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    1. To assess which K-Ras mutations were in the active GTP-bound conformation, a Raf-1 binding assay was carried out as described in Materials and Methods. Raf-1 selectively binds GTP-bound Ras (rather than the inactive GDP-

      [Paragraph-level] PMCID: PMC2837563 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: A146T | Summary: The A146T mutation is shown to be in the active GTP-bound conformation, indicating an alteration in molecular function. Evidence Type: Functional | Mutation: G12V | Summary: The G12V mutation is identified as being in the active GTP-bound conformation, suggesting a change in molecular function. Evidence Type: Functional | Mutation: K117N | Summary: The K117N mutation is confirmed to be in the active GTP-bound conformation, reflecting an alteration in molecular function. Evidence Type: Functional | Mutation: L19F | Summary: The L19F mutation is demonstrated to be in the active GTP-bound conformation, indicating a change in molecular function.

      Gene→Variant (gene-first): 3845:A146T 3845:G12V 3845:K117N 3845:L19F 3845:R164Q

      Genes: 3845

      Variants: A146T G12V K117N L19F R164Q

    2. Phenotypes associated with the various K-Ras mutations have previously not been systematically evaluated. To compare the transformation potential of the K-Ras mutants, therefore, NIH3T3 cells were transiently transfected

      [Paragraph-level] PMCID: PMC2837563 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: G12V | Summary: The G12V mutation in K-Ras was associated with abundant foci formation in NIH3T3 cells, indicating its contribution to tumor development. Evidence Type: Oncogenic | Mutation: G12D | Summary: The G12D mutation in K-Ras demonstrated significant focus formation in NIH3T3 cells, suggesting its role in tumor progression. Evidence Type: Oncogenic | Mutation: G13D | Summary: The G13D mutation in K-Ras was linked to significant focus formation in NIH3T3 cells, indicating its oncogenic potential. Evidence Type: Oncogenic | Mutation: Q61H | Summary: The Q61H mutation in K-Ras showed focus formation in NIH3T3 cells, although it had a lesser transforming potential compared to codon 12 mutations. Evidence Type: Oncogenic | Mutation: L19F | Summary: The L19F mutation in K-Ras resulted in low but consistent numbers of isolated foci in NIH3T3 cells, suggesting its involvement in tumor development. Evidence Type: Oncogenic | Mutation: K117N | Summary: The K117N mutation in K-Ras was associated with significant focus formation in NIH3T3 cells, indicating its contribution to tumor progression. Evidence Type: Oncogenic | Mutation: A146T | Summary: The A146T mutation in K-Ras led to significant focus formation in NIH3T3 cells, suggesting its role in tumor development. Evidence Type: Oncogenic | Mutation: R164Q | Summary: The R164Q mutation in K-Ras was phenotypically equivalent to wild-type K-Ras with no evidence of foci formation, indicating it does not contribute to tumor development.

      Gene→Variant (gene-first): 3845:A146T 3845:G12D 3845:G12V 3845:G13D 3845:K117N 3845:L19F 3845:Q61H 3845:R164Q

      Genes: 3845

      Variants: A146T G12D G12V G13D K117N L19F Q61H R164Q

    3. To identify additional K-Ras mutations, and to establish the relative frequencies of individual K-Ras mutations in human colorectal tumours, we used WAVE analysis followed by direct sequencing to screen the same tumour s

      [Paragraph-level] PMCID: PMC2837563 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: A to C (Lys to Asn at codon 117) | Summary: This K-Ras mutation is associated with tumor development or progression in colorectal tumors. Evidence Type: Oncogenic | Mutation: G to A (Ala to Thr at codon 146) | Summary: This K-Ras mutation contributes to tumor development or progression in colorectal tumors. Evidence Type: Oncogenic | Mutation: G to A (Arg to Gln at codon 164) | Summary: This K-Ras mutation is implicated in tumor development or progression in colorectal tumors. Evidence Type: Oncogenic | Mutation: V600E | Summary: The B-Raf V600E mutation is known to contribute to tumor development or progression in colorectal tumors.

      Gene→Variant (gene-first): 3845:A to C 3845:Ala to Thr 3845:Arg to Gln 3845:C to T 3845:G to A 3845:Lys to Asn 673:V600E 3845:aspartic acid residue at codon 173

      Genes: 3845 673

      Variants: A to C Ala to Thr Arg to Gln C to T G to A Lys to Asn V600E aspartic acid residue at codon 173

    4. We have previously described K-Ras mutations at codons 12, 13 and 61 in a series of 106 unselected colorectal tumours. Our K-Ras mutation analysis was performed by direct sequencing of K-Ras exon 1 (codons 12 and 13) and

      [Paragraph-level] PMCID: PMC2837563 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: G57T | Summary: The G57T mutation is associated with tumor development or progression as it was found in a colorectal tumor. Evidence Type: Oncogenic | Mutation: Leu19Phe | Summary: The Leu19Phe mutation is associated with tumor development or progression as it was found in a colorectal tumor. Evidence Type: Oncogenic | Mutation: V600E | Summary: The V600E mutation is associated with tumor development or progression as it was found in a colorectal tumor.

      Gene→Variant (gene-first): 673:G57T 3845:Leu19Phe 673:V600E

      Genes: 673 3845

      Variants: G57T Leu19Phe V600E

    1. To determine if the synergy observed in vitro for PARPi-resistant cells translated to in vivo efficacy, SRA737 and PARPi combination therapy was tested in five HGSOC PDX models. Two HR competent CCNE1 amplified HGSOC PDX

      [Paragraph-level] PMCID: PMC11253285 Section: RESULTS PassageIndex: 18

      Evidence Type(s): Predictive, Functional

      Summary: Evidence Type: Predictive | Mutation: S4D | Summary: The S4D mutation is associated with a response to SRA737 in combination with PARP inhibitors, indicating its potential predictive value for therapy response. Evidence Type: Functional | Mutation: S4D | Summary: The S4D mutation appears to alter the molecular response to treatment, as indicated by the higher percentage of pCHK1 positive cells in tumors treated with the combination therapy.

      Gene→Variant (gene-first): 142:S4D

      Genes: 142

      Variants: S4D

    2. PARPi-resistant JHOS4 PR (BRCA1MUT), PEO1 PR (BRCA2MUT), FUOV1, and OVCAR3 (CCNE1amp) cells were further tested for the mechanism by which SRA737 and PARPi synergistically inhibit tumor cell growth. Parental PEO1 and JHO

      [Paragraph-level] PMCID: PMC11253285 Section: RESULTS PassageIndex: 15

      Evidence Type(s): None

      Summary: Not enough information in this passage.

      Gene→Variant (gene-first): 1111:S3C

      Genes: 1111

      Variants: S3C

    1. To characterize the AR mechanism through RET fusions in EGFR-mutated NSCLC patients and their survival outcomes, we compared the PFS among patients treated with different EGFR-TKI regimens. However, no significant differ

      [Paragraph-level] PMCID: PMC9441062 Section: RESULTS PassageIndex: 15

      Evidence Type(s): Prognostic

      Summary: Evidence Type: Prognostic | Mutation: L858R | Summary: The L858R mutation is associated with prognosis in NSCLC patients, as indicated by the analysis of progression-free survival (PFS) among patients with this mutation compared to wild-type counterparts.

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

      Genes: 1956

      Variants: L858R

    2. Despite their rarity, it is clear from previous studies that RTK fusions, such as RET rearrangements, are actionable resistance mechanisms to EGFR-TKIs. We aim to increase awareness of this emerging paradigm by comprehen

      [Paragraph-level] PMCID: PMC9441062 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: T790M | Summary: The T790M mutation is associated with resistance to EGFR-TKIs, indicating its role in treatment response. Evidence Type: Predictive | Mutation: C797S/G | Summary: The C797S/G mutation is identified as a resistance mechanism to EGFR-TKIs, suggesting its relevance in therapy response. Evidence Type: Predictive | Mutation: L718V/Q | Summary: The L718V/Q mutation is noted as a potential resistance mechanism to EGFR-TKIs, highlighting its impact on treatment sensitivity.

      Gene→Variant (gene-first): 1956:C797S/G 1956:L718V/Q 1956:T790M

      Genes: 1956

      Variants: C797S/G L718V/Q T790M

    3. In the baseline cohort, 58.9% of patients were under 60 years (58.9% vs. 41.1%, P < 0.001), and the proportion of females was significantly higher than males (55.3% vs. 44.7%, P = 0.038, Table 1). Of the 71 patients with

      [Paragraph-level] PMCID: PMC9441062 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: G719C | Summary: The G719C mutation is part of a double-mutant patient cohort, indicating its contribution to tumor development in the context of acquired RET fusions. Evidence Type: Oncogenic | Mutation: L858R | Summary: The L858R mutation is identified in a significant proportion of patients, suggesting its role in tumor development in NSCLC. Evidence Type: Oncogenic | Mutation: S768I | Summary: The S768I mutation is included in a double-mutant patient cohort, indicating its contribution to tumor development in the context of acquired RET fusions.

      Gene→Variant (gene-first): 1956:G719C 1956:L858R 1956:S768I

      Genes: 1956

      Variants: G719C L858R S768I

    1. Among 550 patients included in cfDNA analysis, median PFS in everolimus vs placebo arms was similar in patients with tumours that had wild-type or mutant PIK3CA (hazard ratio (HR), 0.43 and 0.37, respectively). Everolimu

      [Paragraph-level] PMCID: PMC5355930 Section: ABSTRACT PassageIndex: 6

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: H1047R | Summary: The H1047R mutation correlates with response to everolimus, indicating its predictive value for treatment sensitivity. Evidence Type: Predictive | Mutation: E545K | Summary: The E545K mutation correlates with response to everolimus, indicating its predictive value for treatment sensitivity. Evidence Type: Predictive | Mutation: E542K | Summary: The E542K mutation correlates with response to everolimus, indicating its predictive value for treatment sensitivity.

      Gene→Variant (gene-first): 5290:E542K 5290:E545K 5290:H1047R

      Genes: 5290

      Variants: E542K E545K H1047R

    2. PIK3CA H1047R, E545K, and E542K mutations in plasma-derived cfDNA were analysed by droplet digital PCR (ddPCR). Median PFS was estimated for patient subgroups defined by PIK3CA mutations in each treatment arm.

      [Paragraph-level] PMCID: PMC5355930 Section: ABSTRACT PassageIndex: 4

      Evidence Type(s): Diagnostic

      Summary: Evidence Type: Diagnostic | Mutation: H1047R | Summary: The H1047R mutation is used to define patient subgroups based on PIK3CA mutations in the context of treatment analysis. Evidence Type: Diagnostic | Mutation: E545K | Summary: The E545K mutation is used to define patient subgroups based on PIK3CA mutations in the context of treatment analysis. Evidence Type: Diagnostic | Mutation: E542K | Summary: The E542K mutation is used to define patient subgroups based on PIK3CA mutations in the context of treatment analysis.

      Gene→Variant (gene-first): 5290:E542K 5290:E545K 5290:H1047R

      Genes: 5290

      Variants: E542K E545K H1047R

    3. In the placebo arm, patients with E545K/E542K mutation had shorter PFS and overall survival than those with wild-type PIK3CA (Supplementary Table 2), suggesting that PIK3CA mutations in the helical domain might play a ro

      [Paragraph-level] PMCID: PMC5355930 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Prognostic, Predictive

      Summary: Evidence Type: Prognostic | Mutation: E542K | Summary: The E542K mutation is associated with shorter progression-free survival (PFS) and overall survival compared to wild-type PIK3CA, indicating a potential prognostic role in disease outcome. Evidence Type: Prognostic | Mutation: E545K | Summary: The E545K mutation is associated with shorter progression-free survival (PFS) and overall survival compared to wild-type PIK3CA, indicating a potential prognostic role in disease outcome. Evidence Type: Predictive | Mutation: E542K | Summary: The E542K mutation suggests a role in resistance to hormone therapy, indicating a potential predictive value regarding treatment response. Evidence Type: Predictive | Mutation: E545K | Summary: The E545K mutation suggests a role in resistance to hormone therapy, indicating a potential predictive value regarding treatment response.

      Gene→Variant (gene-first): 5290:E542K 5290:E545K

      Genes: 5290

      Variants: E542K E545K

    4. To examine the role of domain-specific mutations in PIK3CA on everolimus efficacy, patients were categorised by mutation site, H1047R in the catalytic domain, and E545K and E542K in the helical domain. Everolimus prolong

      [Paragraph-level] PMCID: PMC5355930 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: H1047R | Summary: The H1047R mutation in PIK3CA correlates with prolonged median progression-free survival (PFS) in patients treated with everolimus, indicating a predictive response to this therapy. Evidence Type: Predictive | Mutation: E545K | Summary: The E545K mutation in PIK3CA is associated with prolonged median progression-free survival (PFS) in patients treated with everolimus, suggesting a predictive response to this therapy. Evidence Type: Predictive | Mutation: E542K | Summary: The E542K mutation in PIK3CA correlates with prolonged median progression-free survival (PFS) in patients treated with everolimus, indicating a predictive response to this therapy.

      Gene→Variant (gene-first): 5290:E542K 5290:E545K 5290:H1047R

      Genes: 5290

      Variants: E542K E545K H1047R

    5. Of the 724 patients in BOLERO-2, 550 patients (76%) underwent PIK3CA cfDNA analysis. The baseline characteristics and clinical outcomes were similar between the cfDNA and overall population (Supplementary Table 1). PIK3C

      [Paragraph-level] PMCID: PMC5355930 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: H1047R | Summary: The H1047R mutation is identified as a prevalent PIK3CA HS mutation in patients, indicating its contribution to tumor development or progression. Evidence Type: Oncogenic | Mutation: E545K | Summary: The E545K mutation is noted as one of the prevalent PIK3CA HS mutations, suggesting its role in tumor development or progression. Evidence Type: Oncogenic | Mutation: E542K | Summary: The E542K mutation is mentioned as a prevalent PIK3CA HS mutation, indicating its involvement in tumor development or progression.

      Gene→Variant (gene-first): 5290:E542K 5290:E545K 5290:H1047R

      Genes: 5290

      Variants: E542K E545K H1047R

    1. We next selected two gastroesophageal PDX models with HER2 overexpression (IHC 3+) and ERBB2 amplification. We tested PDX.003.230, a model that is HER2 3+ and ERBB2 amplified. This model was also noted to have an ERBB2 T

      [Paragraph-level] PMCID: PMC10618648 Section: RESULTS PassageIndex: 20

      Evidence Type(s): Oncogenic, Predictive

      Summary: Evidence Type: Oncogenic | Mutation: T733I | Summary: The ERBB2 T733I mutation is noted to be weakly transforming in a gastroesophageal PDX model, indicating its contribution to tumor development. Evidence Type: Predictive | Mutation: T733I | Summary: The T733I mutation is associated with resistance to lapatinib and sensitivity to adavosertib, suggesting its role in predicting treatment response.

      Gene→Variant (gene-first): 2064:T733I

      Genes: 2064

      Variants: T733I

    2. We first assessed the combination of T-DXd with adavosertib in PDXs with low HER2 expression. PDX.003.204 (HER2 2+ IHC, CCNE1 amplified) demonstrated modest tumor growth inhibition with T-DXd monotherapy as shown by a re

      [Paragraph-level] PMCID: PMC10618648 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: V777L | Summary: The V777L mutation in the ERBB2 gene is identified in the tyrosine kinase domain, suggesting its contribution to tumor development or progression. Evidence Type: Oncogenic | Mutation: G778A | Summary: The G778A mutation in the ERBB2 gene is identified in the tyrosine kinase domain, indicating its role in tumor development or progression.

      Gene→Variant (gene-first): 2064:G778A 2064:V777L

      Genes: 2064

      Variants: G778A V777L

    3. Apoptosis was assessed by annexin V staining to determine the effects of adavosertib in combination with DXd or T-DXd in MKN7 cells. Although both DXd and T-DXd were capable of inducing apoptosis (5-20%), combination of

      [Paragraph-level] PMCID: PMC10618648 Section: RESULTS PassageIndex: 11

      Evidence Type(s): None

      Summary: Not enough information in this passage.

      Gene→Variant (gene-first): 2064:E in 72

      Genes: 2064

      Variants: E in 72

    1. Across the study cohort of 151 tumors (Figs. 2-4; Supplementary Table 4), KIAA1549-BRAF fusions were detected in PAs, two pilomyxoid astrocytomas (PMAs), and a single brainstem ganglioglioma, and were present in 59%, 90%

      [Paragraph-level] PMCID: PMC3727232 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.K27M | Summary: The H3F3A:p.K27M mutation is associated with tumor development in certain gliomas, indicating its role as a cancer-driving variant. Evidence Type: Oncogenic | Mutation: p.V600E | Summary: The BRAF:p.V600E mutation is frequently detected in pleomorphic xanthoastrocytomas and other gliomas, contributing to tumor progression.

      Gene→Variant (gene-first): 3021:p.K27M 673:p.V600E

      Genes: 3021 673

      Variants: p.K27M p.V600E

    2. Only four of 39 tumors (10%) in the WGS series lacked a MYB/MYBL1 rearrangement, FGFR1 alteration, or aberration of a gene in the NF1/RAS/RAF pathway. One of these, SJLGG034, was an oligodendroglioma from a patient aged

      [Paragraph-level] PMCID: PMC3727232 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: p.R132H | Summary: The IDH1 mutation p.R132H is associated with tumor development or progression in the context of oligodendroglioma. Evidence Type: Functional | Mutation: p.V676fs | Summary: The CIC mutation p.V676fs alters molecular or biochemical function, contributing to the tumor's genetic profile. Evidence Type: Functional | Mutation: p.S726R | Summary: The CIC mutation p.S726R alters molecular or biochemical function, contributing to the tumor's genetic profile. Evidence Type: Functional | Mutation: p.D1722V | Summary: The CHD2 mutation p.D1722V alters molecular or biochemical function, contributing to the tumor's genetic profile. Evidence Type: Functional | Mutation: p.P101L | Summary: The STYK1 mutation p.P101L alters molecular or biochemical function, contributing to the tumor's genetic profile.

      Gene→Variant (gene-first): 1106:p.D1722V 1029:p.P101L 3417:p.R132H 23152:p.S726R 23152:p.V676fs

      Genes: 1106 1029 3417 23152

      Variants: p.D1722V p.P101L p.R132H p.S726R p.V676fs

    3. Remarkably, the median number of non-silent somatic sequence mutations and SVs per tumor in the WGS (discovery) series was one, suggesting that few genetic alterations are required for oncogenesis (Fig. 1; Supplementary

      [Paragraph-level] PMCID: PMC3727232 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.K27M | Summary: The H3F3A:p.K27M mutation is associated with tumor development in supratentorial diffuse astrocytomas, indicating its role as a somatic variant contributing to oncogenesis. Evidence Type: Oncogenic | Mutation: p.V600E | Summary: The BRAF:p.V600E mutation is frequently observed in pleomorphic xanthoastrocytomas, suggesting its contribution to tumor development and progression as a somatic variant.

      Gene→Variant (gene-first): 3021:p.K27M 673:p.V600E

      Genes: 3021 673

      Variants: p.K27M p.V600E

    1. We detected somatic mutations in 10 of 16 specimens (63%). Eight had KRAS mutations [G12D (n = 5), G12V (n = 3)] and two had BRAF mutations [V600E (n = 1), Q636X (n = 1)]. We found no difference in age, sex, presenting s

      [Paragraph-level] PMCID: PMC6938308 Section: ABSTRACT PassageIndex: 6

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: G12D | Summary: The G12D mutation is a somatic variant that contributes to tumor development or progression, as indicated by its presence in specimens with confirmed mutations. Evidence Type: Oncogenic | Mutation: G12V | Summary: The G12V mutation is a somatic variant that contributes to tumor development or progression, as indicated by its presence in specimens with confirmed mutations. Evidence Type: Oncogenic | Mutation: V600E | Summary: The V600E mutation is a somatic variant that contributes to tumor development or progression, as indicated by its presence in specimens with confirmed mutations. Evidence Type: Oncogenic | Mutation: Q636X | Summary: The Q636X mutation is a somatic variant that contributes to tumor development or progression, as indicated by its presence in specimens with confirmed mutations.

      Gene→Variant (gene-first): 3845:G12D 3845:G12V 673:Q636X 673:V600E

      Genes: 3845 673

      Variants: G12D G12V Q636X V600E

    1. We next examined how these function scores varied in apparently healthy populations (Figures 3C and 3D). The gnomAD database lists 744 of the scored MSH2 missense variants, nearly all rare (742/744 with minor allele freq

      [Paragraph-level] PMCID: PMC7820803 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: p.Ala636Pro | Summary: The variant p.Ala636Pro is associated with a significant depletion of deleterious scores in a functional assay, indicating that it alters molecular or biochemical function. Evidence Type: Oncogenic | Mutation: p.Ala636Pro | Summary: The variant p.Ala636Pro is implicated in the context of bi-allelic MMR loss, which is known to contribute to tumor development in pediatric-onset cancer syndromes such as Lynch syndrome.

      Gene→Variant (gene-first): 4436:p.Ala636Pro

      Genes: 4436

      Variants: p.Ala636Pro

    2. Each MSH2 mutant cell pool was then selected en masse for MMR deficiency. To allow comparison across pools, each was spiked with barcoded control cells (KO+WT: 10% of cells; KO+p.Ala636Pro: 0.5%). Pools were then grown u

      [Paragraph-level] PMCID: PMC7820803 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.Ala636Pro | Summary: The mutation p.Ala636Pro in MSH2 is associated with MMR deficiency and contributes to tumor development, as indicated by its enrichment in selected cell pools under selective conditions.

      Gene→Variant (gene-first): 4436:p.Ala636Pro

      Genes: 4436

      Variants: p.Ala636Pro

    3. As a readout for MSH2 function, we leveraged selection with the purine analog 6-thioguanine (6-TG). Incorporation of 6-TG is selectively toxic to MMR-proficient cells, as it creates lesions that the MMR machinery recogni

      [Paragraph-level] PMCID: PMC7820803 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: p.Ala636Pro | Summary: The p.Ala636Pro mutant variant of MSH2 was shown to restore 6-TG sensitivity in a functional assay, indicating that it alters the molecular function of the MMR machinery. Evidence Type: Oncogenic | Mutation: p.Ala636Pro | Summary: The enrichment of barcodes linked to the pathogenic variant p.Ala636Pro in mixed cultures suggests that this somatic variant contributes to tumor development or progression by affecting MMR function.

      Gene→Variant (gene-first): 4436:p.Ala636Pro

      Genes: 4436

      Variants: p.Ala636Pro

    4. We established a human cell system to model MSH2 variant function using the near-haploid, mismatch repair proficient cell line HAP1 (Figures 1A and 1C). First, to disrupt MMR, we derived clonal MSH2 knockout cells bearin

      [Paragraph-level] PMCID: PMC7820803 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: p.Ala636Pro | Summary: The p.Ala636Pro variant is associated with a destabilizing effect on MSH2 protein expression, indicating an alteration in molecular function. Evidence Type: Oncogenic | Mutation: p.Ala636Pro | Summary: The p.Ala636Pro variant is described as a pathogenic founder allele, suggesting its contribution to tumor development or progression.

      Gene→Variant (gene-first): 4436:p.Ala636Pro

      Genes: 4436

      Variants: p.Ala636Pro

    1. We defined mutations in druggable tyrosine kinase domains including in ERBB2 (a V777L and a 755-759 LRENT in frame deletion homologous to gefitinib-activating EGFR mutations in lung cancer ), as well as in DDR1 (A829V, R

      [Paragraph-level] PMCID: PMC3383766 Section: RESULTS PassageIndex: 21

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: V777L | Summary: The V777L mutation in ERBB2 is associated with tumor development, particularly in the context of gefitinib-activating mutations in lung cancer. Evidence Type: Oncogenic | Mutation: A829V | Summary: The A829V mutation in DDR1 is implicated in tumor development and progression. Evidence Type: Oncogenic | Mutation: R611C | Summary: The R611C mutation in DDR1 contributes to tumor development. Evidence Type: Oncogenic | Mutation: E583D | Summary: The E583D mutation in DDR2 is associated with oncogenic activity. Evidence Type: Oncogenic | Mutation: D735H | Summary: The D735H mutation in CSF1R is linked to tumor progression. Evidence Type: Oncogenic | Mutation: M875L | Summary: The M875L mutation in CSF1R contributes to tumor development. Evidence Type: Oncogenic | Mutation: E924K | Summary: The E924K mutation in PDGFRA is associated with oncogenic behavior. Evidence Type: Functional | Mutation: C77F | Summary: The C77F mutation in AKT1 alters molecular function. Evidence Type: Functional | Mutation: S11F | Summary: The S11F mutation in AKT2 affects molecular function. Evidence Type: Functional | Mutation: S375F | Summary: The S375F mutation in RPS6KB1 alters biochemical function.

