383 Matching Annotations
  1. Last 7 days
    1. After collapsing smMIPs with the same barcode, we achieved > 150-fold coverage for 85% of the protein coding sequences for KRAS, BRAF, HRAS, NRAS, and MAP2K1. Because KRAS codon p.12G and BRAF codon p.600V somatic mutati

      [Paragraph-level] PMCID: PMC6938308 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage indicates that KRAS codon p.12G and BRAF codon p.600V somatic mutations have been linked to brain AVMs, suggesting their role in defining or classifying the disease. Oncogenic: The mention of likely somatic disease-causing mutations, including KRAS mutations (p.G12D and p.G12V) and BRAF mutations (p.V600E and p.Q636X), indicates that these variants contribute to tumor development or progression.

      Gene→Variant (gene-first): 3845:p.12G 673:p.600V 3845:p.G12D 3845:p.G12V 673:p.Q636X 673:p.V600E

      Genes: 3845 673

      Variants: p.12G p.600V p.G12D p.G12V p.Q636X p.V600E

    2. 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, Diagnostic

      Justification: Oncogenic: The passage discusses somatic mutations in KRAS and BRAF, indicating that these variants contribute to tumor development as they are detected in specimens from patients with AVM. Diagnostic: The presence of specific mutations (G12D, G12V, V600E, Q636X) is used to classify and confirm the mutation status of patients, which is relevant for understanding their disease.

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

      Genes: 3845 673

      Variants: G12D G12V Q636X V600E

    3. After collapsing smMIPs with the same barcode, we achieved > 150-fold coverage for 85% of the protein coding sequences for KRAS, BRAF, HRAS, NRAS, and MAP2K1. Because KRAS codon p.12G and BRAF codon p.600V somatic mutati

      [Paragraph-level] PMCID: PMC6938308 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage indicates that KRAS codon p.12G and BRAF codon p.600V somatic mutations have been linked to brain AVMs, suggesting their role in defining or classifying the disease. Oncogenic: The mention of likely somatic disease-causing mutations, including KRAS mutations (p.G12D and p.G12V) and BRAF mutations (p.V600E and p.Q636X), indicates that these variants contribute to tumor development or progression.

      Gene→Variant (gene-first): 3845:p.12G 673:p.600V 3845:p.G12D 3845:p.G12V 673:p.Q636X 673:p.V600E

      Genes: 3845 673

      Variants: p.12G p.600V p.G12D p.G12V p.Q636X p.V600E

    1. Amongst the 91 patients we collated data from, most (68/91, 75%) had unique pathogenic mutations (Figure 1E, annotated as "single-patient mutations" and Supplementary Figure 1). There were eight pathogenic mutations repr

      [Paragraph-level] PMCID: PMC7611203 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the presence of specific pathogenic mutations in patients, indicating their association with disease, which supports the use of these variants for classification and diagnosis. Oncogenic: The mention of pathogenic mutations suggests that these variants contribute to tumor development or progression, particularly in the context of BRCA1 and BRCA2 mutations associated with cancer.

      Gene→Variant (gene-first): 672:c.185delAG 672:c.5266dupC 675:c.5946delT 675:c.6174delT 672:c.68_69delAG

      Genes: 672 675

      Variants: c.185delAG c.5266dupC c.5946delT c.6174delT c.68_69delAG

    1. Median OS was 48 weeks (range=4-140). None of the following factors had a significant impact on OS: PS (P=0.403), histology (P=0.198), smoking (P=0.242), sex (P=0.475), skin rash (P=0.182) and EFGR IHC expression (P=0.63

      [Paragraph-level] PMCID: PMC2360265 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage discusses median overall survival (OS) in relation to the L858R mutation, indicating that there is no statistically significant difference in OS between patients with the L858R mutation and those with other mutations, which relates to disease outcome. Diagnostic: The mention of the L858R mutation in the context of comparing survival outcomes suggests its role in classifying or defining patient subgroups based on mutational status.

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

      Genes: 1956

      Variants: L858R

    2. The median follow-up period was 109 weeks and the median time to tumour progression (TTP) 20 weeks (range=4-140). A total of 23 (36%) patients had a TTP>24 weeks and 7 (10.9%) >52 weeks (Table 5). There was no difference

      [Paragraph-level] PMCID: PMC2360265 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage discusses time to tumor progression (TTP) in relation to different mutation groups, including L858R, indicating a correlation with disease outcome independent of therapy. Diagnostic: The mention of "classical mutations group" and comparisons with "wild-type" suggests that the L858R variant is used to classify or define a subtype of the disease.

