Mutation incidence and coincidence in non small-cell lung cancer: meta-analyses by ethnicity and histology (mutMap)

Dearden, S.; Stevens, J.; Wu, Y.-L.; Blowers, D.

doi:10.1093/annonc/mdt205

Cited by 646Lung Cancer Treatments and MutationsLung Cancer Diagnosis and TreatmentCancer Genomics and Diagnostics

Mutation incidence and coincidence in non small-cell lung cancer: meta-analyses by ethnicity and histology (mutMap)

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Dearden, S., Stevens, J., Wu, Y.-L., Blowers, D.·2013·Annals of Oncology

DOI 10.1093/annonc/mdt205PMC PMC3755331

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Abstract

BACKGROUND: Meta-analyses were conducted to characterize patterns of mutation incidence in non small-cell lung cancer (NSCLC). DESIGN: Nine genes with the most complete published mutation coincidence data were evaluated. One meta-analysis generated a 'mutMap' to visually represent mutation coincidence by ethnicity (Western/Asian) and histology (adenocarcinoma [ADC] or squamous cell carcinoma). Another meta-analysis evaluated incidence of individual mutations. Extended analyses explored incidence of EGFR and KRAS mutations by ethnicity, histology, and smoking status. RESULTS: Genes evaluated were TP53, EGFR, KRAS, LKB1, EML4-ALK, PTEN, BRAF, PIK3CA, and ErbB2. The mutMap highlighted mutation coincidences occurring in ≥5% of patients, including TP53 with KRAS or EGFR mutations in patients with ADC, and TP53 with LKB1 mutation in Western patients. TP53 was the most frequently mutated gene overall. Frequencies of TP53, EGFR, KRAS, LKB1, PTEN, and BRAF mutations were influenced by histology and/or ethnicity. Although EGFR mutations were most frequent in patients with ADC and never/light smokers from Asia, and KRAS mutations were most frequent in patients with ADC and ever/heavy smokers from Western countries, both were detected outside these subgroups. CONCLUSIONS: Potential molecular pathology segments of NSCLC were identified. Further studies of mutations in NSCLC are warranted to facilitate more specific diagnoses and guide treatment.

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KRAS mutations and/or KRAS wild-type amplifications are frequent in colorectal cancer, pancreatic cancer, and NSCLC adenocarcinoma, with varying frequencies by country.
“KRAS mutations and/or KRAS wild-type amplifications are frequently found in colorectal cancer (US ∼45%, China ∼49% of cases), pancreatic cancer (US ∼90%, China ∼87% of cases), and NSCLC (subtype adenocarcinoma: US ∼35%, China ∼13% of cases)”
From Expanding the Reach of Precision Oncology by Drugging All KRAS Mutants (2022) · cites this paper as [15]
KRAS mutation accounts for approximately 30% of lung adenocarcinomas in western countries.
“accounting for ~30% of lung adenocarcinomas in western countries”
From New Horizons in KRAS-Mutant Lung Cancer: Dawn After Darkness (2019) · cites this paper as [2]
KRAS mutation accounts for about 10% of Asian lung adenocarcinomas.
“about 10% of Asian lung adenocarcinomas (2)”
From New Horizons in KRAS-Mutant Lung Cancer: Dawn After Darkness (2019) · cites this paper as [2]
KRAS mutation is the most frequent oncogenic mutation in non-small cell lung cancer in western countries.
“In non-small cell lung cancer (NSCLC), the most frequent oncogenic mutation in western countries is KRAS”
From New Horizons in KRAS-Mutant Lung Cancer: Dawn After Darkness (2019) · cites this paper as [2]

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Authors: Dearden, S., Stevens, J., Wu, Y.-L., & Blowers, D.
Affiliations: AstraZeneca (United Kingdom) (GB)
Guangdong General Hospital (CN)
Corresponding author: Dearden, S.
ORCID: Dearden, S.
Wu, Y.-L.
Venue: Annals of Oncology
Publisher: Elsevier BV
Published: 2013-09
Volume: 24
Issue: 9
Pages: 2371-2376
ISSN: 0923-7534 (ISSN-L)
DOI: 10.1093/annonc/mdt205
PMC: PMC3755331
OpenAlex: W2129590156
Cited by: 646
References: 27
Citations by year: 2026: 21 · 2025: 48 · 2024: 63 · 2023: 62 · 2022: 70 · 2021: 81 · 2020: 50 · 2019: 50 · 2018: 51 · 2017: 45 · 2016: 32 · 2015: 36 · 2014: 29 · 2013: 7
FWCI: 28.24
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
creativecommons.org/licenses/by-nc/3.0/ (vor, 2261 d)
Locations: Annals of Oncology (publishedVersion, cc-by-nc)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
PubMed Central (publishedVersion, cc-by-nc)
PubMed (publishedVersion)
HighWire Press Open Archive (submittedVersion)
Funders: AstraZeneca
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
Keywords: non-small cell lung cancer, somatic mutations, TP53, EGFR mutation, KRAS mutation, LKB1, EML4-ALK fusion, PTEN, BRAF, PIK3CA, ERBB2, adenocarcinoma, squamous cell carcinoma, ethnicity, smoking status, MutMap
MeSH terms: Adenocarcinoma, Base Sequence, Carcinoma, Non-Small-Cell Lung, Carcinoma, Squamous Cell, Chromosome Mapping, Gene Frequency, Humans, Lung Neoplasms, Mutation, Smoking, Incidence, Sequence Analysis, DNA, Mutation Rate

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Mutation incidence and coincidence in non small-cell lung cancer: meta-analyses by ethnicity and histology (mutMap)

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