      Gene→Variant (gene-first): 780:A829V 207:C77F 405:D735H 3084:E583D 2048:E924K 5156:M875L 780:R611C 208:S11F 3169:S375F 2064:V777L

      Genes: 780 207 405 3084 2048 5156 208 3169 2064

      Variants: A829V C77F D735H E583D E924K M875L R611C S11F S375F V777L

    2. To study clinical correlations, mutation recurrence screening was conducted on an additional 240 cases (Supplementary Table 8 and Supplementary Fig. 1). By combining WGS, exome, and recurrence screening data, we determin

      [Paragraph-level] PMCID: PMC3383766 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: M294K | Summary: The M294K mutation in GATA3 is associated with functional inactivation, as indicated by the presence of truncation events and other mutations in the gene. Evidence Type: Oncogenic | Mutation: M294K | Summary: The recurrent M294K mutation in GATA3 suggests a role in tumor development, reinforcing the conclusion that GATA3 acts as a tumor suppressor.

      Gene→Variant (gene-first): 2625:M294K

      Genes: 2625

      Variants: M294K

    3. We also identified three SMGs (LDLRAP1, AGTR2, and STMN2), not previously implicated in cancer. A missense and a nonsense mutation were observed in LDLRAP1, a gene associated with familial hypercholesterolemia. AGTR2, an

      [Paragraph-level] PMCID: PMC3383766 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: R251H | Summary: The R251H mutation in AGTR2 is associated with angiotensin signaling, which intersects with pathways implicated in tissue fibrosis, suggesting a role in tumor development or progression. Evidence Type: Oncogenic | Mutation: V184I | Summary: The V184I mutation in AGTR2 is linked to angiotensin signaling, indicating its potential contribution to tumor development or progression.

      Gene→Variant (gene-first): 186:R251H 186:V184I

      Genes: 186

      Variants: R251H V184I

    4. Thirteen mutations (3 nonsense, 6 frame-shift indels, 2 in-frame deletions and 2 missense) were identified in MAP3K1 (Table 1 and Fig. 2), a serine/threonine kinase that activates the ERK and JNK kinase pathways through

      [Paragraph-level] PMCID: PMC3383766 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: G168E | Summary: The G168E mutation in RUNX1 is implicated in tumor development and progression, particularly in the M2 subtype of AML. Evidence Type: Oncogenic | Mutation: R166Q | Summary: The R166Q mutation in RUNX1 contributes to tumor development and is associated with the M2 subtype of AML. Evidence Type: Oncogenic | Mutation: R169K | Summary: The R169K mutation in RUNX1 is involved in tumor progression and is relevant to the M2 subtype of AML. Evidence Type: Oncogenic | Mutation: K700E | Summary: The K700E mutation in SF3B1 is implicated in tumor development and is associated with myelodysplastic syndromes (MDS) and chronic lymphocytic leukemia (CLL). Evidence Type: Oncogenic | Mutation: K666Q | Summary: The K666Q mutation in SF3B1 contributes to tumor development and is relevant in the context of MDS and CLL. Evidence Type: Functional | Mutation: S184L | Summary: The S184L mutation in MAP2K4 alters molecular function, likely affecting splicing and kinase pathway activation.

      Gene→Variant (gene-first): 9757:G168E 23451:K666Q 23451:K700E 4216:N104S 861:R166Q 1588:R169K 51742:S184L

      Genes: 9757 23451 4216 861 1588 51742

      Variants: G168E K666Q K700E N104S R166Q R169K S184L

    1. Somatic missense mutations in PIK3CA, which encodes the p110alpha catalytic subunit of phosphoinositide 3-kinases (PI3Ks), occur frequently in human cancers. Activating mutations spread across multiple domains, some of w

      [Paragraph-level] PMCID: PMC3378484 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: E545K | Summary: The E545K mutant shows the highest basal activity and lipid binding, mimicking the activated wild-type p110alpha, indicating its role in tumor development. Evidence Type: Oncogenic | Mutation: H1047R | Summary: The H1047R mutant exhibits increased basal kinase activities and lipid binding, contributing to tumor progression. Evidence Type: Oncogenic | Mutation: C420R | Summary: The C420R mutation shows increased basal kinase activity and lipid binding, suggesting its involvement in oncogenesis. Evidence Type: Oncogenic | Mutation: M1043I | Summary: The M1043I mutation is associated with increased basal kinase activity and lipid binding, indicating its oncogenic potential. Evidence Type: Oncogenic | Mutation: H1047L | Summary: The H1047L mutation demonstrates increased basal kinase activity and lipid binding, contributing to tumor development. Evidence Type: Oncogenic | Mutation: G1049R | Summary: The G1049R mutation shows increased basal kinase activity and lipid binding, suggesting its role in oncogenesis. Evidence Type: Functional | Mutation: N564D | Summary: The N564D mutation is associated with altered lipid binding activities, indicating a change in molecular function.

      Gene→Variant (gene-first): 5290:C420R 5290:E545K 5290:G1049R 5290:H1047L 5290:H1047R 5290:M1043I 5295:N564D

      Genes: 5290 5295

      Variants: C420R E545K G1049R H1047L H1047R M1043I N564D

    1. Candidate canonical RBDs mainly include the RNA recognition motif (RRM), zinc fingers (ZF), tryptophan-aspartic acid 40 (WD40), K homology (KH) domain, double-stranded RNA-binding motif (DSRM), TUDOR domain, cold shock d

      [Paragraph-level] PMCID: PMC7226056 Section: RESULTS PassageIndex: 7

      Evidence Type(s): None

      Summary: Not enough information in this passage.

      Gene→Variant (gene-first): 7015:tryptophan-aspartic acid 40

      Genes: 7015

      Variants: tryptophan-aspartic acid 40

    2. Next, we analyzed the expression patterns of RBPs in different types of glioma patients and compared their abundance in expression levels. In our studies, a global analysis of the expression of the mRNA levels of RBPs re

      [Paragraph-level] PMCID: PMC7226056 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: TERT mutation | Summary: The TERT mutation is associated with glioma formation and is considered a somatic variant contributing to tumor development or progression.

      Gene→Variant (gene-first): 7015:CGGA 94) in the TCGA

      Genes: 7015

      Variants: CGGA 94) in the TCGA

    1. In the M6620-carboplatin combination cohort, a confirmed RECISTv1.1 PR was observed in a 54-year-old woman with heavily pretreated metastatic high-grade serous ovarian cancer, who was treated at the combination RP2D. Bio

      [Paragraph-level] PMCID: PMC7499606 Section: RESULTS PassageIndex: 18

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: Y220C | Summary: The TP53 Y220C missense mutation is described as a deleterious somatic mutation, indicating its contribution to tumor development or progression in the context of metastatic high-grade serous ovarian cancer.

      Gene→Variant (gene-first): 7157:Y220C

      Genes: 7157

      Variants: Y220C

    1. Among the 87 patients of the study population, BRAF was mutated in 13 cases (15%). KRAS codons 61, 146 and BRAF V600E mutations were mutually exclusive. None of the patients bearing BRAF mutation responded to the treatme

      [Paragraph-level] PMCID: PMC2736831 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Predictive, Prognostic, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: V600E | Summary: The BRAF V600E mutation was associated with a lack of response to treatment compared to BRAF wild-type patients, indicating its predictive value regarding treatment resistance. Evidence Type: Prognostic | Mutation: V600E | Summary: The presence of the BRAF V600E mutation correlated with significantly shorter overall survival (OS) and a trend towards shorter progression-free survival (PFS), suggesting its prognostic implications for disease outcome. Evidence Type: Oncogenic | Mutation: V600E | Summary: The BRAF V600E mutation is implicated in tumor development or progression, as indicated by its presence in the study population and its association with poor clinical outcomes.

      Gene→Variant (gene-first): 673:V600E

      Genes: 673

      Variants: V600E

    1. In June 2013, profiling of sample 2 (tumor cell content 80%) using matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry (detailed in the Methods section) showed a heterozygous somatic

      [Paragraph-level] PMCID: PMC5002925 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: p.L755S | Summary: The ERBB2 p.L755S mutation is a heterozygous somatic mutation that contributes to tumor development or progression, as indicated by its presence in tumor samples and its allele frequency. Evidence Type: Oncogenic | Mutation: p.Q1429fs | Summary: The APC p.Q1429fs mutation is a heterozygous somatic mutation that is associated with tumor development or progression, as it was detected in tumor samples. Evidence Type: Oncogenic | Mutation: p.N518S | Summary: The BRAF p.N518S mutation is a heterozygous somatic mutation that contributes to tumor development or progression, as evidenced by its detection in tumor samples. Evidence Type: Functional | Mutation: p.N581S | Summary: The BRAF p.N581S mutation was verified and its biological effect was predicted using algorithms, indicating that it alters molecular or biochemical function.

      Gene→Variant (gene-first): 2064:p.L755S 673:p.N518S 673:p.N581S 324:p.Q1429fs

      Genes: 2064 673 324

      Variants: p.L755S p.N518S p.N581S p.Q1429fs

    2. A 35-yr-old male, who was treated with a laparoscopic low anterior resection in June 2008 for a stage I (pT2N0M0) KRAS and NRAS wild-type, moderately differentiated, microsatellite stable rectal adenocarcinoma, developed

      [Paragraph-level] PMCID: PMC5002925 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: c.4285delC (p.Gln1429fs/p.Q1429fs) | Summary: The APC c.4285delC mutation is identified as a somatic variant that contributes to tumor development or progression in the context of rectal adenocarcinoma. Evidence Type: Oncogenic | Mutation: c.1742A>G (p.Asn581Ser/p.N581S) | Summary: The BRAF c.1742A>G mutation is a somatic variant that is implicated in tumor development or progression in the patient's rectal adenocarcinoma. Evidence Type: Oncogenic | Mutation: c.2264T>C (p.Leu755Ser/p.L755S) | Summary: The ERBB2 c.2264T>C mutation is a somatic variant that likely contributes to tumor development or progression, as indicated by its classification as an activating mutation.

      Gene→Variant (gene-first): 673:c.1742A>G 2064:c.2264T>C 324:c.4285delC 673:p.Asn581Ser 324:p.Gln1429fs 2064:p.L755S 2064:p.Leu755Ser 673:p.N581S 324:p.Q1429fs

      Genes: 673 2064 324

      Variants: c.1742A>G c.2264T>C c.4285delC p.Asn581Ser p.Gln1429fs p.L755S p.Leu755Ser p.N581S p.Q1429fs

    1. NTRK-fused gliomas in our cohort demonstrated concurrent aberrations involving CDKN2A/2B, TERT promoter, TP53, PTEN, EGFR, ATRX, RB1, IDH1, polysomy 7, ROS1, PIK3CA, NF1, and MDM4. The frequency of these genetic aberrati

      [Paragraph-level] PMCID: PMC7362646 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.R132H | Summary: The IDH1 p.R132H mutation is associated with glioma development and progression, indicating its role as a somatic variant contributing to tumorigenesis.

      Gene→Variant (gene-first): 3417:p.R132H

      Genes: 3417

      Variants: p.R132H

    1. Although first-line crizotinib treatment leads to clinical benefit in ROS1+ lung cancer, high prevalence of crizotinib-resistant ROS1-G2032R mutation and progression in the central nervous system (CNS) represents a thera

      [Paragraph-level] PMCID: PMC10283448 Section: ABSTRACT PassageIndex: 2

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: G2032R | Summary: The G2032R mutation is associated with resistance to crizotinib treatment in ROS1+ lung cancer, indicating its relevance in predicting treatment response. Evidence Type: Oncogenic | Mutation: G2032R | Summary: The G2032R mutation contributes to tumor progression in ROS1+ lung cancer, highlighting its role as an oncogenic variant.

      Gene→Variant (gene-first): 6098:G2032R

      Genes: 6098

      Variants: G2032R

    1. Targeted sequencing results show a common driver mutation KRAS p.G12V (8.72%) along with two splicing mutations of DDR gene PALB2 in her resected primary lesion (online supplementary table S1). No alterations of other ma

      [Paragraph-level] PMCID: PMC7342819 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Oncogenic, Predisposing

      Summary: Evidence Type: Oncogenic | Mutation: p.G12V | Summary: The KRAS p.G12V mutation is identified as a common driver mutation contributing to tumor development in the context of pancreatic adenocarcinoma (PAAD). Evidence Type: Predisposing | Mutation: c.3114-1G>A | Summary: The PALB2 c.3114-1G>A mutation is described as a germline mutation detected in peripheral blood cells, indicating an inherited risk for disease. Evidence Type: Oncogenic | Mutation: c.2514+1G>C | Summary: The PALB2 c.2514+1G>C mutation is noted as a somatic mutation likely contributing to tumor progression, associated with a deficiency in DNA homologous recombination.

      Gene→Variant (gene-first): 79728:c.2514+1G>C 79728:c.3114-1G>A 3845:p.G12V

      Genes: 79728 3845

      Variants: c.2514+1G>C c.3114-1G>A p.G12V

    1. To further explore potential functions of these SNPs, we performed the eQTL analysis for selected SNPs and mRNA expression of their corresponding genes in cancer tissues by using TCGA dataset. As shown in Figure 3, the a

      [Paragraph-level] PMCID: PMC7099049 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Functional, Prognostic

      Summary: Evidence Type: Functional | Mutation: rs16879870 | Summary: The allele A of rs16879870 is associated with an increased mRNA expression level of gene GJB7, indicating a potential functional impact on gene expression. Evidence Type: Functional | Mutation: rs854936 | Summary: The allele C of rs854936 is associated with an increased mRNA level of gene RTN4R, suggesting a functional role in gene expression. Evidence Type: Prognostic | Mutation: rs16879870 | Summary: Higher expression of GJB7 in cancer tissues correlates with worse prognosis in HNSCC patients, indicating a prognostic significance of this variant. Evidence Type: Prognostic | Mutation: rs854936 | Summary: Increased expression of RTN4R in cancer tissues is associated with worse prognosis in HNSCC patients, highlighting its prognostic relevance.

      Gene→Variant (gene-first): NA:rs16879870 NA:rs854936

      Genes: NA

      Variants: rs16879870 rs854936

    2. Furthermore, stratification analyses were conducted to examine whether the effects of risk genotypes on death with HNSCC was modified by sex, age, smoking, drinking status, and clinical stage. However, the heterogeneity

      [Paragraph-level] PMCID: PMC7099049 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Prognostic

      Summary: Evidence Type: Prognostic | Mutation: rs2761591 | Summary: The variant rs2761591 is associated with death in head and neck squamous cell carcinoma (HNSCC), indicating its potential role in disease outcome independent of therapy.

      Gene→Variant (gene-first): 341019:rs2761591

      Genes: 341019

      Variants: rs2761591

    3. ROC model was built to assess the ability of NRG in prediction of HNSCC survival by using the area under the curve (AUC). We constructed two models to compare their ability, one for clinical variables and the other for b

      [Paragraph-level] PMCID: PMC7099049 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Prognostic, Predictive

      Summary: Evidence Type: Prognostic | Mutation: None | Summary: The passage discusses the use of NRG in predicting survival outcomes in HNSCC, indicating a correlation with disease outcome independent of therapy. Evidence Type: Predictive | Mutation: None | Summary: The mention of the ROC model assessing the ability of NRG in predicting survival suggests a correlation with response to treatment, indicating predictive value.

      Gene→Variant (gene-first): 2264:AUC from 0

      Genes: 2264

      Variants: AUC from 0

    4. To provide a better estimation of the hazards of survival, the risk genotypes (i.e., rs16879870 CA+AA, rs2641256 AA, rs2761591 GA, and rs854936 AC) were combined into one variable as the number of risk genotypes (NRG), w

      [Paragraph-level] PMCID: PMC7099049 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Prognostic

      Summary: Evidence Type: Prognostic | Mutation: rs16879870 | Summary: The variant rs16879870 is associated with an increased risk of death in patients with HNSCC, indicating its prognostic value in survival outcomes. Evidence Type: Prognostic | Mutation: rs2641256 | Summary: The variant rs2641256 contributes to the risk of death in HNSCC patients, suggesting it has prognostic implications for survival. Evidence Type: Prognostic | Mutation: rs2761591 | Summary: The variant rs2761591 is linked to an increased hazard of death in HNSCC, highlighting its role as a prognostic marker. Evidence Type: Prognostic | Mutation: rs854936 | Summary: The variant rs854936 is associated with a higher risk of death in HNSCC patients, indicating its prognostic significance in survival analysis.

      Gene→Variant (gene-first): NA:rs16879870 388325:rs2641256 341019:rs2761591 NA:rs854936

      Genes: NA 388325 341019

      Variants: rs16879870 rs2641256 rs2761591 rs854936

    5. In the discovery stage, univariate and multivariable Cox regression analysis were further performed to evaluate the effects on risk of death for each of selected SNPs (Table 2), with adjusting of age, gender, smoking, dr

      [Paragraph-level] PMCID: PMC7099049 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Prognostic

      Summary: Evidence Type: Prognostic | Mutation: rs16879870 | Summary: The genotypes CA+AA of rs16879870 are associated with a decreased survival time in patients, indicating a correlation with disease outcome independent of therapy. Evidence Type: Prognostic | Mutation: rs2641256 | Summary: The genotype AA of rs2641256 is associated with an increased death risk in HNSCC, suggesting a correlation with disease outcome independent of therapy. Evidence Type: Prognostic | Mutation: rs2761591 | Summary: The genotype GA of rs2761591 is linked to an increased risk of overall death, indicating a correlation with disease outcome independent of therapy. Evidence Type: Prognostic | Mutation: rs854936 | Summary: The genotype AC of rs854936 is associated with an increased risk of overall death, suggesting a correlation with disease outcome independent of therapy.

      Gene→Variant (gene-first): NA:rs16879870 388325:rs2641256 341019:rs2761591 NA:rs854936

      Genes: NA 388325 341019

      Variants: rs16879870 rs2641256 rs2761591 rs854936

    6. As shown in Supplementary Figure 1, after QC, we performed Cox proportional hazards regression models to assess associations of 31,075 qualified genetic variants with HNSCC survival, with adjustment for age, gender, smok

      [Paragraph-level] PMCID: PMC7099049 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Prognostic

      Summary: Evidence Type: Prognostic | Mutation: rs16879870 | Summary: The variant rs16879870 is significantly correlated with HNSCC patients' survival, indicating its potential role as a prognostic marker. Evidence Type: Prognostic | Mutation: rs2641256 | Summary: The variant rs2641256 shows a significant association with HNSCC patients' survival, suggesting it may serve as a prognostic indicator. Evidence Type: Prognostic | Mutation: rs2761591 | Summary: The variant rs2761591 is correlated with HNSCC patients' survival, highlighting its potential prognostic value. Evidence Type: Prognostic | Mutation: rs854936 | Summary: The variant rs854936 demonstrates a significant correlation with HNSCC patients' survival, indicating its relevance as a prognostic factor.

      Gene→Variant (gene-first): NA:rs16879870 388325:rs2641256 341019:rs2761591 NA:rs854936

      Genes: NA 388325 341019

      Variants: rs16879870 rs2641256 rs2761591 rs854936

    7. Conclusion: Our findings suggested that the SNPs (rs16879870, rs2641256, rs2761591, rs854936) might play a crucial role in prognosis of HNSCC.

      [Paragraph-level] PMCID: PMC7099049 Section: ABSTRACT PassageIndex: 4

      Evidence Type(s): Prognostic

      Summary: Evidence Type: Prognostic | Mutation: rs16879870 | Summary: The SNP rs16879870 is suggested to correlate with disease outcome in head and neck squamous cell carcinoma (HNSCC). Evidence Type: Prognostic | Mutation: rs2641256 | Summary: The SNP rs2641256 is suggested to correlate with disease outcome in head and neck squamous cell carcinoma (HNSCC). Evidence Type: Prognostic | Mutation: rs2761591 | Summary: The SNP rs2761591 is suggested to correlate with disease outcome in head and neck squamous cell carcinoma (HNSCC). Evidence Type: Prognostic | Mutation: rs854936 | Summary: The SNP rs854936 is suggested to correlate with disease outcome in head and neck squamous cell carcinoma (HNSCC).

      Gene→Variant (gene-first): NA:rs16879870 388325:rs2641256 341019:rs2761591 NA:rs854936

      Genes: NA 388325 341019

      Variants: rs16879870 rs2641256 rs2761591 rs854936

    8. Results: After combining the result of the two stages, 4 SNPs were significantly associated with HNSCC survival (rs16879870 at 6q14.3: adjusted HR = 2.02, 95%CI = 1.50-2.73, P = 3.88 x 10-6; rs2641256 at 17p13.2: adjuste

      [Paragraph-level] PMCID: PMC7099049 Section: ABSTRACT PassageIndex: 3

      Evidence Type(s): Prognostic, Functional

      Summary: Evidence Type: Prognostic | Mutation: rs16879870 | Summary: The variant rs16879870 is significantly associated with HNSCC survival, indicating its correlation with disease outcome independent of therapy. Evidence Type: Prognostic | Mutation: rs2641256 | Summary: The variant rs2641256 is significantly associated with HNSCC survival, suggesting it correlates with disease outcome independent of therapy. Evidence Type: Prognostic | Mutation: rs2761591 | Summary: The variant rs2761591 is significantly associated with HNSCC survival, indicating its correlation with disease outcome independent of therapy. Evidence Type: Prognostic | Mutation: rs854936 | Summary: The variant rs854936 is significantly associated with HNSCC survival, suggesting it correlates with disease outcome independent of therapy. Evidence Type: Functional | Mutation: rs16879870 | Summary: The genotype of rs16879870 is significantly associated with the expression of the gene GJB7 in cancer tissues, indicating an alteration in molecular function. Evidence Type: Functional | Mutation: rs854936 | Summary: The genotype of rs854936 is significantly associated with the expression of the gene RTN4R in cancer tissues, indicating an alteration in molecular function.

      Gene→Variant (gene-first): NA:rs16879870 388325:rs2641256 341019:rs2761591 NA:rs854936

      Genes: NA 388325 341019

      Variants: rs16879870 rs2641256 rs2761591 rs854936

    1. We recently reported the results of a glioblastoma clinical trial with EGFR kinase inhibitors which associated clinical responses to the coexpression of EGFRvIII and PTEN. To investigate whether clinical responses might

      [Paragraph-level] PMCID: PMC1702556 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: R108K | Summary: The R108K mutation in EGFR was associated with clinical responses to erlotinib in gliomas, suggesting a correlation with treatment sensitivity. Evidence Type: Oncogenic | Mutation: R108K | Summary: The presence of the R108K mutation in gliomas indicates its potential role in tumor development or progression, particularly in the context of EGFR amplification. Evidence Type: Predictive | Mutation: R108K | Summary: The R108K mutation was also identified in gliomas that failed EGFR kinase inhibitor therapy, indicating a possible link to treatment resistance.

      Gene→Variant (gene-first): 1956:R108K

      Genes: 1956

      Variants: R108K

    2. The presence of identical missense mutations in multiple patient samples and their oncogenicity in standard transformation assays suggest that these mutants play a role in gliomagenesis. It also raises the question wheth

      [Paragraph-level] PMCID: PMC1702556 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Oncogenic, Predictive

      Summary: Evidence Type: Oncogenic | Mutation: L858R | Summary: The L858R mutation is suggested to play a role in gliomagenesis and contributes to tumor development as indicated by its oncogenicity in transformation assays. Evidence Type: Oncogenic | Mutation: L861Q | Summary: The L861Q mutation is implicated in gliomagenesis and is associated with tumor development, as evidenced by its oncogenic behavior in standard transformation assays. Evidence Type: Predictive | Mutation: L858R | Summary: The L858R mutation may sensitize transformed cells to EGFR kinase inhibitors, indicating a correlation with response to therapy. Evidence Type: Predictive | Mutation: L861Q | Summary: The L861Q mutation is suggested to sensitize transformed cells to EGFR kinase inhibitors, indicating a potential response to therapy. Evidence Type: Predictive | Mutation: L790M | Summary: The L790M mutation, in combination with L858R, is described as drug-resistant, suggesting a role in therapy resistance to EGFR kinase inhibitors.

