Evidence map›Paper›PMID 40544160›Full record

ArticleNPJ precision oncology2025

Case report: Successful use of MEK inhibitors as an adjuvant approach in the treatment of pediatric MAP4-RAF1 fusion-positive solid tumor.

Shen Yang, Shixuan Zhang, Jiarong Wang, Nan Zhang, Jinhu Wang, Mawei Jiang, Deguang Meng, Jinrong Xie, Xiaofeng Chang, Haiyan Cheng and 1 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

11 authors.

Shen Yang *Department of Oncology Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China.
Shixuan Zhang *Research and Innovation Center, Shanghai Pudong Hospital, Fudan University, Shanghai, 201203, China.
Jiarong Wang *Department of Oncology Surgery, Baoding Children's Hospital, Baoding, 071000, China.
Nan ZhangDepartment of Pathology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China.
Jinhu WangDepartment of Surgical Oncology, Children's Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310052, China.
Mawei JiangDepartment of Oncology, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, 200092, China.
Deguang MengDepartment of Oncology Surgery, Baoding Children's Hospital, Baoding, 071000, China.
Jinrong XieDepartment of Oncology, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, 200092, China.
Xiaofeng ChangDepartment of Oncology Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China. meadow047@163.com.
Haiyan ChengDepartment of Oncology Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China. chenghysunny@163.com.
Huanmin WangDepartment of Oncology Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China. wanghuanmin@bch.com.cn.ORCID http://orcid.org/0000-0001-6769-9643

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RAF protein kinase acts downstream of RAS in the MAPK pathway, and mutations in the RAF family protein BRAF are frequently observed in adult tumours, with MEK inhibitors proving effective in treatment. However, RAF family protein RAF1 fusions are rare, particularly in pediatric soft tissue tumors, and the efficacy of targeted therapies remains uncertain. This study presents a rare case of a MAP4-RAF1 fusion-positive solid tumor in a child, unresponsive to conventional chemotherapy, surgery, second-line chemotherapy, and sorafenib-targeted therapy. Protein structure simulations predicted trametinib to exhibit optimal efficacy among MEK inhibitors in structural modelling, and it then demonstrated clinical effectiveness in this child. This study underscores the importance of molecular interaction simulations in precise drug screening for clinical decision-making and highlights MEK inhibitors' potential as adjunctive therapy for pediatric RAF1 fusion tumors.

Identifiers

PMID40544160
PMCPMC12182580

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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.