Evidence map›Paper›PMID 40507907›Full record

ReviewInternational journal of molecular sciences2025

Transformation to Neuroendocrine Phenotype in Non-Small-Cell Lung Carcinoma: A Literature Review.

Irene Hernández de Córdoba, Xabier Mielgo-Rubio, Paloma Cejas, Jorge Palomar Ramos, Beatriz Garrido-Rubiales, Sandra Falagán Martínez, Gustavo Rubio Romero, María Morales Parga, Laura Moll Taltavull, Andrea Fernández González and 2 more

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. 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

12 authors.

Irene Hernández de CórdobaDepartment of Medical Oncology, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, 28702 Madrid, Spain.ORCID 0009-0002-9149-2751
Xabier Mielgo-RubioDepartamento de Oncología Médica, Hospital Universitario Cruces, 48903 Barakaldo, Spain.ORCID 0000-0002-0985-6150
Paloma CejasCenter for Functional Cancer Epigenetics, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Jorge Palomar RamosDepartament of Pathology, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, 28702 Madrid, Spain.ORCID 0009-0004-0724-3045
Beatriz Garrido-RubialesDepartment of Medical Oncology, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, 28702 Madrid, Spain.
Sandra Falagán MartínezDepartment of Medical Oncology, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, 28702 Madrid, Spain.
Gustavo Rubio RomeroDepartment of Medical Oncology, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, 28702 Madrid, Spain.
María Morales PargaDepartment of Medical Oncology, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, 28702 Madrid, Spain.
Laura Moll TaltavullDepartment of Medical Oncology, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, 28702 Madrid, Spain.
Andrea Fernández GonzálezDepartment of Medical Oncology, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, 28702 Madrid, Spain.
Enrique Casado SáenzDepartment of Medical Oncology, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, 28702 Madrid, Spain.
María SerenoDepartment of Medical Oncology, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, 28702 Madrid, Spain.ORCID 0000-0002-0207-2118

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuroendocrine transformation in non-small-cell lung cancer (NSCLC) is an uncommon but clinically significant resistance mechanism to targeted therapy, immunotherapy, and chemotherapy. This phenomenon, primarily observed in adenocarcinoma (ADC) with EGFR mutations under tyrosine kinase inhibitor (TKI) treatment, leads to histological transformation into small-cell lung cancer (SCLC), commonly associated with an aggressive clinical course and poor prognosis. Standard platinum-etoposide chemotherapy provides only transient disease control, highlighting the urgent need for improved therapeutic strategies. Early identification of transformation through biopsy, liquid biopsy, or biomarkers like neuron-specific enolase (NSE) and pro-gastrin-releasing peptide (pro-GRP) may allow for early intervention. As targeted therapies continue to develop, understanding the molecular drivers of neuroendocrine transformation is crucial for optimizing treatment. Further research into novel treatment approaches, including combination therapies with TKIs, chemotherapy, immunotherapy, and epigenetic modulators, is required to improve outcomes for these patients.

Indexed as

Carcinoma, Non-Small-Cell LungCell Transformation, NeoplasticLung NeoplasmsBiomarkers, TumorHumansMutationPhenotypeBiomarkers, Tumorneuroendocrine transformationnon-small-cell lung cancerRb1TP53

Identifiers

PMID40507907
PMCPMC12154276

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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.