      Gene→Variant (gene-first): 1956:L858R 1956:L861Q 1956:T790M

      Genes: 1956

      Variants: L858R L861Q T790M

    3. We also expressed selected EGFR mutants (R108K, T263P, A289V, G598V, L861Q) in murine hematopoietic cells (Ba/F3 cells) which do not express any EGFR family members but otherwise retain functional properties of the EGF-s

      [Paragraph-level] PMCID: PMC1702556 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: A289V | Summary: The A289V mutation alters molecular function, as it is associated with increased tyrosine phosphorylation in response to EGF stimulation in murine hematopoietic cells. Evidence Type: Functional | Mutation: G598V | Summary: The G598V mutation alters molecular function, as it is associated with increased tyrosine phosphorylation in response to EGF stimulation in murine hematopoietic cells. Evidence Type: Functional | Mutation: L861Q | Summary: The L861Q mutation alters molecular function, as it is associated with increased tyrosine phosphorylation in response to EGF stimulation in murine hematopoietic cells. Evidence Type: Functional | Mutation: R108K | Summary: The R108K mutation alters molecular function, as it is associated with increased tyrosine phosphorylation in response to EGF stimulation in murine hematopoietic cells. Evidence Type: Functional | Mutation: T263P | Summary: The T263P mutation alters molecular function, as it is associated with increased tyrosine phosphorylation in response to EGF stimulation in murine hematopoietic cells.

      Gene→Variant (gene-first): 1956:A289V 1956:G598V 1956:L861Q 1956:R108K 1956:T263P

      Genes: 1956

      Variants: A289V G598V L861Q R108K T263P

    4. Signal transduction through EGFR is determined by its basal catalytic activity, receptor activation by ligand, and signal termination through intracellular compartmentalization of the receptor-ligand complex, receptor de

      [Paragraph-level] PMCID: PMC1702556 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: A289V | Summary: The A289V mutation in EGFR shows a marked increase in receptor autophosphorylation, indicating an alteration in molecular function. Evidence Type: Functional | Mutation: T263P | Summary: The T263P mutation in EGFR is part of a panel of missense mutants that exhibit increased phosphotyrosine content, suggesting a change in biochemical function. Evidence Type: Functional | Mutation: G598V | Summary: The G598V mutation is included in a panel of EGFR missense mutants that demonstrate increased phosphotyrosine content, indicating a functional alteration. Evidence Type: Functional | Mutation: L861Q | Summary: The L861Q mutation is part of a group of EGFR missense mutants that show increased phosphotyrosine content, reflecting a change in molecular function.

      Gene→Variant (gene-first): 1956:A289V 1956:G598V 1956:L861Q 1956:T263P

      Genes: 1956

      Variants: A289V G598V L861Q T263P

    5. To further analyze the oncogenic potential of the EGFR mutants, NIH-3T3 subclones stably expressing the same missense mutant receptors (encoding R108K, T263P, A289V, G598V, and L861Q) were inoculated subcutaneously into

      [Paragraph-level] PMCID: PMC1702556 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: R108K | Summary: The R108K mutation in EGFR was shown to contribute to tumor development, as NIH-3T3 cells expressing this mutant produced large tumors in mice. Evidence Type: Oncogenic | Mutation: T263P | Summary: The T263P mutation in EGFR demonstrated oncogenic potential, leading to tumor formation in NIH-3T3 cells inoculated in mice. Evidence Type: Oncogenic | Mutation: A289V | Summary: The A289V mutation in EGFR was associated with tumor development, as evidenced by large tumors formed in mice expressing this mutant. Evidence Type: Oncogenic | Mutation: G598V | Summary: The G598V mutation in EGFR contributed to tumor progression, as NIH-3T3 cells expressing this variant produced significant tumors in the animal model. Evidence Type: Oncogenic | Mutation: L861Q | Summary: The L861Q mutation in EGFR was implicated in oncogenesis, resulting in tumor formation in mice injected with NIH-3T3 cells expressing this mutant.

      Gene→Variant (gene-first): 1956:A289V 1956:G598V 1956:L861Q 1956:R108K 1956:T263P

      Genes: 1956

      Variants: A289V G598V L861Q R108K T263P

    6. To test the oncogenicity of the glioma-related EGFR missense mutations, we transduced NIH-3T3 fibroblasts with retroviruses encoding either wild-type EGFR or selected EGFR missense mutants (encoding R108K, T263P, A289V,

      [Paragraph-level] PMCID: PMC1702556 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: R108K | Summary: The R108K mutation in EGFR contributes to tumor development as it allows for anchorage-independent colony formation in NIH-3T3 cells. Evidence Type: Oncogenic | Mutation: T263P | Summary: The T263P mutation in EGFR is associated with oncogenic behavior, as it enables anchorage-independent colony formation in NIH-3T3 cells. Evidence Type: Oncogenic | Mutation: A289V | Summary: The A289V mutation in EGFR demonstrates oncogenic properties by facilitating anchorage-independent colony formation in NIH-3T3 cells. Evidence Type: Oncogenic | Mutation: G598V | Summary: The G598V mutation in EGFR is implicated in oncogenic activity, as it supports anchorage-independent colony formation in NIH-3T3 cells. Evidence Type: Oncogenic | Mutation: L861Q | Summary: The L861Q mutation in EGFR is shown to have oncogenic potential, contributing to anchorage-independent colony formation in NIH-3T3 cells.

      Gene→Variant (gene-first): 1956:A289V 1956:G598V 1956:L861Q 1956:R108K 1956:T263P

      Genes: 1956

      Variants: A289V G598V L861Q R108K T263P

    7. To define which fraction of the EGFR pool represented the mutant allele in gliomas with EGFR missense mutations, we employed a PCR-cloning strategy previously used by our laboratories for mutation detection in clinical s

      [Paragraph-level] PMCID: PMC1702556 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Diagnostic

      Summary: Evidence Type: Diagnostic | Mutation: R108K | Summary: The R108K mutation is associated with defining the presence of EGFR missense mutations in gliomas, indicating its role in classifying the disease. Evidence Type: Diagnostic | Mutation: T263P | Summary: The T263P mutation is part of the common amino acid changes in EGFR missense mutations, contributing to the classification of gliomas. Evidence Type: Diagnostic | Mutation: A289V | Summary: The A289V mutation is identified as one of the common amino acid changes in EGFR missense mutations, aiding in the diagnosis of gliomas. Evidence Type: Diagnostic | Mutation: G598V | Summary: The G598V mutation is included among the common amino acid changes in EGFR missense mutations, which helps in the diagnostic classification of gliomas.

      Gene→Variant (gene-first): 1956:A289V 1956:G598V 1956:R108K 1956:T263P

      Genes: 1956

      Variants: A289V G598V R108K T263P

    8. In all, we identified EGFR missense mutations in 14.4% (19/132) of glioblastomas, 12.5% (1/8) of glioblastoma cell lines, and none (0/11) in lower-grade gliomas. Only one tumor sample harbored a missense mutation in the

      [Paragraph-level] PMCID: PMC1702556 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: L861Q | Summary: The L861Q mutation in the EGFR kinase domain is identified as a missense mutation in glioblastoma, indicating its potential role in tumor development. Evidence Type: Oncogenic | Mutation: A289 | Summary: The A289 mutation is noted as one of the evolutionarily conserved residues affected by mutations in glioblastomas, suggesting its contribution to tumor progression. Evidence Type: Oncogenic | Mutation: R108 | Summary: The R108 mutation is also identified as an evolutionarily conserved residue affected by mutations in glioblastomas, indicating its potential role in tumor development. Evidence Type: Oncogenic | Mutation: E330K | Summary: The E330K mutation is described as germline, but it is also noted in the context of tumor samples, suggesting its involvement in oncogenic processes. Evidence Type: Oncogenic | Mutation: A289D | Summary: The A289D mutation is found in tumors without matched normal tissue, indicating its potential role in tumor development. Evidence Type: Oncogenic | Mutation: A289T | Summary: The A289T mutation is identified in tumors for which no normal tissue was available, suggesting its contribution to tumor progression. Evidence Type: Oncogenic | Mutation: R324L | Summary: The R324L mutation is noted in tumors without matched normal tissue, indicating its potential role in tumor development.

      Gene→Variant (gene-first): 1956:A289 1956:A289D 1956:A289T 1956:E330K 1956:L861Q 1956:R108 1956:R324L

      Genes: 1956

      Variants: A289 A289D A289T E330K L861Q R108 R324L

    1. Four human NSCLC cell lines were employed, expressing either of the following forms of the EGFR: (i) the wild-type receptor (QG56 cells), (ii) a mutant with an exon 19 in-frame deletion (HCC827 cells), (iii) a mutant wit

      [Paragraph-level] PMCID: PMC4385014 Section: ABSTRACT PassageIndex: 4

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: L858R | Summary: The L858R mutation is associated with sensitivity to the anti-proliferative effect of erlotinib, indicating a predictive relationship with therapy response. Evidence Type: Predictive | Mutation: T790M | Summary: The T790M mutation, when present alongside L858R, is also evaluated for sensitivity to erlotinib, suggesting a predictive relationship with therapy response.

      Gene→Variant (gene-first): 1956:L858R 1956:T790M

      Genes: 1956

      Variants: L858R T790M

    1. Four patients harbored hotspot PIK3CA mutations most commonly seen in cancer. Two of these patients had a mosaic p.Glu542Lys mutation. Patient LR12-183 had a novel constellation of features including megalencephaly with

      [Paragraph-level] PMCID: PMC5019182 Section: RESULTS PassageIndex: 19

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.Glu542Lys | Summary: The p.Glu542Lys mutation is identified as a hotspot mutation commonly seen in cancer, indicating its contribution to tumor development or progression. Evidence Type: Oncogenic | Mutation: p.Glu545Lys | Summary: The p.Glu545Lys mutation is also noted as a hotspot mutation in cancer, suggesting its role in tumor development or progression. Evidence Type: Oncogenic | Mutation: p.His1047Arg | Summary: The p.His1047Arg mutation is described as a low-level mosaic variant, which is associated with features of CLOVES syndrome, indicating its potential contribution to tumor development or progression.

      Gene→Variant (gene-first): 5290:p.Glu542Lys 5290:p.Glu545Lys 5290:p.His1047Arg

      Genes: 5290

      Variants: p.Glu542Lys p.Glu545Lys p.His1047Arg

    2. Patient LR12-070 had congenital hemihypertrophy, epidermal nevi, and lipomatous overgrowth of the trunk that was characteristically milder than CLOVES (Figure 4, E-G). He also had overlying capillary malformations, and m

      [Paragraph-level] PMCID: PMC5019182 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.Glu453Lys | Summary: The p.Glu453Lys mutation is associated with various congenital overgrowth syndromes, indicating its role in tumor development or progression in affected tissues. Evidence Type: Oncogenic | Mutation: p.Gly914Arg | Summary: The p.Gly914Arg mutation is linked to congenital overgrowth conditions, suggesting its contribution to tumor development or progression in affected individuals.

      Gene→Variant (gene-first): 5290:p.Glu453Lys 5290:p.Gly914Arg

      Genes: 5290

      Variants: p.Glu453Lys p.Gly914Arg

    3. Several patients (n = 7) had novel phenotypes with features either overlapping MCAP but lacking megalencephaly or suggesting a milder variant of CLOVES. Patient LR15-238 had mild somatic hemihypertrophy and cutaneous vas

      [Paragraph-level] PMCID: PMC5019182 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.Arg93Gln | Summary: The p.Arg93Gln mutation was identified in patients with features overlapping MCAP, suggesting its role in tumor development or progression, particularly as it was present in a significant percentage of alleles in peripheral blood lymphocytes. Evidence Type: Oncogenic | Mutation: p.Gly106Val | Summary: The p.Gly106Val mutation was found in a patient with congenital onset somatic overgrowth and other features, indicating its potential contribution to tumor development or progression, as it was present in a notable percentage of alleles in blood and skin. Evidence Type: Oncogenic | Mutation: p.Cys378Tyr | Summary: The p.Cys378Tyr mutation was described as a mosaic variant in a patient with hemihypertrophy and capillary malformations, suggesting its involvement in tumor development or progression, given its presence in a percentage of alleles in blood-derived DNA.

      Gene→Variant (gene-first): 5290:p.Arg93Gln 5290:p.Cys378Tyr 5290:p.Gly106Val

      Genes: 5290

      Variants: p.Arg93Gln p.Cys378Tyr p.Gly106Val

    4. Most individuals with mosaic PIK3CA mutations in our cohort (n = 50) had classic features of MCAP, characterized by brain overgrowth (megalencephaly) and cutaneous vascular malformations, with variable body overgrowth, c

      [Paragraph-level] PMCID: PMC5019182 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Diagnostic, Predisposing, Oncogenic

      Summary: Evidence Type: Diagnostic | Mutation: p.Glu726Lys | Summary: The p.Glu726Lys mutation is associated with classic features of MCAP, which helps in defining and classifying the disease. Evidence Type: Predisposing | Mutation: p.Glu726Lys | Summary: The presence of the p.Glu726Lys mutation in patients indicates a potential inherited risk for developing MCAP and its associated features. Evidence Type: Oncogenic | Mutation: p.Glu726Lys | Summary: The p.Glu726Lys mutation in PIK3CA is implicated in tumor development and progression, contributing to the oncogenic characteristics observed in patients with MCAP.

      Gene→Variant (gene-first): 5290:p.Glu726Lys

      Genes: 5290

      Variants: p.Glu726Lys

    5. Most of these mutations are proven or predicted to have a gain-of-function (GOF) mechanism, and oncogenic mutations at all of these amino acid sites have been seen in COSMIC. Published functional studies demonstrate a GO

      [Paragraph-level] PMCID: PMC5019182 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: p.Asn345Thr | Summary: The p.Asn345Thr mutation is associated with a gain-of-function mechanism and contributes to tumor development. Evidence Type: Oncogenic | Mutation: p.Glu545Asp | Summary: The p.Glu545Asp mutation is associated with a gain-of-function mechanism and contributes to tumor development. Evidence Type: Oncogenic | Mutation: p.Gln546His | Summary: The p.Gln546His mutation is associated with a gain-of-function mechanism and contributes to tumor development. Evidence Type: Oncogenic | Mutation: p.Asn345Lys | Summary: The p.Asn345Lys mutation is associated with a gain-of-function mechanism and contributes to tumor development. Evidence Type: Oncogenic | Mutation: p.Glu545Lys | Summary: The p.Glu545Lys mutation is associated with a gain-of-function mechanism and contributes to tumor development. Evidence Type: Oncogenic | Mutation: p.Glu545Gly | Summary: The p.Glu545Gly mutation is associated with a gain-of-function mechanism and contributes to tumor development. Evidence Type: Oncogenic | Mutation: p.Gln546Lys | Summary: The p.Gln546Lys mutation is associated with a gain-of-function mechanism and contributes to tumor development. Evidence Type: Oncogenic | Mutation: p.Gln546Pro | Summary: The p.Gln546Pro mutation is associated with a gain-of-function mechanism and contributes to tumor development. Evidence Type: Oncogenic | Mutation: p.Tyr1021His | Summary: The p.Tyr1021His mutation is associated with a gain-of-function mechanism and contributes to tumor development. Evidence Type: Functional | Mutation: p.Ala1035Thr | Summary: The p.Ala1035Thr mutation has been demonstrated to alter molecular function through a gain-of-function mechanism. Evidence Type: Functional | Mutation: p.Ala1035Val | Summary: The p.Ala1035Val mutation has been demonstrated to alter molecular function through a gain-of-function mechanism. Evidence Type: Oncogenic | Mutation: Glu545Ala | Summary: The Glu545Ala mutation is associated with a gain-of-function mechanism and contributes to tumor development. Evidence Type: Oncogenic | Mutation: Glu545Lys | Summary: The Glu545Lys mutation is associated with a gain-of-function mechanism and contributes to tumor development.

      Gene→Variant (gene-first): 5290:Glu545Ala 5290:Glu545Lys 5290:p.Ala1035Thr 5290:p.Ala1035Val 5290:p.Asn345Lys 5290:p.Asn345Thr 5290:p.Gln546His 5290:p.Gln546Lys 5290:p.Gln546Pro 5290:p.Glu545Asp 5290:p.Glu545Gly 5290:p.Glu545Lys 5290:p.Tyr1021Cys 7249:p.Tyr1021His

      Genes: 5290 7249

      Variants: Glu545Ala Glu545Lys p.Ala1035Thr p.Ala1035Val p.Asn345Lys p.Asn345Thr p.Gln546His p.Gln546Lys p.Gln546Pro p.Glu545Asp p.Glu545Gly p.Glu545Lys p.Tyr1021Cys p.Tyr1021His

    6. Overall, we identified 29 PIK3CA mutations in 72 individuals. We also reviewed published data on PIK3CA mutations in developmental pediatric disorders (all phenotypes except for cancer; Figure 2). When added to our data,

      [Paragraph-level] PMCID: PMC5019182 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Diagnostic

      Summary: Evidence Type: Diagnostic | Mutation: p.Glu542Lys | Summary: The p.Glu542Lys mutation is associated with developmental pediatric disorders, indicating its role in defining or classifying a disease subtype. Evidence Type: Diagnostic | Mutation: p.Glu545Lys | Summary: The p.Glu545Lys mutation is frequently observed in pediatric disorders, supporting its use in defining or classifying a disease subtype. Evidence Type: Diagnostic | Mutation: p.His1047Arg | Summary: The p.His1047Arg mutation is highly recurrent in developmental pediatric disorders, suggesting its role in defining or classifying a disease subtype.

      Gene→Variant (gene-first): 5290:p.Glu542Lys 5290:p.Glu545Lys 5290:p.Glu726Lys 5290:p.Gly914Arg 5290:p.His1047Arg

      Genes: 5290

      Variants: p.Glu542Lys p.Glu545Lys p.Glu726Lys p.Gly914Arg p.His1047Arg

    7. Clinical testing identified several more patients with PIK3CA mutations. Mutations in 6 individuals were detected by targeted NGS using the Agilent SureSelect Capture technology. Another 5 were identified using standard-

      [Paragraph-level] PMCID: PMC5019182 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.Arg93Gln | Summary: The p.Arg93Gln mutation was identified in a patient and is associated with tumor development or progression, indicating its potential role as a somatic variant contributing to cancer.

      Gene→Variant (gene-first): 5290:p.Arg93Gln

      Genes: 5290

      Variants: p.Arg93Gln

    8. We identified 29 mutations of PIK3CA, including 16 novel mutations that have not been previously identified in developmental disorders, to our knowledge. Oncogenic mutations at all of these amino acid residues were prese

      [Paragraph-level] PMCID: PMC5019182 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.Glu545Lys | Summary: The p.Glu545Lys mutation is identified as an oncogenic mutation contributing to tumor development or progression, as indicated by its presence in the Catalogue of Somatic Mutations in Cancer (COSMIC). Evidence Type: Oncogenic | Mutation: p.His1047Arg | Summary: The p.His1047Arg mutation is also classified as an oncogenic mutation, contributing to tumor development or progression, supported by its identification in the Catalogue of Somatic Mutations in Cancer (COSMIC).

      Gene→Variant (gene-first): 5290:p.Glu545Lys 5290:p.His1047Arg

      Genes: 5290

      Variants: p.Glu545Lys p.His1047Arg

    1. We then tested CHMFL-KIT-031 in the BaF3-TEL-KIT-V559D inoculated mouse model. Through IP injection, the compound displayed a dose-dependent slow down of the tumor progression and 100 mg/kg/day treatment achieved 68.5% t

      [Paragraph-level] PMCID: PMC5762309 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: V559D | Summary: The V559D mutation is associated with a response to the CHMFL-KIT-031 treatment, which shows a dose-dependent inhibition of tumor growth, indicating its predictive value for therapy response. Evidence Type: Oncogenic | Mutation: V559D | Summary: The V559D mutation contributes to tumor development or progression, as evidenced by its presence in a mouse model where tumor growth is being studied.

      Gene→Variant (gene-first): 3815:V559D

      Genes: 3815

      Variants: V559D

    2. CHMFL-KIT-031 inhibits the tumor growth in BaF3-TEL-KIT-V559D cell inoculated in vivo model

      [Paragraph-level] PMCID: PMC5762309 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Oncogenic, Predictive

      Summary: Evidence Type: Oncogenic | Mutation: V559D | Summary: The V559D mutation is associated with tumor growth, indicating its role in tumor development or progression. Evidence Type: Predictive | Mutation: V559D | Summary: The passage suggests that CHMFL-KIT-031 inhibits tumor growth in a model with the V559D mutation, indicating a potential correlation with treatment response.

      Gene→Variant (gene-first): 3815:V559D

      Genes: 3815

      Variants: V559D

    3. In order to better define CHMFL-KIT-031's inhibitory effect against KIT V559D mutant, we then tested it with purified KIT wt/V559D kinase protein by ADP-Glo assay (Figure 2A). The results showed that it could potently in

      [Paragraph-level] PMCID: PMC5762309 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Predictive, Functional

      Summary: Evidence Type: Predictive | Mutation: V559D | Summary: The variant KIT V559D is associated with a specific response to the inhibitor CHMFL-KIT-031, demonstrating its potential predictive value for therapy effectiveness. Evidence Type: Functional | Mutation: V559D | Summary: The KIT V559D variant alters the molecular function of the kinase, as evidenced by its impact on auto-phosphorylation and downstream signaling pathways in response to treatment.

      Gene→Variant (gene-first): 3815:V559D

      Genes: 3815

      Variants: V559D

    4. CHMFL-KIT-031 selectively inhibits the KIT V559D mutant over KIT wt

      [Paragraph-level] PMCID: PMC5762309 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: V559D | Summary: The KIT V559D mutant is selectively inhibited by CHMFL-KIT-031, indicating a correlation with response to this specific therapy. Evidence Type: Oncogenic | Mutation: V559D | Summary: The presence of the KIT V559D mutation suggests a role in tumor development or progression, as it is a specific mutant form of the KIT gene.

      Gene→Variant (gene-first): 3815:V559D

      Genes: 3815

      Variants: V559D

    5. Then we used the DiscoverX's KINOMEScan platform to further examine CHMFL-KIT-031's kinome-wide selectivity profile. The results showed that it exhibited a great selectivity among 468 kinases/mutants at the concentration

      [Paragraph-level] PMCID: PMC5762309 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: V559D | Summary: The V559D mutation is associated with strong binding to the inhibitor CHMFL-KIT-031, suggesting its role in tumor development or progression. Evidence Type: Functional | Mutation: L576P | Summary: The L576P mutation is mentioned in the context of binding assays, indicating that it alters molecular or biochemical function. Evidence Type: Functional | Mutation: A829P | Summary: The A829P mutation is also discussed in relation to binding assays, suggesting it alters molecular or biochemical function.

      Gene→Variant (gene-first): 3815:A829P 3815:L576P 3815:V559D

      Genes: 3815

      Variants: A829P L576P V559D

    6. In order to confirm the selectivity observed in the anti-proliferation assay of the transformed BaF3 cells, we then examined the inhibitory effect of CHMFL-KIT-031 for the KIT wt/mutant auto-phosphorylation at Y703, Y719

      [Paragraph-level] PMCID: PMC5762309 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: V559D | Summary: The V559D mutation alters the phosphorylation of KIT at specific sites, indicating a change in molecular function related to the mutant's response to treatment. Evidence Type: Oncogenic | Mutation: V559D | Summary: The V559D mutation contributes to tumor development or progression as it is associated with the anti-proliferative effects observed in transformed BaF3 cells.

      Gene→Variant (gene-first): 3815:V559D

      Genes: 3815

      Variants: V559D

    7. CHMFL-KIT-031 potently inhibits KIT auto-phosphorylation in BaF3-TEL-KIT-V559D cells

      [Paragraph-level] PMCID: PMC5762309 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: V559D | Summary: The V559D mutation alters the molecular function of the KIT protein, as indicated by its role in auto-phosphorylation in the context of the study.

