Evidence map›Paper›PMID 35747993›Full record

ArticleCancer medicine2023

Genomic landscape of non-small-cell lung cancer with methylthioadenosine phosphorylase (MTAP) deficiency.

Prashanth Ashok Kumar, Stephen L Graziano, Natalie Danziger, Dean Pavlick, Eric A Severson, Shakti H Ramkissoon, Richard S P Huang, Brennan Decker, Jeffrey S Ross

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Presenting features and outcomes to standard systemic therapies in patients with MTAP-deleted advanced non-small cell lung cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Prevalence and Actionability of MTAP Loss in Oncogene-Driven Lung Cancer.bioRxiv : the preprint server for biology · 2026
    Article
  11. Review
  12. Article
  13. Immune checkpoint inhibitors have limited efficacy inTranslational lung cancer research · 2025
    Article
  14. Article
  15. Clinicopathological characterisation ofJournal of clinical pathology · 2025
    Article
  16. Targeting RNA splicing modulation: new perspectives for anticancer strategy?Journal of experimental & clinical cancer research : CR · 2025
    Review
  17. Article
  18. Frontiers in oncology · 2025
    Article
  19. Fuel for thought: targeting metabolism in lung cancer.Translational lung cancer research · 2024
    Review
  20. Article
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

9 authors at 2 institutions in 2 countries.

Prashanth Ashok KumarUpstate Cancer Center, Upstate Medical University, Syracuse, New York, USA.ORCID 0000-0001-6236-2822
Stephen L GrazianoUpstate Cancer Center, Upstate Medical University, Syracuse, New York, USA.
Natalie DanzigerFoundation Medicine, Cambridge, Massachusetts, USA.
Dean PavlickFoundation Medicine, Cambridge, Massachusetts, USA.
Eric A SeversonFoundation Medicine, Cambridge, Massachusetts, USA.
Shakti H RamkissoonFoundation Medicine, Cambridge, Massachusetts, USA.
Richard S P HuangFoundation Medicine, Cambridge, Massachusetts, USA.ORCID 0000-0001-8395-5168
Brennan DeckerFoundation Medicine, Cambridge, Massachusetts, USA.
Jeffrey S RossUpstate Cancer Center, Upstate Medical University, Syracuse, New York, USA.
PHG Foundation · GBSUNY Upstate Medical University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNew treatment strategies for advanced non-small-cell lung carcinoma (NSCLC) include synthetic lethality targets focused on protein arginine methyl transferases such as PRMT5 that exploit the impact of genomic loss of methylthioadenosine phosphorylase (MTAP).

methodsTwenty nine thousand three hundred seventy nine advanced NSCLC cases underwent hybrid-capture based comprehensive genomic profiling between June 1, 2018 and May 31, 2020. PD-L1 expression was determined by immunohistochemistry (Dako 22C3 PharmDx assay).

results13.4% (3928/29,379) NSCLC cases exhibited MTAP loss distributed in adenocarcinoma (59%), squamous cell carcinoma (22%), NSCLC not otherwise specified (16%), and 1% each for large-cell neuroendocrine, sarcomatoid, and adenosquamous carcinoma. Statistically significant differences in mitogenic driver alterations included more KRAS G12C mutations in MTAP-intact versus MTAP-lost (12% vs. 10%, p = 0.0003) and fewer EGFR short variant mutations in MTAP-intact versus MTAP-lost NSCLC (10% vs. 13%, p < 0.0001). Statistically significant differences in currently untargetable genomic alterations included higher frequencies of TP53 (70% vs. 63%, p < 0.0001) and RB1 inactivation (10% vs. 2%, p < 0.0001) in MTAP-intact compared to MTAP-lost NSCLC. SMARCA4 inactivation (7% vs. 10%, p < 0.0001) was less frequent in MTAP-intact versus MTAP-lost NSCLC. Alterations in ERBB2, MET, ALK, ROS1, and NTRK1 did not significantly differ between the two groups. Predictors of immunotherapy efficacy were higher in MTAP-intact versus MTAP-lost NSCLC including tumor mutational burden (9.4 vs. 8.6 mut/Mb, p = 0.001) and low (30% vs. 28%, p = 0.01) and high PD-L1 (32% vs. 30%, p = 0.01) expression. Alterations in biomarkers potentially predictive of immune checkpoint inhibitor resistance (STK11, KEAP1, and MDM2) were similar in the two groups.

conclusionsMTAP loss occurs in 13% of NSCLC, supporting the development of targeted therapies to exploit PRMT5 hyper-dependence. MTAP loss is accompanied by small differences in targeted and immunotherapy options which may impact future combination strategies.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsB7-H1 AntigenDNA HelicasesGenomicsHumansKelch-Like ECH-Associated Protein 1MutationNF-E2-Related Factor 2Nuclear ProteinsProtein-Arginine N-MethyltransferasesProtein-Tyrosine KinasesProto-Oncogene ProteinsPurine-Nucleoside PhosphorylaseTranscription Factors5'-methylthioadenosine phosphorylaseB7-H1 AntigenDNA HelicasesKelch-Like ECH-Associated Protein 1NF-E2-Related Factor 2Nuclear ProteinsPRMT5 protein, humanProtein-Arginine N-MethyltransferasesProtein-Tyrosine KinasesProto-Oncogene ProteinsPurine-Nucleoside PhosphorylaseSMARCA4 protein, humanTranscription Factorscomprehensive genomic profilingmethylthioadenosine phosphorylase (MTAP)non-small-cell lung cancerprotein arginine methyl transferasesynthetic lethality

Identifiers

PMID35747993
PMCPMC9883541
OpenAlexW4283453295

What OpenQuestion holds

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LicenceCC BY
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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.