Evidence map›Paper›PMID 38877018›Full record

ArticleNature communications2024

Mechanistic patterns and clinical implications of oncogenic tyrosine kinase fusions in human cancers.

Taek-Chin Cheong, Ahram Jang, Qi Wang, Giulia C Leonardi, Biagio Ricciuti, Joao V Alessi, Alessandro Di Federico, Mark M Awad, Maria K Lehtinen, Marian H Harris and 1 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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. Review
  2. Identification ofTranslational cancer research · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Development of PROTACs for targeted degradation of oncogenic TRK fusions.bioRxiv : the preprint server for biology · 2025
    Article
  8. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Taek-Chin Cheong *Department of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA, 02115, USA. taekchin.cheong@childrens.harvard.edu.ORCID http://orcid.org/0000-0002-0939-9412
Ahram Jang *Department of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA, 02115, USA.ORCID http://orcid.org/0000-0002-4286-4718
Qi WangDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA, 02115, USA.ORCID http://orcid.org/0000-0002-4306-3293
Giulia C LeonardiDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA, 02115, USA.
Biagio RicciutiLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, MA, 02115, USA.
Joao V AlessiLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, MA, 02115, USA.
Alessandro Di FedericoLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, MA, 02115, USA.
Mark M AwadLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, MA, 02115, USA.
Maria K LehtinenDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA, 02115, USA.ORCID http://orcid.org/0000-0002-7243-2967
Marian H HarrisDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA, 02115, USA.ORCID http://orcid.org/0000-0002-9956-664X
Roberto ChiarleDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA, 02115, USA. roberto.chiarle@childrens.harvard.edu.ORCID http://orcid.org/0000-0003-1564-8531

Funding

Project 3P50CA265826 · NCI · DANA-FARBER CANCER INST · PI Daniel Botelho Costa · 2022 to 2026
$13.7M
INTEGRATED ENDOCRINE &METABOLIC RESEARCH TRAININGT32DK007516 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BARBARA B. KAHN · 1986 to 2026
$6.8M
APOBEC proteins as drivers of chromosomal translocations in solid cancersR01CA222598 · NCI · BOSTON CHILDREN'S HOSPITAL · PI CHIARLE, ROBERTO · 2018 to 2022
$2.0M
NCI NIH HHS P50 CA265826NCI NIH HHS R01 CA222598NIDDK NIH HHS T32 DK007516U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 1R01-CA222598-01
6 · The paper itself

Abstract

Tyrosine kinase (TK) fusions are frequently found in cancers, either as initiating events or as a mechanism of resistance to targeted therapy. Partner genes and exons in most TK fusions are followed typical recurrent patterns, but the underlying mechanisms and clinical implications of these patterns are poorly understood. By developing Functionally Active Chromosomal Translocation Sequencing (FACTS), we discover that typical TK fusions involving ALK, ROS1, RET and NTRK1 are selected from pools of chromosomal rearrangements by two major determinants: active transcription of the fusion partner genes and protein stability. In contrast, atypical TK fusions that are rarely seen in patients showed reduced protein stability, decreased downstream oncogenic signaling, and were less responsive to inhibition. Consistently, patients with atypical TK fusions were associated with a reduced response to TKI therapies. Our findings highlight the principles of oncogenic TK fusion formation and selection in cancers, with clinical implications for guiding targeted therapy.

Indexed as

NeoplasmsOncogene Proteins, FusionProtein-Tyrosine KinasesProto-Oncogene Proteins c-retTranslocation, GeneticAnaplastic Lymphoma KinaseCell Line, TumorHumansProtein Kinase InhibitorsProto-Oncogene ProteinsReceptor, trkASignal TransductionALK protein, humanAnaplastic Lymphoma KinaseNTRK1 protein, humanOncogene Proteins, FusionProtein Kinase InhibitorsProtein-Tyrosine KinasesProto-Oncogene ProteinsProto-Oncogene Proteins c-retReceptor, trkARET protein, humanROS1 protein, human

Identifiers

PMID38877018
PMCPMC11178778

What OpenQuestion holds

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Registered trials

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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.