Evidence map›Paper›PMID 35038823›Full record

ArticleCancer research and treatment2022

Genomic Correlates of Unfavorable Outcome in Locally Advanced Cervical Cancer Treated with Neoadjuvant Chemoradiation.

Yuchun Wei, Chuqing Wei, Liang Chen, Ning Liu, Qiuxiang Ou, Jiani C Yin, Jiaohui Pang, Zhenhao Fang, Xue Wu, Xiaonan Wang and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Cancer research and treatment, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 12 citations in OpenAlex.

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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

14 authors at 4 institutions in 2 countries.

Yuchun WeiCheeloo College of Medicine, Shandong University, Jinan, China.
Chuqing WeiDepartment of Radiology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
Liang ChenDepartment of Gynecologic Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
Ning LiuDepartment of Radiology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
Qiuxiang OuGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Jiani C YinGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Jiaohui PangGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Zhenhao FangGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Xue WuGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Xiaonan WangGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Dianbin MuDepartment of Pathology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
Yang ShaoGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Jinming YuCheeloo College of Medicine, Shandong University, Jinan, China.
Shuanghu YuanCheeloo College of Medicine, Shandong University, Jinan, China.
Genesee Community College · USShandong First Medical University · CNShandong Tumor Hospital · CNShandong University · CN

Funding

Jinan Clinical Medicine Science and Technology Innovation Plan 201704095National key Research and Development Program 2018YFC1313200National Key Research and Development Program of China 2016YFC0904700National Natural Science Foundation of China NSFC81372413National Natural Science Foundation of China NSFC81872475National Natural Science Foundation of China NSFC81972683Outstanding Youth Natural Science Foundation of Shandong Province JQ201423Shandong Key Research and Development Plan 2017CXGC1209Shandong Key Research and Development Plan 2017GSF18164Shandong Natural Science Foundation Joint Fund ZR2019LZL018
6 · The paper itself

Abstract

purposeNeoadjuvant therapy modality can increase the operability rate and mitigate pathological risks in locally advanced cervical cancer, but treatment response varies widely. It remains unclear whether genetic alterations correlate with the response to neoadjuvant therapy and disease-free survival (DFS) in locally advanced cervical cancer. MATERIALS AND

methodsA total of 62 locally advanced cervical cancer (stage IB-IIA) patients who received neoadjuvant chemoradiation plus radical hysterectomy were retrospectively analyzed. Patients' tumor biopsy samples were comprehensively profiled using targeted next generation sequencing. Pathologic response to neoadjuvant treatment and DFS were evaluated against the association with genomic traits.

resultsGenetic alterations of PIK3CA were most frequent (37%), comparable to that of Caucasian populations from The Cancer Genome Atlas. The mutation frequency of genes including TERT, POLD1, NOS2, and FGFR3 was significantly higher in Chinese patients whereas RPTOR, EGFR, and TP53 were underrepresented in comparison to Caucasians. Germline mutations were identified in 21% (13/62) of the cohort and more than half (57%) had mutations in DNA damage repair genes, including BRCA1/2, TP53 and PALB2. Importantly, high tumor mutation burden, TP53 polymorphism (rs1042522), and KEAP1 mutations were found to be associated with poor pathologic response to neoadjuvant chemoradiation treatment. KEAP1 mutations, PIK3CA-SOX2 co-amplification, TERC copy number gain, and TYMS polymorphism correlated with an increased risk of disease relapse.

conclusionWe report the genomic profile of locally advanced cervical cancer patients and the distinction between Asian and Caucasian cohorts. Our findings highlight genomic traits associated with unfavorable neoadjuvant chemoradiation response and a higher risk of early disease recurrence.

Indexed as

Neoadjuvant TherapyUterine Cervical NeoplasmsClass I Phosphatidylinositol 3-KinasesErbB ReceptorsFemaleGenomicsHumansKelch-Like ECH-Associated Protein 1Neoplasm Recurrence, LocalNeoplasm StagingNF-E2-Related Factor 2Retrospective StudiesTreatment OutcomeClass I Phosphatidylinositol 3-KinasesErbB ReceptorsKelch-Like ECH-Associated Protein 1NF-E2-Related Factor 2Disease-free survivalDNA damage repairNeoadjuvant therapyPathologic responseUterine cervical neoplasms

Identifiers

PMID35038823
PMCPMC9582489
OpenAlexW4205406624

What OpenQuestion holds

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LicenceCC BY-NC
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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.