Evidence map›Paper›PMID 29587818›Full record

ArticleJournal of experimental & clinical cancer research : CR2018

5'/ 3' imbalance strategy to detect ALK fusion genes in circulating tumor RNA from patients with non-small cell lung cancer.

Yongqing Tong, Zhijun Zhao, Bei Liu, Anyu Bao, Hongyun Zheng, Jian Gu, Mary McGrath, Ying Xia, Bihua Tan, Chunhua Song and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of experimental & clinical cancer research : CR, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04499794 (The Study of Exosome EML4-ALK Fusion in NSCLC Clinical Diagnosis and Dynamic Monitoring), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.5field-weighted citation impact, top 18% 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.

NCT04499794 unknown statusnot on this mapstarted 2020, after this paper: background citation

The Study of Exosome EML4-ALK Fusion in NSCLC Clinical Diagnosis and Dynamic Monitoring

TypeobservationalSponsorChinese Academy of Medical SciencesRan2020 to 2025Enrolled75ConditionsUntreated Advanced NSCLC Patients, FISH Identified ALK Fusion Positive or NegativeArmsALK inhibitor
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 30 citations in OpenAlex.

  1. AccurateInternational journal of molecular sciences · 2025
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  9. Future Perspectives in DetectingInternational journal of molecular sciences · 2021
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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

11 authors at 6 institutions in 2 countries.

Yongqing TongDepartment of Clinical Laboratory, Renmin Hospital of Wuhan University, 99 Ziyang Road of Wuchang District, Wuhan, 430060, People's Republic of China.
Zhijun ZhaoLaboratory Medicine Center of General Hospital of Ningxia Medical University, Yinchuan, 750004, People's Republic of China.
Bei LiuDepartment of Pathology Affiliated Tianyou Hospital of Wuhan University of Science and Technology, Wuhan, 430064, People's Republic of China.
Anyu BaoDepartment of Clinical Laboratory, Renmin Hospital of Wuhan University, 99 Ziyang Road of Wuchang District, Wuhan, 430060, People's Republic of China.
Hongyun ZhengDepartment of Clinical Laboratory, Renmin Hospital of Wuhan University, 99 Ziyang Road of Wuchang District, Wuhan, 430060, People's Republic of China.
Jian GuDepartment of Clinical Laboratory, Renmin Hospital of Wuhan University, 99 Ziyang Road of Wuchang District, Wuhan, 430060, People's Republic of China.
Mary McGrathPennsylvania State University College of Medicine and Hershey Medical center, Penn State Hershey Children's Hospital, PO Box 850, 500 University Drive, Hershey, PA, 17033, USA.
Ying XiaDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, People's Republic of China.
Bihua TanPennsylvania State University College of Medicine and Hershey Medical center, Penn State Hershey Children's Hospital, PO Box 850, 500 University Drive, Hershey, PA, 17033, USA.
Chunhua SongPennsylvania State University College of Medicine and Hershey Medical center, Penn State Hershey Children's Hospital, PO Box 850, 500 University Drive, Hershey, PA, 17033, USA. csong@pennstatehealth.psu.edu.
Yan LiDepartment of Clinical Laboratory, Renmin Hospital of Wuhan University, 99 Ziyang Road of Wuchang District, Wuhan, 430060, People's Republic of China. yanlitf@gmail.com.
Penn State Milton S. Hershey Medical Center · USWuhan University · CNRenmin Hospital of Wuhan University · CNFirst Affiliated Hospital of Anhui Medical University · CNNingxia Medical University · CNWuhan University of Science and Technology · CN

Funding

National Natural Science Foundation of China 81502087
6 · The paper itself

Abstract

backgroundDetecting an ALK fusion gene in patients with non-small cell lung cancer (NSCLC) could provide evidence to guide individualized therapy.

methodsThe 5'/3' imbalance strategy for quantitative reverse transcription-PCR (RT-qPCR) was developed to detect ALK fusion genes in circulating tumor RNA (ctRNA) of NSCLC patients.

resultsThis method was validated in patients with the ALK fusion gene confirmed by next generation sequencing (NGS). The amount of the ALK fusion gene detected by the new method ranged from 33.2 to 987.4, (mean 315.2), in the patients confirmed to have the ALK fusion gene (+). This is much higher than the amount of fusion gene detected in the patients who are negative for the ALK fusion gene (-). The amount detected in the ALK fusion gene (-) samples ranged from 0.36 to 13.04, (mean 4.58). In 188 NSCLC patients, the specificity and sensitivity of the method was compared to that of the FISH method. About 10.64% of the patients showed higher ALK fusion gene expression, and were classified as ALK fusion gene (+). This is identical to the percentage of patients detected by the FISH method to be ALK fusion gene (+). The cutoff value for diagnosis of ALK fusion (+) is 32.9 as determined by this method.

conclusionsA new RT-PCR method using a 5'/3' imbalance strategy was developed, with high specificity and sensitivity, for detection of the ALK fusion gene in ctRNA of NSCLC patients. This method can rapidly detect ALK fusion genes in patients, which will be helpful for guiding targeted therapy, particularly the individualized usage of TKIs in these patients.

Indexed as

Biomarkers, TumorCell-Free Nucleic AcidsAdultAgedAnaplastic Lymphoma KinaseCarcinoma, Non-Small-Cell LungFemaleGene ExpressionGene RearrangementGenetic TestingHigh-Throughput Nucleotide SequencingHumansIn Situ Hybridization, FluorescenceLung NeoplasmsMaleMiddle AgedAnaplastic Lymphoma KinaseBiomarkers, TumorCell-Free Nucleic AcidsOncogene Proteins, Fusion5′/3′ imbalanceALKCirculating tumor RNAFusion geneNon-small cell lung cancer

Identifiers

PMID29587818
PMCPMC5870746
OpenAlexW2802954407

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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.