Evidence map›Paper›PMID 30237583›Full record

ArticleThe pharmacogenomics journal2019

An exploratory study by DMET array identifies a germline signature associated with imatinib response in gastrointestinal stromal tumor.

Gloria Ravegnini, Milena Urbini, Vittorio Simeon, Chiara Genovese, Annalisa Astolfi, Margherita Nannini, Lidia Gatto, Maristella Saponara, Manuela Ianni, Valentina Indio and 6 more

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Article in The pharmacogenomics journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Impact of genetic variants in the solute carrier (Cancer drug resistance (Alhambra, Calif.) · 2024
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Somatic pharmacogenomics of gastrointestinal stromal tumor.Cancer drug resistance (Alhambra, Calif.) · 2019
    Review
  18. Review
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

16 authors.

Gloria RavegniniDepartment of Pharmacy and Biotechnology, University of Bologna, Bologna, Italy.ORCID http://orcid.org/0000-0002-7774-402X
Milena Urbini"Giorgio Prodi" Cancer Research Center, University of Bologna, Bologna, Italy.
Vittorio SimeonMedical Statistics Unit, University of Campania "Luigi Vanvitelli", Napoli, Italy.
Chiara Genovese"Giorgio Prodi" Cancer Research Center, University of Bologna, Bologna, Italy.
Annalisa Astolfi"Giorgio Prodi" Cancer Research Center, University of Bologna, Bologna, Italy.
Margherita NanniniDepartment of Specialized, Experimental and Diagnostic Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Lidia GattoDepartment of Specialized, Experimental and Diagnostic Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Maristella SaponaraDepartment of Specialized, Experimental and Diagnostic Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Manuela Ianni"Giorgio Prodi" Cancer Research Center, University of Bologna, Bologna, Italy.
Valentina Indio"Giorgio Prodi" Cancer Research Center, University of Bologna, Bologna, Italy.
Giovanni BrandiDepartment of Specialized, Experimental and Diagnostic Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Stefania TrinoLaboratory of Pre-Clinical and Translational Research Reference Cancer Center of Basilicata, Scientific Institute of Hospitalization and treatment, Rionero in Vulture, Potenza, Italy.
Patrizia HreliaDepartment of Pharmacy and Biotechnology, University of Bologna, Bologna, Italy.
Guido Biasco"Giorgio Prodi" Cancer Research Center, University of Bologna, Bologna, Italy.
Sabrina AngeliniDepartment of Pharmacy and Biotechnology, University of Bologna, Bologna, Italy. s.angelini@unibo.it.
Maria A Pantaleo"Giorgio Prodi" Cancer Research Center, University of Bologna, Bologna, Italy. maria.pantaleo@unibo.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Imatinib represents the standard therapy for gastrointestinal stromal tumor (GIST) patients with metastatic/unresectable disease. Despite  the excellent results achieved with its introduction, the majority of patients quite invariably experience disease progression. The aim of this study was to understand the contribution of germline DNA polymorphisms in discriminating between imatinib clinical response [evaluated as progression free survival (PFS)] and toxicity. In particular, a discovery cohort (34 GIST with a KIT exon 11 primary mutation, and no toxicity) was analyzed through DMET array that interrogates 1936 variants in 231 genes of the ADME process. We further confirmed the genotype of selected variants in an extended cohort of 49 patients (the original cohort and 15 new cases, all with exon 11 primary mutation), identifying 6 SNPs- ABCB4 rs1202283, ABCC2 rs2273697, ABCG1 rs1541290, CYP11B1 rs7003319, CYP7B1 rs6987861, and NQO1 rs10517-significantly associated with response to imatinib. Three SNPs, ABCB4 rs1202283, ABCC2 rs2273697, and NQO1 rs10517, which had a significant association after adjusted multivariate analysis, were included in a genetic prediction model. We confirmed that these SNPs could stratify the cohort of 49 patients according to the risk of developing progression under imatinib treatment. In conclusion, we identified a genetic signature of response to imatinib therapy in GIST patients able to stratify patients at low and high risk to progress, according to their genotype.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsCohort StudiesDisease-Free SurvivalDisease ProgressionExonsFemaleGastrointestinal Stromal TumorsGenotypeGerm CellsHumansImatinib MesylateMaleMiddle AgedABCC2 protein, humanAntineoplastic AgentsImatinib MesylateMultidrug Resistance-Associated Protein 2

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Registered trials

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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.