Evidence map›Paper›PMID 36973365›Full record

ArticleNPJ precision oncology2023

Prognostic Mutational Signatures of NSCLC Patients treated with chemotherapy, immunotherapy and chemoimmunotherapy.

Margaret R Smith, Yuezhu Wang, Ralph D'Agostino, Yin Liu, Jimmy Ruiz, Thomas Lycan, George Oliver, Lance D Miller, Umit Topaloglu, Jireh Pinkney and 6 more

Open access · goldFull text read
In one paragraph

Article in NPJ precision oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 17 citations in OpenAlex.

  1. Observational
  2. Article
  3. Chemoimmunotherapy synergism: mechanisms and clinical applications.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Review
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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

16 authors at 5 institutions in 1 country.

Margaret R SmithDepartment of Cancer Biology, Wake Forest University School of Medicine, Winston-Salem, NC, 27157, USA.ORCID http://orcid.org/0000-0002-3523-7150
Yuezhu WangDepartment of Cancer Biology, Wake Forest University School of Medicine, Winston-Salem, NC, 27157, USA.
Ralph D'AgostinoDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Yin LiuDepartment of Cancer Biology, Wake Forest University School of Medicine, Winston-Salem, NC, 27157, USA.
Jimmy RuizDepartment of Hematology and Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Thomas LycanDepartment of Hematology and Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
George OliverDepartment of Pharmacy, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Lance D MillerDepartment of Cancer Biology, Wake Forest University School of Medicine, Winston-Salem, NC, 27157, USA.ORCID http://orcid.org/0000-0003-3799-2528
Umit TopalogluDepartment of Cancer Biology, Wake Forest University School of Medicine, Winston-Salem, NC, 27157, USA.
Jireh PinkneyDepartment of Biology, Winston Salem State University, Winston-Salem, NC, USA.
Mohammed N AbdulhaleemDepartment of Hematology and Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Michael D ChanDepartment of Radiation Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Michael FarrisDepartment of Radiation Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Jing SuDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
Kathryn F MilehamDepartment of Solid Tumor Oncology, Levine Cancer Institute, Atrium Health, Charlotte, NC, USA.ORCID http://orcid.org/0000-0003-1334-7743
Fei XingDepartment of Cancer Biology, Wake Forest University School of Medicine, Winston-Salem, NC, 27157, USA. fxing@wakehealth.edu.ORCID http://orcid.org/0000-0001-6350-0764
Wake Forest University · USAtrium Health Wake Forest Baptist · USIndiana University School of MedicineLevine Cancer Institute · USWinston-Salem State University · US

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Roles of neutrophils in c-Met mediated breast cancer brain metastasesR37CA230451 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI XING, FEI · 2018 to 2022
$1.8M
NCI NIH HHS P30 CA012197NCI NIH HHS R37 CA230451
6 · The paper itself

Abstract

Different types of therapy are currently being used to treat non-small cell lung cancer (NSCLC) depending on the stage of tumor and the presence of potentially druggable mutations. However, few biomarkers are available to guide clinicians in selecting the most effective therapy for all patients with various genetic backgrounds. To examine whether patients' mutation profiles are associated with the response to a specific treatment, we collected comprehensive clinical characteristics and sequencing data from 524 patients with stage III and IV NSCLC treated at Atrium Health Wake Forest Baptist. Overall survival based Cox-proportional hazard regression models were applied to identify mutations that were "beneficial" (HR < 1) or "detrimental" (HR > 1) for patients treated with chemotherapy (chemo), immune checkpoint inhibitor (ICI) and chemo+ICI combination therapy (Chemo+ICI) followed by the generation of mutation composite scores (MCS) for each treatment. We also found that MCS is highly treatment specific that MCS derived from one treatment group failed to predict the response in others. Receiver operating characteristics (ROC) analyses showed a superior predictive power of MCS compared to TMB and PD-L1 status for immune therapy-treated patients. Mutation interaction analysis also identified novel co-occurring and mutually exclusive mutations in each treatment group. Our work highlights how patients' sequencing data facilitates the clinical selection of optimized treatment strategies.

Identifiers

PMID36973365
PMCPMC10042886
OpenAlexW4361002257

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read167
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.