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

      Genes: 1956

      Variants: L858R

    3. The DCR was significantly higher in patients of the 'classical' mutations than in patients of the 'wild-type' (90.9 and 43.3%, respectively; P=0.006) group; conversely, there was no significant difference between the DCR

      [Paragraph-level] PMCID: PMC2360265 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Predictive, Diagnostic

      Justification: Predictive: The passage discusses the disease control rate (DCR) in relation to specific mutations, indicating a correlation between the presence of mutations (including L858R, G719D, and E746V) and treatment outcomes, which suggests predictive evidence regarding therapy response. Diagnostic: The mention of 'classical' mutations and their association with disease control rates implies that these mutations, including L858R, G719D, and E746V, are used to classify or define a subtype of the disease.

      Gene→Variant (gene-first): 1956:E746V 1956:G719D 1956:L858R

      Genes: 1956

      Variants: E746V G719D L858R

    4. A total of 1 (1.1%) patient (no. 13) had two 'other' mutations, while 3 (3.4%) patients (nos. 9, 11 and 18), who were included in the 'classical mutations' group, had both the exon 21 L858R mutation and an 'other' mutati

      [Paragraph-level] PMCID: PMC2360265 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the incidence of the L858R mutation in relation to patient demographics and histology, indicating its association with specific patient groups and suggesting its role in defining or classifying disease subtypes. Oncogenic: The mention of the L858R mutation in the context of 'classical mutations' and its presence in patients with tumors suggests that it contributes to tumor development or progression.

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

      Genes: 1956

      Variants: L858R

    5. According to the mutational status, three groups of patients were identified as follows: (i) the 'wild-type' group (n=61 patients; 71%) with no detectable mutations; (ii) 'classical' mutations group (n=11 patients, 13%;

      [Paragraph-level] PMCID: PMC2360265 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the identification of patient groups based on their mutational status, specifically mentioning the presence of classical mutations such as G719D, E746V, and L858R, which are used to classify patients. Oncogenic: The passage indicates that the reported EGFR mutations, including G719D, E746V, and L858R, were found to be of somatic origin, suggesting their contribution to tumor development or progression.

      Gene→Variant (gene-first): 1956:E746V 1956:G719D 1956:L858R

      Genes: 1956

      Variants: E746V G719D L858R

    6. 'Classical' mutations in the EGFR tyrosine kinase domain (exons 18, 19 and 21) have been associated with sensitivity to tyrosine kinase inhibitors (TKIs) in patients with NSCLC. The aim of the current study was to evalua

      [Paragraph-level] PMCID: PMC2360265 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Predictive, Diagnostic

      Justification: Predictive: The passage discusses the association of classical mutations, including G719X and L858R, with sensitivity to tyrosine kinase inhibitors (TKIs) in patients with NSCLC, indicating a correlation with treatment response. Diagnostic: The mention of classical mutations in the EGFR tyrosine kinase domain being associated with sensitivity to TKIs suggests that these variants can be used to classify or define a subtype of disease in NSCLC patients.

      Gene→Variant (gene-first): 1956:G719X 1956:L858R

      Genes: 1956

      Variants: G719X L858R

    1. Mutations were identified in 10 cases located in the small intestine with significant association (P = 0.004). One was located in the retroperitoneum. Ninety percent (9/10) tumors revealed internal tandem duplications (I

      [Paragraph-level] PMCID: PMC5615879 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses mutations identified in tumors located in the small intestine, indicating a significant association with the disease, which supports the use of these variants in defining or classifying the disease. Oncogenic: The passage describes mutations that contribute to tumor development, specifically mentioning internal tandem duplications and insertions in the context of tumors, indicating their role in oncogenesis.

      Gene→Variant (gene-first): 3815:Ala-Tyr 3815:c.1504_1509 dup GCCTAT 3815:c.1509_1510insACCTAT 3815:p.Y503_F504insTY

      Genes: 3815

      Variants: Ala-Tyr c.1504_1509 dup GCCTAT c.1509_1510insACCTAT p.Y503_F504insTY

    2. Insertion of 3 nucleotides, p.K558delinsBP (c.1673_1674insTCC), and duplication p.Y577_K580dup (c.1731_1742dupTTATGATCACAA) was seen 1 case (1.8%) each, respectively.