      Gene→Variant (gene-first): 3815:V559D

      Genes: 3815

      Variants: V559D

    8. Through screening a panel of in-house made structure focused type II lead compounds prepared during development of KIT kinase inhibitors with KIT-V559D permanently transformed BaF3 cells, we found that CHMFL-KIT-031 (Fig

      [Paragraph-level] PMCID: PMC5762309 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: V559D | Summary: The V559D mutation correlates with sensitivity to the KIT kinase inhibitor CHMFL-KIT-031, indicating a predictive relationship for treatment response. Evidence Type: Predictive | Mutation: L576P | Summary: The L576P mutation shows sensitivity to Imatinib, suggesting it may predict treatment response in patients with this variant. Evidence Type: Predictive | Mutation: V654A | Summary: The V654A mutation exhibits moderate sensitivity to CHMFL-KIT-031, indicating a predictive relationship for treatment response. Evidence Type: Predictive | Mutation: N822K | Summary: The N822K mutation shows similar sensitivity to Imatinib as V654A, suggesting it may predict treatment response. Evidence Type: Predictive | Mutation: D816V | Summary: The D816V mutation is resistant to both Imatinib and Sunitinib, indicating a predictive relationship for treatment resistance. Evidence Type: Predictive | Mutation: T670I | Summary: The T670I mutation is resistant to both Imatinib and Sunitinib, indicating a predictive relationship for treatment resistance.

      Gene→Variant (gene-first): 3815:D816V 3815:L576P 3815:N822K 3815:T670I 3815:V559D 3815:V654A

      Genes: 3815

      Variants: D816V L576P N822K T670I V559D V654A

    9. CHMFL-KIT-031 selectively inhibits the proliferation of BaF3-TEL-KIT-V559D cells

      [Paragraph-level] PMCID: PMC5762309 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: V559D | Summary: The V559D mutation alters the molecular function of the KIT protein, as indicated by the selective inhibition of cell proliferation in BaF3-TEL-KIT-V559D cells. Evidence Type: Oncogenic | Mutation: V559D | Summary: The V559D mutation contributes to tumor development or progression, as it is associated with the proliferation of BaF3-TEL-KIT-V559D cells.

      Gene→Variant (gene-first): 3815:V559D

      Genes: 3815

      Variants: V559D

    1. Given the prevalence of RIT1 mutation in primary human lung adenocarcinomas, we hypothesized that human lung adenocarcinoma cell lines may also harbor mutations in RIT1 and that identification of these cell lines would f

      [Paragraph-level] PMCID: PMC4150988 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: p.M90I | Summary: The p.M90I mutation in RIT1 is associated with human primary lung adenocarcinomas and is suggested to contribute to tumor development or progression based on its presence in 'oncogene-negative' lung cancer cell lines. Evidence Type: Functional | Mutation: p.M90I | Summary: The p.M90I mutation is being studied for its role in altering the molecular function of RIT1 in the context of human cancer pathogenesis.

      Gene→Variant (gene-first): 6016:p.M90I

      Genes: 6016

      Variants: p.M90I

    2. RIT1 mutation is mutually exclusive with mutations in other RAS/RTK-pathway genes, so we hypothesized that RIT1 may activate PI3K and MEK. To investigate the signaling changes induced by mutated RIT1, we expressed wild-t

      [Paragraph-level] PMCID: PMC4150988 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: Q40L | Summary: The RIT1 Q40L mutation is associated with the activation of MEK and ERK pathways, contributing to tumor development and progression. It is part of a group of RIT1 mutations that induce phosphorylation of signaling proteins, indicating its oncogenic potential.

      Gene→Variant (gene-first): 6016:Q40L

      Genes: 6016

      Variants: Q40L

    3. To test whether mutated RIT1 is capable of inducing cellular transformation, we expressed wild-type or mutated RIT1 cDNA constructs in NIH3T3 cells and assayed the ability of these cells to form colonies in soft agar. A

      [Paragraph-level] PMCID: PMC4150988 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: G12V | Summary: The KRAS G12V mutation is associated with inducing cellular transformation and tumor formation in NIH3T3 cells. Evidence Type: Oncogenic | Mutation: L858R | Summary: The EGFR L858R mutation contributes to tumor formation, as evidenced by its ability to induce significant colony formation in soft agar. Evidence Type: Oncogenic | Mutation: Q79L | Summary: The RIT1 Q79L mutation is capable of inducing cellular transformation and tumor formation in NIH3T3 cells. Evidence Type: Oncogenic | Mutation: Q40L | Summary: The RIT1 Q40L mutation shows intermediate transforming capability in the xenograft assay, indicating its potential oncogenic properties.

      Gene→Variant (gene-first): 3845:G12V 1956:L858R 6016:Q40 6016:Q40L 6016:Q79L

      Genes: 3845 1956 6016

      Variants: G12V L858R Q40 Q40L Q79L

    4. We surveyed recent exome sequencing data from other diverse cancer types to determine whether RIT1 is mutated in malignancies other than lung adenocarcinoma. Most tumor types had no mutations, or rare RIT1 variants of un

      [Paragraph-level] PMCID: PMC4150988 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: F82L | Summary: The F82L mutation is associated with tumor development or progression, as it has been observed in lung adenocarcinoma and myeloid malignancies. Evidence Type: Oncogenic | Mutation: M90I | Summary: The M90I mutation contributes to tumor development or progression, being recurrently observed in lung adenocarcinoma and also found in myeloid malignancies. Evidence Type: Oncogenic | Mutation: p.M90I | Summary: The p.M90I mutation is implicated in tumor development or progression, as it has been identified in both lung adenocarcinoma and myeloid malignancies.

      Gene→Variant (gene-first): 6016:F82L 6016:M90I 6016:p.M90I

      Genes: 6016

      Variants: F82L M90I p.M90I

    5. All seven samples with switch II domain RIT1 mutations lacked oncogenic driver mutations in EGFR, KRAS, BRAF, ERBB2, HRAS, NRAS and MAP2K1. This pattern of mutational mutual exclusivity is consistent with the possibility

      [Paragraph-level] PMCID: PMC4150988 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.R122L | Summary: The p.R122L mutation is suggested to function as an oncogene in the context of RAS/RTK pathway lung adenocarcinoma, indicating its potential role in tumor development or progression.

      Gene→Variant (gene-first): 6016:p.R122L

      Genes: 6016

      Variants: p.R122L

    6. Recurrent alteration of RIT1 alanine 77 was also observed; one of the ten mutated samples from this analysis harbored a p.A77P mutation and an additional TCGA sample (TCGA-73-4666) harbored a p.A77S mutation. TCGA-73-466

      [Paragraph-level] PMCID: PMC4150988 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Oncogenic, Predisposing

      Summary: Evidence Type: Oncogenic | Mutation: p.A77P | Summary: The p.A77P mutation in RIT1 is associated with tumor development as it was observed in a recurrent alteration among mutated samples. Evidence Type: Predisposing | Mutation: p.A77S | Summary: The p.A77S mutation may represent a rare germline variant, suggesting a potential inherited risk for disease, although this is unlikely based on the absence in normal genome data.

      Gene→Variant (gene-first): NA:alanine 77 6016:p.A77P 6016:p.A77S

      Genes: NA 6016

      Variants: alanine 77 p.A77P p.A77S

    7. In total, non-synonymous somatic mutations of RIT1 were identified in 10/413 (2.4%) lung adenocarcinomas subjected to whole exome sequencing (Figure 1a, Supplementary Table 1). Mutations in RIT1 consisted of missense mut

      [Paragraph-level] PMCID: PMC4150988 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.M90I | Summary: The p.M90I mutation in RIT1 is identified as a non-synonymous somatic mutation found in lung adenocarcinomas, suggesting its contribution to tumor development or progression.

      Gene→Variant (gene-first): 6016:p.M90I

      Genes: 6016

      Variants: p.M90I

    1. Since our study goal was to identify potential therapeutically relevant events, the novel loss of function mutation in ERRFI1 (E384X) detected in Patient 3's metastatic, recurrent/refractory SIC (Table S1) warranted addi

      [Paragraph-level] PMCID: PMC3923676 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: E384X | Summary: The E384X mutation in ERRFI1 is described as a novel loss of function mutation that contributes to tumor development in the patient's metastatic, recurrent/refractory SIC. The evidence suggests nearly complete loss of function of ERRFI1 in the tumor, indicating its role in cancer progression. Evidence Type: Functional | Mutation: E384X | Summary: The E384X mutation results in nearly complete loss of function of the ERRFI1 protein, as indicated by the allele-specific expression data from the RNASeq analysis. This alteration in molecular function is significant in the context of the patient's tumor.

      Gene→Variant (gene-first): 672:E384X

      Genes: 672

      Variants: E384X

    2. In addition to the variations identified in genes acting in EGFR and/or FGFR signaling pathways, we also report multiple sSNVs and copy number variations (CNVs) ( Figure 4 ) in genes such as HDAC1, TP53, MDM2 and AKT1, a

      [Paragraph-level] PMCID: PMC3923676 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: G C | Summary: The G C missense mutations in the DNAH5 gene are noted to alter the molecular function of the dynein protein, which is part of the microtubule-associated motor protein complex.

      Gene→Variant (gene-first): 1767:G C

      Genes: 1767

      Variants: G C

    3. We identified 327 somatic coding mutations, with an average of 55 mutations/tumor (range 34-112), within our cohort ( Table 1 , Figure 1 ). Nonsynonymous single nucleotide variations were the predominant class in all of

      [Paragraph-level] PMCID: PMC3923676 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: E384X | Summary: The E384X variant in ERRFI1 is described as a negative regulator of EGFR and is detected in a tumor, suggesting its contribution to tumor development or progression.

      Gene→Variant (gene-first): 672:E384X

      Genes: 672

      Variants: E384X

    4. Advanced cholangiocarcinoma continues to harbor a difficult prognosis and therapeutic options have been limited. During the course of a clinical trial of whole genomic sequencing seeking druggable targets, we examined si

      [Paragraph-level] PMCID: PMC3923676 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Oncogenic, Predictive

      Summary: Evidence Type: Oncogenic | Mutation: E384X | Summary: The E384X mutation in ERRFI1 is described as a somatic mutation that inactivates the gene, contributing to tumor development and progression, particularly in the context of advanced cholangiocarcinoma. Evidence Type: Predictive | Mutation: E384X | Summary: The E384X mutation is associated with a robust disease regression in a patient treated with erlotinib, indicating its potential role in predicting response to EGFR kinase inhibitors.

      Gene→Variant (gene-first): 672:E384X

      Genes: 672

      Variants: E384X

    1. In one of every four or five cases of breast cancer, the human epidermal growth factor receptor-2 (HER2) gene is overexpressed. These carcinomas are known as HER2-positive. HER2 overexpression is linked to an aggressive

      [Paragraph-level] PMCID: PMC7081042 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: S310F | Summary: The S310F mutation in HER2 is associated with favorable outcomes and a good response to anti-HER2 therapy, indicating its predictive value for treatment efficacy. Evidence Type: Predictive | Mutation: S310Y | Summary: The S310Y mutation in HER2 is linked to favorable outcomes and a good response to anti-HER2 therapy, suggesting it may serve as a predictive biomarker for treatment. Evidence Type: Predictive | Mutation: R678Q | Summary: The R678Q mutation in HER2 appears to correlate with favorable outcomes and a good response to anti-HER2 therapy, indicating its predictive potential for treatment response. Evidence Type: Predictive | Mutation: D769H | Summary: The D769H mutation in HER2 is associated with favorable outcomes and a good response to anti-HER2 therapy, supporting its role as a predictive marker for treatment efficacy. Evidence Type: Predictive | Mutation: I767M | Summary: The I767M mutation in HER2 is linked to favorable outcomes and a good response to anti-HER2 therapy, suggesting its predictive value for treatment effectiveness. Evidence Type: Predictive | Mutation: L755S | Summary: The L755S mutation in HER2 may confer benefits when receiving neratinib or afatinib, indicating its predictive role in treatment response. Evidence Type: Predictive | Mutation: D769Y | Summary: The D769Y mutation in HER2 could confer benefits when receiving neratinib or afatinib, suggesting its predictive value for treatment outcomes. Evidence Type: Oncogenic | Mutation: L755S | Summary: The L755S mutation in HER2 is associated with resistance to trastuzumab, indicating its role in oncogenic processes related to tumor progression. Evidence Type: Oncogenic | Mutation: V842I | Summary: The V842I mutation in HER2 is linked to resistance to trastuzumab, suggesting its contribution to oncogenic behavior in tumor development. Evidence Type: Oncogenic | Mutation: K753I | Summary: The K753I mutation in HER2 is associated with resistance to trastuzumab, indicating its role in oncogenic processes related to tumor progression. Evidence Type: Oncogenic | Mutation: D769Y | Summary: The D769Y mutation in HER2 is linked to resistance to trastuzumab, suggesting its contribution to oncogenic behavior in tumor development.

      Gene→Variant (gene-first): 2064:D769H 2064:D769Y 2064:I767M 1956:K753I 2064:L755S 2064:R678Q 2064:S310F 2064:S310Y 2064:V842I

      Genes: 2064 1956

      Variants: D769H D769Y I767M K753I L755S R678Q S310F S310Y V842I

    1. Diffuse intrinsic pontine glioma (DIPG) is the main cause of brain tumour-related death in children. In the majority of cases diagnosis is based on clinical and MRI findings, resulting in the scarcity of pre-treatment sp

      [Paragraph-level] PMCID: PMC4159563 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Oncogenic, Diagnostic, Prognostic

      Summary: Evidence Type: Oncogenic | Mutation: K27M | Summary: The K27M-H3 mutation is associated with high-grade astrocytomas and contributes to tumor development in diffuse intrinsic pontine glioma (DIPG). Evidence Type: Diagnostic | Mutation: K27M | Summary: The presence of the K27M-H3 mutation is used to classify and define the histological subtype of astrocytomas in DIPG cases. Evidence Type: Prognostic | Mutation: K27M | Summary: The K27M-H3 mutation correlates with disease behavior and outcome in pediatric brainstem gliomas, indicating that it may not predict outcomes accurately according to the current WHO grading scheme.

      Gene→Variant (gene-first): 90:K27M

      Genes: 90

      Variants: K27M

    1. The mutation frequency of TYK2 in T-ALL cell lines compared to primary T-ALL samples was substantially different, with a high mutation rate of TYK2 in cell lines, but only a low mutation rate in primary samples. To deter

      [Paragraph-level] PMCID: PMC3366948 Section: RESULTS PassageIndex: 22

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: R1027H | Summary: The R1027H variant was present in all analyzed samples, but the data suggest that it may not represent an oncogenic event important for leukemia development in vivo. Evidence Type: Functional | Mutation: A35V | Summary: The A35V variant was present in the CCRF-CEM cell line and one additional clone, but analysis could not identify major differences in transforming properties compared to wild type TYK2. Evidence Type: Functional | Mutation: C192Y | Summary: The C192Y mutation was only found in the JURKAT line and was absent in other clones, with no significant differences in autophosphorylation observed compared to wild type TYK2.

      Gene→Variant (gene-first): 4486:A35V 5395:C192Y 7297:R1027H

      Genes: 4486 5395 7297

      Variants: A35V C192Y R1027H

    2. Interestingly, 4 of the 15 sequenced patient samples contain a variation in TET1. The TET gene family (TET1, TET2, TET3) of epigenetic regulators is important for the hematology field because of the observation of TET2 m

      [Paragraph-level] PMCID: PMC3366948 Section: RESULTS PassageIndex: 18

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: H1297Y | Summary: The H1297Y variant in TET1 is confirmed as a somatic mutation associated with tumor development in T-ALL, as indicated by its presence in a remission sample.

      Gene→Variant (gene-first): 80312:H1297Y

      Genes: 80312

      Variants: H1297Y

    3. We identified several mutations in JAK2 and JAK3 in both cell lines and patient samples. All JAK kinases, except TYK2 (see below), are known oncogenes in leukemia and activating mutations and translocations affecting JAK

      [Paragraph-level] PMCID: PMC3366948 Section: RESULTS PassageIndex: 15

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: A572T | Summary: The A572T mutation in JAK3 is described as a somatic mutation that contributes to tumor development, as it was detected in T-ALL and associated with leukemia induction in mice. Evidence Type: Oncogenic | Mutation: M511I | Summary: The M511I mutation in JAK3 is a somatic mutation that has been previously associated with AML and has been shown to transform IL3 dependent cells and induce T-ALL in mice. Evidence Type: Oncogenic | Mutation: A572V | Summary: The A572V mutation in JAK3 is noted to be a somatic variant that has been implicated in T-cell leukemia, T-cell lymphoma, and AML, contributing to tumor development by transforming hematopoietic cells and inducing leukemia in mice.

      Gene→Variant (gene-first): 3718:A572 3718:A572T 3718:A572V 3718:M511I

      Genes: 3718

      Variants: A572 A572T A572V M511I

    1. In the BEACON CRC study, encorafenib plus cetuximab improved OS, ORR, and progression-free survival in previously treated patients in the metastatic setting compared with standard chemotherapy. Based on the primary and u

      [Paragraph-level] PMCID: PMC8078423 Section: ABSTRACT PassageIndex: 8

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: V600E | Summary: The BRAF V600E mutation is associated with improved overall survival, objective response rate, and progression-free survival when treated with encorafenib plus cetuximab in metastatic colorectal cancer. Evidence Type: Oncogenic | Mutation: V600E | Summary: The BRAF V600E mutation contributes to tumor development and progression in metastatic colorectal cancer.

      Gene→Variant (gene-first): 673:V600E

      Genes: 673

      Variants: V600E

    2. In this open-label, phase III trial, 665 patients with BRAF V600E-mutant mCRC were randomly assigned 1:1:1 to receive triplet, doublet, or control. Primary end points were OS and independently reviewed ORR comparing trip

      [Paragraph-level] PMCID: PMC8078423 Section: ABSTRACT PassageIndex: 4

      Evidence Type(s): Predictive, Prognostic, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: V600E | Summary: The BRAF V600E mutation is associated with treatment response in patients with mCRC, as indicated by the trial comparing different treatment regimens. Evidence Type: Prognostic | Mutation: V600E | Summary: The presence of the BRAF V600E mutation correlates with overall survival (OS) outcomes in patients with mCRC, independent of the therapy received. Evidence Type: Oncogenic | Mutation: V600E | Summary: The BRAF V600E mutation is implicated in tumor development and progression in colorectal cancer.

      Gene→Variant (gene-first): 673:V600E

      Genes: 673

      Variants: V600E

    3. BEACON CRC evaluated encorafenib plus cetuximab with or without binimetinib versus investigators' choice of irinotecan or FOLFIRI plus cetuximab in patients with BRAFV600E-mutant metastatic colorectal cancer (mCRC), afte

      [Paragraph-level] PMCID: PMC8078423 Section: ABSTRACT PassageIndex: 2

      Evidence Type(s): Predictive, Prognostic

      Summary: Evidence Type: Predictive | Mutation: BRAFV600E | Summary: The BRAFV600E mutation is associated with response to targeted therapies such as encorafenib and cetuximab in patients with metastatic colorectal cancer. Evidence Type: Prognostic | Mutation: BRAFV600E | Summary: The presence of the BRAFV600E mutation correlates with improved overall survival and objective response rate in patients with metastatic colorectal cancer undergoing treatment.

      Gene→Variant (gene-first): 673:BRAFV600E

      Genes: 673

      Variants: BRAFV600E

    1. The data from safety, efficacy, and PK studies suggest that abivertinib dose levels of 150 to 300 mg twice a day may represent the efficacious range while 350 mg twice a day dose had the least favorable safety profile, t

      [Paragraph-level] PMCID: PMC9365372 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: T790M | Summary: The presence of the T790M mutation correlates with the objective response rate (ORR) to abivertinib treatment, indicating its role in predicting treatment response. Evidence Type: Oncogenic | Mutation: T790M | Summary: The T790M mutation is associated with tumor development and progression, contributing to the oncogenic characteristics of the cancer.

      Gene→Variant (gene-first): 1956:T790M

      Genes: 1956

      Variants: T790M

    2. Of the 132 evaluable patients with EGFR T790M+ treated across all dose levels, responses were observed with 100 to 300 mg twice-a-day doses, and with highest ORR in 200 mg twice a day (40.0%, 8/20) and 300 mg twice a day

      [Paragraph-level] PMCID: PMC9365372 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: T790M | Summary: The T790M mutation correlates with treatment responses to abivertinib, indicating its predictive value for therapy effectiveness. Evidence Type: Oncogenic | Mutation: T790M | Summary: The T790M mutation is associated with tumor development and progression, supporting its classification as an oncogenic variant.

      Gene→Variant (gene-first): 1956:T790M

      Genes: 1956

      Variants: T790M

    3. A total of 878 Chinese patients with NSCLC were screened (Fig. 1). In phase I, a total of 231 patients were screened and 140 patients who received treatment were included in this analysis; in phase II, 647 patients were

      [Paragraph-level] PMCID: PMC9365372 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Predictive, Diagnostic

      Summary: Evidence Type: Predictive | Mutation: T790M | Summary: The T790M mutation is associated with screening failure for treatment, indicating its role in predicting resistance to therapy in NSCLC patients. Evidence Type: Diagnostic | Mutation: T790M | Summary: The T790M mutation is used to classify patients as T790M-negative, which is a significant reason for exclusion from treatment in the study.

      Gene→Variant (gene-first): 1956:T790M

      Genes: 1956

      Variants: T790M

    1. In this follow-up report, we present updated information regarding a previously reported pediatric patient with a World Health Organization grade I ganglioglioma harboring a BRAF p.T599dup mutation (Cold Spring Harb Mol

      [Paragraph-level] PMCID: PMC8040738 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: p.T599dup | Summary: The BRAF p.T599dup mutation is associated with the patient's response to combination targeted therapy with a selective BRAF inhibitor (dabrafenib) and MEK inhibitor (trametinib), indicating its predictive value for treatment efficacy. Evidence Type: Predictive | Mutation: p.V600E | Summary: Although the patient does not have a BRAF p.V600E mutation, the report discusses the efficacy of BRAF and MEK inhibitors in tumors harboring BRAF alterations, suggesting predictive implications for treatment strategies. Evidence Type: Oncogenic | Mutation: p.T599dup | Summary: The BRAF p.T599dup mutation contributes to tumor development or progression, as evidenced by the patient's diagnosis of a ganglioglioma and the need for targeted therapy due to tumor growth. Evidence Type: Oncogenic | Mutation: p.V600E | Summary: The BRAF p.V600E mutation is known to be oncogenic, as it is indicated for tumors that respond to targeted therapies, highlighting its role in tumor development.

      Gene→Variant (gene-first): 673:V600E 673:p.T599dup 673:p.V600E

      Genes: 673

      Variants: V600E p.T599dup p.V600E

    1. Three other FFPE samples from NSCLC patients were also investigated by LCN-HRM for mutations in EGFR exons 19 (TX13) and 21 (TX49, TX86). After sequencing the LCM-HRM positive products, multiple non-identical sequence va

      [Paragraph-level] PMCID: PMC2766370 Section: RESULTS PassageIndex: 10

      Evidence Type(s): None

      Summary: Not enough information in this passage.

      Gene→Variant (gene-first): 1956:c.2192G>A 1956:c.2224G>A 1956:c.2488G>A

      Genes: 1956

      Variants: c.2192G>A c.2224G>A c.2488G>A

    2. Non-identical KRAS sequence variants were also detected in five of the other LCN-HRM reactions; c.22G>A, c.32C>A, c.38G>A, c.59C>T and c.100C>T. These transitional changes have not been previously reported, except those

      [Paragraph-level] PMCID: PMC2766370 Section: RESULTS PassageIndex: 9

      Evidence Type(s): None

      Summary: Not enough information in this passage.

