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    1. Clinical implications of novel activating EGFR mutations in malignant peritoneal mesothelioma

      [Paper-level Aggregated] PMCID: PMC2970593

      Evidence Type(s): Oncogenic, Predictive, Functional

      Justification: Oncogenic: The mutations identified in the EGFR tyrosine kinase domain, including L858R, are described as activating mutations that increase sensitivity to the EGFR inhibitor Erlotinib, indicating their role in promoting cancer progression. Predictive: The presence of the L858R mutation is associated with increased sensitivity to the EGFR inhibitor Erlotinib, suggesting its utility in predicting response to targeted therapy in patients with non-small cell lung cancer. Functional: The text states that all missense mutations, including the novel ones, were found to be activating mutations, indicating their functional impact on EGFR activity.

      Gene→Variant (gene-first): EGFR(1956):C797 NA:E734 NA:T785 EGFR(1956):E868 EGFR(1956):L858 EGFR(1956):R831 NA:W731 EGFR(1956):Y801 EGFR(1956):C797Y EGFR(1956):E734Q EGFR(1956):E868G EGFR(1956):L831H EGFR(1956):L858R EGFR(1956):T785A EGFR(1956):W731L EGFR(1956):Y801H

      Genes: EGFR(1956) NA

      Variants: C797 E734 T785 E868 L858 R831 W731 Y801 C797Y E734Q E868G L831H L858R T785A W731L Y801H

    2. Functional mutations were found in 31%(9/29) of patients; 7 of these mutations were novel and another was the L858R mutation. All missense mutations were found to be activating mutations and responsive to erlotinib. Of t

      [Paragraph-level] PMCID: PMC2970593 Section: ABSTRACT PassageIndex: 6

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage indicates that the L858R mutation is an activating mutation that is responsive to erlotinib, suggesting a correlation with treatment response. Oncogenic: The mention of the L858R mutation as an activating mutation implies its contribution to tumor development or progression, consistent with oncogenic behavior.

      Gene→Variant (gene-first): 1956:L858R

      Genes: 1956

      Variants: L858R

    3. All the mutations were in the TK domain that is critical for EGFR activity (Figure 2). Sequence alignment of the human wild- type EGFR with the Pfam model of protein kinase domain indicates W731, E734, T785, C797, Y801,

      [Paragraph-level] PMCID: PMC2970593 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Functional, Oncogenic

      Justification: Functional: The passage discusses mutations in the TK domain of EGFR that are critical for its activity, indicating that these variants alter molecular function related to protein activity. Oncogenic: The context of the mutations being in the TK domain of EGFR suggests that they may contribute to tumor development or progression, as this domain is often implicated in oncogenic signaling pathways.

      Gene→Variant (gene-first): 1956:C797 NA:E734 NA:T785 1956:E868 1956:L858 1956:R831 NA:W731 1956:Y801

      Genes: 1956 NA

      Variants: C797 E734 T785 E868 L858 R831 W731 Y801

    4. We analyzed a cohort of MPM samples (n = 29) by DHPLC and sequencing analysis, and identified eight mutations in the tyrosine kinase domain (TKD) of EGFR. Of the 8 mutations in the TK domain, 7 were novel (W731L, E734Q,

      [Paragraph-level] PMCID: PMC2970593 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage states that the L858R mutation was found to increase sensitivity to the EGFR inhibitor, Erlotinib, indicating a correlation with treatment response. Oncogenic: All mutations mentioned in the passage, including C797Y, E734Q, E868G, L831H, L858R, T785A, W731L, and Y801H, are described as somatic mutations that contribute to tumor development, as they were identified in the tyrosine kinase domain of EGFR in cancer samples.

      Gene→Variant (gene-first): 1956:C797Y 1956:E734Q 1956:E868G 1956:L831H 1956:L858R 1956:T785A 1956:W731L 1956:Y801H

      Genes: 1956

      Variants: C797Y E734Q E868G L831H L858R T785A W731L Y801H

    5. All the mutations were in the TK domain that is critical for EGFR activity (Figure 2). Sequence alignment of the human wild- type EGFR with the Pfam model of protein kinase domain indicates W731, E734, T785, C797, Y801,

      [Paragraph-level] PMCID: PMC2970593 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Functional, Oncogenic

      Justification: Functional: The passage discusses mutations in the TK domain of EGFR that are critical for its activity, indicating that these variants alter molecular function related to protein activity. Oncogenic: The context of the mutations being in the TK domain of EGFR suggests that they may contribute to tumor development or progression, as this domain is often implicated in oncogenic signaling pathways.

      Gene→Variant (gene-first): 1956:C797 NA:E734 NA:T785 1956:E868 1956:L858 1956:R831 NA:W731 1956:Y801

      Genes: 1956 NA

      Variants: C797 E734 T785 E868 L858 R831 W731 Y801

    6. We analyzed a cohort of MPM samples (n = 29) by DHPLC and sequencing analysis, and identified eight mutations in the tyrosine kinase domain (TKD) of EGFR. Of the 8 mutations in the TK domain, 7 were novel (W731L, E734Q,

      [Paragraph-level] PMCID: PMC2970593 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage states that the L858R mutation was found to increase sensitivity to the EGFR inhibitor, Erlotinib, indicating a correlation with treatment response. Oncogenic: All mutations mentioned in the passage, including C797Y, E734Q, E868G, L831H, L858R, T785A, W731L, and Y801H, are described as somatic mutations that contribute to tumor development, as they were identified in the tyrosine kinase domain of EGFR in cancer samples.

      Gene→Variant (gene-first): 1956:C797Y 1956:E734Q 1956:E868G 1956:L831H 1956:L858R 1956:T785A 1956:W731L 1956:Y801H

      Genes: 1956

      Variants: C797Y E734Q E868G L831H L858R T785A W731L Y801H