Evidence map›Paper›PMID 28199979›Full record

ArticleOncotarget2017

ATM mutations and E-cadherin expression define sensitivity to EGFR-targeted therapy in colorectal cancer.

Anna-Lena Geißler, Miriam Geißler, Daniel Kottmann, Lisa Lutz, Christiane D Fichter, Ralph Fritsch, Britta Weddeling, Frank Makowiec, Martin Werner, Silke Lassmann

Open access · diamondAbstract read
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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

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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

10 authors at 4 institutions in 1 country.

Anna-Lena GeißlerInstitute of Surgical Pathology, University of Freiburg, Freiburg im Breisgau, Germany.
Miriam GeißlerInstitute of Surgical Pathology, University of Freiburg, Freiburg im Breisgau, Germany.
Daniel KottmannInstitute of Surgical Pathology, University of Freiburg, Freiburg im Breisgau, Germany.
Lisa LutzInstitute of Surgical Pathology, University of Freiburg, Freiburg im Breisgau, Germany.
Christiane D FichterInstitute of Surgical Pathology, University of Freiburg, Freiburg im Breisgau, Germany.
Ralph FritschFaculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Britta WeddelingInstitute of Surgical Pathology, University of Freiburg, Freiburg im Breisgau, Germany.
Frank MakowiecFaculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Martin WernerInstitute of Surgical Pathology, University of Freiburg, Freiburg im Breisgau, Germany.
Silke LassmannInstitute of Surgical Pathology, University of Freiburg, Freiburg im Breisgau, Germany.
University of Freiburg · DEUniversity Medical Center Freiburg · DEGerman Cancer Research Center · DEHeidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

EGFR-targeted therapy is a key treatment approach in patients with RAS wildtype metastatic colorectal cancers (CRC). Still, also RAS wildtype CRC may be resistant to EGFR-targeted therapy, with few predictive markers available for improved stratification of patients. Here, we investigated response of 7 CRC cell lines (Caco-2, DLD1, HCT116, HT29, LS174T, RKO, SW480) to Cetuximab and correlated this to NGS-based mutation profiles, EGFR promoter methylation and EGFR expression status as well as to E-cadherin expression. Moreover, tissue specimens of primary and/or recurrent tumors as well as liver and/or lung metastases of 25 CRC patients having received Cetuximab and/or Panitumumab were examined for the same molecular markers. In vitro and in situ analyses showed that EGFR promoter methylation and EGFR expression as well as the MSI and or CIMP-type status did not guide treatment responses. In fact, EGFR-targeted treatment responses were also observed in RAS exon 2 p.G13 mutated CRC cell lines or CRC cases and were further linked to PIK3CA exon 9 mutations. In contrast, non-response to EGFR-targeted treatment was associated with ATM mutations and low E-cadherin expression. Moreover, down-regulation of E-cadherin by siRNA in otherwise Cetuximab responding E-cadherin positive cells abrogated their response. Hence, we here identify ATM and E-cadherin expression as potential novel supportive predictive markers for EGFR-targeted therapy.

Indexed as

MutationAdultAntibodies, MonoclonalAntigens, CDAntineoplastic AgentsAtaxia Telangiectasia Mutated ProteinsBlotting, WesternCaco-2 CellsCadherinsCell Line, TumorCell SurvivalCetuximabClass I Phosphatidylinositol 3-KinasesColorectal NeoplasmsDNA MethylationErbB ReceptorsAntibodies, MonoclonalAntigens, CDAntineoplastic AgentsAtaxia Telangiectasia Mutated ProteinsATM protein, humanCadherinsCDH1 protein, humanCetuximabClass I Phosphatidylinositol 3-KinasesErbB ReceptorsPanitumumabPhosphatidylinositol 3-KinasesPIK3CA protein, humananti-EGFR therapycolorectal cancer (CRC)E-cadherinnext generation sequencingpredictive markers

Identifiers

PMID28199979
PMCPMC5370031
OpenAlexW2587768298

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.