      Gene→Variant (gene-first): 3845:C>A 3845:C>T 3845:G>A 7157:c.100C>T 1956:c.22G>A 3845:c.32C>A 3845:c.38 (codon 13) 3845:c.38G>A 7157:c.59C>T

      Genes: 3845 7157 1956

      Variants: C>A C>T G>A c.100C>T c.22G>A c.32C>A c.38 (codon 13) c.38G>A c.59C>T

    3. Four NSCLC samples extracted from FFPE tissues were tested by LCN-HRM to investigate the cause of discrepant results between HRM and sequencing. TX450 was negative by sequencing but positive by HRM for KRAS exon 2. After

      [Paragraph-level] PMCID: PMC2766370 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: c.34G>T; p.G12C | Summary: The KRAS mutation c.34G>T (p.G12C) was detected in NSCLC samples, indicating its contribution to tumor development or progression. Evidence Type: Functional | Mutation: c.34G>T; p.G12C | Summary: The mutation c.34G>T (p.G12C) alters the molecular or biochemical function of the KRAS protein, as evidenced by its detection in LCN-HRM reactions.

      Gene→Variant (gene-first): 3845:c.34G>T 3845:p.G12C

      Genes: 3845

      Variants: c.34G>T p.G12C

    4. HCT116 and NCI-H1650 DNA dilutions with a 5% mutant allele frequency were sequencing negative for KRAS exon 2 missense and EGFR exon 19 deletion mutations respectively (Figure 1, data not shown for EGFR exon 19). The sam

      [Paragraph-level] PMCID: PMC2766370 Section: RESULTS PassageIndex: 6

      Evidence Type(s): None

      Summary: Not enough information in this passage.

      Gene→Variant (gene-first): 3845:c.38G>A 3845:delE746_A750 EGFR

      Genes: 3845

      Variants: c.38G>A delE746_A750 EGFR

    5. The relative sensitivity of mutation detection by dideoxynucleotide sequencing and HRM was compared using dilutions of HCT116 DNA (heterozygous for the c.38G>A KRAS mutation) in normal DNA. To ensure the maximum accuracy

      [Paragraph-level] PMCID: PMC2766370 Section: RESULTS PassageIndex: 3

      Evidence Type(s): None

      Summary: Not enough information in this passage.

      Gene→Variant (gene-first): 3845:c.38G>A

      Genes: 3845

      Variants: c.38G>A

    1. The HDR functional dataset was completely concordant with three other functional studies that evaluated the ability for a human BRCA2 variant to restore survival of Brca2 null mouse embryonic stem cells (Table S1). In an

      [Paragraph-level] PMCID: PMC8008494 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: c.8723T>G | Summary: The variant c.8723T>G (p.Val2908Gly) was evaluated in a functional study and demonstrated sensitivity to multiple drugs, indicating an alteration in molecular function. Evidence Type: Functional | Mutation: c.8905G>A | Summary: The variant c.8905G>A (p.Val2969Met) was also assessed in a functional study and showed consistent sensitivity to various drugs, reflecting a change in molecular function.

      Gene→Variant (gene-first): 675:c.8723T>G 675:c.8905G>A 675:p.Val2908Gly 675:p.Val2969Met

      Genes: 675

      Variants: c.8723T>G c.8905G>A p.Val2908Gly p.Val2969Met

    2. HDR assay results are provided for 53 variants, along with previously reported data for 199 variants, for a total of 252 missense variants (Figure 1; Table 1; Table S1). Among the 252 variants, 90 were considered non-fun

      [Paragraph-level] PMCID: PMC8008494 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: 2619 from Trp to Gly | Summary: Variants that change residue 2619 from Trp to Gly, Ser, or Cys all resulted in loss of function, indicating a critical role for this residue in molecular function. Evidence Type: Functional | Mutation: 2723 from Asp to Asn | Summary: Variants that change residue 2723 from Asp to Asn, His, Tyr, Ala, Gly, and Val consistently resulted in loss of function, suggesting a negatively charged amino acid is required at this position. Evidence Type: Functional | Mutation: Leu3180 | Summary: Differential effects on function were observed for two alterations in residue Leu3180, where a Pro substitution resulted in loss of function but an Arg substitution resulted in a functional protein. Evidence Type: Functional | Mutation: p.Gly2508Ser | Summary: The variant p.Gly2508Ser is associated with loss of function, indicating its critical role in the molecular function of the protein. Evidence Type: Functional | Mutation: p.Gly2508Arg | Summary: The variant p.Gly2508Arg is associated with loss of function, indicating its critical role in the molecular function of the protein. Evidence Type: Functional | Mutation: p.Ala2603Ser | Summary: The variant p.Ala2603Ser is associated with loss of function, indicating its critical role in the molecular function of the protein. Evidence Type: Functional | Mutation: p.Arg2625Lys | Summary: The variant p.Arg2625Lys is associated with loss of function, indicating its critical role in the molecular function of the protein. Evidence Type: Functional | Mutation: p.Ile2627Val | Summary: The variant p.Ile2627Val is associated with loss of function, indicating its critical role in the molecular function of the protein. Evidence Type: Functional | Mutation: p.Asn3124His | Summary: The variant p.Asn3124His is associated with loss of function, indicating its critical role in the molecular function of the protein.

      Gene→Variant (gene-first): NA:2619 from Trp to Gly 675:2723 from Asp to Asn 353:7522G>A 353:7807G>T 353:7874G>A 353:7879A>G NA:Leu3180 353:Phe/Asn 353:c.7522G>C 675:c.7880T>A 675:c.9370A>C 675:c.9371A>T 675:c.9539T>C 675:p.Ala2603Ser 675:p.Arg2625Lys 675:p.Asn3124His 353:p.Gly2508Arg 675:p.Gly2508Ser 675:p.Ile2627Val

      Genes: NA 675 353

      Variants: 2619 from Trp to Gly 2723 from Asp to Asn 7522G>A 7807G>T 7874G>A 7879A>G Leu3180 Phe/Asn c.7522G>C c.7880T>A c.9370A>C c.9371A>T c.9539T>C p.Ala2603Ser p.Arg2625Lys p.Asn3124His p.Gly2508Arg p.Gly2508Ser p.Ile2627Val

    1. The correlation of inhibition of ALK phosphorylation (Tyr1282/1283) was evaluated as a function of TPX-0131 plasma exposure analysis using the Ba/F3 CDX model harboring the EML4-ALK fusion with the G1202R/L1196M compound

      [Paragraph-level] PMCID: PMC9398166 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: G1202R | Summary: The G1202R mutation is associated with a response to TPX-0131 treatment, as evidenced by the correlation of tumor growth inhibition with TPX-0131 exposure and suppression of ALK phosphorylation. Evidence Type: Predictive | Mutation: L1196M | Summary: The L1196M mutation is part of the compound mutation G1202R/L1196M, which shows a correlation with response to TPX-0131 treatment, indicating its predictive value in therapy. Evidence Type: Predictive | Mutation: L1198F | Summary: The L1198F mutation is included in the compound mutation G1202R/L1198F, which demonstrates a correlation with the efficacy of TPX-0131 treatment, supporting its predictive role in therapy.

      Gene→Variant (gene-first): 238:G1202R 238:L1196M 238:L1198F

      Genes: 238

      Variants: G1202R L1196M L1198F

    2. TGI and the pharmacodynamic modulation of ALK were performed in cell-derived xenograft (CDX) models for clinically relevant ALK mutants that limit the utility of previous generations of ALK inhibitors (e.g. SFM, compound

      [Paragraph-level] PMCID: PMC9398166 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: G1202R | Summary: The G1202R mutation in the EML4-ALK fusion is associated with a response to TPX-0131 treatment, demonstrating dose-dependent tumor growth inhibition (TGI) in a CDX model. Evidence Type: Predictive | Mutation: L1198F | Summary: The L1198F mutation in the EML4-ALK fusion, when combined with G1202R, shows a complete tumor regression in response to TPX-0131 treatment in a CDX model. Evidence Type: Predictive | Mutation: L1196M | Summary: The L1196M mutation in the EML4-ALK fusion, in combination with G1202R, is linked to dose-dependent efficacy of TPX-0131 treatment, resulting in complete tumor regression in a CDX model.

      Gene→Variant (gene-first): 238:G1202R 238:L1196M 238:L1198F

      Genes: 238

      Variants: G1202R L1196M L1198F

    3. To confirm the results obtained from the cell proliferation assays, TPX-0131 and select other ALK inhibitors were evaluated in assays measuring pharmacodynamic modulation of ALK (autophosphorylation). TPX-0131 suppressed

      [Paragraph-level] PMCID: PMC9398166 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: G1202R | Summary: The G1202R mutation is associated with resistance to lorlatinib, as indicated by the higher IC50 values, suggesting that it correlates with treatment response to TPX-0131. Evidence Type: Predictive | Mutation: L1196M | Summary: The L1196M mutation, when combined with G1202R, shows a similar resistance pattern to lorlatinib, indicating its role in treatment response to TPX-0131. Evidence Type: Predictive | Mutation: L1198F | Summary: The L1198F mutation, in conjunction with G1202R, demonstrates resistance to lorlatinib, highlighting its predictive value for treatment response to TPX-0131. Evidence Type: Oncogenic | Mutation: G1202R | Summary: The G1202R mutation is part of the EML4-ALK oncogenic fusion proteins, contributing to tumor development and progression. Evidence Type: Oncogenic | Mutation: L1196M | Summary: The L1196M mutation is included in the EML4-ALK oncogenic fusion context, indicating its contribution to tumor development. Evidence Type: Oncogenic | Mutation: L1198F | Summary: The L1198F mutation is also part of the EML4-ALK oncogenic fusion proteins, suggesting its role in tumor progression.

      Gene→Variant (gene-first): 238:G1202R 238:L1196M 238:L1198 238:L1198F

      Genes: 238

      Variants: G1202R L1196M L1198 L1198F

    4. In cell proliferation assays, TPX-0131 was the most potent inhibitor against a range of EML4-ALK compound mutations (Table 2). TPX-0131 inhibited six of nine compound mutations with IC50 < 1 nmol/L, had IC50 < 10 nmol/L

      [Paragraph-level] PMCID: PMC9398166 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: G1202R | Summary: The G1202R mutation is associated with a response to the TPX-0131 inhibitor, indicating its predictive value for therapy effectiveness. Evidence Type: Predictive | Mutation: G1269A | Summary: The G1269A mutation is linked to the response to TPX-0131, suggesting it may predict sensitivity to this specific therapy. Evidence Type: Predictive | Mutation: L1204V | Summary: The L1204V mutation shows a correlation with the response to TPX-0131, indicating its predictive role in therapy effectiveness.

      Gene→Variant (gene-first): 238:G1202R 238:G1269A 238:L1204V

      Genes: 238

      Variants: G1202R G1269A L1204V

    5. To enable comparisons of TPX-0131 with previous generations of ALK inhibitors, a panel of matched cell lines was created that are dependent on ALK resistance mutations found in patients as well as other mutations that ma

      [Paragraph-level] PMCID: PMC9398166 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: G1202R | Summary: The G1202R mutation is described as a solvent front mutation that contributes to tumor development, as TPX-0131 demonstrated the most potent inhibition of cell proliferation against cells harboring this mutation. Evidence Type: Oncogenic | Mutation: L1196M | Summary: The L1196M mutation is identified as a gatekeeper mutation that contributes to tumor development, with TPX-0131 showing significantly greater potency against this mutation compared to previous ALK inhibitors. Evidence Type: Oncogenic | Mutation: L1198F | Summary: The L1198F mutation is characterized as a hinge region mutation that contributes to tumor development, with TPX-0131 exhibiting high potency against this mutation. Evidence Type: Oncogenic | Mutation: G1269A | Summary: The G1269A mutation is noted as a resistance mutation, with TPX-0131 showing moderate potency against cells harboring this mutation. Evidence Type: Functional | Mutation: I1171N/S/T | Summary: The I1171N/S/T mutations are described in the context of their impact on the potency of TPX-0131, indicating that these mutations alter the molecular function related to drug response.

      Gene→Variant (gene-first): 238:C1156Y 238:G1202R 238:G1269A 238:G1269S 238:I1171N 238:I1171N/S 238:L1196M 238:L1198F 238:L1204V 238:S/T

      Genes: 238

      Variants: C1156Y G1202R G1269A G1269S I1171N I1171N/S L1196M L1198F L1204V S/T

    6. Biochemical characterization of TPX-0131 potency against WT and mutant ALK was assessed in a panel of enzymatic assays with recombinant ALK kinase domains performed at 10 muM ATP (Table 1). TPX-0131 potently inhibited WT

      [Paragraph-level] PMCID: PMC9398166 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: C1156Y | Summary: C1156Y is inhibited by TPX-0131 with an IC50 of <1 nmol/L, indicating a correlation with response to this specific therapy. Evidence Type: Predictive | Mutation: E1210K | Summary: E1210K is inhibited by TPX-0131 with an IC50 of <1 nmol/L, suggesting it correlates with response to this specific therapy. Evidence Type: Predictive | Mutation: S1206C | Summary: S1206C is inhibited by TPX-0131 with an IC50 of <1 nmol/L, indicating a correlation with response to this specific therapy. Evidence Type: Predictive | Mutation: L1198F | Summary: L1198F is inhibited by TPX-0131 with an IC50 of <1 nmol/L, suggesting it correlates with response to this specific therapy. Evidence Type: Predictive | Mutation: L1196M | Summary: L1196M is inhibited by TPX-0131 with an IC50 of <1 nmol/L, indicating a correlation with response to this specific therapy. Evidence Type: Predictive | Mutation: T1151M | Summary: T1151M is inhibited by TPX-0131 with an IC50 of 1 to 2 nmol/L, suggesting it correlates with response to this specific therapy. Evidence Type: Predictive | Mutation: F1174L | Summary: F1174L is inhibited by TPX-0131 with an IC50 of <1 nmol/L, indicating a correlation with response to this specific therapy. Evidence Type: Predictive | Mutation: F1245C | Summary: F1245C is inhibited by TPX-0131 with an IC50 of <1 nmol/L, suggesting it correlates with response to this specific therapy. Evidence Type: Predictive | Mutation: R1275Q | Summary: R1275Q is inhibited by TPX-0131 with an IC50 of <1 nmol/L, indicating a correlation with response to this specific therapy. Evidence Type: Predictive | Mutation: G1202R | Summary: G1202R is inhibited by TPX-0131 with an IC50 of <1 nmol/L, suggesting it correlates with response to this specific therapy. Evidence Type: Predictive | Mutation: G1269A | Summary: G1269A is inhibited by TPX-0131 with an IC50 of 1 to 2 nmol/L, indicating a correlation with response to this specific therapy. Evidence Type: Predictive | Mutation: F1174C | Summary: F1174C is inhibited by TPX-0131 with an IC50 of 1 to 2 nmol/L, suggesting it correlates with response to this specific therapy. Evidence Type: Predictive | Mutation: V1180L | Summary: V1180L is inhibited by TPX-0131 with an IC50 of 1 to 2 nmol/L, indicating a correlation with response to this specific therapy.

      Gene→Variant (gene-first): 238:C1156Y 238:D1203N 238:E1210K 238:F1174C 238:F1174L 238:F1174S 238:F1245C 238:G1202 238:G1202R 238:G1269A 238:G1269S 238:I1171N 238:L1152P 238:L1152R 238:L1196M 238:L1198F 238:R1275Q 238:S1206C 238:S1206R 238:T1151-L1152 insT 238:T1151M 238:V1180L

      Genes: 238

      Variants: C1156Y D1203N E1210K F1174C F1174L F1174S F1245C G1202 G1202R G1269A G1269S I1171N L1152P L1152R L1196M L1198F R1275Q S1206C S1206R T1151-L1152 insT T1151M V1180L

    7. The most prevalent resistance mutations to second-generation ALK inhibitors (e.g., alectinib, brigatinib) are in the solvent front region (e.g., G1202; ref. 16). Molecular modeling illustrates that second-generation ALK

      [Paragraph-level] PMCID: PMC9398166 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: G1202 | Summary: The G1202 mutation is associated with resistance to second-generation ALK inhibitors, indicating its relevance in predicting treatment response and resistance to specific therapies. Evidence Type: Oncogenic | Mutation: G1202 | Summary: The G1202 mutation contributes to tumor development by obstructing binding of ALK inhibitors, which is characteristic of oncogenic behavior in cancer progression.

      Gene→Variant (gene-first): 238:G1202

      Genes: 238

      Variants: G1202

    1. It has reported that CREB is a direct target of PTEN where PTEN physically interacts with, and dephosphorylates CREB at Serine 133. Interestingly, cancerous cells have been shown to restore the CREB phosphorylation that

      [Paragraph-level] PMCID: PMC6791388 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Functional, Predictive

      Summary: Evidence Type: Functional | Mutation: S133; Ser133; Serine 133 | Summary: The mutation at Serine 133 is associated with altered phosphorylation of CREB, indicating a change in molecular function that may contribute to MEKi resistance in leukemic cells. Evidence Type: Predictive | Mutation: S133; Ser133; Serine 133 | Summary: The increased phosphorylation of CREB at Serine 133 is speculated to promote resistance to MEK inhibitors, suggesting a correlation with treatment response.

      Gene→Variant (gene-first): 7157:S133 7157:Ser133 7157:Serine 133

      Genes: 7157

      Variants: S133 Ser133 Serine 133

    1. The BCL-2 mutation G101V reduces venetoclax affinity and confers drug resistance in patients with chronic lymphocytic leukaemia. Here, the authors present crystal structures and biochemical analyses of venetoclax bound t

      [Paragraph-level] PMCID: PMC6547681 Section: ABSTRACT PassageIndex: 2

      Evidence Type(s): Predictive, Functional, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: G101V | Summary: The BCL-2 mutation G101V is associated with reduced affinity for venetoclax, indicating that it confers drug resistance in patients with chronic lymphocytic leukaemia. Evidence Type: Functional | Mutation: G101V | Summary: Biochemical analyses reveal that the G101V mutation alters the molecular interaction of BCL-2 with venetoclax, providing insight into the structural basis for drug resistance. Evidence Type: Oncogenic | Mutation: G101V | Summary: The G101V mutation in BCL-2 contributes to tumor progression by conferring resistance to therapy, which is a characteristic of oncogenic mutations.

      Gene→Variant (gene-first): 596:G101V

      Genes: 596

      Variants: G101V

    2. Venetoclax is a first-in-class cancer therapy that interacts with the cellular apoptotic machinery promoting apoptosis. Treatment of patients suffering chronic lymphocytic leukaemia with this BCL-2 antagonist has reveale

      [Paragraph-level] PMCID: PMC6547681 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Predictive, Functional

      Summary: Evidence Type: Predictive | Mutation: G101V | Summary: The G101V mutation is associated with acquired resistance to venetoclax therapy in patients with chronic lymphocytic leukaemia, indicating its predictive value for treatment response. Evidence Type: Functional | Mutation: G101V | Summary: The G101V mutation alters the molecular interaction of BCL-2 with venetoclax, affecting drug binding and contributing to resistance. Evidence Type: Functional | Mutation: E152 | Summary: The E152 residue is involved in the binding dynamics of venetoclax, with its interaction being affected by the G101V mutation. Evidence Type: Functional | Mutation: E152A | Summary: The E152A mutation restores venetoclax binding, indicating a functional alteration that can counteract the resistance caused by the G101V mutation. Evidence Type: Functional | Mutation: V101 | Summary: The V101 residue influences the binding of venetoclax through its interaction with the G101V mutation, highlighting its role in the functional dynamics of drug resistance.

      Gene→Variant (gene-first): 596:E152 596:E152A 596:G101V 596:V101

      Genes: 596

      Variants: E152 E152A G101V V101

    1. The efficacy of osimertinib against HER2 exon 19, p.L755P mutations and other HER2 exon 19 aberrations should be tested in clinical trials to determine its efficacy as a potential HER2 targeted treatment for patients har

      [Paragraph-level] PMCID: PMC10183391 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: p.L755P | Summary: The passage suggests that the efficacy of osimertinib should be tested against the p.L755P mutation, indicating a potential correlation with treatment response. Evidence Type: Oncogenic | Mutation: p.L755P | Summary: The mention of p.L755P in the context of HER2 mutations implies that it may contribute to tumor development or progression, supporting its classification as an oncogenic variant.

      Gene→Variant (gene-first): 2064:p.L755P

      Genes: 2064

      Variants: p.L755P

    2. Here we demonstrate for the first time in humans, that osimertinib was an effective and well tolerated treatment in a patient with stage IV NSCLC harboring HER2 exon 19, p.L755P mutation.

      [Paragraph-level] PMCID: PMC10183391 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: p.L755P | Summary: The p.L755P mutation in HER2 is associated with a positive response to osimertinib treatment in a patient with stage IV NSCLC, indicating its predictive value for therapy effectiveness. Evidence Type: Oncogenic | Mutation: p.L755P | Summary: The p.L755P mutation in HER2 contributes to tumor development in the context of stage IV NSCLC, supporting its classification as an oncogenic variant.

      Gene→Variant (gene-first): 2064:p.L755P

      Genes: 2064

      Variants: p.L755P

    3. Osimertinib, a 3rd generation EGFR-TKI has been found in pre-clinical studies, both in vitro and in vivo, to have activity against various HER2 exon 19 aberrations, including HER2 exon 19, p.L755P mutations.

      [Paragraph-level] PMCID: PMC10183391 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: p.L755P | Summary: The p.L755P mutation is associated with the response to Osimertinib, indicating its predictive value for therapy effectiveness against HER2 exon 19 aberrations. Evidence Type: Oncogenic | Mutation: p.L755P | Summary: The p.L755P mutation contributes to tumor development or progression as it is classified as a HER2 exon 19 aberration.

      Gene→Variant (gene-first): 2064:p.L755P

      Genes: 2064

      Variants: p.L755P

    4. We present a case of a 68-year-old female with stage IV NSCLC harboring a ERBB2 exon 19 c.2262_2264delinsTCC, p.(L755P) mutation treated with osimertinib, resulting in intra- and extracranial response.

      [Paragraph-level] PMCID: PMC10183391 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: c.2262_2264delinsTCC; p.(L755P) | Summary: The ERBB2 exon 19 c.2262_2264delinsTCC; p.(L755P) mutation is associated with a response to the therapy osimertinib in a patient with stage IV NSCLC. Evidence Type: Oncogenic | Mutation: c.2262_2264delinsTCC; p.(L755P) | Summary: The ERBB2 exon 19 c.2262_2264delinsTCC; p.(L755P) mutation contributes to tumor development or progression in the context of non-small cell lung cancer (NSCLC).

      Gene→Variant (gene-first): 2064:c.2262_2264delinsTCC 2064:p.(L755P)

      Genes: 2064

      Variants: c.2262_2264delinsTCC p.(L755P)

    1. We found that ERBB2 E401G enhances C-terminal phosphorylation in a way similar to S310F. MD simulation analysis revealed that these variants maintain the stability of the EGFR-HER2 heterodimer in a ligand-independent man

      [Paragraph-level] PMCID: PMC8881279 Section: ABSTRACT PassageIndex: 6

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: E401G | Summary: The ERBB2 E401G variant alters molecular function by enhancing C-terminal phosphorylation and maintaining the stability of the EGFR-HER2 heterodimer. Evidence Type: Functional | Mutation: S310F | Summary: The ERBB2 S310F variant also alters molecular function by enhancing C-terminal phosphorylation and maintaining the stability of the EGFR-HER2 heterodimer.

      Gene→Variant (gene-first): 2176:E401G 2064:S310F

      Genes: 2176 2064

      Variants: E401G S310F

    2. ERBB2 E401G was selected as VUS for analysis because multiple software tools predicted its pathogenicity. We prepared ERBB2 expression vectors with the E401G variant as well as vectors with S310F and E321G, which are kno

      [Paragraph-level] PMCID: PMC8881279 Section: ABSTRACT PassageIndex: 4

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: E401G | Summary: The E401G variant was analyzed for its biological effects and mechanisms through molecular dynamics simulation, indicating an alteration in molecular function. Evidence Type: Oncogenic | Mutation: E401G | Summary: The E401G variant is described as an activating mutation, suggesting its contribution to tumor development or progression. Evidence Type: Functional | Mutation: S310F | Summary: The S310F variant was included in the analysis of ERBB2 expression vectors, indicating an alteration in molecular function. Evidence Type: Oncogenic | Mutation: S310F | Summary: The S310F variant is known to be an activating mutation, suggesting its role in tumor development or progression. Evidence Type: Functional | Mutation: E321G | Summary: The E321G variant was part of the ERBB2 expression vectors analysis, indicating an alteration in molecular function. Evidence Type: Oncogenic | Mutation: E321G | Summary: The E321G variant is classified as an activating mutation, suggesting its contribution to tumor development or progression.

