Evidence map›Paper›PMID 33217343›Full record

ArticleCancer cell2021

Molecular Features of Cancers Exhibiting Exceptional Responses to Treatment.

David A Wheeler, Naoko Takebe, Toshinori Hinoue, Katherine A Hoadley, Maria F Cardenas, Alina M Hamilton, Peter W Laird, Linghua Wang, Adrienne Johnson, Ninad Dewal and 36 more

Abstract read
In one paragraph

Article in Cancer cell, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
–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

64 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. A Phase I Study of Nilotinib in Combination with Paclitaxel in Patients with Advanced Solid Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

46 authors.

David A WheelerHuman Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA; Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, TX 77030, USA.
Naoko TakebeDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Toshinori HinoueVan Andel Institute, Grand Rapids, MI 49503, USA.
Katherine A HoadleyDepartment of Genetics, Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Maria F CardenasHuman Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA; Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, TX 77030, USA.
Alina M HamiltonDepartment of Genetics, Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Peter W LairdVan Andel Institute, Grand Rapids, MI 49503, USA.
Linghua WangDepartment of Genomic Medicine, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Adrienne JohnsonFoundation Medicine Inc, Cambridge, MA 02141, USA.
Ninad DewalFoundation Medicine Inc, Cambridge, MA 02141, USA.
Vincent MillerFoundation Medicine Inc, Cambridge, MA 02141, USA.
David PiñeyroJosep Carreras Leukaemia Research Institute, Badalona, 08916 Barcelona, Catalonia, Spain; Institucio Catalana de Recerca i Estudis Avançats (ICREA), 08010 Barcelona, Catalonia, Spain.
Manuel Castro de MouraJosep Carreras Leukaemia Research Institute, Badalona, 08916 Barcelona, Catalonia, Spain.
Manel EstellerJosep Carreras Leukaemia Research Institute, Badalona, 08916 Barcelona, Catalonia, Spain; Centro de Investigacion Biomedica en Red Cancer (CIBERONC), 28029 Madrid, Spain; Institucio Catalana de Recerca i Estudis Avançats (ICREA), 08010 Barcelona, Catalonia, Spain; Physiological Sciences Department, School of Medicine and Health Sciences, University of Barcelona (UB), 08007 Barcelona, Catalonia, Spain.
Hui ShenVan Andel Institute, Grand Rapids, MI 49503, USA.
Jean Claude ZenklusenCenter for Cancer Genomics, National Cancer Institute, Bethesda, MD 20892, USA.
Roy TarnuzzerCenter for Cancer Genomics, National Cancer Institute, Bethesda, MD 20892, USA.
Lisa M McShaneDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
James V TricoliDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Paul M WilliamsFrederick National Laboratory for Cancer Research, Frederick, MD 21701, USA.
Irina LubenskyDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Geraldine O'Sullivan-CoyneDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Elise C KohnDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Richard F LittleDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Jeffrey WhiteDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Shakun MalikDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Lyndsay HarrisDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Carol WeilDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Alice P ChenDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Chris KarlovichFrederick National Laboratory for Cancer Research, Frederick, MD 21701, USA.
Brian RodgersDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Lalitha ShankarDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Paula JacobsDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Tracy NolanDepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
Jianhong HuHuman Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA.
Donna M MuznyHuman Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA.
Harshavardhan DoddapaneniHuman Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA.
Viktoriya KorchinaHuman Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA.
Julie Gastier-FosterNationwide Children's Hospital, Columbus, OH 43205, USA.
Jay BowenNationwide Children's Hospital, Columbus, OH 43205, USA.
Kristen LeraasNationwide Children's Hospital, Columbus, OH 43205, USA.
Elijah F EdmondsonPathology and Histology Laboratory, Frederick National Laboratory for Cancer Research, National Cancer Institute, NIH, Frederick, MD 21701, USA.
James H DoroshowDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Barbara A ConleyDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
S Percy IvyDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD 20892, USA.
Louis M StaudtCenter for Cancer Genomics, National Cancer Institute, Bethesda, MD 20892, USA. Electronic address: lstaudt@mail.nih.gov.

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
The BCM Tumor Genome Characterization CenterU24CA143843 · NCI · BAYLOR COLLEGE OF MEDICINE · PI GIBBS, RICHARD A, WHEELER, DAVID ANDREW · 2009 to 2013
$9.5M
Phase 01 Clinical TrialsZIABC011078 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI DOROSHOW, JAMES · 2009 to 2025
$9.0M
Integrative Cancer Epigenomic Data Analysis Center (ICE-DAC)U24CA210969 · NCI · VAN ANDEL RESEARCH INSTITUTE · PI LAIRD, PETER W · 2016 to 2020
$2.5M
RNA sequencing analysis of CancerU24CA210988 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HAYES, DAVID N, HOADLEY, KATHERINE A. · 2016 to 2020
$2.1M
Enhancement Training for the Next Generation of Translational Ph.D. ScientistsT32GM122741 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WOLBERG, ALISA S., YEH, JEN JEN · 2018 to 2022
$898k
CCR NIH HHS HHSN261200800001CIntramural NIH HHS Z99 CA999999NCI NIH HHS HHSN261200800001ENCI NIH HHS HHSN261201700005CNCI NIH HHS HHSN261201700005INCI NIH HHS U24 CA143843NCI NIH HHS U24 CA210969NCI NIH HHS U24 CA210988NIEHS NIH HHS P30 ES010126NIGMS NIH HHS T32 GM122741
6 · The paper itself

Abstract

A small fraction of cancer patients with advanced disease survive significantly longer than patients with clinically comparable tumors. Molecular mechanisms for exceptional responses to therapy have been identified by genomic analysis of tumor biopsies from individual patients. Here, we analyzed tumor biopsies from an unbiased cohort of 111 exceptional responder patients using multiple platforms to profile genetic and epigenetic aberrations as well as the tumor microenvironment. Integrative analysis uncovered plausible mechanisms for the therapeutic response in nearly a quarter of the patients. The mechanisms were assigned to four broad categories-DNA damage response, intracellular signaling, immune engagement, and genetic alterations characteristic of favorable prognosis-with many tumors falling into multiple categories. These analyses revealed synthetic lethal relationships that may be exploited therapeutically and rare genetic lesions that favor therapeutic success, while also providing a wealth of testable hypotheses regarding oncogenic mechanisms that may influence the response to cancer therapy.

Indexed as

Gene Regulatory NetworksGenetic VariationAntineoplastic AgentsBiopsyEpigenesis, GeneticFemaleGenomicsHumansMaleNeoplasmsPrognosisSurvival AnalysisTreatment OutcomeTumor MicroenvironmentAntineoplastic Agentscombination cancer therapyDNA methylation analysisDNA repair mechanismsexceptional response to therapyintegrating molecular and clinical datamulti-platform genomic analysesN of 1 experimentprecision cancer medicinerare mutationsRNA sequencingsynthetic lethalitywhole-exome sequencing

Identifiers

PMID33217343
PMCPMC8478080

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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.