Evidence map›Paper›PMID 39533107›Full record

ArticleNature biotechnology2025

Saturation profiling of drug-resistant genetic variants using prime editing.

Younggwang Kim, Hyeong-Cheol Oh, Seungho Lee, Hyongbum Henry Kim

Abstract read
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In one paragraph

Article in Nature biotechnology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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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

4 authors.

Younggwang Kim *Department of Pharmacology, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0002-8033-4232
Hyeong-Cheol Oh *Department of Pharmacology, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0001-9031-6540
Seungho Lee *Department of Pharmacology, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0001-6958-7581
Hyongbum Henry KimDepartment of Pharmacology, Yonsei University College of Medicine, Seoul, Republic of Korea. hkim1@yuhs.ac.ORCID http://orcid.org/0000-0002-4693-738X

Funding

Catholic University of Korea (The Catholic University of Korea) 5-2023-B0001-00047Catholic University of Korea (The Catholic University of Korea) Basic Medical Science Facilitation ProgramKorea Health Industry Development Institute (KHIDI) a grant of the MD-PhD/Medical Scientist Training ProgramNational Research Foundation of Korea (NRF) 2018R1A5A2025079National Research Foundation of Korea (NRF) 2022M3A9F3017506National Research Foundation of Korea (NRF) 2022R1A3B1078084National Research Foundation of Korea (NRF) 2022R1I1A1A01066096Seoul National University Hospital (SNUH) 22B-000-0101Yonsei University the Yonsei Signature Research Cluster Program of 2023-22- 0012Yonsei University | Yonsei University College of Medicine (YUCM) 6-2022-0078Yonsei University | Yonsei University College of Medicine (YUCM) the Brain Korea 21 FOUR Project for Medical Science
6 · The paper itself

Abstract

Methods to characterize the functional effects of genetic variants of uncertain significance (VUSs) have been limited by incomplete coverage of the mutational space. In clinical oncology, drug resistance arising from VUSs can prevent optimal treatment. Here we introduce PEER-seq, a high-throughput method based on prime editing that can evaluate the functional effects of single-nucleotide variants (SNVs). PEER-seq introduces both intended SNVs and synonymous marker mutations using prime editing and deep sequences the endogenous target regions to identify the introduced SNVs. We generate and functionally evaluate 2,476 SNVs in the epidermal growth factor receptor gene (EGFR), including 99% of all possible variants in the canonical tyrosine kinase domain. We determined resistance profiles of 95% of all possible EGFR protein variants encoded in the whole tyrosine kinase domain against the common tyrosine kinase inhibitors afatinib, osimertinib and osimertinib in the presence of the co-occurring substitution T790M, in PC-9 cells. Our study has the potential to substantially improve the precision of therapeutic choices in clinical settings.

Indexed as

Drug Resistance, NeoplasmGene EditingPolymorphism, Single NucleotideCell Line, TumorErbB ReceptorsGenetic VariationHigh-Throughput Nucleotide SequencingHumansMutationProtein Kinase InhibitorsEGFR protein, humanErbB ReceptorsProtein Kinase Inhibitors

Identifiers

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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.