      Gene→Variant (gene-first): 7157:E321G 2176:E401G 2064:S310F

      Genes: 7157 2176 2064

      Variants: E321G E401G S310F

    3. Dealing with variants of unknown significance (VUS) is an important issue in the clinical application of NGS-based cancer gene panel tests. We detected a novel ERBB2 extracellular domain VUS, c.1157A > G p.(E401G), in a

      [Paragraph-level] PMCID: PMC8881279 Section: ABSTRACT PassageIndex: 2

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: 1157A > G | Summary: The variant 1157A > G (E401G) is associated with efforts to clarify its biological functions and mechanisms of activation, indicating a focus on its molecular function.

      Gene→Variant (gene-first): 4609:1157A > G 2176:E401G

      Genes: 4609 2176

      Variants: 1157A > G E401G

    4. To examine tumor forming capacity in vivo, we constructed H460 cells that stably express ERBB2 (Fig. 8a) and assessed tumor growth after subcutaneous inoculation of these cells into mice. On the 21st day after transplant

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: E401G | Summary: The E401G mutation in ERBB2 is associated with increased tumor growth in vivo, indicating its role in tumor development or progression. Evidence Type: Functional | Mutation: E401G | Summary: The E401G mutation alters the molecular function of ERBB2, contributing to enhanced tumor-forming capacity.

      Gene→Variant (gene-first): 2176:E401G

      Genes: 2176

      Variants: E401G

    5. To examine the biologic effects of ERBB2 E401G in cancer cells, we evaluated the proliferative and invasive capacities of H460 cells. We found that cells expressing ERBB2 S310F exhibited a significantly higher proliferat

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: E401G | Summary: The variant ERBB2 E401G alters the proliferative and invasive capacities of cancer cells, indicating a change in molecular function. Evidence Type: Functional | Mutation: S310F | Summary: The variant ERBB2 S310F is associated with a significantly higher proliferation rate in cancer cells, suggesting an alteration in molecular function.

      Gene→Variant (gene-first): 2176:E401G 2064:S310F

      Genes: 2176 2064

      Variants: E401G S310F

    6. Biological effects of ERBB2 E401G

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 15

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: E401G | Summary: The passage suggests that the ERBB2 E401G variant has biological effects, indicating that it alters molecular or biochemical function.

      Gene→Variant (gene-first): 2176:E401G

      Genes: 2176

      Variants: E401G

    7. Our simulation data showed that the activating mechanisms of ERBB2 E401G and S310F were related to the EGFR-HER2 heterodimer. The dimerization partner appears to be an important determinant of signaling activity. The two

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: E401G | Summary: The E401G mutation alters molecular signaling activity by activating the MAPK pathway, as evidenced by elevated phosphorylation of ERK in cells expressing this variant. Evidence Type: Functional | Mutation: S310F | Summary: The S310F mutation also alters molecular signaling activity by activating the MAPK pathway, demonstrated by increased phosphorylation of ERK in cells expressing this variant.

      Gene→Variant (gene-first): 2176:E401G 2064:S310F

      Genes: 2176 2064

      Variants: E401G S310F

    8. In a previous simulation study, the dimer interfaces of both the EGFR homodimer and the EGFR-HER2 heterodimer were destabilized when the EGFR lost EGF (a specific ligand of EGFR). We therefore conducted MD simulations of

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: E401G | Summary: The E401G mutation appears to stabilize the dimer interface of the HER2-EGFR complex, indicating an alteration in molecular function. Evidence Type: Functional | Mutation: S310F | Summary: The S310F mutation also seems to stabilize the dimer interface of the HER2-EGFR complex, suggesting a change in molecular function.

      Gene→Variant (gene-first): 2176:E401G 2064:S310F

      Genes: 2176 2064

      Variants: E401G S310F

    9. To confirm whether HER2 homodimers or EGFR-HER2 heterodimers are more relevant to the mechanisms of ERBB2 E401G and S310F activation, we analyzed HER-family dimers using microsecond-timescale MD simulations. With regard

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: E401G | Summary: The E401G mutation is analyzed in the context of HER-family dimers, suggesting it alters the molecular interactions and stability of these complexes. Evidence Type: Functional | Mutation: S310F | Summary: The S310F mutation is examined for its role in the formation and stability of HER-family dimers, indicating a potential alteration in molecular function.

      Gene→Variant (gene-first): 2176:E401G 2064:S310F

      Genes: 2176 2064

      Variants: E401G S310F

    10. HER2 p.(E401G) stabilizes ligand-free EGFR HER2 heterodimer

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: p.(E401G) | Summary: The mutation p.(E401G) alters the molecular function by stabilizing the ligand-free EGFR HER2 heterodimer.

      Gene→Variant (gene-first): 2176:p.(E401G)

      Genes: 2176

      Variants: p.(E401G)

    11. C-terminal phosphorylation of HER family proteins is caused by dimerization followed by trans-autophosphorylation, in which one receptor subunit of the dimer phosphorylates the other. Among the HER family proteins, EGFR,

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: E401G | Summary: The HER2 E401G mutation is associated with increased phosphorylation levels of HER2 and EGFR, suggesting its role in tumor development or progression. Evidence Type: Oncogenic | Mutation: S310F | Summary: The HER2 S310F mutation is linked to increased phosphorylation levels of HER2 and EGFR, indicating its contribution to tumor development or progression.

      Gene→Variant (gene-first): 2176:E401G 2064:S310F

      Genes: 2176 2064

      Variants: E401G S310F

    12. Identification of potential dimerization partners of HER2 E401G protein

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: E401G | Summary: The E401G mutation is associated with the identification of potential dimerization partners of the HER2 protein, indicating an alteration in molecular function.

      Gene→Variant (gene-first): 2176:E401G

      Genes: 2176

      Variants: E401G

    1. Somatic mutations in the epidermal growth factor receptor (EGFR) are a major cause of non-small cell lung cancer. Among these structurally diverse alterations, exon 20 insertions represent a unique subset that rarely res

      [Paragraph-level] PMCID: PMC11551396 Section: ABSTRACT PassageIndex: 3

      Evidence Type(s): Predictive, Functional

      Summary: Evidence Type: Predictive | Mutation: L858R | Summary: The L858R variant is associated with a lack of sensitivity to 1st-3rd generation EGFR tyrosine kinase inhibitors (TKIs), indicating its predictive role in therapy response. Evidence Type: Predictive | Mutation: N771insSVD | Summary: The N771insSVD variant shows a lack of sensitivity to 1st-3rd generation EGFR TKIs, suggesting its predictive role in therapy response. Evidence Type: Functional | Mutation: N771insSVD | Summary: The N771insSVD variant alters the molecular function of EGFR, as it is involved in drug sensitivity and resistance mechanisms compared to wild-type EGFR.

      Gene→Variant (gene-first): 1956:L858R 1956:N771insSVD

      Genes: 1956

      Variants: L858R N771insSVD

    1. Around 95% of patients with clinical features that meet the diagnostic criteria for von Hippel-Lindau disease (VHL) have a detectable inactivating germline variant in VHL. The VHL protein (pVHL) functions as part of the

      [Paragraph-level] PMCID: PMC9402235 Section: ABSTRACT PassageIndex: 2

      Evidence Type(s): Predisposing, Oncogenic, Functional

      Summary: Evidence Type: Predisposing | Mutation: c.236A>G; p.Tyr79Cys | Summary: The variant is described as a de novo pathogenic variant identified in a proband with VHL disease, indicating it may confer inherited risk for the disease. Evidence Type: Oncogenic | Mutation: c.236A>G; p.Tyr79Cys | Summary: The p.Tyr79Cys substitution is noted as a mutational hotspot in sporadic VHL-competent renal cell carcinoma (RCC), suggesting it contributes to tumor development or progression. Evidence Type: Functional | Mutation: c.236A>G; p.Tyr79Cys | Summary: The variant has been shown to mimic the effects of pVHL deficiency on hypoxic signaling, indicating an alteration in molecular function.

      Gene→Variant (gene-first): 3091:c.236A>G 3091:p.Tyr79Cys

      Genes: 3091

      Variants: c.236A>G p.Tyr79Cys

    1. The above results suggest a bias against oncogenic mutations in the KrasC118S allele. While preliminary experiments revealed that ectopic KrasQ61L,C118S and KrasQ61L behaved rather similarly with regards to signaling, tr

      [Paragraph-level] PMCID: PMC4234187 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: C118S | Summary: The KrasC118S mutation is implicated in oncogenic behavior, particularly in the context of the KrasG13D background, suggesting its contribution to tumor development. Evidence Type: Oncogenic | Mutation: G13D | Summary: The KrasG13D mutation is described as an oncogenic mutant, indicating its role in tumor progression. Evidence Type: Functional | Mutation: C118S | Summary: The C118S mutation alters the signaling and transformation properties of Kras, as evidenced by changes in P-Erk1/2 levels upon EGF treatment. Evidence Type: Functional | Mutation: G13D | Summary: The G13D mutation, when combined with C118S, affects the molecular function of Kras, influencing signaling pathways related to oncogenic activity.

      Gene→Variant (gene-first): 4843:C118 4843:C118S 3845:G13D 4893:Q61L

      Genes: 4843 3845 4893

      Variants: C118 C118S G13D Q61L

    2. We next tested whether there was a bias of oncogenic mutations induced by urethane in either the native or C118S Kras allele in Kras+/C118S mice. To this end, RNA was extracted from 65 lung tumors from 20 Kras+/C118S mic

      [Paragraph-level] PMCID: PMC4234187 Section: RESULTS PassageIndex: 15

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: C118S | Summary: The C118S mutation in the Kras allele is associated with oncogenic behavior, as it was tested in Kras+/C118S mice and analyzed for its role in tumor development. Evidence Type: Oncogenic | Mutation: Q61R | Summary: The Q61R mutation in the native Kras allele is identified as oncogenic, contributing to tumor development in the analyzed lung tumors from Kras+/C118S mice. Evidence Type: Oncogenic | Mutation: Q61R/L | Summary: The Q61R/L mutation is classified as oncogenic, as it was detected in the native Kras allele and is implicated in tumor progression in the studied samples.

      Gene→Variant (gene-first): 4843:C118S 4893:Q61R 3845:Q61R/L

      Genes: 4843 4893 3845

      Variants: C118S Q61R Q61R/L

    3. In the urethane-induced lung tumor model, typically only one Kras allele acquires an oncogenic mutation. While the oncogenic Kras allele is well established to promote tumorigenesis, the remaining non-oncogenic allele ha

      [Paragraph-level] PMCID: PMC4234187 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: C118S | Summary: The KrasC118S allele is described as having a negative effect on lung tumorigenesis, suggesting it may suppress the tumorigenic activity of the oncogenic Kras allele. Evidence Type: Oncogenic | Mutation: G12D | Summary: The KrasG12D allele is established to promote tumorigenesis, indicating its role as an oncogenic mutation in lung cancer development.

      Gene→Variant (gene-first): 4843:C118S 3845:G12D

      Genes: 4843 3845

      Variants: C118S G12D

    4. Similar tumorigenesis between KrasLSL-G12D/+ and KrasLSL-G12D/C118S mice

      [Paragraph-level] PMCID: PMC4234187 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: G12D | Summary: The G12D mutation is associated with tumor development as indicated by its presence in the KrasLSL-G12D/+ and KrasLSL-G12D/C118S mice models. Evidence Type: Oncogenic | Mutation: C118S | Summary: The C118S mutation contributes to tumor development, as evidenced by its presence in the KrasLSL-G12D/C118S mouse model alongside the G12D mutation.

      Gene→Variant (gene-first): 4843:C118S 3845:G12D

      Genes: 4843 3845

      Variants: C118S G12D

    5. To assess whether there was also an impact on tumor progression, lesions were graded as being atypical adenomatous hyperplasia (AAH), adenoma (AD), or adenocarcinoma (AC) by histology (Supplementary Fig. 3). This analysi

      [Paragraph-level] PMCID: PMC4234187 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: C118S | Summary: The C118S mutation in Kras is associated with tumor progression and is implicated in the development of mixed solid/papillary adenomas, indicating its role in tumor development. Evidence Type: Functional | Mutation: C118S | Summary: The C118S mutation appears to alter the molecular function of Ras signaling, as evidenced by the reduced P-Akt levels in the Kras+/C118S cohort compared to other genotypes.

      Gene→Variant (gene-first): 4843:C118S

      Genes: 4843

      Variants: C118S

    6. Comparison of the number and size of visible surface lung lesions revealed that Kras+/C118S or KrasC118S/C118S mice developed fewer tumors with a smaller average tumor size, resulting in an overall reduction in tumor bur

      [Paragraph-level] PMCID: PMC4234187 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: C118S | Summary: The KrasC118S allele is associated with a reduction in tumor burden and a shift towards smaller tumors in mice, indicating its role in tumor development and progression. Evidence Type: Functional | Mutation: C118S | Summary: The presence of the KrasC118S allele alters the tumor size and incidence of adenomas, suggesting a change in molecular or biochemical function related to carcinogenesis.

      Gene→Variant (gene-first): 4843:C118S

      Genes: 4843

      Variants: C118S

    7. To determine the impact of the KrasC118S mutation on carcinogenesis, we assessed the effect of treating Kras+/+, Kras+/C118S, and KrasC118S/C118S mice with the carcinogen urethane (ethyl carbamate), which induces lung tu

      [Paragraph-level] PMCID: PMC4234187 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: C118S | Summary: The KrasC118S mutation is implicated in tumor development as it is assessed in the context of lung tumors induced by the carcinogen urethane. Evidence Type: Oncogenic | Mutation: Q61R/L | Summary: The Q61R/L mutations in Kras are characterized as oncogenic, contributing to tumor development in the context of urethane-induced lung tumors.

      Gene→Variant (gene-first): 4843:C118S 3845:Q61R/L

      Genes: 4843 3845

      Variants: C118S Q61R/L

    8. Identification of genotypes of 580 offspring from crossing Kras+/C118S mice revealed that there was no statistical difference between the observed frequency versus the expected Mendelian ratio of the three genotypes of K

      [Paragraph-level] PMCID: PMC4234187 Section: RESULTS PassageIndex: 7

      Evidence Type(s): None

      Summary: Not enough information in this passage.

      Gene→Variant (gene-first): 4843:C118S

      Genes: 4843

      Variants: C118S

    9. KrasC118S/C118S mice appear normal

      [Paragraph-level] PMCID: PMC4234187 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: C118S | Summary: The C118S mutation is mentioned in the context of KrasC118S/C118S mice appearing normal, suggesting that this variant may alter molecular or biochemical function, although the specific functional impact is not detailed.

      Gene→Variant (gene-first): 4843:C118S

      Genes: 4843

      Variants: C118S

    10. We confirmed that the strategy to introduce the G353>C transversion into the Kras gene did not overtly affect alternative splicing of terminal exons 4A and 4B, an important consideration as both splice forms are importan

      [Paragraph-level] PMCID: PMC4234187 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: C118S | Summary: The C118S mutation in the Kras gene is associated with tumorigenesis, as it is involved in the sensitivity of tumor initiation to Ras protein levels. Evidence Type: Functional | Mutation: C118S | Summary: The C118S mutation affects the ability of eNOS to stimulate the MAPK pathway, indicating a change in molecular function. Evidence Type: Functional | Mutation: S1177D | Summary: The S1177D mutation in eNOS alters the levels of phosphorylated Erk1/2, demonstrating a change in biochemical function.

      Gene→Variant (gene-first): 4843:C118S 4843:G353>C 4846:S1177D

      Genes: 4843 4846

      Variants: C118S G353>C S1177D

    11. To investigate the effect of mutating C118 on Ras function in vivo during tumorigenesis, a targeting vector was created to insert a single point mutation, namely a G353 transversion to C (G353>C) encoding the C118S mutat

      [Paragraph-level] PMCID: PMC4234187 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: C118S | Summary: The C118S mutation alters the redox-dependent reactions at this site, specifically blocking Ras activation, indicating a change in molecular function. Evidence Type: Oncogenic | Mutation: C118S | Summary: The C118S mutation in the Kras gene is implicated in tumorigenesis, contributing to tumor development or progression. Evidence Type: Functional | Mutation: G353>C | Summary: The G353>C transversion results in the C118S mutation, which affects the molecular function of Ras by blocking activation. Evidence Type: Oncogenic | Mutation: G353>C | Summary: The G353>C transversion is associated with the C118S mutation in Kras, which is known to contribute to tumorigenesis.

      Gene→Variant (gene-first): 4843:C118 4843:C118S 4843:G353 transversion to C 4843:G353>C

      Genes: 4843

      Variants: C118 C118S G353 transversion to C G353>C

    1. 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

      Summary: Evidence Type: Functional | Mutation: W731 | Summary: The W731 mutation alters molecular function as it is located in the TK domain critical for EGFR activity. Evidence Type: Functional | Mutation: E734 | Summary: The E734 mutation alters molecular function as it is located in the TK domain critical for EGFR activity. Evidence Type: Functional | Mutation: T785 | Summary: The T785 mutation alters molecular function as it is located in the TK domain critical for EGFR activity. Evidence Type: Functional | Mutation: C797 | Summary: The C797 mutation alters molecular function as it is located in the TK domain critical for EGFR activity. Evidence Type: Functional | Mutation: Y801 | Summary: The Y801 mutation alters molecular function as it is located in the TK domain critical for EGFR activity. Evidence Type: Functional | Mutation: R831 | Summary: The R831 mutation alters molecular function as it is located in the TK domain critical for EGFR activity. Evidence Type: Functional | Mutation: L858 | Summary: The L858 mutation alters molecular function as it is located in the TK domain critical for EGFR activity. Evidence Type: Functional | Mutation: E868 | Summary: The E868 mutation alters molecular function as it is located in the TK domain critical for EGFR activity.

      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

    2. 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): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: C797Y | Summary: The C797Y mutation is identified as a somatic variant in the tyrosine kinase domain of EGFR, contributing to tumor development. Evidence Type: Oncogenic | Mutation: E734Q | Summary: The E734Q mutation is identified as a somatic variant in the tyrosine kinase domain of EGFR, contributing to tumor development. Evidence Type: Oncogenic | Mutation: E868G | Summary: The E868G mutation is identified as a somatic variant in the tyrosine kinase domain of EGFR, contributing to tumor development. Evidence Type: Oncogenic | Mutation: L831H | Summary: The L831H mutation is identified as a somatic variant in the tyrosine kinase domain of EGFR, contributing to tumor development. Evidence Type: Oncogenic | Mutation: L858R | Summary: The L858R mutation is identified as a somatic variant in the tyrosine kinase domain of EGFR, contributing to tumor development and increasing sensitivity to the EGFR inhibitor Erlotinib. Evidence Type: Oncogenic | Mutation: T785A | Summary: The T785A mutation is identified as a somatic variant in the tyrosine kinase domain of EGFR, contributing to tumor development. Evidence Type: Oncogenic | Mutation: W731L | Summary: The W731L mutation is identified as a somatic variant in the tyrosine kinase domain of EGFR, contributing to tumor development. Evidence Type: Oncogenic | Mutation: Y801H | Summary: The Y801H mutation is identified as a somatic variant in the tyrosine kinase domain of EGFR, contributing to tumor development.

      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

    1. Since our data indicates that the SF3B1K700E mutation gives rise to an HR defect, we hypothesised that this could be exploited therapeutically to treat tumours that have acquired this mutation. To test this hypothesis, w

      [Paragraph-level] PMCID: PMC7612475 Section: RESULTS PassageIndex: 19

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: K700E | Summary: The SF3B1K700E mutation is hypothesized to be therapeutically exploitable, as treatment with etoposide or olaparib significantly reduced the volume of tumours with this mutation compared to wild-type tumours. Evidence Type: Oncogenic | Mutation: K700E | Summary: The SF3B1K700E mutation contributes to tumor development, as indicated by the slower growth rate of xenografts compared to wild-type, and the presence of increased DNA damage in tumours with this mutation.

      Gene→Variant (gene-first): 23451:K700E

      Genes: 23451

      Variants: K700E

    2. Lastly, it is known that following replication arrest, several proteins, including BRCA1 and BRCA2, are required for preventing uncontrolled nucleolytic degradation of damaged forks and loss of this function contributes

      [Paragraph-level] PMCID: PMC7612475 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: K700E | Summary: The SF3B1 K700E mutation is associated with a BRCA-like phenotype, contributing to tumor development by compromising replication fork stability and exhibiting cellular deficits characteristic of BRCA1/2 loss. Evidence Type: Functional | Mutation: K700E | Summary: The K700E mutation alters the molecular function of SF3B1, leading to increased fork degradation and failure to recruit Rad51 to stalled replication forks.

      Gene→Variant (gene-first): 23451:K700E

      Genes: 23451

      Variants: K700E

    3. To assess whether the increased R-loops present in the SF3B1K700E mutant expressing cell line affects DNA replication, we examined replication fork dynamics using the DNA fibre assay (Figure 3B). Notably, this analysis r

      [Paragraph-level] PMCID: PMC7612475 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: K700E | Summary: The SF3B1K700E mutation alters the efficiency of replication fork restart following a transient replication block, indicating a change in molecular function related to DNA replication dynamics.

      Gene→Variant (gene-first): 23451:K700E

      Genes: 23451

      Variants: K700E

    4. Our data clearly suggests a role for SF3B1 in the DDR, particularly in HR mediated DNA repair following DNA damage. However, we have also observed increased DSBs and reduced HR in unperturbed SF3B1K700E cells. Importantl

      [Paragraph-level] PMCID: PMC7612475 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: D210N | Summary: The D210N substitution in RNaseH1 alters its ability to resolve R-loops, leading to their accumulation, which is assessed through fluorescence microscopy. Evidence Type: Oncogenic | Mutation: D210N | Summary: The D210N mutation contributes to the accumulation of R-loops, which can lead to increased genome instability, a factor associated with tumor development.

      Gene→Variant (gene-first): 246243:D210N

      Genes: 246243

      Variants: D210N

    5. SF3B1K700E mutation induces unscheduled R-loops, stalled replication forks, and reduced replication fork protection and restart

      [Paragraph-level] PMCID: PMC7612475 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: K700E | Summary: The SF3B1 K700E mutation alters molecular function by inducing unscheduled R-loops and stalled replication forks, impacting replication fork protection and restart.

      Gene→Variant (gene-first): 23451:K700E

      Genes: 23451

      Variants: K700E

    6. To directly determine the impact of the SF3B1K700E mutation on HR, we assessed the formation and resolution of Rad51 foci, a key marker of HR function, in our isogenic models following IR induced DNA damage. Intriguingly

      [Paragraph-level] PMCID: PMC7612475 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: K700E | Summary: The SF3B1K700E mutation alters the molecular function of homologous recombination (HR) by affecting the resolution of Rad51 foci and decreasing sister chromatid exchanges, indicating a defect in HR repair processes. Evidence Type: Oncogenic | Mutation: K700E | Summary: The SF3B1K700E mutation contributes to tumor development or progression by impairing the repair of DNA double-strand breaks, which is critical for maintaining genomic stability.

      Gene→Variant (gene-first): 23451:K700E

      Genes: 23451

      Variants: K700E

    7. To assess the biological impact of this deregulated splicing and export, we performed Ingenuity Pathway Analysis (IPA) on genes with 3ASS and SE in SF3B1K700E cells. Consistent with a role for SF3B1 in DNA repair, this a

      [Paragraph-level] PMCID: PMC7612475 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: K700E | Summary: The SF3B1K700E mutation alters the molecular function related to DNA repair, as evidenced by impaired homologous recombination (HR) and increased basal DNA damage in cells expressing this mutation. Evidence Type: Oncogenic | Mutation: K700E | Summary: The SF3B1K700E mutation contributes to tumor development or progression, as indicated by its association with defects in double-strand break (DSB) repair and its presence in cancer-derived cell lines.

      Gene→Variant (gene-first): 23451:K700E

      Genes: 23451

      Variants: K700E

    8. Mutations in SF3B1 have been identified across several cancer types. This key spliceosome component promotes the efficient mRNA splicing of thousands of genes including those with crucial roles in the cellular response t

      [Paragraph-level] PMCID: PMC7612475 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Predictive, Functional, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: K700E | Summary: The K700E mutation in SF3B1 increases cellular sensitivity to ionising radiation and various chemotherapeutic agents, including PARP inhibitors, suggesting a correlation with treatment response. Evidence Type: Functional | Mutation: K700E | Summary: The K700E mutation alters molecular function by compromising homologous recombination efficiency and inducing unscheduled R-loop formation, replication fork stalling, and defective replication fork restart. Evidence Type: Oncogenic | Mutation: K700E | Summary: The K700E mutation contributes to tumor development by inducing a BRCA-like cellular phenotype that confers synthetic lethality to DNA damaging agents and PARP inhibitors.

