Evidence map›Paper›PMID 42176127›Full record

ArticleMolecular biology reports2026

Somatic mutation profiling by NGS-based liquid biopsy in advanced non-small cell lung cancer: frequency, clinical correlates, and prognostic significance.

Çağrı Doğan, Cengiz Akosman, Müge Sönmez, Bahaddin Yılmaz, Güzin Demirağ, Ümmet Abur

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Article in Molecular biology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Novel HomozygousLife (Basel, Switzerland) · 2026
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Çağrı DoğanMedical Genetic, Ordu University, Ordu, Turkey. mdgencagri@gmail.com.ORCID http://orcid.org/0000-0001-5068-0380
Cengiz AkosmanMedical Oncology(Ordu Medicalpark Hospital), Istinye University, Istinye, Turkey.ORCID http://orcid.org/0000-0003-3668-5550
Müge SönmezMedical Oncology, Ordu University, Ordu, Turkey.ORCID http://orcid.org/0000-0003-0839-8191
Bahaddin YılmazMedical Oncology, Ondokuz Mayıs University, Samsun, Turkey.ORCID http://orcid.org/0000-0002-1979-8329
Güzin DemirağMedical Oncology, Ondokuz Mayıs University, Samsun, Turkey.ORCID http://orcid.org/0000-0001-9854-0336
Ümmet AburMedical Genetic, Ondokuz Mayıs University, Samsun, Turkey.ORCID http://orcid.org/0000-0002-4811-9321

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiquid biopsy-based next-generation sequencing (NGS) of plasma cell-free DNA (cfDNA) - including its tumour-derived fraction known as circulating tumor DNA (ctDNA) - enables non-invasive, comprehensive mutational profiling in advanced non-small cell lung cancer (NSCLC). However, data on multi-gene plasma NGS panels in Turkish populations remain limited.

methodsOne hundred consecutive stage IV NSCLC patients (42 newly diagnosed, 58 with progression/recurrence) who underwent plasma cfDNA/ctDNA-based NGS analysis between January and November 2019 were retrospectively analyzed. Somatic mutations across 19 genes were assessed using the GeneRead QIAact Lung DNA UMI Panel (Qiagen) on the GeneReader platform.

resultsPathogenic mutations were detected in 25 patients (25%), yielding 34 PMs across seven genes. EGFR was most frequently mutated (52.9%), followed by KRAS (20.5%) and PIK3CA (14.5%). Multimetastatic patients had significantly higher cfDNA levels (10.0 ± 3.9 vs. 3.8 ± 1.0 ng; p = 0.01) and shorter OS (17.2 ± 5.5 vs. 49.5 ± 5.7 months; p < 0.001). Among EGFR wild-type patients with progression, resistance mutation carriers had markedly shorter OS (16.5 ± 0.5 vs. 48.7 ± 6.6 months; p = 0.001). KRAS G12C was the predominant KRAS variant (71%).

conclusionsNGS-based liquid biopsy identified actionable and resistance-associated mutations in 25% of advanced NSCLC patients in this Turkish Black Sea cohort. Total cfDNA concentration correlated with metastatic burden. The detection of KRAS G12C and EGFR T790M variants supports the complementary clinical utility of multi-gene plasma ctDNA panels alongside tissue genotyping in personalized treatment decisions, although confirmation in larger prospective cohorts with paired tissue analysis is warranted.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAdultAgedBiomarkers, TumorCirculating Tumor DNADNA Mutational AnalysisErbB ReceptorsFemaleHigh-Throughput Nucleotide SequencingHumansLiquid BiopsyMaleMiddle AgedMutationPrognosisBiomarkers, TumorCirculating Tumor DNAErbB ReceptorsKRAS protein, humanProto-Oncogene Proteins p21(ras)cfDNActDNAEGFRKRASLiquid biopsyNGSNSCLCT790M

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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.