Evidence map›Paper›PMID 35849877›Full record

ArticleESMO open2022

Comparison of actionable events detected in cancer genomes by whole-genome sequencing, in silico whole-exome and mutation panels.

P Ramarao-Milne, O Kondrashova, A-M Patch, K Nones, L T Koufariotis, F Newell, V Addala, V Lakis, O Holmes, C Leonard and 27 more

Open access · goldAbstract read
In one paragraph

Article in ESMO open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-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

15 citing papers in PubMed, 20 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

37 authors at 12 institutions in 2 countries.

P Ramarao-MilneCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia; Australian e-Health Research Centre, Commonwealth Scientific and Industrial Research Organisation, Brisbane, Australia.
O KondrashovaCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
A-M PatchCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
K NonesCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
L T KoufariotisCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
F NewellCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
V AddalaCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
V LakisCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
O HolmesCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
C LeonardCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
S WoodCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
Q XuCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
P MukhopadhyayCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
M M NaeiniCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
D SteinfortDepartment of Thoracic Medicine, Royal Melbourne Hospital, Melbourne, Australia.
J P WilliamsonDepartment of Thoracic Medicine, Liverpool Hospital Sydney, Sydney, Australia.
M BintDepartment of Thoracic Medicine, Sunshine Coast University Hospital, Birtinya, Australia.
C PahoffDepartment of Respiratory Medicine, Gold Coast University Hospital, Southport, Australia.
P T NguyenDepartment of Thoracic Medicine, Royal Adelaide Hospital, Adelaide, Australia.
S TwaddellDepartment of Respiratory and Sleep Medicine, John Hunter Hospital, Newcastle, Australia.
D ArnoldDepartment of Respiratory and Sleep Medicine, John Hunter Hospital, Newcastle, Australia.
C GraingeDepartment of Respiratory and Sleep Medicine, John Hunter Hospital, Newcastle, Australia.
F BasirzadehDepartment of Thoracic Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia.
D FieldingDepartment of Thoracic Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia.
A J DalleyUQ Centre for Clinical Research, Faculty of Medicine, University of Queensland, Brisbane, Australia.
H ChittooryUQ Centre for Clinical Research, Faculty of Medicine, University of Queensland, Brisbane, Australia.
P T SimpsonUQ Centre for Clinical Research, Faculty of Medicine, University of Queensland, Brisbane, Australia.
L G AoudeThe University of Queensland Diamantina Institute, Faculty of Medicine, University of Queensland, Brisbane, Australia.
V F BonazziThe University of Queensland Diamantina Institute, Faculty of Medicine, University of Queensland, Brisbane, Australia.
K PatelThe University of Queensland Diamantina Institute, Faculty of Medicine, University of Queensland, Brisbane, Australia.
A P BarbourThe University of Queensland Diamantina Institute, Faculty of Medicine, University of Queensland, Brisbane, Australia; Upper Gastro-intestinal Surgical Unit, Department of Surgery, Princess Alexandra Hospital, Brisbane, Australia.
D A FennellCancer Research UK Centre Leicester, University of Leicester & University Hospitals of Leicester NHS Trust, Leicester, UK.
B W RobinsonNational Centre for Asbestos Related Disease, Institute of Respiratory Health, University of Western Australia, Nedlands, Australia; Department of Respiratory Medicine, Sir Charles Gairdner Hospital, Nedlands, Australia.
J CreaneyNational Centre for Asbestos Related Disease, Institute of Respiratory Health, University of Western Australia, Nedlands, Australia; Department of Respiratory Medicine, Sir Charles Gairdner Hospital, Nedlands, Australia.
G HollwayCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
J V PearsonCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
N WaddellCancer Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia. Electronic address: Nic.waddell@qimrberghofer.edu.au.
QIMR Berghofer Medical Research Institute · AUThe University of Queensland · AUJohn Hunter Hospital · AURoyal Brisbane and Women's Hospital · AUThe University of Western Australia · AUCommonwealth Scientific and Industrial Research Organisation · AUGold Coast Hospital · AULiverpool Hospital · AURoyal Adelaide Hospital · AUSunshine Coast University Hospital · AUThe Royal Melbourne Hospital · AUUniversity of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNext-generation sequencing is used in cancer research to identify somatic and germline mutations, which can predict sensitivity or resistance to therapies, and may be a useful tool to reveal drug repurposing opportunities between tumour types. Multigene panels are used in clinical practice for detecting targetable mutations. However, the value of clinical whole-exome sequencing (WES) and whole-genome sequencing (WGS) for cancer care is less defined, specifically as the majority of variants found using these technologies are of uncertain significance. PATIENTS AND

methodsWe used the Cancer Genome Interpreter and WGS in 726 tumours spanning 10 cancer types to identify drug repurposing opportunities. We compare the ability of WGS to detect actionable variants, tumour mutation burden (TMB) and microsatellite instability (MSI) by using in silico down-sampled data to mimic WES, a comprehensive sequencing panel and a hotspot mutation panel.

resultsWe reveal drug repurposing opportunities as numerous biomarkers are shared across many solid tumour types. Comprehensive panels identify the majority of approved actionable mutations, with WGS detecting more candidate actionable mutations for biomarkers currently in clinical trials. Moreover, estimated values for TMB and MSI vary when calculated from WGS, WES and panel data, and are dependent on whether all mutations or only non-synonymous mutations were used. Our results suggest that TMB and MSI thresholds should not only be tumour-dependent, but also be sequencing platform-dependent.

conclusionsThere is a large opportunity to repurpose cancer drugs, and these data suggest that comprehensive sequencing is an invaluable source of information to guide clinical decisions by facilitating precision medicine and may provide a wealth of information for future studies. Furthermore, the sequencing and analysis approach used to estimate TMB may have clinical implications if a hard threshold is used to indicate which patients may respond to immunotherapy.

Indexed as

ExomeNeoplasmsBiomarkers, TumorExome SequencingHigh-Throughput Nucleotide SequencingHumansMicrosatellite InstabilityMutationBiomarkers, Tumoractionable mutationscancer genomicsclinical genomicsmicrosatellite instabilityprecision oncologytumour mutation burden (TMB)whole-genome sequencing

Identifiers

PMID35849877
PMCPMC9463385
OpenAlexW4285586388

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.