      Gene→Variant (gene-first): 23451:K700E

      Genes: 23451

      Variants: K700E

    1. We report the discovery of the GATA2 gene as a new myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) predisposition gene. We found the same, novel heterozygous c.1061C>T (p.Thr354Met) missense mutation in the G

      [Paragraph-level] PMCID: PMC3184204 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Predisposing, Functional

      Summary: Evidence Type: Predisposing | Mutation: c.1061C>T | Summary: The c.1061C>T mutation is identified as a heterozygous variant in the GATA2 gene that segregates with the multigenerational transmission of myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML), indicating its role as a predisposition gene. Evidence Type: Predisposing | Mutation: c.1063_1065delACA | Summary: The c.1063_1065delACA mutation is reported in a family with MDS/AML, supporting its classification as a predisposing variant associated with familial forms of the disease. Evidence Type: Functional | Mutation: c.1061C>T | Summary: The c.1061C>T mutation alters the molecular function of the GATA2 transcription factor, affecting transactivation of target genes, cellular differentiation, apoptosis, and global gene expression. Evidence Type: Functional | Mutation: c.1063_1065delACA | Summary: The c.1063_1065delACA mutation also impacts the molecular function of GATA2, influencing its role in transactivation and other cellular processes.

      Gene→Variant (gene-first): 2624:c.1061C>T 2624:c.1063_1065delACA 2624:p.Thr354Met 6688:p.Thr355del

      Genes: 2624 6688

      Variants: c.1061C>T c.1063_1065delACA p.Thr354Met p.Thr355del

    1. Advances in the understanding of the molecular basis for acute myeloid leukemia (AML) have generated new potential targets for treatment. Fms-like tyrosine kinase 3 (FLT3) is one of the most frequently mutated genes in A

      [Paragraph-level] PMCID: PMC5613053 Section: ABSTRACT PassageIndex: 2

      Evidence Type(s): Predictive, Prognostic

      Summary: Evidence Type: Predictive | Mutation: D835Y | Summary: The D835Y mutation in FLT3 is associated with response to the FLT3/AXL inhibitor gilteritinib, indicating its predictive value for treatment efficacy in AML. Evidence Type: Predictive | Mutation: F691 | Summary: The F691 mutation in FLT3 is also associated with response to gilteritinib, suggesting its predictive role in treatment outcomes for AML. Evidence Type: Prognostic | Mutation: D835Y | Summary: The D835Y mutation in FLT3 is linked to poor overall survival in patients with AML, indicating its prognostic significance independent of therapy. Evidence Type: Prognostic | Mutation: F691 | Summary: The F691 mutation in FLT3 is associated with poor overall survival in AML, highlighting its prognostic implications.

      Gene→Variant (gene-first): 2322:D835Y 2322:F691

      Genes: 2322

      Variants: D835Y F691

    1. Of the 106 variants tested, we classify 50 as Pathogenic, including 31 ASD. We further classify 10 variants, including 4 ASD, as Likely Pathogenic. We consider 24 variants to be Likely Benign, including 3 ASD: P354Q, T20

      [Paragraph-level] PMCID: PMC7190743 Section: RESULTS PassageIndex: 25

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: P354Q | Summary: The variant P354Q is classified as Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: T202I | Summary: The variant T202I is classified as Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: T78A | Summary: The variant T78A is classified as Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: I135V | Summary: The variant I135V is classified as Likely Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: N340H | Summary: The variant N340H is classified as Likely Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: N356D | Summary: The variant N356D is classified as Likely Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: K402N | Summary: The variant K402N is classified as Likely Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: N117S | Summary: The variant N117S is classified as Likely Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: Y180H | Summary: The variant Y180H is classified as Likely Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: I203V | Summary: The variant I203V is classified as Likely Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: Q298E | Summary: The variant Q298E is classified as Likely Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: N340D | Summary: The variant N340D is classified as Likely Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: K342N | Summary: The variant K342N is classified as Likely Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: L345V | Summary: The variant L345V is classified as Likely Pathogenic, indicating it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: I400V | Summary: The variant I400V is classified as Likely Pathogenic, indicating it contributes to tumor development or progression.

      Gene→Variant (gene-first): 5728:A79T 5728:C211W 5728:E157G 5728:H123Q 5728:I135V 5728:I203V 5728:I400V 5728:K342N 5728:K402N 5728:L345V 5728:L70V 5728:M35V 5728:N117S 5728:N228S 5728:N340D 5728:N340H 5728:N356D 5728:P354Q 5728:Q298E 5728:S229T 5728:T202I 5728:T78A 5728:W274L 5728:Y176C 5728:Y180H 5728:Y65C

      Genes: 5728

      Variants: A79T C211W E157G H123Q I135V I203V I400V K342N K402N L345V L70V M35V N117S N228S N340D N340H N356D P354Q Q298E S229T T202I T78A W274L Y176C Y180H Y65C

    2. PTEN functions as a negative regulator of the PI3-AKT signaling pathway by decreasing the pool of available PI(3,4,5)P3 via its lipid phosphatase activity, causing a reduction in the level of activated, phosphorylated AK

      [Paragraph-level] PMCID: PMC7190743 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: A126D | Summary: The A126D variant alters molecular function by exhibiting a change in stability between parental and PTEN-KO cells, suggesting its interaction with endogenous PTEN has minimal influence. Evidence Type: Functional | Mutation: A126P | Summary: The A126P variant alters molecular function by exhibiting a change in stability between parental and PTEN-KO cells, indicating its interaction with endogenous PTEN has minimal influence. Evidence Type: Functional | Mutation: H123Q | Summary: The H123Q variant alters molecular function by exhibiting a change in stability between parental and PTEN-KO cells, suggesting its interaction with endogenous PTEN has minimal influence. Evidence Type: Functional | Mutation: P38H | Summary: The P38H variant alters molecular function by exhibiting a change in stability between parental and PTEN-KO cells, indicating its interaction with endogenous PTEN has minimal influence. Evidence Type: Functional | Mutation: R130L | Summary: The R130L variant alters molecular function by exhibiting a change in stability between parental and PTEN-KO cells, suggesting its interaction with endogenous PTEN has minimal influence. Evidence Type: Functional | Mutation: R130Q | Summary: The R130Q variant alters molecular function by exhibiting a change in stability between parental and PTEN-KO cells, indicating its interaction with endogenous PTEN has minimal influence. Evidence Type: Functional | Mutation: C124S | Summary: The C124S variant alters molecular function by raising pAKT/AKT levels, consistent with a dominant negative phenotype. Evidence Type: Functional | Mutation: G129E | Summary: The G129E variant alters molecular function by raising pAKT/AKT levels, consistent with a dominant negative phenotype.

      Gene→Variant (gene-first): 5728:A126D 5728:A126P 5728:C124S 5728:G129E 5728:H123Q 5728:P354Q 5728:P38H 5728:Q396R 5728:R130L 5728:R130Q

      Genes: 5728

      Variants: A126D A126P C124S G129E H123Q P354Q P38H Q396R R130L R130Q

    3. To identify molecular mechanisms underlying variable effects of MS variants, we measured impact on protein stability, a known mechanism of PTEN dysfunction. We measured PTEN protein abundance for WT and 97 variants teste

      [Paragraph-level] PMCID: PMC7190743 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: H93Y | Summary: The H93Y variant is associated with altered molecular function, specifically reduced protein stability compared to wild-type PTEN. Evidence Type: Functional | Mutation: P354Q | Summary: The P354Q variant does not show significant differences in protein stability compared to wild-type PTEN, indicating it may not alter molecular function. Evidence Type: Functional | Mutation: R130L | Summary: The R130L variant does not show significant differences in protein stability compared to wild-type PTEN, indicating it may not alter molecular function. Evidence Type: Functional | Mutation: R14G | Summary: The R14G variant does not show significant differences in protein stability compared to wild-type PTEN, indicating it may not alter molecular function. Evidence Type: Functional | Mutation: R15S | Summary: The R15S variant does not show significant differences in protein stability compared to wild-type PTEN, indicating it may not alter molecular function. Evidence Type: Functional | Mutation: T78A | Summary: The T78A variant does not show significant differences in protein stability compared to wild-type PTEN, indicating it may not alter molecular function.

      Gene→Variant (gene-first): 5728:H93Y 5728:P354Q 5728:R130L 5728:R14G 5728:R15S 5728:T78A

      Genes: 5728

      Variants: H93Y P354Q R130L R14G R15S T78A

    4. Since ASD is a behaviorally diagnosed disorder, and deficits in sensory processing are a core feature of ASD present in >95% of cases, we tested the effects of PTEN variants on sensorimotor neural circuit function in an

      [Paragraph-level] PMCID: PMC7190743 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: A79T | Summary: The A79T variant retained wild-type-like function in the context of chemotaxis assays in C. elegans. Evidence Type: Functional | Mutation: C124S | Summary: The C124S variant exhibited complete loss of function (LoF) in the chemotaxis assays conducted in daf-18 mutant worms. Evidence Type: Functional | Mutation: D268E | Summary: The D268E variant showed partial loss of function (LoF) in the chemotaxis assays in daf-18 mutant worms. Evidence Type: Functional | Mutation: G132D | Summary: The G132D variant exhibited stronger negative chemotaxis than daf-18 mutants, indicating a functional alteration. Evidence Type: Functional | Mutation: P354Q | Summary: The P354Q variant retained wild-type-like function in the context of chemotaxis assays in C. elegans. Evidence Type: Functional | Mutation: T167N | Summary: The T167N variant showed partial loss of function (LoF) in the chemotaxis assays in daf-18 mutant worms. Evidence Type: Functional | Mutation: Y176C | Summary: The Y176C variant showed partial loss of function (LoF) in the chemotaxis assays in daf-18 mutant worms.

      Gene→Variant (gene-first): 5728:A79T 5728:C124S 5728:D268E 5728:G132D 5728:P354Q 5728:T167N 5728:Y176C

      Genes: 5728

      Variants: A79T C124S D268E G132D P354Q T167N Y176C

    5. Aberrant neuronal morphology and excitatory/inhibitory synapse balance are hallmarks of ASD, and ASD rodent models. Reducing PTEN expression results in increased neuronal growth, with larger soma size, increased dendriti

      [Paragraph-level] PMCID: PMC7190743 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: A79T | Summary: The A79T variant exhibited a gain-of-function (GoF) phenotype in axonal growth and altered PSD95 density and dendrite length, indicating a change in molecular function. Evidence Type: Functional | Mutation: C124S | Summary: The C124S variant showed complete loss of function (LoF) indistinguishable from GFP controls in terms of PSD95 density, indicating an alteration in molecular function. Evidence Type: Functional | Mutation: I101T | Summary: The I101T variant, along with C124S, increased soma size more than GFP, suggesting a change in molecular function related to neuronal growth. Evidence Type: Functional | Mutation: G132D | Summary: The G132D variant also increased soma size more than GFP, indicating an alteration in molecular function associated with neuronal growth. Evidence Type: Functional | Mutation: D268E | Summary: The D268E variant appeared wild-type-like in all measures of growth and synaptogenesis, suggesting it does not alter molecular function significantly.

      Gene→Variant (gene-first): 5728:A79T 5728:C124S 5728:D268E 5728:G132D 5728:I101T

      Genes: 5728

      Variants: A79T C124S D268E G132D I101T

    6. We generated 88 transgenic lines of Drosophila melanogaster expressing WT human PTEN and 86 PTEN variants, each integrated into the attP2 locus, with attP2 used as an empty vector (EV) control, allowing quantitative comp

      [Paragraph-level] PMCID: PMC7190743 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: C124S | Summary: The C124S variant did not exhibit a delay in eclosion compared to the empty vector control, indicating a functional alteration in its role in insulin signaling. Evidence Type: Functional | Mutation: G129E | Summary: The G129E variant exhibited eclosion significantly faster than the empty vector control, suggesting a functional change in its activity. Evidence Type: Functional | Mutation: N117S | Summary: The N117S variant slowed the developmental rate further than the wild-type, indicating a functional alteration in its role. Evidence Type: Functional | Mutation: Q298E | Summary: The Q298E variant also slowed the developmental rate further than the wild-type, suggesting a functional change in its activity.

      Gene→Variant (gene-first): 5728:C124S 5728:G129E 5728:N117S 5728:Q298E

      Genes: 5728

      Variants: C124S G129E N117S Q298E

    7. We took advantage of the high-throughput capacity of the Saccharomyces cerevisiae synthetic dosage lethality screen as an unbiased assay to identify genetic interactions of PTEN. By overexpressing human WT PTEN (WT), emp

      [Paragraph-level] PMCID: PMC7190743 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: C124S | Summary: The C124S variant is described as catalytically inactive and is involved in genetic interactions that alter PI3P metabolism, indicating a change in molecular function.

      Gene→Variant (gene-first): 5728:C124S

      Genes: 5728

      Variants: C124S

    8. We selected PTEN MS and nonsense (NS) mutations identified in individuals with ASD, intellectual disability (ID), developmental delay (DD), somatic cancer and PHTS, as well as variants found among the general population

      [Paragraph-level] PMCID: PMC7190743 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: C124S | Summary: C124S is characterized as catalytically inactive for both protein and lipid phosphatase functions, indicating a significant alteration in molecular function. Evidence Type: Functional | Mutation: G129E | Summary: G129E is described as a lipid phosphatase-dead variant, which suggests it alters the biochemical function of the PTEN protein. Evidence Type: Functional | Mutation: Y138L | Summary: Y138L is identified as a protein phosphatase-dead variant, indicating a change in the molecular function of the PTEN protein. Evidence Type: Oncogenic | Mutation: C124S | Summary: C124S has been found in somatic cancer, suggesting it contributes to tumor development or progression. Evidence Type: Oncogenic | Mutation: R130X | Summary: R130X is associated with somatic cancer, indicating its role in tumor development or progression. Evidence Type: Oncogenic | Mutation: R335X | Summary: R335X is commonly associated with somatic cancer, suggesting it contributes to tumor development or progression.

      Gene→Variant (gene-first): 5728:C124S 5728:G129E 5728:R130X 5728:R335X 5728:Y138L

      Genes: 5728

      Variants: C124S G129E R130X R335X Y138L

    1. To clarify the relationship between CYP3A4 expression and resistance to FOLFIRI and cetuximab, we compared the expression levels of CYP3A4 in CRCs displaying different therapeutic responses (GEO data sets GSE13294 and GS

      [Paragraph-level] PMCID: PMC3973211 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: R248W | Summary: The R248W mutation is associated with increased viability in response to etoposide treatment, suggesting a correlation with resistance to chemotherapy. Evidence Type: Predictive | Mutation: R282W | Summary: The R282W mutation is linked to higher viability after etoposide treatment, indicating a potential role in chemotherapy resistance. Evidence Type: Oncogenic | Mutation: R175H | Summary: The R175H mutation is part of p53 GOF mutations that contribute to tumor development and progression, as indicated by its association with chemoresistance. Evidence Type: Oncogenic | Mutation: R248W | Summary: The R248W mutation is implicated in tumor development and progression through its association with p53 mortality mutations and chemoresistance. Evidence Type: Oncogenic | Mutation: R273H | Summary: The R273H mutation is associated with p53 mortality mutations that contribute to tumor development and progression. Evidence Type: Oncogenic | Mutation: R282W | Summary: The R282W mutation is part of p53 mortality mutations that are linked to tumor development and progression, contributing to chemoresistance.

      Gene→Variant (gene-first): 7157:R175H 7157:R248W 7157:R273H 7157:R282W

      Genes: 7157

      Variants: R175H R248W R273H R282W

    2. The GSEA analysis revealed that most of the drug metabolism enzymes in association with p53 R248/R282 mutations are responsible for the clearance of chemotherapeutic drugs. Among these, the most relevant one was cytochro

      [Paragraph-level] PMCID: PMC3973211 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: R248 | Summary: The p53 R248 mutation was shown to induce higher expression of the CYP3A4 protein, indicating an alteration in molecular function. Evidence Type: Functional | Mutation: R282 | Summary: The p53 R282 mutation also induced higher expression of the CYP3A4 protein, demonstrating a change in molecular function. Evidence Type: Oncogenic | Mutation: R248 | Summary: The p53 R248 mutation is associated with increased expression of CYP3A4, suggesting its role in tumor development or progression. Evidence Type: Oncogenic | Mutation: R282 | Summary: The p53 R282 mutation contributes to increased expression of CYP3A4, indicating its involvement in tumor development or progression. Evidence Type: Functional | Mutation: R175H | Summary: The p53 R175H mutation was tested for its effects on CYP3A4 expression, indicating a potential alteration in molecular function. Evidence Type: Functional | Mutation: R273H | Summary: The p53 R273H mutation was also tested for its effects on CYP3A4 expression, suggesting a change in molecular function. Evidence Type: Oncogenic | Mutation: R175 | Summary: The p53 R175 mutation is associated with lower levels of CYP3A4 expression compared to mortality-associated mutations, indicating its role in tumor behavior. Evidence Type: Oncogenic | Mutation: R273 | Summary: The p53 R273 mutation is linked to lower levels of CYP3A4 expression compared to mortality-associated mutations, suggesting its involvement in tumor behavior.

      Gene→Variant (gene-first): 7157:R175 7157:R175H 7157:R248 7157:R248W 7157:R273 7157:R273H 7157:R282 7157:R282W

      Genes: 7157

      Variants: R175 R175H R248 R248W R273 R273H R282 R282W

    3. To probe the characteristic pathways associated with different p53-hotspot mutations, we selected the colorectal cancer (CRC) data set in TCGA as an example. The CRC cases contain more mortality-associated mutations (R24

      [Paragraph-level] PMCID: PMC3973211 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Prognostic, Oncogenic, Functional

      Summary: Evidence Type: Prognostic | Mutation: R248Q/W | Summary: The R248Q/W mutations are associated with increased mortality in colorectal cancer, indicating a correlation with disease outcome independent of therapy. Evidence Type: Oncogenic | Mutation: R248W | Summary: The R248W mutation contributes to tumor development and progression, as it is classified among mortality-associated mutations in colorectal cancer. Evidence Type: Oncogenic | Mutation: R282W | Summary: The R282W mutation is also classified as a mortality-associated mutation, indicating its role in tumor development and progression. Evidence Type: Functional | Mutation: R273H | Summary: The R273H mutation is involved in specific gene enrichment profiles, suggesting alterations in molecular or biochemical function related to serine-hydrolase pathways.

      Gene→Variant (gene-first): 7157:R175H 7157:R248Q/W 7157:R248W 7157:R273H 7157:R282W

      Genes: 7157

      Variants: R175H R248Q/W R248W R273H R282W

    4. R248 and R282 mutations associate with drug metabolism enzymes

      [Paragraph-level] PMCID: PMC3973211 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: R282 | Summary: The R282 mutation is associated with drug metabolism enzymes, suggesting a correlation with response or sensitivity to specific therapies.

      Gene→Variant (gene-first): 7157:R282

      Genes: 7157

      Variants: R282

    5. We tested the association between R248/R282 mutations and cancer patient survival using an independent data set extracted from published literatures (data in Supplementary Table 1), and found these mutations are indeed a

      [Paragraph-level] PMCID: PMC3973211 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Prognostic, Oncogenic

      Summary: Evidence Type: Prognostic | Mutation: R248 | Summary: The R248 mutation is associated with shorter patient survival, indicating a correlation with disease outcome independent of therapy. Evidence Type: Prognostic | Mutation: R282 | Summary: The R282 mutation is associated with shorter patient survival, indicating a correlation with disease outcome independent of therapy. Evidence Type: Oncogenic | Mutation: R248 | Summary: The R248 mutation contributes to tumor development or progression, as evidenced by the survival analysis in mice carrying the mutation. Evidence Type: Oncogenic | Mutation: R282 | Summary: The R282 mutation contributes to tumor development or progression, as evidenced by the survival analysis in cancer patients.

      Gene→Variant (gene-first): 7157:R175 7157:R248 7157:R273 7157:R282

      Genes: 7157

      Variants: R175 R248 R273 R282

    6. Kaplan-Meier survival analysis revealed that patients carrying p53 mutations on Arg248 and Arg282 residues had significantly shorter overall survival time than those carrying nonsense mutations (Figures 2a and b). Other

      [Paragraph-level] PMCID: PMC3973211 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Prognostic

      Summary: Evidence Type: Prognostic | Mutation: Arg248 | Summary: Patients carrying p53 mutations at Arg248 had significantly shorter overall survival time compared to those with nonsense mutations, indicating a correlation with disease outcome. Evidence Type: Prognostic | Mutation: Arg282 | Summary: Similar to Arg248, mutations at Arg282 were associated with a higher hazard ratio in survival analysis, suggesting a negative impact on overall survival. Evidence Type: Prognostic | Mutation: Y220 | Summary: The mutation at Y220 showed similar survival curves to nonsense mutations, indicating it may not significantly affect disease outcome. Evidence Type: Prognostic | Mutation: G245 | Summary: G245 exhibited comparable survival curves to nonsense mutations, suggesting it does not have a significant impact on overall survival. Evidence Type: Prognostic | Mutation: R175 | Summary: The R175 mutation showed similar survival patterns to nonsense mutations, indicating no significant effect on patient survival. Evidence Type: Prognostic | Mutation: R273 | Summary: R273 displayed comparable survival curves to nonsense mutations, suggesting it does not significantly influence disease outcome. Evidence Type: Prognostic | Mutation: R249S | Summary: Very few cases of the R249S mutation were available for analysis, limiting the ability to draw conclusions about its impact on survival.

      Gene→Variant (gene-first): 7157:Arg248 7157:Arg282 7157:G245 7157:R175 7157:R248 7157:R249S 7157:R273 7157:R282 7157:Y220

      Genes: 7157

      Variants: Arg248 Arg282 G245 R175 R248 R249S R273 R282 Y220

    7. Mutations on Arg282 and Arg248 residues associate with shorter patient survival

      [Paragraph-level] PMCID: PMC3973211 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Prognostic

      Summary: Evidence Type: Prognostic | Mutation: Arg248 | Summary: The mutation at Arg248 is associated with shorter patient survival, indicating a correlation with disease outcome independent of therapy. Evidence Type: Prognostic | Mutation: Arg282 | Summary: The mutation at Arg282 is associated with shorter patient survival, indicating a correlation with disease outcome independent of therapy.

      Gene→Variant (gene-first): 7157:Arg248 7157:Arg282

      Genes: 7157

      Variants: Arg248 Arg282

    1. Our next goal was to define the molecular signatures of each TSC hamartomatous lesion type using genome-wide DNA methylation and transcript profiling. Unsupervised clustering of DNA methylation array data revealed lesion

      [Paragraph-level] PMCID: PMC5481739 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: V716F | Summary: The DNMT3A-V716F mutation is predicted to affect methyltransferase activity, indicating a change in molecular function associated with this variant. Evidence Type: Oncogenic | Mutation: V716F | Summary: The somatic DNMT3A-V716F mutation is implicated in tumor development due to its association with a specific methylation signature in renal tumors.

      Gene→Variant (gene-first): 1788:V716F

      Genes: 1788

      Variants: V716F

    1. Next, we determined whether metformin had superior antitumor activity in KRAS-mutated CRC cell lines to those with KRAS wild type through a cell-viability test. As shown in SI Appendix, Fig. S2A, metformin inhibited the

      [Paragraph-level] PMCID: PMC7293710 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: G12V | Summary: The KRASG12V mutation is associated with increased sensitivity to the antiproliferation therapy of metformin in colorectal cancer cell lines, indicating a predictive relationship with treatment response. Evidence Type: Oncogenic | Mutation: G12V | Summary: The KRASG12V mutation contributes to tumor development and progression, as it is involved in the context of cancer cell viability and response to therapy.

