Evidence map›Paper›PMID 30368666›Full record

ArticleJournal of cancer research and clinical oncology2019

Intratumor heterogeneity and tissue distribution of KRAS mutation in non-small cell lung cancer: implications for detection of mutated KRAS oncogene in exhaled breath condensate.

Jacek Kordiak, Janusz Szemraj, Izabela Grabska-Kobylecka, Piotr Bialasiewicz, Marcin Braun, Radzisław Kordek, Dariusz Nowak

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Journal of cancer research and clinical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
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  8. Review
  9. The path to the clinic: a comprehensive review on direct KRASJournal of experimental & clinical cancer research : CR · 2022
    Review
  10. Targeting the "undruggable" RAS with biologics.Advances in cancer research · 2022
    Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. Inhibition of RAS: proven and potential vulnerabilities.Biochemical Society transactions · 2020
    Review
  18. Overcoming Resistance to Drugs TargetingInnovation (Cambridge (Mass.)) · 2020
    Article
  19. Early diagnosis and screening in lung cancer.American journal of cancer research · 2020
    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

7 authors at 1 institution in 1 country.

Jacek KordiakDepartment of Chest Surgery, Oncologic and General Surgery, Medical University of Lodz, University Hospital No. 2, Zeromskiego St. 113, 91-647, Lodz, Poland.
Janusz SzemrajDepartment of Medical Biochemistry, Medical University of Lodz, Mazowiecka St. 6/8, 92-215, Lodz, Poland.
Izabela Grabska-KobyleckaDepartment of Clinical Physiology, Medical University of Lodz, Mazowiecka St. 6/8, 92-215, Lodz, Poland.
Piotr BialasiewiczDepartment of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, Mazowiecka St. 6/8, 92-215, Lodz, Poland.
Marcin BraunDepartment of Pathology, Medical University of Lodz, Pomorska St. 251, 92-215, Lodz, Poland.
Radzisław KordekDepartment of Pathology, Medical University of Lodz, Pomorska St. 251, 92-215, Lodz, Poland.
Dariusz NowakDepartment of Clinical Physiology, Medical University of Lodz, Mazowiecka St. 6/8, 92-215, Lodz, Poland. dariusz.nowak@umed.lodz.pl.
Medical University of Lodz · PL

Funding

National Science Centre Poland (Grant NCN) 402-350-838Uniwersytet Medyczny w Lodzi 503/1-034-03/503-11-001Uniwersytet Medyczny w Lodzi 503/1-079-01/503-11-001Uniwersytet Medyczny w Lodzi 503/1-079-06/503-11-001Uniwersytet Medyczny w Lodzi 503/5-138-01/503-01Uniwersytet Medyczny w Lodzi 503/6-086-01/503-61-001
6 · The paper itself

Abstract

purposeMutated KRAS oncogene in exhaled breath condensate (EBC) can be a genetic marker of non-small cell lung cancer (NSCLC). However, a possibility of inhomogeneous distribution in cancer tissue and intratumor heterogeneity of KRAS mutation may decrease its significance. We investigated a status of KRAS point mutation and its sequence at codon 12 in 51 NSCLC patients after tumor resection. The comparison of KRAS mutation status between EBC-DNA and cancer tissue was performed in 19 cases.

methodsFive cancer tissue samples from disparate tumor regions and one from normal lung were harvested at surgery. EBC was collected for DNA analysis the previous day. KRAS point mutations at codon 12 were detected using mutant-enriched PCR technique and pyrosequenced.

resultsForty-six cancers revealed concordance of KRAS mutation status: 27 contained mutated KRAS and 19 had only wild KRAS. Five NSCLCs revealed inhomogeneous distribution of KRAS mutation. Two different mutations were found in 14 NSCLCs and the most frequent one was G12D and G12V (n = 8). No mutated KRAS was found in normal lung. The concordance ratios of KRAS sequence in codon 12 between EBC-DNA and cancer were 18/19 for NSCLC patients and 11/12 for KRAS mutation positive NSCLC.

conclusionsIntratumor heterogeneity and inhomogeneous distribution of KRAS point mutation in codon 12 in cancer tissue can occur in NSCLCs. There was a high accordance between KRAS mutation status in EBC-DNA and cancer tissue in NSCLC patients what suggests usefulness of monitoring KRAS mutation in EBC-DNA as a biomarker of NSCLC.

Indexed as

Breath TestsGenes, rasPoint MutationAdenocarcinoma of LungAgedBayes TheoremBiomarkers, TumorCarcinoma, Squamous CellCodonDNA, NeoplasmFemaleGenetic MarkersHumansLung NeoplasmsMaleMiddle AgedBiomarkers, TumorCodonDNA, NeoplasmGenetic MarkersExhaled breath condensateGenetic biomarkersHeterogeneityKRAS oncogene mutationNon-small cell lung cancer

Identifiers

PMID30368666
PMCPMC6325989
OpenAlexW2898144613

What OpenQuestion holds

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LicenceCC BY
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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.