Evidence map›Paper›PMID 38570422›Full record

ArticleTargeted oncology2024

Frequency and Nature of Genomic Alterations in ERBB2-Altered Urothelial Bladder Cancer.

Jacob B Leary, Thomas Enright, Dimitra Rafailia Bakaloudi, Alina Basnet, Gennady Bratslavsky, Joseph Jacob, Philippe E Spiess, Roger Li, Andrea Necchi, Ashish M Kamat and 8 more

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Article in Targeted oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.0field-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

6 citing papers in PubMed, 7 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

18 authors at 9 institutions in 3 countries.

Jacob B LearyDepartment of Medicine, University of Washington, Seattle, WA, USA.
Thomas EnrightDepartment of Medicine, University of Washington, Seattle, WA, USA.
Dimitra Rafailia BakaloudiDepartment of Medicine, University of Washington, Seattle, WA, USA.
Alina BasnetSUNY Upstate Medical University, Syracuse, NY, USA.
Gennady BratslavskySUNY Upstate Medical University, Syracuse, NY, USA.
Joseph JacobSUNY Upstate Medical University, Syracuse, NY, USA.
Philippe E SpiessDepartment of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL, USA.
Roger LiDepartment of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL, USA.
Andrea NecchiDepartment of Medical Oncology, IRCCS Ospedale San Raffaele, Milan, Italy.
Ashish M KamatMD Anderson Cancer Center, Houston, TX, USA.
Dean C PavlickFoundation Medicine, Cambridge, MA, USA.
Natalie DanzigerFoundation Medicine, Cambridge, MA, USA.
Richard S P HuangFoundation Medicine, Cambridge, MA, USA.
Douglas I LinFoundation Medicine, Cambridge, MA, USA.
Liang ChengDepartment of Pathology and Laboratory Medicine, Warren Alpert Medical School at Brown University, Providence, RI, USA.
Jeffrey Ross *Foundation Medicine, Cambridge, MA, USA.
Rafee Talukder *Baylor College of Medicine, Houston, TX, USA.
Petros Grivas *Department of Medicine, University of Washington, Seattle, WA, USA. pgrivas@uw.edu.ORCID 0000-0003-3965-3394
Foundation Medicine (United States)SUNY Upstate Medical University · USUniversity of Washington · USMoffitt Cancer Center · USBaylor College of Medicine · USCape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa · ZAProvidence College · USThe University of Texas MD Anderson Cancer Center · USVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman epidermal growth factor-2 (HER2) overexpression is an oncogenic driver in many solid tumors, including urothelial bladder cancer (UBC). In addition, activating mutations in the ERBB2 gene have been shown to play an oncogenic role similar to ERBB2 amplification.

objectiveTo describe and compare the frequency and nature of genomic alterations (GA) of ERBB2-altered (mutations, amplification) and ERBB2 wild-type UBC. PATIENTS AND

methodsUsing a hybrid capture-based comprehensive profiling assay, 9518 UBC cases were grouped by ERBB2 alteration and evaluated for all classes of genomic alterations (GA), tumor mutational burden (TMB), microsatellite instability (MSI), genome-wide loss of heterozygosity (gLOH), and genomic mutational signature. PD-L1 expression was measured by immunohistochemistry (Dako 22C3). Categorical statistical comparisons were performed using Fisher's exact tests.

resultsA total of 602 (6.3%) UBC cases featured ERBB2 extracellular domain short variant (SV) GA (ECDmut+), 253 (2.7%) cases featured ERBB2 kinase domain SV GA (KDmut+), 866 (9.1%) cases had ERBB2 amplification (amp+), and 7797 (81.9%) cases were ERBB2 wild-type (wt). European genetic ancestry of ECDmut+ was higher than ERBB2wt. Numerous significant associations were observed when comparing GA by group. Notably among these, CDKN2A/MTAP loss were more frequent in ERBB2wt versus ECDmut+ and amp+. ERBB3 GA were more frequent in ECDmut+ and KDmut+ than ERBB2wt. TERT GA were more frequent in ECDmut+, KDmut+, and amp+ versus ERBB2wt. TOP2A amplification was significantly more common in ECDmut+ and amp+ versus ERBB2wt, and TP53 SV GA were significantly higher in ERBB2 amp+ versus ERBB2wt. Mean TMB levels were significantly higher in ECDmut+, KDmut+, and amp+ than in ERBB2wt. Apolipoprotein B mRNA-editing enzyme, catalytic polypeptides (APOBEC) signature was more frequent in ECDmut+, KDmut+, and amp+ versus ERBB2wt. No significant differences were observed in PD-L1 status between groups, while gLOH-high status was more common in amp+ versus ERBB2wt. MSI-high status was more frequent in KDmut+ versus ERBB2wt, and in ERBB2wt than in amp+.

conclusionsWe noted important differences in co-occurring GA in ERBB2-altered (ECDmut+, KDmut+, amp+) versus ERBB2wt UBC, as well as higher mean TMB and higher APOBEC mutational signature in the ERBB2-altered groups. Our results can help refine future clinical trial designs and elucidate possible response and resistance mechanisms for ERBB2-altered UBC.

Indexed as

Erb-b2 Receptor Tyrosine KinasesUrinary Bladder NeoplasmsAgedAged, 80 and overFemaleGenomicsHumansMaleMiddle AgedMutationERBB2 protein, humanErb-b2 Receptor Tyrosine Kinases

Identifiers

PMID38570422
OpenAlexW4393853131

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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.