Evidence map›Paper›PMID 36999792›Full record

ArticleCancer medicine2023

Pathogenic genomic alterations in Chinese pancreatic cancer patients and their therapeutical implications.

Zhiming Zhao, Xiaomo Li, Fei Wang, Yong Xu, Si Liu, Quanli Han, Zhiying Yang, Weiwei Huang, Zhuzeng Yin, Qu Liu and 7 more

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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.9field-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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Fusion genes in pancreatic tumors.Trends in cancer · 2024
    Review
  6. Article
  7. Article
  8. Genomic landscape of clinically advancedFrontiers in oncology · 2023
    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

17 authors at 2 institutions in 1 country.

Zhiming ZhaoFaculty of Hepatopancreatobiliary Surgery, The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Xiaomo LiHangzhou Jichenjunchuang Medical Laboratory, Co. Ltd, Hangzhou, China.ORCID 0000-0001-7468-0860
Fei WangFaculty of Hepatopancreatobiliary Surgery, The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Yong XuFaculty of Hepatopancreatobiliary Surgery, The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Si LiuHangzhou Jichenjunchuang Medical Laboratory, Co. Ltd, Hangzhou, China.
Quanli HanDepartment of Medical Oncology, The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Zhiying YangDepartment of Hepatobiliary Surgery, China-Japan Friendship Hospital, Beijing, China.
Weiwei HuangHangzhou Jichenjunchuang Medical Laboratory, Co. Ltd, Hangzhou, China.
Zhuzeng YinFaculty of Hepatopancreatobiliary Surgery, The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Qu LiuFaculty of Hepatopancreatobiliary Surgery, The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Haidong TanDepartment of Hepatobiliary Surgery, China-Japan Friendship Hospital, Beijing, China.
Tonghui MaHangzhou Jichenjunchuang Medical Laboratory, Co. Ltd, Hangzhou, China.
Shuang SiDepartment of Hepatobiliary Surgery, China-Japan Friendship Hospital, Beijing, China.
Jia HuangDepartment of Hepatobiliary Surgery, China-Japan Friendship Hospital, Beijing, China.
Hongling YuanHangzhou Jichenjunchuang Medical Laboratory, Co. Ltd, Hangzhou, China.
Wei LiHangzhou Jichenjunchuang Medical Laboratory, Co. Ltd, Hangzhou, China.
Rong LiuFaculty of Hepatopancreatobiliary Surgery, The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.ORCID 0000-0001-5170-6474
Chinese PLA General Hospital · CNChina-Japan Friendship Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately 90% of pancreatic ductal adenocarcinoma (PDAC) cases are driven by the untargetable non-G12C KRAS mutations, and only a small subset of patients are eligible for FDA-approved precision therapies. The practice of precision therapy in pancreatic cancer was limited by the paucity of targetable genetic alterations, especially in the Asian population.

methodsTo explore therapeutic targets in 499 Chinese PDAC patients, a deep sequencing panel (OncoPanscan™, Genetron health) was used to characterize somatic alterations including point mutations, indels, copy number alterations, gene fusions as well as pathogenic germline variants.

resultsWe performed genomic profiling in 499 Chinese PDAC patients, which revealed somatic driver mutations in KRAS, TP53, CDKN2A, SMAD4, ARID1A, RNF43, and pathogenic germline variants (PGVs) in cancer predisposition genes including BRCA2, PALB2, and ATM. Overall, 20.4% of patients had targetable genomic alterations. About 8.4% of patients carried inactivating germline and somatic variants in BRCA1/2 and PALB2, which were susceptible to platinum and PARP inhibitors therapy. Patients with KRAS wild-type disease and early-onset pancreatic cancer (EOPC) harbored actionable mutations including BRAF, EGFR, ERBB2, and MAP2K1/2. Compared to PGV-negative patients, PGV-positive patients were younger and more likely to have a family history of cancer. Furthermore, PGVs in PALB2, BRCA2, and ATM were associated with high PDAC risk in the Chinese population.

conclusionsOur results demonstrated that a genetic screen of actionable genomic variants could facilitate precision therapy and cancer risk reduction in pancreatic cancer patients of Asian ethnicity.

Indexed as

Carcinoma, Pancreatic DuctalEast Asian PeoplePancreatic NeoplasmsBRCA1 ProteinBRCA2 ProteinGenomicsHumansProto-Oncogene Proteins p21(ras)BRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanProto-Oncogene Proteins p21(ras)cancer riskgenetic alterationsnext-generation sequencingpancreatic cancerprecision therapy

Identifiers

PMID36999792
PMCPMC10242355
OpenAlexW4362460260

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.