Smoking history and lung carcinoma: KRAS mutation is an early hit in lung adenocarcinoma development
Abstract
Background In a European multicenter prospective study patients with lung cancer were interviewed for smoking history and biological samples centrally collected. The aim of this study was to compare KRAS mutation analysis with smoking status at the time of diagnosis.Methods A nested case-study was performed on 233 non-small cell lung carcinomas. Cases were selected on the basis of progressive disease or disease-free post surgery based on specific criteria. KRAS mutation analysis was performed with the point-EXACCT method.Results KRAS mutations were found in 39 adenocarcinomas and 1 squamous cell carcinoma in the 233 NSCLC. The median quitting smoking time (QST) for patients with and without KRAS mutations was 9 years, interquartile range [IQR 16-38] and 3 years, IQR [13-50], respectively (p=0.039). No difference was found for age at initiation of smoking, duration of smoking, average tobacco consumption, and smoking status at the time of diagnosis.Conclusion The QST was longer for patients with KRAS mutations, supporting the notion that the presence of a KRAS mutation is a dominant early effect, supporting its role as a driver oncogen.
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KRAS mutations are less common in lung squamous cell carcinoma (<1-5%) and small cell lung cancer (1-2%).
“In comparison, KRAS mutations are less common in lung squamous cell carcinoma (<1–5%) and small cell lung cancer (1–2%)7–10.”
From Selective KRAS G12C inhibitors in non-small cell lung cancer: chemistry, concurrent pathway alterations, and clinical outcomes (2021) · cites this paper as [8]
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- Authors
- Thunnissen, F. B., Prinsen, C., Hol, B., Van der Drift, M., Vesin, A., Brambilla, C., Montuenga, L., & Field, J. K.
- Affiliations
- Canisius-Wilhelmina Ziekenhuis (NL)
- Inserm (FR)
- Centro de Investigación Médica Aplicada (ES)
- University of Liverpool (GB)
- Corresponding author
- Prinsen, C.
- Hol, B.
- Vesin, A.
- Brambilla, C.
- Montuenga, L.
- Field, J.K.
- Venue
- Lung Cancer
- Publisher
- Elsevier BV
- Published
- 2012-02
- Volume
- 75
- Issue
- 2
- Pages
- 156-160
- ISSN
- 0169-5002 (ISSN-L)
- OpenAlex
- W2154097119
- Cited by
- 19
- References
- 37
- Citations by year
- 2023: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2016: 4 · 2015: 3 · 2013: 3 · 2012: 4
- FWCI
- 1.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Lung Cancer (publishedVersion)
- PubMed (publishedVersion)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Oncology › Lung Cancer Research Studies
- Keywords
- KRAS mutation, lung adenocarcinoma, smoking history, non-small cell lung cancer, cancer driver genes, tobacco use
- MeSH terms
- Adenocarcinoma of Lung, Adenocarcinoma, Humans, Lung Neoplasms, Mutation, Proto-Oncogene Proteins, Smoking, Time Factors, Proto-Oncogene Proteins p21(ras), Smoking Cessation, ras Proteins
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