      Gene→Variant (gene-first): 3845:G12V

      Genes: 3845

      Variants: G12V

    1. To analyze the response of KB1(L1363P)P mammary tumors to HRR deficiency-targeted therapy, we performed orthotopic transplantations with spontaneous donor tumors as previously described. To capture the heterogeneity of K

      [Paragraph-level] PMCID: PMC7612117 Section: RESULTS PassageIndex: 15

      Evidence Type(s): Predictive, Functional, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: L1363P | Summary: The L1363P mutation in BRCA1 is associated with a better response to cisplatin and the PARP inhibitor AZD2461 compared to other tumor types, indicating its predictive value for therapy response. Evidence Type: Functional | Mutation: L1363P | Summary: The L1363P mutation alters the molecular function of BRCA1, as evidenced by the compromised RAD51 foci formation in response to gamma-radiation, indicating a partial HRR defect. Evidence Type: Oncogenic | Mutation: L1363P | Summary: The BRCA1 L1363P variant is implicated in increasing the risk of developing breast cancer, suggesting its role in tumor development or progression.

      Gene→Variant (gene-first): 7158:L1363P 7158:p.L1363P

      Genes: 7158

      Variants: L1363P p.L1363P

    2. KB1(L1363P)P mammary tumors respond to cisplatin and PARP inhibition

      [Paragraph-level] PMCID: PMC7612117 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: L1363P | Summary: The L1363P mutation is associated with a response to cisplatin and PARP inhibition in mammary tumors, indicating its predictive value for therapy response. Evidence Type: Oncogenic | Mutation: L1363P | Summary: The L1363P mutation contributes to tumor development or progression in mammary tumors, supporting its classification as an oncogenic variant.

      Gene→Variant (gene-first): 7158:L1363P

      Genes: 7158

      Variants: L1363P

    3. KB1P mammary tumors are mainly adenocarcinomas, defined by their epithelial nature and solid growth pattern (Fig. 3D; Supplementary Fig. S4B). In contrast, KB1(L1363P)P mammary tumors are predominantly carcinosarcomas wi

      [Paragraph-level] PMCID: PMC7612117 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Oncogenic, Diagnostic

      Summary: Evidence Type: Oncogenic | Mutation: L1363P | Summary: The KB1(L1363P)P mutation is associated with the development of carcinosarcomas, indicating its contribution to tumor progression and classification as an oncogenic variant. Evidence Type: Diagnostic | Mutation: L1363P | Summary: The presence of the KB1(L1363P)P mutation helps define and classify the tumors as carcinosarcomas, distinguishing them from adenocarcinomas based on their histological characteristics.

      Gene→Variant (gene-first): 7158:L1363P 7158:p.L1363P

      Genes: 7158

      Variants: L1363P p.L1363P

    4. KB1(L1363P)P mammary tumors show EMT-like phenotypes and limited genomic instability

      [Paragraph-level] PMCID: PMC7612117 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: L1363P | Summary: The L1363P mutation is associated with mammary tumors exhibiting EMT-like phenotypes, indicating its contribution to tumor development or progression. Evidence Type: Functional | Mutation: L1363P | Summary: The L1363P mutation alters molecular or biochemical function, as suggested by the EMT-like phenotypes observed in the tumors.

      Gene→Variant (gene-first): 7158:L1363P

      Genes: 7158

      Variants: L1363P

    5. The embryonic lethality of Brca1LP/LP mice indicates that an intact BRCA1 coiled-coil domain is functionally important in vivo, in line with its requirement for BRCA1-mediated HRR. To analyze whether the functional defec

      [Paragraph-level] PMCID: PMC7612117 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: p.L1363P | Summary: The Brca1 p.L1363P variant is functionally important as it compromises BRCA1-mediated homologous recombination repair (HRR), indicating an alteration in molecular function. Evidence Type: Oncogenic | Mutation: p.L1363P | Summary: The Brca1 p.L1363P variant contributes to tumor development, as evidenced by the accelerated tumor formation in mouse models compared to controls, indicating its role in oncogenesis.

      Gene→Variant (gene-first): 7158:L1363P 7158:p.L1363P

      Genes: 7158

      Variants: L1363P p.L1363P

    6. Brca1 p.L1363P shows a defect in mammary tumor suppression

      [Paragraph-level] PMCID: PMC7612117 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.L1363P | Summary: The variant p.L1363P in Brca1 is associated with a defect in mammary tumor suppression, indicating its role in tumor development or progression.

      Gene→Variant (gene-first): 7158:p.L1363P

      Genes: 7158

      Variants: p.L1363P

    7. To verify whether mouse Brca1 p.L1363P phenocopies human BRCA1 p.L1407P, we analyzed Brca1LP/LP;Trp53Delta/Delta (LP/LP) mutant and Brca1LP/+;Trp53Delta/Delta (LP/+) control MEFs for BRCA1-PALB2 interaction and HRR defec

      [Paragraph-level] PMCID: PMC7612117 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Functional, Predictive

      Summary: Evidence Type: Functional | Mutation: p.L1363P | Summary: The mutation p.L1363P in Brca1 alters the binding interaction with PALB2, leading to defects in homologous recombination repair (HRR). Evidence Type: Predictive | Mutation: p.L1363P | Summary: The mutation p.L1363P correlates with increased sensitivity to cisplatin and PARP1 inhibition, indicating a potential predictive value for therapy response. Evidence Type: Functional | Mutation: p.L1407P | Summary: The mutation p.L1407P is analyzed in the context of its potential phenocopy of p.L1363P, suggesting it may also affect molecular interactions and functions related to BRCA1. Evidence Type: Predictive | Mutation: p.L1407P | Summary: The analysis of p.L1407P in relation to p.L1363P implies a similar sensitivity to therapies, indicating a predictive aspect for treatment response.

      Gene→Variant (gene-first): 672:leucine to proline 7158:p.L1363P 672:p.L1407P

      Genes: 672 7158

      Variants: leucine to proline p.L1363P p.L1407P

    8. BRCA1 p.L1363P is unable to bind PALB2 and shows hypomorphic activity in HRR

      [Paragraph-level] PMCID: PMC7612117 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: p.L1363P | Summary: The variant p.L1363P alters the molecular function of BRCA1 by impairing its ability to bind PALB2 and exhibiting reduced activity in homologous recombination repair (HRR). Evidence Type: Oncogenic | Mutation: p.L1363P | Summary: The inability of the p.L1363P variant to effectively participate in HRR suggests that it may contribute to tumor development or progression due to its compromised function in DNA repair.

      Gene→Variant (gene-first): 7158:p.L1363P

      Genes: 7158

      Variants: p.L1363P

    9. In the complete absence of TP53, Brca1LP/LP mice developed apparently normal until at least E13.5, although no postnatal survival was observed upon compound heterozygous intercrosses (Table 3). This allowed us to isolate

      [Paragraph-level] PMCID: PMC7612117 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: p.L1363P | Summary: The passage discusses the evaluation of the functional consequences of the Brca1 p.L1363P mutation in mouse embryonic fibroblasts, indicating that it alters molecular or biochemical function.

      Gene→Variant (gene-first): 7158:p.L1363P

      Genes: 7158

      Variants: p.L1363P

    10. For a first functional analysis of Brca1 p.L1363P in vivo, heterozygous Brca1LP mice were intercrossed and their offspring was genotyped. No Brca1LP/LP mice were born; therefore, embryos were analyzed at different stages

      [Paragraph-level] PMCID: PMC7612117 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: p.L1363P | Summary: The p.L1363P variant in Brca1 was analyzed functionally in vivo, showing a general growth defect in embryos, indicating an alteration in molecular or biochemical function. Evidence Type: Oncogenic | Mutation: p.L1363P | Summary: The absence of viable Brca1LP/LP mice and the observed growth defects suggest that the p.L1363P variant contributes to tumor development or progression, similar to other pathogenic mutations in Brca1.

      Gene→Variant (gene-first): 7158:p.L1363P

      Genes: 7158

      Variants: p.L1363P

    11. Homozygous Brca1 p.L1363P (FVB) mice die during embryonic development

      [Paragraph-level] PMCID: PMC7612117 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.L1363P | Summary: The homozygous Brca1 p.L1363P variant in mice is associated with embryonic lethality, indicating its role in tumor development or progression.

      Gene→Variant (gene-first): 7158:p.L1363P

      Genes: 7158

      Variants: p.L1363P

    12. We used CRISPR/Cas9-mediated genome editing in FVB mouse zygotes to model the BRCA1 coiled-coil domain VUS c.4220T>C p.L1407P, which disrupts the interaction of BRCA1 with PALB2. The BRCA1 coiled-coil domain is well cons

      [Paragraph-level] PMCID: PMC7612117 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: 4220T>C; p.L1407P | Summary: The variant p.L1407P disrupts the interaction of BRCA1 with PALB2 and is predicted to disable the alpha-helical structure of the coiled-coil domain, indicating a functional alteration. Evidence Type: Functional | Mutation: p.L1363P | Summary: The murine equivalent variant p.L1363P is predicted to disable the alpha-helical structure of the coiled-coil domain, indicating a functional alteration.

      Gene→Variant (gene-first): 672:4220T>C 7158:p.L1363P 672:p.L1407P

      Genes: 672 7158

      Variants: 4220T>C p.L1363P p.L1407P

    13. Generation of Brca1 p.L1363P (FVB) mice

      [Paragraph-level] PMCID: PMC7612117 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: p.L1363P | Summary: The passage indicates the generation of Brca1 p.L1363P mice, suggesting that this variant may alter molecular or biochemical function related to the Brca1 gene.

      Gene→Variant (gene-first): 7158:p.L1363P

      Genes: 7158

      Variants: p.L1363P

    1. MIB-1 labeling indices correlated with the diagnosis and grade assigned prior to H3 K27M IHC testing (Table 1). For the adult cohort, 1 case met WHO criteria for diffuse astrocytoma, WHO grade II (MIB-1 < 1%), 7 cases me

      [Paragraph-level] PMCID: PMC5822176 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Diagnostic

      Summary: Evidence Type: Diagnostic | Mutation: K27M | Summary: The K27M mutation is associated with the diagnosis and classification of various grades of astrocytoma, as indicated by the correlation with MIB-1 labeling indices prior to testing.

      Gene→Variant (gene-first): 3417:K27M

      Genes: 3417

      Variants: K27M

    2. The known lower frequency of ATRX mutation/loss of ATRX nuclear immunostaining in only 10 - 15% of H3 K27M-mutant tumors makes this feature less amenable to comparisons between the 2 cohorts. However, of the 7 adult case

      [Paragraph-level] PMCID: PMC5822176 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: K27M | Summary: The K27M mutation is associated with a lower frequency of ATRX mutation/loss in tumors, indicating its role in tumor development or progression.

      Gene→Variant (gene-first): 3417:K27M

      Genes: 3417

      Variants: K27M

    3. Four cases had other morphologies at initial biopsy, including pure GG (n = 3, pediatric) and PA (n = 1, adult) histologies. One of the GGs was a 16-year-old girl with an original biopsy demonstrating a pure thalamic GG

      [Paragraph-level] PMCID: PMC5822176 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: K27M | Summary: The K27M mutation is associated with the transformation of low-grade gliomas to glioblastoma, indicating its role in tumor development and progression. Evidence Type: Functional | Mutation: K27M | Summary: The presence of diffuse H3 K27M immunostaining suggests that this mutation alters molecular function related to histone modification.

      Gene→Variant (gene-first): 3417:K27M

      Genes: 3417

      Variants: K27M

    4. Table 1 summarizes the ages, gender, anatomical location, initial histological diagnoses, and p53 IHC labeling indices discerned prior to H3 K27M IHC in the 28 H3 K27M-mutant tumors identified in our databases. There wer

      [Paragraph-level] PMCID: PMC5822176 Section: RESULTS PassageIndex: 2

      Evidence Type(s): None

      Summary: Not enough information in this passage.

      Gene→Variant (gene-first): 3417:K27M

      Genes: 3417

      Variants: K27M

    5. Background: H3 K27M mutation was originally described in pediatric diffuse intrinsic pontine gliomas (DIPGs), but has been recently recognized to occur also in adult midline diffuse gliomas, as well as midline tumors wit

      [Paragraph-level] PMCID: PMC5822176 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Prognostic, Oncogenic

      Summary: Evidence Type: Prognostic | Mutation: K27M | Summary: The H3 K27M mutation has been associated with longer survival in some patients with tumors of alternate morphologies, indicating a potential correlation with disease outcome independent of therapy. Evidence Type: Oncogenic | Mutation: K27M | Summary: The H3 K27M mutation contributes to tumor development and progression, as it is implicated in various types of gliomas, including pediatric diffuse intrinsic pontine gliomas and adult midline diffuse gliomas.

      Gene→Variant (gene-first): 3417:K27M

      Genes: 3417

      Variants: K27M

    1. To identify somatic mutations in paediatric diffuse intrinsic pontine gliomas (DIPGs), we performed whole genome sequencing of 7 DIPGs and matched germline DNA, and targeted sequencing of an additional 43 DIPGs and 36 no

      [Paragraph-level] PMCID: PMC3288377 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.K27M | Summary: The p.K27M mutation in H3F3A is identified as a somatic mutation that contributes to tumor development in paediatric diffuse intrinsic pontine gliomas (DIPGs). Evidence Type: Oncogenic | Mutation: p.G34R | Summary: The p.G34R mutation in H3F3A is identified as a somatic mutation that contributes to tumor development in non-brainstem paediatric glioblastomas (non-BS-PGs).

      Gene→Variant (gene-first): 3021:p.G34R 3021:p.K27M

      Genes: 3021

      Variants: p.G34R p.K27M

    1. CDK4/6 inhibition with endocrine therapy is now a standard of care for advanced estrogen receptor positive breast cancer. Mechanisms of CDK4/6 inhibitor resistance have been described pre-clinically, with limited evidenc

      [Paragraph-level] PMCID: PMC6368247 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Oncogenic, Predictive

      Summary: Evidence Type: Oncogenic | Mutation: Y537S | Summary: The Y537S mutation in ESR1 is associated with the emergence of new driver mutations during treatment, indicating its role in tumor development and progression in breast cancer. Evidence Type: Predictive | Mutation: Y537S | Summary: The presence of the Y537S mutation may correlate with resistance to CDK4/6 inhibitors, suggesting its potential impact on treatment response in patients with advanced estrogen receptor positive breast cancer.

      Gene→Variant (gene-first): 5728:Y537S

      Genes: 5728

      Variants: Y537S

    1. Twenty-seven patients with a median age of 49 years (range 23-82) were treated with BRAF inhibitors. Eleven patients received dabrafenib with trametinib, and 16 were treated with vemurafenib. Patients received 150 mg of

      [Paragraph-level] PMCID: PMC5122709 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Predictive, Diagnostic, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: V600E | Summary: The BRAF V600E mutation is associated with treatment response to BRAF inhibitors, indicating its predictive value for therapy outcomes in melanoma patients. Evidence Type: Diagnostic | Mutation: V600E | Summary: The presence of the BRAF V600E mutation is used to confirm the diagnosis of melanoma, serving as a diagnostic marker for the disease. Evidence Type: Oncogenic | Mutation: V600E | Summary: The BRAF V600E mutation is known to contribute to tumor development and progression in melanoma, classifying it as an oncogenic variant.

      Gene→Variant (gene-first): 673:V600E

      Genes: 673

      Variants: V600E

    1. Although activating mutations of FGFR3 are frequent in bladder tumors, little information is available on their specific effects in urothelial cells or the basis for the observed mutation spectrum. We investigated the ph

      [Paragraph-level] PMCID: PMC2789045 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Functional

      Summary: Evidence Type: Functional | Mutation: S249C | Summary: The S249C mutation alters molecular function by inducing phosphorylation of FRS2alpha and ERK1/2, and is associated with increased proliferation and viability in urothelial cells. Evidence Type: Functional | Mutation: Y375C | Summary: The Y375C mutation alters molecular function by inducing phosphorylation of FRS2alpha and ERK1/2, and is associated with increased proliferation and viability in urothelial cells. Evidence Type: Functional | Mutation: K652E | Summary: The K652E mutation does not induce phosphorylation of PLCgamma1 and fails to promote the same proliferative effects seen with S249C and Y375C, indicating a distinct functional impact.

      Gene→Variant (gene-first): 2261:K652E 2261:S249C 2261:Y375C

      Genes: 2261

      Variants: K652E S249C Y375C

    1. Mutations in the KRAS oncogene are found in more than 90% of patients with pancreatic ductal adenocarcinoma (PDAC), with Gly-to-Asp mutations (KRASG12D) being the most common. Here, we tested the efficacy of a small-mole

      [Paragraph-level] PMCID: PMC9900321 Section: ABSTRACT PassageIndex: 3

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: Gly-to-Asp | Summary: The Gly-to-Asp mutation (KRASG12D) is associated with the efficacy of the small-molecule KRASG12D inhibitor, MRTX1133, indicating a correlation with treatment response in pancreatic ductal adenocarcinoma models. Evidence Type: Oncogenic | Mutation: Gly-to-Asp | Summary: The Gly-to-Asp mutation (KRASG12D) is prevalent in pancreatic ductal adenocarcinoma and contributes to tumor development and progression, as evidenced by its high occurrence in patients with this cancer type.

      Gene→Variant (gene-first): 3845:Gly-to-Asp

      Genes: 3845

      Variants: Gly-to-Asp

    1. Macrodactyly is a discrete congenital anomaly consisting of enlargement of all tissues localized to the terminal portions of a limb, typically within a 'nerve territory'. The classic terminology for this condition is 'li

      [Paragraph-level] PMCID: PMC3542862 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: E542K | Summary: The E542K mutation in PIK3CA is identified as a gain-of-function mutation contributing to tumor development in the affected nerve tissue of patients with macrodactyly. Evidence Type: Oncogenic | Mutation: H1047L | Summary: The H1047L mutation in PIK3CA is identified as a gain-of-function mutation contributing to tumor development in the affected nerve tissue of patients with macrodactyly. Evidence Type: Oncogenic | Mutation: H1047R | Summary: The H1047R mutation in PIK3CA is identified as a gain-of-function mutation contributing to tumor development in the affected nerve tissue of patients with macrodactyly. Evidence Type: Oncogenic | Mutation: R115P | Summary: The R115P mutation in PIK3CA is confirmed as a somatic mutation present in the affected nerve tissue, contributing to the pathophysiology of macrodactyly.

      Gene→Variant (gene-first): 5290:E542K 5290:H1047L 5290:H1047R 5163:R115P

      Genes: 5290 5163

      Variants: E542K H1047L H1047R R115P

    1. Mutations in KRAS and BRAF were associated with inferior PFS and OS of mCRC patients compared with patients with non-mutated tumors. KRAS exon 2 mutation variants were associated with heterogeneous outcome compared with

      [Paragraph-level] PMCID: PMC4999563 Section: ABSTRACT PassageIndex: 9

      Evidence Type(s): Prognostic

      Summary: Evidence Type: Prognostic | Mutation: G12C | Summary: The KRAS G12C mutation is associated with poor survival outcomes in mCRC patients compared to those with non-mutated tumors. Evidence Type: Prognostic | Mutation: G13D | Summary: The KRAS G13D mutation is associated with poor survival outcomes in mCRC patients compared to those with non-mutated tumors.

      Gene→Variant (gene-first): 3845:G12C 3845:G13D

      Genes: 3845

      Variants: G12C G13D

    2. In 664 tumors, no mutation was detected, 462 tumors were diagnosed with KRAS-, 39 patients with NRAS- and 74 patients with BRAF-mutation. Mutations in KRAS were associated with inferior progression-free survival (PFS) an

      [Paragraph-level] PMCID: PMC4999563 Section: ABSTRACT PassageIndex: 7

      Evidence Type(s): Prognostic

      Summary: Evidence Type: Prognostic | Mutation: G12C | Summary: The KRAS G12C variant is associated with inferior overall survival (OS) compared to unmutated tumors, indicating a prognostic role. Evidence Type: Prognostic | Mutation: G13D | Summary: The KRAS G13D variant shows a similar trend for inferior overall survival (OS), suggesting it may also have prognostic implications. Evidence Type: Prognostic | Mutation: G12D | Summary: The KRAS G12D variant did not show a significant impact on overall survival (OS), indicating it may not have a strong prognostic role. Evidence Type: Prognostic | Mutation: G12V | Summary: The KRAS G12V variant also did not demonstrate a significant impact on overall survival (OS), suggesting limited prognostic value.

      Gene→Variant (gene-first): 3845:G12C 3845:G12D 3845:G12V 3845:G13D

      Genes: 3845

      Variants: G12C G12D G12V G13D

    3. In this pooled analysis of metastatic colorectal cancer patients, mutations in KRAS, and BRAF were associated with inferior progression-free and overall survival compared with patients with non-mutated tumors. KRAS exon

      [Paragraph-level] PMCID: PMC4999563 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Prognostic

      Summary: Evidence Type: Prognostic | Mutation: G12C | Summary: The KRAS G12C mutation is associated with inferior progression-free and overall survival in metastatic colorectal cancer patients compared to those with non-mutated tumors. Evidence Type: Prognostic | Mutation: G13D | Summary: The KRAS G13D mutation is associated with inferior progression-free and overall survival in metastatic colorectal cancer patients compared to those with non-mutated tumors.

      Gene→Variant (gene-first): 3845:G12C 3845:G13D

      Genes: 3845

      Variants: G12C G13D

    1. PIK3CA encoding the phosphoinositide 3-kinase (PI3K) p110alpha catalytic subunit is frequently mutated in cancer, with mutations occurring widely throughout the primary sequence. The full set of mechanisms underlying how

      [Paragraph-level] PMCID: PMC9837058 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: G1049R | Summary: The G1049R mutation is described as activating p110alpha through distinct mechanisms, indicating its role in tumor development or progression. Evidence Type: Oncogenic | Mutation: H1047R | Summary: The H1047R mutation is noted to activate p110alpha, contributing to tumor development or progression. Evidence Type: Oncogenic | Mutation: M1043I/L | Summary: The M1043I/L mutations are mentioned as activating p110alpha, which suggests their involvement in tumor development or progression.

      Gene→Variant (gene-first): 5290:G1049R 5290:H1047R 5290:M1043I/L

      Genes: 5290

      Variants: G1049R H1047R M1043I/L

    1. Mutation of several genes, most notably TP53 or ASXL1 transcriptional regulator 1 (ASXL1), were shown to cause a broad pattern of drug resistance. Interestingly, a few drugs trended more sensitive to TP53 mutant cases, s

      [Paragraph-level] PMCID: PMC6280667 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: TP53 | Summary: TP53 mutations were shown to cause a broad pattern of drug resistance, with some drugs trending more sensitive to TP53 mutant cases, indicating a correlation with treatment response. Evidence Type: Predictive | Mutation: ASXL1 | Summary: ASXL1 mutations were associated with drug resistance, but also showed sensitivity to specific drugs, suggesting a predictive role in treatment response. Evidence Type: Predictive | Mutation: NRAS | Summary: NRAS mutations correlated largely with resistance to most drugs, but also showed predicted sensitivity to MAPK inhibitors, indicating a potential predictive value for therapy. Evidence Type: Predictive | Mutation: KRAS | Summary: KRAS mutations were associated with resistance to most drugs, while also showing sensitivity to MAPK inhibitors, suggesting a predictive role in treatment response. Evidence Type: Predictive | Mutation: IDH2 | Summary: IDH2 mutations conferred sensitivity to a broad spectrum of drugs, indicating a predictive association with treatment response. Evidence Type: Predictive | Mutation: IDH1 | Summary: IDH1 mutations were associated with resistance to most drugs, suggesting a predictive role in treatment response. Evidence Type: Predictive | Mutation: RUNX1 | Summary: RUNX1 mutations correlated with sensitivity to PIK3C/MTOR inhibitors, indicating a predictive association with treatment response. Evidence Type: Predictive | Mutation: FLT3 | Summary: FLT3 mutations exhibited a significant pattern of co-occurrence with sensitivity to the FDA approved drug, ibrutinib, indicating a predictive role in treatment response. Evidence Type: Predictive | Mutation: NPM1 | Summary: NPM1 mutations were significantly more sensitive to ibrutinib compared to wild type, suggesting a predictive association with treatment response. Evidence Type: Predictive | Mutation: BCOR | Summary: BCOR mutations showed sensitivity to alternative drugs, indicating a predictive role in treatment response, particularly in specific combinatorial mutation settings.

      Gene→Variant (gene-first): 8233:serine/arginine

      Genes: 8233

      Variants: serine/arginine