Evidence map›Paper›PMID 28920960›Full record

ArticleNature medicine2017

Long noncoding RNA EGFR-AS1 mediates epidermal growth factor receptor addiction and modulates treatment response in squamous cell carcinoma.

Daniel S W Tan, Fui Teen Chong, Hui Sun Leong, Shen Yon Toh, Dawn P Lau, Xue Lin Kwang, Xiaoqian Zhang, Gopinath M Sundaram, Gek San Tan, Mei Mei Chang and 10 more

Abstract read
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In one paragraph

Article in Nature medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 2 pooled it
7.3field-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

112 citing papers in PubMed, 2 syntheses or guidelines pooled it, 169 citations in OpenAlex.

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52 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 5 institutions in 1 country.

Daniel S W TanCancer Therapeutics Research Laboratory, National Cancer Centre Singapore, Singapore.
Fui Teen ChongCancer Therapeutics Research Laboratory, National Cancer Centre Singapore, Singapore.
Hui Sun LeongCancer Therapeutics Research Laboratory, National Cancer Centre Singapore, Singapore.
Shen Yon TohCancer Therapeutics Research Laboratory, National Cancer Centre Singapore, Singapore.
Dawn P LauCancer Therapeutics Research Laboratory, National Cancer Centre Singapore, Singapore.
Xue Lin KwangCancer Therapeutics Research Laboratory, National Cancer Centre Singapore, Singapore.
Xiaoqian ZhangGenome Institute of Singapore, Agency for Science, Technology &Research (A*STAR), Singapore.
Gopinath M SundaramInstitute of Medical Biology, Agency for Science, Technology &Research (A*STAR), Singapore.ORCID http://orcid.org/0000-0002-8074-6624
Gek San TanDepartment of Pathology, Singapore General Hospital, Singapore.
Mei Mei ChangGenome Institute of Singapore, Agency for Science, Technology &Research (A*STAR), Singapore.
Boon Tin ChuaIMCB-NCC Singapore Oncogenome Program, Institute of Molecular and Cell Biology, Singapore.
Wan Teck LimDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.
Eng Huat TanDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.
Mei Kim AngDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.
Tony K H LimDepartment of Pathology, Singapore General Hospital, Singapore.
Prabha SampathInstitute of Medical Biology, Agency for Science, Technology &Research (A*STAR), Singapore.
Balram ChowbayLaboratory of Clinical Pharmacology, National Cancer Centre Singapore, Singapore.
Anders J SkanderupGenome Institute of Singapore, Agency for Science, Technology &Research (A*STAR), Singapore.ORCID http://orcid.org/0000-0001-6847-4980
Ramanuj DasGuptaGenome Institute of Singapore, Agency for Science, Technology &Research (A*STAR), Singapore.
N Gopalakrishna IyerCancer Therapeutics Research Laboratory, National Cancer Centre Singapore, Singapore.
National Cancer Centre Singapore · SGAgency for Science, Technology and Research · SGDuke-NUS Medical School · SGSingapore General Hospital · SGInstitute of Molecular and Cell Biology · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Targeting EGFR is a validated approach in the treatment of squamous-cell cancers (SCCs), although there are no established biomarkers for predicting response. We have identified a synonymous mutation in EGFR, c.2361G>A (encoding p.Gln787Gln), in two patients with head and neck SCC (HNSCC) who were exceptional responders to gefitinib, and we showed in patient-derived cultures that the A/A genotype was associated with greater sensitivity to tyrosine kinase inhibitors (TKIs) as compared to the G/A and G/G genotypes. Remarkably, single-copy G>A nucleotide editing in isogenic models conferred a 70-fold increase in sensitivity due to decreased stability of the EGFR-AS1 long noncoding RNA (lncRNA). In the appropriate context, sensitivity could be recapitulated through EGFR-AS1 knockdown in vitro and in vivo, whereas overexpression was sufficient to induce resistance to TKIs. Reduced EGFR-AS1 levels shifted splicing toward EGFR isoform D, leading to ligand-mediated pathway activation. In co-clinical trials involving patients and patient-derived xenograft (PDX) models, tumor shrinkage was most pronounced in the context of the A/A genotype for EGFR-Q787Q, low expression of EGFR-AS1 and high expression of EGFR isoform D. Our study reveals how a 'silent' mutation influences the levels of a lncRNA, resulting in noncanonical EGFR addiction, and delineates a new predictive biomarker suite for response to EGFR TKIs.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Squamous CellCell ProliferationDrug Resistance, NeoplasmErbB ReceptorsEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaFemaleGefitinibGene Knockdown TechniquesHead and Neck NeoplasmsHumansIn Vitro TechniquesMaleEGFR protein, humanErbB ReceptorsGefitinibProtein Kinase InhibitorsQuinazolinesRNA IsoformsRNA, Long Noncoding

Identifiers

PMID28920960
OpenAlexW2754665605

What OpenQuestion holds

Textmetadata
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.