Evidence map›Paper›PMID 29367069›Full record

ArticleTranslational oncology2018

Significance of Liquid Biopsy for Monitoring and Therapy Decision of Colorectal Cancer.

Susanne Klein-Scory, Marina Maslova, Michael Pohl, Christina Eilert-Micus, Roland Schroers, Wolff Schmiegel, Alexander Baraniskin

Abstract read
In one paragraph

Article in Translational oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Circulating Cell-Free DNA and Colorectal Cancer: A Systematic Review.International journal of molecular sciences · 2018
    Pooled it
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  7. Anti-epidermal growth factor receptor treatment for patients with NeoTherapeutic advances in medical oncology · 2023
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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

7 authors.

Susanne Klein-ScoryIMBL Medical Clinic, Ruhr-University of Bochum, Universitätsklinikum Knappschaftskrankenhaus Bochum GmbH, Germany.
Marina MaslovaDepartment of Radiology, Ruhr-University of Bochum, Universitätsklinikum Knappschaftskrankenhaus Bochum GmbH, Germany.
Michael PohlDepartment of Medicine, Hematology and Oncology, Ruhr-University of Bochum, Universitätsklinikum Knappschaftskrankenhaus Bochum GmbH, Germany.
Christina Eilert-MicusIMBL Medical Clinic, Ruhr-University of Bochum, Universitätsklinikum Knappschaftskrankenhaus Bochum GmbH, Germany.
Roland SchroersDepartment of Medicine, Hematology and Oncology, Ruhr-University of Bochum, Universitätsklinikum Knappschaftskrankenhaus Bochum GmbH, Germany.
Wolff SchmiegelDepartment of Medicine, Hematology and Oncology, Ruhr-University of Bochum, Universitätsklinikum Knappschaftskrankenhaus Bochum GmbH, Germany.
Alexander BaraniskinIMBL Medical Clinic, Ruhr-University of Bochum, Universitätsklinikum Knappschaftskrankenhaus Bochum GmbH, Germany; Department of Medicine, Hematology and Oncology, Ruhr-University of Bochum, Universitätsklinikum Knappschaftskrankenhaus Bochum GmbH, Germany. Electronic address: Alexander.Baraniskin@rub.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite therapeutic improvements, all patients with nonresectable metastatic colorectal cancer (mCRC) acquire resistance to treatment probably due to the growth of mutated clones. In contrast to tissue-based studies, liquid biopsies have enabled the opportunity to reveal emerging resistance to treatment by detecting mutated clones and noninvasively monitoring clonal dynamics during therapy.

methodsThe courses of three patients with mCRC who were initially RAS wild-type were monitored longitudinally using liquid biopsy with long-term follow-up of up to 20 sequential samples. Detection of fragmented RAS mutated circulating cell-free DNA (cf)DNA in plasma was performed by BEAMing. In addition, plasma digital droplet PCR was used to detect and quantify BRAF and PIK3CA mutated cfDNA. Changes of mutational load were correlated with imaging data.

resultsA combination of liquid biopsy and radiological imaging enabled visualization of the occurrence of clonal redistribution after discontinuation of anti-EGFR mAb therapy, as well as emerging RAS mutations during therapy with anti-EGFR mAb indicating resistance. Furthermore, we found that growth of RAS mutated clones is independent of direct selective pressure by anti-EGFR therapy, which is a significant and new finding of this study.

conclusionsOur findings demonstrated the whole spectrum of clonal selection and redistribution of mutated cell clones leading to acquired resistance. Given our observation that the growth of RAS mutated clones can evolve even in the absence of anti-EGFR mAb therapy, there is a clear imperative to monitor RAS mutations in serial blood draws in all RAS wild-type patients in general and independent of the therapy.

Identifiers

PMID29367069
PMCPMC5789760

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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.