Evidence map›Paper›PMID 34145376›Full record

ArticleNPJ precision oncology2021

A subset of lung cancer cases shows robust signs of homologous recombination deficiency associated genomic mutational signatures.

Miklos Diossy, Zsofia Sztupinszki, Judit Borcsok, Marcin Krzystanek, Viktoria Tisza, Sandor Spisak, Orsolya Rusz, Jozsef Timar, István Csabai, Janos Fillinger and 4 more

Open access · goldAbstract read
In one paragraph

Article in NPJ precision oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

22 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. International journal of molecular sciences · 2026
    Review
  3. Identification ofOncology research · 2026
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  5. Deregulated methylation and expression ofFrontiers in immunology · 2025
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  8. Emerging cancer risks in BRCA2 pathogenic germline variant carriers.European journal of human genetics : EJHG · 2023
    Article
  9. Article
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  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Does Molecular Profiling ofCurrent oncology (Toronto, Ont.) · 2022
    Article
  18. Article
  19. Article
  20. Molecular Pathology of Lung Cancer.Cold Spring Harbor perspectives in medicine · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 3 countries.

Miklos Diossy *Department of Health Technology, Section for Bioinformatics, Technical University of Denmark, DTU, Kgs. Lyngby, Denmark.ORCID http://orcid.org/0000-0003-0308-6615
Zsofia Sztupinszki *Danish Cancer Society Research Center, Copenhagen, Denmark.
Judit Borcsok *Danish Cancer Society Research Center, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-3290-3971
Marcin KrzystanekDanish Cancer Society Research Center, Copenhagen, Denmark.
Viktoria TiszaComputational Health Informatics Program, Boston Children's Hospital, Boston, MA, USA.
Sandor SpisakDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Orsolya Rusz2nd Department of Pathology, SE NAP, Brain Metastasis Research Group, Semmelweis University, Budapest, Hungary.
Jozsef Timar2nd Department of Pathology, SE NAP, Brain Metastasis Research Group, Semmelweis University, Budapest, Hungary.
István CsabaiDepartment of Physics of Complex Systems, Eötvös Loránd University, Budapest, Hungary.
Janos FillingerDepartment of Pathology, National Korányi Institute of Pulmonology, Budapest, Hungary.
Judit Moldvay2nd Department of Pathology, SE NAP, Brain Metastasis Research Group, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0001-9425-1748
Anders Gorm PedersenDepartment of Health Technology, Section for Bioinformatics, Technical University of Denmark, DTU, Kgs. Lyngby, Denmark.
David SzutsInstitute of Enzymology, Research Centre for Natural Sciences, Hungarian Academy of Sciences, Budapest, Hungary.ORCID http://orcid.org/0000-0001-7985-0136
Zoltan SzallasiDanish Cancer Society Research Center, Copenhagen, Denmark. Zoltan.szallasi@childrens.harvard.edu.ORCID http://orcid.org/0000-0001-5395-7509
Danish Cancer Society · DKSemmelweis University · HUBoston Children's Hospital · USDana-Farber Cancer Institute · USEötvös Loránd University · HUInstitute of Molecular Life Sciences · HUOrszágos Korányi Tbc és Pulmonológiai Intézet · HUTechnical University of Denmark · DK

Funding

Breast Cancer Research Foundation (BCRF) BCRF-17-156Kræftens Bekæmpelse (Danish Cancer Society) R90-A6213Nemzeti Kutatási, Fejlesztési és Innovációs Hivatal (NKFI Office) KTIA_NAP_13-2014-0021Nemzeti Kutatási, Fejlesztési és Innovációs Hivatal (NKFI Office) NAP2-2017-1.2.1-NKP-0002Novo Nordisk Fonden (Novo Nordisk Foundation) NNF15OC0016584
6 · The paper itself

Abstract

PARP inhibitors are approved for the treatment of solid tumor types that frequently harbor alterations in the key homologous recombination (HR) genes, BRCA1/2. Other tumor types, such as lung cancer, may also be HR deficient, but the frequency of such cases is less well characterized. Specific DNA aberration profiles (mutational signatures) are induced by homologous recombination deficiency (HRD) and their presence can be used to assess the presence or absence of HR deficiency in a given tumor biopsy even in the absence of an observed alteration of an HR gene. We derived various HRD-associated mutational signatures from whole-genome and whole-exome sequencing data in the lung adenocarcinoma and lung squamous carcinoma cases from TCGA, and in a patient of ours with stage IVA lung cancer with exceptionally good response to platinum-based therapy, and in lung cancer cell lines. We found that a subset of the investigated cases, both with and without biallelic loss of BRCA1 or BRCA2, showed robust signs of HR deficiency. The extreme platinum responder case also showed a robust HRD-associated genomic mutational profile. HRD-associated mutational signatures were also associated with PARP inhibitor sensitivity in lung cancer cell lines. Consequently, lung cancer cases with HRD, as identified by diagnostic mutational signatures, may benefit from PARP inhibitor therapy.

Identifiers

PMID34145376
PMCPMC8213828
OpenAlexW3167620722

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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.