      [Paragraph-level] PMCID: PMC5615879 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage mentions specific variants and their occurrence in a case, indicating their association with a particular disease or condition. Oncogenic: The variants discussed are likely somatic mutations contributing to tumor development, as they are described in the context of a case study.

      Gene→Variant (gene-first): 3815:K580dup 3815:c.1673_1674insTCC 3815:c.1731_1742dupTTATGATCACAA 3815:p.K558delinsBP

      Genes: 3815

      Variants: K580dup c.1673_1674insTCC c.1731_1742dupTTATGATCACAA p.K558delinsBP

    3. The substitution mutations were p.V559D (3/57; 5%), p.V560D (3/57; 5%), p.V559A (2/57; 3.5%), and 1 (1.8%) cases each with p.V560G, p.T574I, and p.L576P among this 9 were homozygous and 2 heterozygous.

      [Paragraph-level] PMCID: PMC5615879 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage provides mutation frequencies for specific variants, indicating their association with a disease or subtype. Oncogenic: The mention of substitution mutations suggests that these variants may contribute to tumor development or progression, as they are likely somatic mutations.

      Gene→Variant (gene-first): 3815:p.L576P 3815:p.T574I 3815:p.V559A 3815:p.V559D 3815:p.V560D 3815:p.V560G

      Genes: 3815

      Variants: p.L576P p.T574I p.V559A p.V559D p.V560D p.V560G

    4. Exon 11 mutations were heterogeneous with in-frame deletion of 3-51 nucleotides (codons 550-576) in classic hot-spot region at the 5' end of the exon (codons 550-560). Double mutations were identified in 9 cases (16%), 8

      [Paragraph-level] PMCID: PMC5615879 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses mutations in exon 11 and their association with specific cases, indicating that these mutations can be used to classify or define a disease subtype. Oncogenic: The mention of double mutations and their role in the context of tumor development suggests that these somatic variants contribute to tumor progression.

      Gene→Variant (gene-first): 728378:c.1666C>G 3815:c.1666_1668dupCAG 3815:c.1672_1677delAAGGTTinsAGT 728378:p.Q556E 3815:p.Q556dup

      Genes: 728378 3815

      Variants: c.1666C>G c.1666_1668dupCAG c.1672_1677delAAGGTTinsAGT p.Q556E p.Q556dup

    5. Exon 11 mutations were in 57% of cases [Table 2]. In-frame deletions in 35 (61.4%), 11 substitutions (19.3%), 9 double mutations (15.7%), 1 insertion and duplication (1.8%), respectively. Common mutation was p.W557_K558

      [Paragraph-level] PMCID: PMC5615879 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the frequency of specific mutations, including in-frame deletions and substitutions, which are associated with the classification of cases, indicating their role in defining or confirming a disease subtype. Oncogenic: The mention of mutations in exon 11, including specific variants, suggests their contribution to tumor development or progression, as they are described in the context of cancer cases.

      Gene→Variant (gene-first): 3815:K558 del 3815:V555del 3815:c.1669_1674delTGGAAG 3815:c.1676T>A 3815:c.1679T>A 3815:p.V559D 3815:p.V560D

      Genes: 3815

      Variants: K558 del V555del c.1669_1674delTGGAAG c.1676T>A c.1679T>A p.V559D p.V560D

    1. Results: We found that rs3786362 G allele of thymidylate synthase (TYMS) gene was significantly associated with PFS (P = 1.10 x 10-2), OS (P = 2.50 x 10-2) and DCR (P = 5.00 x 10-3). The expression of TYMS was overexpres

      [Paragraph-level] PMCID: PMC7545690 Section: ABSTRACT PassageIndex: 3

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage indicates that the rs3786362 G allele is significantly associated with progression-free survival (PFS) and overall survival (OS), which are outcomes related to disease prognosis. Diagnostic: The association of the rs3786362 G allele with tumor characteristics suggests it may be used to classify or define disease subtypes, particularly in colorectal cancer (CRC).

