Evidence map›Paper›PMID 30446652›Full record

ArticleNature communications2018

RET rearrangements are actionable alterations in breast cancer.

Bhavna S Paratala, Jon H Chung, Casey B Williams, Bahar Yilmazel, Whitney Petrosky, Kirstin Williams, Alexa B Schrock, Laurie M Gay, Ellen Lee, Sonia C Dolfi and 12 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 79 papers.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed
9.3field-weighted citation impact, top 1% 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

79 citing papers in PubMed, 125 citations in OpenAlex.

  1. Trial
  2. Characteristics of fusion genes in breast cancer.Cancer cell international · 2026
    Review
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  4. Article
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  7. Evidence and gaps in tumor-agnostic therapies for breast cancer: a narrative review.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
    Review
  8. Genes · 2025
    Review
  9. Article
  10. Characterization ofTranslational lung cancer research · 2025
    Article
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  12. Review
  13. Article
  14. Article
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  19. Article
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19 more citing papers are in PubMed but not listed here.

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

22 authors at 4 institutions in 1 country.

Bhavna S ParatalaDepartment of Medicine, Division of Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, 08901, USA.
Jon H ChungFoundation Medicine, Cambridge, MA, 02139, USA.ORCID http://orcid.org/0000-0003-0526-3670
Casey B WilliamsAvera Cancer Institute Center for Precision Oncology, Sioux Falls, SD, 57105, USA.
Bahar YilmazelFoundation Medicine, Cambridge, MA, 02139, USA.
Whitney PetroskyDepartment of Medicine, Division of Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, 08901, USA.
Kirstin WilliamsAvera Cancer Institute Center for Precision Oncology, Sioux Falls, SD, 57105, USA.
Alexa B SchrockFoundation Medicine, Cambridge, MA, 02139, USA.
Laurie M GayFoundation Medicine, Cambridge, MA, 02139, USA.
Ellen LeeUniversity Radiology Group, New Brunswick, NJ, 08901, USA.
Sonia C DolfiDepartment of Medicine, Division of Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, 08901, USA.
Kien PhamDepartment of Pathology and Laboratory Medicine, Rutgers New Jersey Medical School and Rutgers Robert Wood Johnson Medical School, Newark, NJ, 07103, USA.
Stephanie LinDepartment of Medicine, Division of Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, 08901, USA.
Ming YaoDepartment of Medicine, Division of Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, 08901, USA.
Atul KulkarniDepartment of Medicine, Division of Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, 08901, USA.
Frances DiClementeDepartment of Medicine, Division of Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, 08901, USA.
Chen LiuDepartment of Pathology and Laboratory Medicine, Rutgers New Jersey Medical School and Rutgers Robert Wood Johnson Medical School, Newark, NJ, 07103, USA.
Lorna Rodriguez-RodriguezRutgers University, Piscataway, NJ, 08854, USA.
Shridar GanesanDepartment of Medicine, Division of Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, 08901, USA.
Jeffrey S RossFoundation Medicine, Cambridge, MA, 02139, USA.
Siraj M AliFoundation Medicine, Cambridge, MA, 02139, USA.
Brian Leyland-JonesAvera Cancer Institute Center for Precision Oncology, Sioux Falls, SD, 57105, USA. brian.leylandjones@avera.org.
Kim M HirshfieldDepartment of Medicine, Division of Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, 08901, USA. kim.hirshfield@merck.com.
Rutgers, The State University of New Jersey · USFoundation Medicine (United States)Avera Health · USUniversity Radiology · US

Funding

TRANSCRIPTIONAL PROFILINGP30CA072720 · NCI · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI Tracie Saunders · 1997 to 2026
$94.5M
NCI NIH HHS P30 CA072720
6 · The paper itself

Abstract

Fusions involving the oncogenic gene RET have been observed in thyroid and lung cancers. Here we report RET gene alterations, including amplification, missense mutations, known fusions, novel fusions, and rearrangements in breast cancer. Their frequency, oncogenic potential, and actionability in breast cancer are described. Two out of eight RET fusions (NCOA4-RET and a novel RASGEF1A-RET fusion) and RET amplification were functionally characterized and shown to activate RET kinase and drive signaling through MAPK and PI3K pathways. These fusions and RET amplification can induce transformation of non-tumorigenic cells, support xenograft tumor formation, and render sensitivity to RET inhibition. An index case of metastatic breast cancer progressing on HER2-targeted therapy was found to have the NCOA4-RET fusion. Subsequent treatment with the RET inhibitor cabozantinib led to a rapid clinical and radiographic response. RET alterations, identified by genomic profiling, are promising therapeutic targets and are present in a subset of breast cancers.

Indexed as

Gene Expression Regulation, NeoplasticAnilidesAnimalsAntineoplastic AgentsBreast NeoplasmsCell Line, TumorCell Transformation, NeoplasticErb-b2 Receptor Tyrosine KinasesFemaleHumansMCF-7 CellsMiceMice, NudeMitogen-Activated Protein KinasesNIH 3T3 CellsNuclear Receptor CoactivatorsAnilidesAntineoplastic AgentscabozantinibERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesMitogen-Activated Protein KinasesNCOA4 protein, humanNuclear Receptor CoactivatorsOncogene Proteins, FusionPhosphatidylinositol 3-KinasesPiperidinesProto-Oncogene Proteins c-retPyridinesQuinazolinesRASGEF1A protein, humanras Guanine Nucleotide Exchange FactorsRET protein, humanvandetanib

Identifiers

PMID30446652
PMCPMC6240119
OpenAlexW2901045644

What OpenQuestion holds

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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.