Evidence map›Paper›PMID 30914778›Full record

Trial reportScientific reports2019

A combined gene expression tool for parallel histological prediction and gene fusion detection in non-small cell lung cancer.

Anna Karlsson, Helena Cirenajwis, Kajsa Ericson-Lindquist, Hans Brunnström, Christel Reuterswärd, Mats Jönsson, Cristian Ortiz-Villalón, Aziz Hussein, Bengt Bergman, Anders Vikström and 10 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Simultaneous analysis ofTranslational lung cancer research · 2021
    Article
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  7. Article
  8. Article
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  10. Molecular identification of bronchopulmonary neuroendocrine tumours and neuroendocrine genotype in lung neoplasia using the NETest liquid biopsy.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2020
    Article
  11. Review
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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

20 authors at 7 institutions in 1 country.

Anna KarlssonDivision of Oncology and Pathology, Department of Clinical Sciences Lund, Lund University, Medicon Village, SE 22381, Lund, Sweden. anna_f.karlsson@med.lu.se.
Helena CirenajwisDivision of Oncology and Pathology, Department of Clinical Sciences Lund, Lund University, Medicon Village, SE 22381, Lund, Sweden.
Kajsa Ericson-LindquistDivision of Oncology and Pathology, Department of Clinical Sciences Lund, Lund University, SE 22185, Lund, Sweden.
Hans BrunnströmDivision of Oncology and Pathology, Department of Clinical Sciences Lund, Lund University, SE 22185, Lund, Sweden.ORCID 0000-0001-7402-138X
Christel ReuterswärdDivision of Oncology and Pathology, Department of Clinical Sciences Lund, Lund University, Medicon Village, SE 22381, Lund, Sweden.
Mats JönssonDivision of Oncology and Pathology, Department of Clinical Sciences Lund, Lund University, Medicon Village, SE 22381, Lund, Sweden.
Cristian Ortiz-VillalónDepartment of Pathology, Karolinska University Hospital, Stockholm, Sweden.
Aziz HusseinDepartment of Pathology and cytology, Sahlgrenska university hospital, Gothenburg, Sweden.
Bengt BergmanDepartment of Respiratory Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
Anders VikströmDepartment of Pulmonary Medicine, University hospital Linköping, Linköping, Sweden.
Nastaran MonsefDepartment of Pathology and Department of Clinical and Experimental medicine, Linköping University, Linköping, Sweden.
Eva BrandenRespiratory Medicine Unit, Department of Medicine Solna and CMM, Karolinska Institutet and Karolinska University Hospital Solna, Stockholm, Sweden.
Hirsh KoyiRespiratory Medicine Unit, Department of Medicine Solna and CMM, Karolinska Institutet and Karolinska University Hospital Solna, Stockholm, Sweden.
Luigi de PetrisThoracic Oncology Unit, Karolinska University Hospital and Department Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Patrick MickeDepartment of Immunology, Genetics and Pathology, Uppsala University, SE 75185, Uppsala, Sweden.
Annika PattheyDepartment of Pathology, Umeå University Hospital, SE 90185, Umeå, Sweden.
Annelie F BehndigDepartment of Public Health and Clinical Medicine, Division of Medicine, Umeå University, SE 90185, Umeå, Sweden.
Mikael JohanssonDepartment of Radiation Sciences, Oncology, Umeå University, SE 90185, Umeå, Sweden.
Maria PlanckDivision of Oncology and Pathology, Department of Clinical Sciences Lund, Lund University, Medicon Village, SE 22381, Lund, Sweden.
Johan StaafDivision of Oncology and Pathology, Department of Clinical Sciences Lund, Lund University, Medicon Village, SE 22381, Lund, Sweden. johan.staaf@med.lu.se.ORCID 0000-0001-5254-5115
Lund University · SEUmeå University · SEUppsala University · SEKarolinska University Hospital · SESahlgrenska University Hospital · SELinköping University · SELinköping University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate histological classification and identification of fusion genes represent two cornerstones of clinical diagnostics in non-small cell lung cancer (NSCLC). Here, we present a NanoString gene expression platform and a novel platform-independent, single sample predictor (SSP) of NSCLC histology for combined, simultaneous, histological classification and fusion gene detection in minimal formalin fixed paraffin embedded (FFPE) tissue. The SSP was developed in 68 NSCLC tumors of adenocarcinoma (AC), squamous cell carcinoma (SqCC) and large-cell neuroendocrine carcinoma (LCNEC) histology, based on NanoString expression of 11 (CHGA, SYP, CD56, SFTPG, NAPSA, TTF-1, TP73L, KRT6A, KRT5, KRT40, KRT16) relevant genes for IHC-based NSCLC histology classification. The SSP was combined with a gene fusion detection module (analyzing ALK, RET, ROS1, MET, NRG1, and NTRK1) into a multicomponent NanoString assay. The histological SSP was validated in six cohorts varying in size (n = 11-199), tissue origin (early or advanced disease), histological composition (including undifferentiated cancer), and gene expression platform. Fusion gene detection revealed five EML4-ALK fusions, four KIF5B-RET fusions, two CD74-NRG1 fusion and three MET exon 14 skipping events among 131 tested cases. The histological SSP was successfully trained and tested in the development cohort (mean AUC = 0.96 in iterated test sets). The SSP proved successful in predicting histology of NSCLC tumors of well-defined subgroups and difficult undifferentiated morphology irrespective of gene expression data platform. Discrepancies between gene expression prediction and histologic diagnosis included cases with mixed histologies, true large cell carcinomas, or poorly differentiated adenocarcinomas with mucin expression. In summary, we present a proof-of-concept multicomponent assay for parallel histological classification and multiplexed fusion gene detection in archival tissue, including a novel platform-independent histological SSP classifier. The assay and SSP could serve as a promising complement in the routine evaluation of diagnostic lung cancer biopsies.

Indexed as

Adenocarcinoma of LungCarcinoma, NeuroendocrineCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellGene Expression ProfilingGene Expression Regulation, NeoplasticGene FusionLung NeoplasmsOncogene Proteins, FusionFemaleHumansMaleOncogene Proteins, Fusion

Identifiers

PMID30914778
PMCPMC6435686
OpenAlexW2924409326

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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.