      Gene→Variant (gene-first): 7298:rs3786362

      Genes: 7298

      Variants: rs3786362

    2. Kaplan-Meier curves of PFS and OS for TYMS rs3786362 in mCRC patients were depicted choosing the dominant model. Patients with AG/GG genotypes exhibited reduced PFS and OS compared with AA genotype (Figure 2).

      [Paragraph-level] PMCID: PMC7545690 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage discusses the correlation of the rs3786362 variant with progression-free survival (PFS) and overall survival (OS) in mCRC patients, indicating its association with disease outcome independent of therapy. Diagnostic: The variant rs3786362 is used to classify patients based on their genotypes (AG/GG vs. AA), which suggests its role in defining or associating with a disease subtype in mCRC.

      Gene→Variant (gene-first): 7298:rs3786362

      Genes: 7298

      Variants: rs3786362

    3. Owing to the positive findings of TYMS rs3786362 on PFS in our previous study, the correlation analysis of the selected SNP with OS was further conducted. Interestingly, TYMS rs3786362 was also associated with reduced OS

      [Paragraph-level] PMCID: PMC7545690 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage discusses the association of the variant rs3786362 with reduced overall survival (OS) and progression-free survival (PFS), indicating its correlation with disease outcomes independent of therapy. Diagnostic: The variant rs3786362 is associated with different genotypes (AG and AA) that correlate with reduced PFS and OS, suggesting its role in classifying disease outcomes based on genotype.

      Gene→Variant (gene-first): 7298:rs3786362

      Genes: 7298

      Variants: rs3786362

    1. EGFR pathogenic mutations sensitize in varying degrees to inhibition by small molecule TKIs. These mutations include both class I short in-frame deletions and class II missense mutations. One of these mutations, the L858

      [Paragraph-level] PMCID: PMC4823091 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Predictive, Diagnostic

      Justification: Predictive: The passage states that the L858R mutation sensitizes to inhibition by small molecule TKIs, indicating a correlation with response to therapy. Diagnostic: The L858R mutation is described as having the highest prevalence among activating EGFR kinase domain missense mutations, which suggests its use in defining or classifying a subtype of disease.

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

      Genes: 1956

      Variants: L858R

    1. The median PFS of patients with KRAS exon 2 mutant tumor subtypes ranged from 8.8 [95% confidence interval (CI) 7.6-10.0] months (G13D mutation) to 10.5 (95% CI 9.0-11.9) months in (G12D variants). The median OS widely r

      [Paragraph-level] PMCID: PMC4999563 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage discusses the median progression-free survival (PFS) and overall survival (OS) associated with specific KRAS mutations, indicating a correlation with disease outcomes independent of therapy. Diagnostic: The mention of KRAS exon 2 mutant tumor subtypes suggests that these variants are used to classify or define a specific disease subtype.

      Gene→Variant (gene-first): 3845:A146T 3845:G12C 3845:G12D 3845:G13D 3845:Q61H

      Genes: 3845

      Variants: A146T G12C G12D G13D Q61H

    2. Of 1239 analyzed tumors, in 664 tumors (53.6%), no mutation was detected, whereas 462 tumors harboring KRAS (37.3%) mutations and 39 NRAS (3.1%) mutations were found. Additionally, a total of 74 tumors (6.0%) were carryi

      [Paragraph-level] PMCID: PMC4999563 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage indicates that tumors carrying BRAF V600E mutations were identified, suggesting an association with the classification of the tumors. Oncogenic: The mention of BRAF V600E mutations in tumors implies a role in tumor development or progression, characteristic of oncogenic variants.

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

      Genes: 673

      Variants: V600E

    3. 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, Diagnostic

      Justification: Prognostic: The passage indicates that KRAS G12C and G13D mutations are associated with inferior progression-free survival (PFS) and overall survival (OS) in mCRC patients, suggesting a correlation with disease outcome independent of therapy. Diagnostic: The mention of KRAS mutations being associated with heterogeneous outcomes compared to unmutated tumors implies that these variants can be used to classify or define a disease subtype in mCRC.

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

      Genes: 3845

      Variants: G12C G13D

    4. 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, Diagnostic

      Justification: Prognostic: The passage discusses the correlation of KRAS mutations, including specific variants like G12C and G13D, with inferior overall survival (OS) and progression-free survival (PFS), indicating their impact on disease outcome independent of therapy. Diagnostic: The passage mentions that mutations in KRAS were diagnosed in tumors, indicating that these mutations are used to classify or define the disease.

