Evidence map›Paper›PMID 30224629›Full record

ArticleNature communications2018

Recurrent WNT pathway alterations are frequent in relapsed small cell lung cancer.

Alex H Wagner, Siddhartha Devarakonda, Zachary L Skidmore, Kilannin Krysiak, Avinash Ramu, Lee Trani, Jason Kunisaki, Ashiq Masood, Saiama N Waqar, Nicholas C Spies and 20 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 2% 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

109 citing papers in PubMed, 1 synthesis or guideline pooled it, 168 citations in OpenAlex.

  1. Pooled it
  2. Genes, fuel, and fate in lung cancer.Biochemical Society transactions · 2026
    Review
  3. Article
  4. Review
  5. YAP1 Defines an Emergent, Plastic Population of Relapsed SCLC.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2026
    Article
  6. Article
  7. Article
  8. The Impact of Targeting TRAF2 and NCK-Interacting Protein Kinase on Antitumor Effect and Tumor Immune Environment in c-MYC-High SCLC.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2026
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. The Five-Decade Journey of Small Cell Lung Cancer.Cancer communications (London, England) · 2026
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 6 institutions in 1 country.

Alex H WagnerMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA.ORCID http://orcid.org/0000-0002-2502-8961
Siddhartha DevarakondaDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Zachary L SkidmoreMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA.
Kilannin KrysiakMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA.ORCID http://orcid.org/0000-0002-6299-9230
Avinash RamuMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA.ORCID http://orcid.org/0000-0003-3799-809X
Lee TraniMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA.
Jason KunisakiMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA.
Ashiq MasoodDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Saiama N WaqarDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Nicholas C SpiesMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA.
Daniel MorgenszternDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Jason WaligorskiMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA.
Jennifer PonceMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA.
Robert S FultonMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA.
Leonard B MaggiDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Jason D WeberDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Mark A WatsonAlvin J Siteman Cancer Center, Washington University, St. Louis, MO, 63110, USA.
Christopher J O'ConorDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Jon H RitterDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Rachelle R OlsenDepartment of Oncological Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, UT, 84112, USA.
Haixia ChengDepartment of Oncological Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, UT, 84112, USA.
Anandaroop MukhopadhyayDepartment of Oncological Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, UT, 84112, USA.
Ismail CanDepartment of Oncological Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, UT, 84112, USA.ORCID http://orcid.org/0000-0003-0569-5326
Melissa H CessnaIntermountain Healthcare BioRepository and Department of Pathology, Intermountain Healthcare, Salt Lake City, UT, 84103, USA.
Trudy G OliverDepartment of Oncological Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, UT, 84112, USA.
Elaine R MardisMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA.
Richard K WilsonMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA.
Malachi GriffithMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA. mgriffit@wustl.edu.
Obi L GriffithMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63108, USA. obigriffith@wustl.edu.ORCID http://orcid.org/0000-0002-0843-4271
Ramaswamy GovindanDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA. rgovindan@wustl.edu.
James S. McDonnell Foundation · USWashington University in St. Louis · USUniversity of Utah · USAlvin J. Siteman Cancer Center · USIntermountain Healthcare · USSaint Luke's Health System · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jared P Rutter · 1986 to 2026
$72.6M
MOLECULAR ONCOLOGY TRAINING GRANTT32CA113275 · NCI · WASHINGTON UNIVERSITY · PI Matthew J Walter · 2006 to 2026
$5.7M
Genomic and Functional Identification of Chemotherapy Resistance Mechanisms in Small Cell Lung CancerU01CA231844 · NCI · WASHINGTON UNIVERSITY · PI GOVINDAN, RAMASWAMY, GRIFFITH, OBI L. · 2018 to 2022
$3.1M
DEVELOPMENT OF INFORMATICS RESOURCES FOR INTERPRETATION OF CLINICALLY ACTIONABLE VARIANTS IN CANCERU01CA209936 · NCI · WASHINGTON UNIVERSITY · PI GRIFFITH, OBI L. · 2016 to 2018
$1.0M
Integrated Analysis & Interpretation of Whole Genome Exome & Transcriptome SequenR00HG007940 · NHGRI · WASHINGTON UNIVERSITY · PI GRIFFITH, MALACHI · 2017 to 2019
$724k
DEFINING THE REGULATORY, NON-CODING, MUTATIONAL LANDSCAPE OF BREAST CANCERK22CA188163 · NCI · WASHINGTON UNIVERSITY · PI GRIFFITH, OBI L. · 2014 to 2016
$515k
Identifying Therapeutic Vulnerabilities of c-MYC-driven Small Cell Lung CancerR21CA216504 · NCI · UNIVERSITY OF UTAH · PI OLIVER, TRUDY GALE · 2018 to 2019
$358k
A Collaborative Reporting Tool For Interpreting Genomic Events In Lung CancersF32CA206247 · NCI · WASHINGTON UNIVERSITY · PI WAGNER, ALEX HANDLER · 2017 to 2018
$122k
NCI NIH HHS F32 CA206247NCI NIH HHS K22 CA188163NCI NIH HHS P30 CA016058NCI NIH HHS P30 CA042014NCI NIH HHS R21 CA216504NCI NIH HHS T32 CA113275NCI NIH HHS U01 CA209936NCI NIH HHS U01 CA231844NHGRI NIH HHS R00 HG007940
6 · The paper itself

Abstract

Nearly all patients with small cell lung cancer (SCLC) eventually relapse with chemoresistant disease. The molecular mechanisms driving chemoresistance in SCLC remain un-characterized. Here, we describe whole-exome sequencing of paired SCLC tumor samples procured at diagnosis and relapse from 12 patients, and unpaired relapse samples from 18 additional patients. Multiple somatic copy number alterations, including gains in ABCC1 and deletions in MYCL, MSH2, and MSH6, are identifiable in relapsed samples. Relapse samples also exhibit recurrent mutations and loss of heterozygosity in regulators of WNT signaling, including CHD8 and APC. Analysis of RNA-sequencing data shows enrichment for an ASCL1-low expression subtype and WNT activation in relapse samples. Activation of WNT signaling in chemosensitive human SCLC cell lines through APC knockdown induces chemoresistance. Additionally, in vitro-derived chemoresistant cell lines demonstrate increased WNT activity. Overall, our results suggest WNT signaling activation as a mechanism of chemoresistance in relapsed SCLC.

Indexed as

Adenomatous Polyposis Coli ProteinBasic Helix-Loop-Helix ProteinsCadherinsCell Line, TumorDrug Resistance, NeoplasmExome SequencingGene Expression Regulation, NeoplasticGene Knockdown TechniquesHumansLoss of HeterozygosityLung NeoplasmsMutationNeoplasm Recurrence, LocalSmall Cell Lung CarcinomaWnt Signaling PathwayAdenomatous Polyposis Coli ProteinAPC protein, humanASCL1 protein, humanBasic Helix-Loop-Helix ProteinsCadherinsCDH8 protein, human

Identifiers

PMID30224629
PMCPMC6141466
OpenAlexW2892273485

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.