Evidence map›Paper›PMID 28229982›Full record

ArticleChinese medical journal2017

Circulating-free DNA Mutation Associated with Response of Targeted Therapy in Human Epidermal Growth Factor Receptor 2-positive Metastatic Breast Cancer.

Qing Ye, Fan Qi, Li Bian, Shao-Hua Zhang, Tao Wang, Ze-Fei Jiang

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Chinese medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04163159 (Genetic Markers of Circulating Tumor DNA for Monitoring Breast Cancer in Patients of the Hospital San Juan de Dios From 2018 to 2020.), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 39% 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.

NCT04163159 unknown statusnot on this mapstarted 2019, after this paper: background citation

Genetic Markers of Circulating Tumor DNA for Monitoring Breast Cancer in Patients of the Hospital San Juan de Dios From 2018 to 2020.

TypeobservationalSponsorUniversidad de Costa RicaRan2019 to 2020Enrolled25ConditionsMetastatic Breast Cancer, Mutation, Point
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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  3. GPharmacological reviews · 2021
    Review
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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

6 authors at 2 institutions in 1 country.

Qing YeDepartment of Breast Cancer, Affiliated Hospital of Academy of Military Medical Sciences, Beijing 100071, China.
Fan QiDepartment of Respiration, Tianjin Haihe Hospital, Tianjin 300350, China.
Li BianDepartment of Breast Cancer, Affiliated Hospital of Academy of Military Medical Sciences, Beijing 100071, China.
Shao-Hua ZhangDepartment of Breast Cancer, Affiliated Hospital of Academy of Military Medical Sciences, Beijing 100071, China.
Tao WangDepartment of Breast Cancer, Affiliated Hospital of Academy of Military Medical Sciences, Beijing 100071, China.
Ze-Fei JiangDepartment of Breast Cancer, Affiliated Hospital of Academy of Military Medical Sciences, Beijing 100071, China.
Academy of Military Medical Sciences · CNTianjin haihe hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe addition of anti-human epidermal growth factor receptor 2 (HER2)-targeted drugs, such as trastuzumab, lapatinib, and trastuzumab emtansine (T-DM1), to chemotherapy significantly improved prognosis of HER2-positive breast cancer patients. However, it was confused that metastatic patients vary in the response of targeted drug. Therefore, methods of accurately predicting drug response were really needed. To overcome the spatial and temporal limitations of biopsies, we aimed to develop a more sensitive and less invasive method of detecting mutations associated with anti-HER2 therapeutic response through circulating-free DNA (cfDNA).

methodsFrom March 6, 2014 to December 10, 2014, 24 plasma samples from 20 patients with HER2-positive metastatic breast cancer who received systemic therapy were eligible. We used a panel for detection of hot-spot mutations from 50 oncogenes and tumor suppressor genes, and then used targeted next-generation sequencing (NGS) to identify somatic mutation of these samples in those 50 genes. Samples taken before their first trastuzumab administration and subsequently proven with clinical benefit were grouped into sensitive group. The others were collected after disease progression of the trastuzumab-based therapy and were grouped into the resistant group.

resultsA total of 486 single-nucleotide variants from 46 genes were detected. Of these 46 genes, phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha (PIK3CA), proto-oncogene c-Kit (KIT), and tumor protein p53 (TP53) were the most common mutated genes. Seven genes, including epidermal growth factor receptor (EGFR), G protein subunit alpha S (GNAS), HRas proto-oncogene (HRAS), mutL homolog 1 (MLH1), cadherin 1 (CDH1), neuroblastoma RAS viral oncogene homolog (NRAS), and NOTCH1, that only occurred m utations in the resistant group were associated with the resistance of targeted therapy. In addition, we detected a HER2 S855I mutation in two patients who had persistent benefits from anti-HER2 therapy.

conclusionTargeted NGS of cfDNA has potential clinical utility to detect biomarkers from HER2-targeted therapies.

Indexed as

AdolescentAdultAgedAntigens, CDBiomarkers, TumorBreast NeoplasmsCadherinsChromograninsClass I Phosphatidylinositol 3-KinasesDrug Resistance, NeoplasmErb-b2 Receptor Tyrosine KinasesFemaleGTP-Binding Protein alpha Subunits, GsHumansMaleMiddle AgedAntigens, CDBiomarkers, TumorCadherinsCDH1 protein, humanChromograninsClass I Phosphatidylinositol 3-KinasesERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesGNAS protein, humanGTP-Binding Protein alpha Subunits, GsMAS1 protein, humanNOTCH1 protein, humanPhosphatidylinositol 3-KinasesPIK3CA protein, humanProto-Oncogene MasProto-Oncogene Proteins c-kitReceptor, Notch1TP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID28229982
PMCPMC5339924
OpenAlexW2590191387

What OpenQuestion holds

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Registered trials

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.