Evidence map›Paper›PMID 36163168›Full record

ArticleNature communications2022

RAS oncogenic activity predicts response to chemotherapy and outcome in lung adenocarcinoma.

Philip East, Gavin P Kelly, Dhruva Biswas, Michela Marani, David C Hancock, Todd Creasy, Kris Sachsenmeier, Charles Swanton, TRACERx consortium, Julian Downward and 1 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 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.5field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 39 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

11 authors at 3 institutions in 2 countries.

Philip EastBioinformatics and Biostatistics, The Francis Crick Institute, 1 Midland Road, London, NW1 1AT, UK.ORCID 0000-0001-5801-5713
Gavin P KellyBioinformatics and Biostatistics, The Francis Crick Institute, 1 Midland Road, London, NW1 1AT, UK.ORCID 0000-0001-7219-560X
Dhruva BiswasCancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, 1 Midland Road, London, NW1 1AT, UK.ORCID 0000-0001-9141-5188
Michela MaraniOncogene Biology Laboratory, The Francis Crick Institute, 1 Midland Road, London, NW1 1AT, UK.
David C HancockOncogene Biology Laboratory, The Francis Crick Institute, 1 Midland Road, London, NW1 1AT, UK.
Todd CreasyOncology Data Science, Oncology Research and Development, AstraZeneca, 200 Orchard Ridge Drive, Gaithersburg, MD, 20878, USA.
Kris SachsenmeierOncology Research and Development, AstraZeneca, 35 Gatehouse Drive, Waltham, MA, 02451, USA.
Charles SwantonCancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, 1 Midland Road, London, NW1 1AT, UK.ORCID 0000-0002-4299-3018
TRACERx consortium
Julian DownwardOncogene Biology Laboratory, The Francis Crick Institute, 1 Midland Road, London, NW1 1AT, UK. julian.downward@crick.ac.uk.ORCID 0000-0002-2331-4729
Sophie de Carné TrécessonOncogene Biology Laboratory, The Francis Crick Institute, 1 Midland Road, London, NW1 1AT, UK. sophie.decarne@crick.ac.uk.ORCID 0000-0002-9341-2586
The Francis Crick Institute · GBAstraZeneca (United States) · USInstitute of Cancer Research · GB

Funding

Cancer Research UK 17786Cancer Research UK 25253Cancer Research UK 30025Cancer Research UK FC001070Medical Research Council FC001070Medical Research Council MC_PC_19038Wellcome Trust 103799/Z/14/ZWellcome Trust FC001070
6 · The paper itself

Abstract

Activating mutations in KRAS occur in 32% of lung adenocarcinomas (LUAD). Despite leading to aggressive disease and resistance to therapy in preclinical studies, the KRAS mutation does not predict patient outcome or response to treatment, presumably due to additional events modulating RAS pathways. To obtain a broader measure of RAS pathway activation, we developed RAS84, a transcriptional signature optimised to capture RAS oncogenic activity in LUAD. We report evidence of RAS pathway oncogenic activation in 84% of LUAD, including 65% KRAS wild-type tumours, falling into four groups characterised by coincident alteration of STK11/LKB1, TP53 or CDKN2A, suggesting that the classifications developed when considering only KRAS mutant tumours have significance in a broader cohort of patients. Critically, high RAS activity patient groups show adverse clinical outcome and reduced response to chemotherapy. Patient stratification using oncogenic RAS transcriptional activity instead of genetic alterations could ultimately assist in clinical decision-making.

Indexed as

Adenocarcinoma of LungLung NeoplasmsGenes, rasHumansMutationProto-Oncogene Proteins p21(ras)ras ProteinsProto-Oncogene Proteins p21(ras)ras Proteins

Identifiers

PMID36163168
PMCPMC9512813
OpenAlexW4297229179

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.