Evidence map›Paper›PMID 40350470›Full record

ArticleNature communications2025

Basal-shift transformation leads to EGFR therapy-resistance in human lung adenocarcinoma.

Taro Shinozaki, Kazuhiro Togasaki, Junko Hamamoto, Akifumi Mitsuishi, Takahiro Fukushima, Kai Sugihara, Toshiki Ebisudani, Masahiko Okada, Ayaka Saito, Lisa Shigematsu and 24 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 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

34 authors.

Taro Shinozaki *Division of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Kazuhiro Togasaki *Department of Integrative Medicine and Biochemistry, Keio University School of Medicine, Tokyo, Japan.
Junko Hamamoto *Division of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Akifumi MitsuishiDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Takahiro FukushimaDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Kai SugiharaDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Toshiki EbisudaniDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Masahiko OkadaDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Ayaka SaitoDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Lisa ShigematsuDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Hatsuyo TakaokaDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Fumimaro ItoDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Keiko OhginoDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Kota IshiokaDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Kageaki WatanabeDepartment of Thoracic Oncology and Respiratory Medicine, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
Tsunekazu HishimaDepartment of Pathology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
Yutaka KurebayashiDepartment of Pathology, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0003-3773-0851
Katsura EmotoDepartment of Pathology, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-4842-8116
Hideki TeraiDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-1118-1930
Shinnosuke IkemuraDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Ichiro KawadaDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Keisuke AsakuraDivision of Thoracic Surgery, Keio University School of Medicine, Tokyo, Japan.
Tomoyuki HishidaDivision of Thoracic Surgery, Keio University School of Medicine, Tokyo, Japan.
Hisao AsamuraDivision of Thoracic Surgery, Keio University School of Medicine, Tokyo, Japan.
Yuki OhtaDepartment of Integrative Medicine and Biochemistry, Keio University School of Medicine, Tokyo, Japan.
Sirirat TakahashiDepartment of Integrative Medicine and Biochemistry, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0003-1115-2117
Mayumi OdaDepartment of Integrative Medicine and Biochemistry, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0001-5102-7076
Megumu SaitoDepartment of Organoid Medicine, Keio University School of Medicine, Tokyo, Japan.
Mami MatanoDepartment of Integrative Medicine and Biochemistry, Keio University School of Medicine, Tokyo, Japan.
Kenzo SoejimaDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0001-9749-995X
Masayuki FujiiDepartment of Integrative Medicine and Biochemistry, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-4798-3943
Koichi FukunagaDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan.
Hiroyuki YasudaDivision of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan. hiroyukiyasuda@keio.jp.
Toshiro SatoDepartment of Integrative Medicine and Biochemistry, Keio University School of Medicine, Tokyo, Japan. t.sato@keio.jp.ORCID http://orcid.org/0000-0001-8353-8137

Funding

Japan Agency for Medical Research and Development (AMED) 19cm0106206h0004, 20gm1210001, 21cm0106576h0002, 23ck0106722h0002MEXT | JST | Exploratory Research for Advanced Technology (ERATO) JPMJER2303
6 · The paper itself

Abstract

Although EGFR tyrosine kinase inhibitors (EGFR-TKIs) are effective for EGFR-mutant lung adenocarcinoma (LUAD), resistance inevitably develops through diverse mechanisms, including secondary genetic mutations, amplifications and as-yet undefined processes. To comprehensively unravel the mechanisms of EGFR-TKI resistance, we establish a biobank of patient-derived EGFR-mutant lung cancer organoids, encompassing cases previously treated with EGFR-TKIs. Through comprehensive molecular profiling including single-cell analysis, here we identify a subgroup of EGFR-TKI-resistant LUAD organoids that lacks known resistance-related genetic lesions and instead exhibits a basal-shift phenotype characterized by the hybrid expression of LUAD- and squamous cell carcinoma-related genes. Prospective gene engineering demonstrates that NKX2-1 knockout induces the basal-shift transformation along with EGFR-target therapy resistance. Basal-shift LUADs frequently harbor CDKN2A/B loss and are sensitive to CDK4/6 inhibitors. Our EGFR-mutant lung cancer organoid library not only offers a valuable resource for lung cancer research but also provides insights into molecular underpinnings of EGFR-TKI resistance, facilitating the development of therapeutic strategies.

Indexed as

Adenocarcinoma of LungDrug Resistance, NeoplasmLung NeoplasmsProtein Kinase InhibitorsErbB ReceptorsHumansMutationOrganoidsThyroid Nuclear Factor 1EGFR protein, humanErbB ReceptorsProtein Kinase InhibitorsThyroid Nuclear Factor 1

Identifiers

PMID40350470
PMCPMC12066730

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.