Evidence map›Paper›PMID 36153311›Full record

ArticleNature communications2022

Genomic and biological study of fusion genes as resistance mechanisms to EGFR inhibitors.

Yoshihisa Kobayashi, Geoffrey R Oxnard, Elizabeth F Cohen, Navin R Mahadevan, Joao V Alessi, Yin P Hung, Arrien A Bertram, David E Heppner, Mauricio F Ribeiro, Karina P Sacardo and 13 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. 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
  2. Real-world adoption of off-label combinations for targeted therapy resistance in non-small cell lung cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. JTO clinical and research reports · 2025
    Article
  9. Oncogenic gene fusions in cancer: from biology to therapy.Signal transduction and targeted therapy · 2025
    Review
  10. Review
  11. Article
  12. Tumor-Agnostic Genomic and Clinical Analysis of BRAF Fusions Identifies Actionable Targets.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  13. Article
  14. Article
  15. Top 20Lung Cancer (Auckland, N.Z.) · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Applications and advancements of CRISPR-Cas in the treatment of lung cancer.Frontiers in cell and developmental biology · 2023
    Review
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

23 authors at 8 institutions in 5 countries.

Yoshihisa KobayashiDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, 02215, USA.ORCID 0000-0003-2057-408X
Geoffrey R OxnardLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Elizabeth F CohenDepartment of Informatics and Analytics, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Navin R MahadevanDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, 02215, USA.
Joao V AlessiLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Yin P HungDepartment of Pathology, Massachusetts General Hospital, Boston, MA, 02114, USA.ORCID 0000-0002-8568-1591
Arrien A BertramLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.ORCID 0000-0001-7237-0623
David E HeppnerDepartment of Chemistry, University at Buffalo, State University of New York, Buffalo, NY, 14260-3000, USA.ORCID 0000-0002-0722-5160
Mauricio F RibeiroDepartment of Medical Oncology, Hospital Sírio-Libanês, São Paulo-SP, 01308-050, Brazil.ORCID 0000-0002-5602-164X
Karina P SacardoDepartment of Medical Oncology, Hospital Sírio-Libanês, São Paulo-SP, 01308-050, Brazil.
Rodrigo SaddiDepartment of Medical Oncology, Hospital Sírio-Libanês, São Paulo-SP, 01308-050, Brazil.ORCID 0000-0002-3005-8188
Mariana P MacedoDepartment of Pathology, Hospital Sírio-Libanês, São Paulo-SP, 01308-050, Brazil.ORCID 0000-0002-0434-7605
Rafael B BlascoDepartment of Pathology, Boston Children's Hospital, Boston, MA, 02115, USA.
Jiaqi LiDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, 02215, USA.
Kari J KurppaInstitute of Biomedicine, and MediCity Research Laboratories, University of Turku, Turku, 20520, Finland.ORCID 0000-0001-8286-2429
Tom NguyenLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Emma VolignyLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Guruprasad AnandaDepartment of Data Science, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Roberto ChiarleDepartment of Pathology, Boston Children's Hospital, Boston, MA, 02115, USA.ORCID 0000-0003-1564-8531
Artur KatzDepartment of Medical Oncology, Hospital Sírio-Libanês, São Paulo-SP, 01308-050, Brazil.ORCID 0000-0002-1811-1169
Michael Y TolstorukovDepartment of Informatics and Analytics, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Lynette M ShollDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, 02115, USA.ORCID 0000-0002-9532-9735
Pasi A JänneDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, 02215, USA. pasi_janne@dfci.harvard.edu.ORCID 0000-0002-7821-4928
Dana-Farber Cancer Institute · USHospital Sírio-Libanês · BRBoston Children's Hospital · USBrigham and Women's Hospital · USHarvard University · USMassachusetts General Hospital · USRoswell Park Comprehensive Cancer Center · USUniversity of Turku · FI

Funding

University of Buffalo Clinical and Translational Science Institute - Supplement SchulyerUL1TR001412 · NCATS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI MURPHY, TIMOTHY F · 2015 to 2024
$33.8M
Development of Combination Therapies to Delay/Prevent Acquired Drug ResistanceR35CA220497 · NCI · DANA-FARBER CANCER INST · PI JANNE, PASI A · 2018 to 2024
$7.2M
APOBEC proteins as drivers of chromosomal translocations in solid cancersR01CA222598 · NCI · BOSTON CHILDREN'S HOSPITAL · PI CHIARLE, ROBERTO · 2018 to 2022
$2.0M
Targeting the immunologic vulnerabilities of small cell lung carcinomaK08CA270077 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Navin Mahadevan · 2022 to 2026
$1.0M
NCATS NIH HHS UL1 TR001412NCI NIH HHS K08 CA270077NCI NIH HHS R01 CA222598NCI NIH HHS R35 CA220497
6 · The paper itself

Abstract

The clinical significance of gene fusions detected by DNA-based next generation sequencing remains unclear as resistance mechanisms to EGFR tyrosine kinase inhibitors in EGFR mutant non-small cell lung cancer. By studying EGFR inhibitor-resistant patients treated with a combination of an EGFR inhibitor and a drug targeting the putative resistance-causing fusion oncogene, we identify patients who benefit and those who do not from this treatment approach. Through evaluation including RNA-seq of potential drug resistance-imparting fusion oncogenes in 504 patients with EGFR mutant lung cancer, we identify only a minority of them as functional, potentially capable of imparting EGFR inhibitor resistance. We further functionally validate fusion oncogenes in vitro using CRISPR-based editing of EGFR mutant cell lines and use these models to identify known and unknown drug resistance mechanisms to combination therapies. Collectively, our results partially reveal the complex nature of fusion oncogenes as potential drug resistance mechanisms and highlight approaches that can be undertaken to determine their functional significance.

Indexed as

Carcinoma, Non-Small-Cell LungErbB ReceptorsLung NeoplasmsDrug Resistance, NeoplasmGenomicsHumansMutationProtein Kinase InhibitorsEGFR protein, humanErbB ReceptorsProtein Kinase Inhibitors

Identifiers

PMID36153311
PMCPMC9509394
OpenAlexW4297182936

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.