedAntineoplastic AgentsBiomarkers, TumorCarcinoma, Renal CellDNA Mutational AnalysisFemaleGenetic Predisposition to DiseaseHumansItalyKidney NeoplasmsMaleMiddle AgedPatient SelectionAntineoplastic AgentsBiomarkers, TumorProtein Kinase Inhibitorsmetastatic diseasenext generation sequencingPathology Sectionrenal cell carcinomatarget therapyVHL

Identifiers

PMID27741505
PMCPMC5352324
OpenAlexW2531480102

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.