Evidence map›Paper›PMID 34591593›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2021

Genomic Profiling of Lung Adenocarcinoma in Never-Smokers.

Siddhartha Devarakonda, Yize Li, Fernanda Martins Rodrigues, Sumithra Sankararaman, Humam Kadara, Chandra Goparaju, Irena Lanc, Kymberlie Pepin, Saiama N Waqar, Daniel Morgensztern and 12 more

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 2% 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

75 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Germline determinants of risk and molecular subtype in young-onset lung cancer.medRxiv : the preprint server for health sciences · 2026
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  13. First-line treatment strategies forJournal of thoracic disease · 2026
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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 7 institutions in 1 country.

Siddhartha DevarakondaDivision of Oncology, Washington University School of Medicine, St Louis, MO.ORCID 0000-0003-2693-3848
Yize LiDivision of Oncology, Washington University School of Medicine, St Louis, MO.
Fernanda Martins RodriguesDivision of Oncology, Washington University School of Medicine, St Louis, MO.ORCID 0000-0002-2140-0690
Sumithra SankararamanDivision of Oncology, Washington University School of Medicine, St Louis, MO.
Humam KadaraMD Anderson Cancer Center, Houston, TX.
Chandra GoparajuNew York University Langone Medical Center, New York, NY.
Irena LancGyroscope Therapeutics, St Louis, MO.
Kymberlie PepinDivision of Oncology, Washington University School of Medicine, St Louis, MO.ORCID 0000-0002-2771-309X
Saiama N WaqarDivision of Oncology, Washington University School of Medicine, St Louis, MO.
Daniel MorgenszternDivision of Oncology, Washington University School of Medicine, St Louis, MO.ORCID 0000-0003-4349-2028
Jeffrey WardDivision of Oncology, Washington University School of Medicine, St Louis, MO.ORCID 0000-0002-9707-895X
Ashiq MasoodRush University Medical Center, Chicago, IL.ORCID 0000-0002-1848-1178
Robert FultonMcDonnell Genome Institute, St Louis, MO.
Lucinda FultonMcDonnell Genome Institute, St Louis, MO.ORCID 0000-0001-6429-4288
Michael A GilletteBroad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA.ORCID 0000-0001-9300-1448
Shankha SatpathyBroad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA.ORCID 0000-0002-6040-4854
Steven A CarrBroad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA.ORCID 0000-0002-7203-4299
Ignacio WistubaMD Anderson Cancer Center, Houston, TX.
Harvey PassNew York University Langone Medical Center, New York, NY.
Richard K WilsonNationwide Children's Hospital, Columbus, OH.ORCID 0000-0002-1992-1358
Li DingDivision of Oncology, Washington University School of Medicine, St Louis, MO.
Ramaswamy GovindanDivision of Oncology, Washington University School of Medicine, St Louis, MO.ORCID 0000-0002-6964-9612
Washington University in St. Louis · USJames S. McDonnell Foundation · USBroad Institute · USNYU Langone Health · USThe University of Texas MD Anderson Cancer Center · USNationwide Children's Hospital · USRush University Medical Center · US

Funding

The EDRN Mesothelioma Biomarker Discovery LaboratoryU01CA214195 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI PASS, HARVEY IRA, YANG, HAINING · 2016 to 2021
$3.5M
NCI NIH HHS U01 CA214195
6 · The paper itself

Abstract

purposeApproximately 10%-40% of patients with lung cancer report no history of tobacco smoking (never-smokers). We analyzed whole-exome and RNA-sequencing data of 160 tumor and normal lung adenocarcinoma (LUAD) samples from never-smokers to identify clinically actionable alterations and gain insight into the environmental and hereditary risk factors for LUAD among never-smokers.

methodsWe performed whole-exome and RNA-sequencing of 88 and 69 never-smoker LUADs. We analyzed these data in conjunction with data from 76 never-smoker and 299 smoker LUAD samples sequenced by The Cancer Genome Atlas and Clinical Proteomic Tumor Analysis Consortium.

resultsWe observed a high prevalence of clinically actionable driver alterations in never-smoker LUADs compared with smoker LUADs (78%-92%

conclusionIn this comprehensive genomic and transcriptome analysis of never-smoker LUADs, we observed a potential role for germline variants in DNA repair genes and passive exposure to cigarette smoke in the pathogenesis of a subset of never-smoker LUADs. Our findings also show that clinically actionable driver alterations are highly prevalent in never-smoker LUADs, highlighting the need for obtaining biopsies with adequate cellularity for clinical genomic testing in these patients.

Indexed as

MutationAdenocarcinoma of LungAgedBiomarkers, TumorExome SequencingFemaleFollow-Up StudiesHumansLung NeoplasmsMalePrognosisSmokingUnited StatesBiomarkers, Tumor

Identifiers

PMID34591593
PMCPMC8601276
OpenAlexW3202853415

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.