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

      Genes: 3845

      Variants: G12C G12D G12V G13D

    5. 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, Diagnostic

      Justification: Prognostic: The passage discusses how KRAS G12C and G13D mutations correlate with inferior progression-free and overall survival in metastatic colorectal cancer patients, indicating their prognostic significance. Diagnostic: The mention of KRAS mutations being associated with tumor characteristics suggests their role in classifying or defining the disease subtype in colorectal cancer.

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

      Genes: 3845

      Variants: G12C G13D

    1. This is the first report to our knowledge to demonstrate activity of osimertinib in a patient with NSCLC harboring HER2 exon 19, p.L755P mutation resulting in intra- and extracranial response. In the future, osimertinib

      [Paragraph-level] PMCID: PMC10183391 Section: ABSTRACT PassageIndex: 6

      Evidence Type(s): Predictive, Diagnostic

      Justification: Predictive: The passage discusses the activity of osimertinib in a patient with the p.L755P mutation, indicating a correlation with treatment response. Diagnostic: The variant p.L755P is described as being present in a patient with NSCLC, suggesting its role in defining or classifying the disease.

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

      Genes: 2064

      Variants: p.L755P

    2. 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, Diagnostic

      Justification: Predictive: The passage discusses the efficacy of osimertinib as a potential treatment for patients harboring the p.L755P mutation, indicating a correlation with response to therapy. Diagnostic: The mention of "patients harboring these mutations" suggests that the p.L755P variant is used to classify or define a specific group of patients, indicating its role in diagnosis.

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

      Genes: 2064

      Variants: p.L755P

    3. 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, Diagnostic

      Justification: Predictive: The passage indicates that the p.L755P mutation is associated with an effective response to the treatment with osimertinib in a patient with stage IV NSCLC. Diagnostic: The passage mentions that the patient harbors the p.L755P mutation, which is used to classify the patient's disease subtype (HER2 exon 19 mutation in NSCLC).

      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, Diagnostic

      Justification: Predictive: The passage discusses a patient treated with osimertinib, indicating that the variant correlates with a response to this specific therapy. Diagnostic: The variant is described as being present in a patient with stage IV NSCLC, suggesting its role in defining or classifying the disease.

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

      Genes: 2064

      Variants: c.2262_2264delinsTCC p.(L755P)

    1. We describe a 57-year-old woman with resected stage IIIB pancreatic cancer who underwent several lines of conventional chemotherapy after multiple lymph node metastases. When the disease progressed again, the patient rec

      [Paragraph-level] PMCID: PMC7342819 Section: ABSTRACT PassageIndex: 4

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the identification of a germline mutation (PALB2 c.3114-1G>A) and its association with the patient's diagnosis of pancreatic cancer, indicating its role in defining or confirming the disease. Oncogenic: The somatic mutation (PALB2 c.2514+1G>C) is mentioned in the context of molecular profiling, suggesting its contribution to tumor development or progression in the patient with pancreatic cancer.

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

      Genes: 79728

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

    2. 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): Diagnostic, Predisposing, Oncogenic

      Justification: Diagnostic: The passage discusses the identification of the KRAS p.G12V mutation and the PALB2 mutations in the context of a primary lesion, indicating their association with the disease. Predisposing: The PALB2 c.3114-1G>A mutation is explicitly described as a germline mutation detected in peripheral blood cells, suggesting it confers inherited risk for developing disease. Oncogenic: The PALB2 c.2514+1G>C mutation is described as a somatic mutation, which is associated with tumor development in the context of the primary lesion.

      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. The NTD is by far the least conserved domain with mouse, chicken and Xenopus having only 75, 32 and 34% similarity to human respectively. Alignment of the investigated human AR mutations to the primary sequence of AR in

      [Paragraph-level] PMCID: PMC3293822 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Diagnostic, Functional

      Justification: Diagnostic: The passage discusses the conservation of mutated residues in the AR gene and their association with prostate cancer (PCa), indicating that these variants are used to classify or define a disease subtype. Functional: The passage mentions examining amino acids implicated in prostate cancer and suggests a possible role in the mechanics of AR function, indicating that these variants may alter molecular or biochemical function.

      Gene→Variant (gene-first): 1387:A234 207:D221 367:D528 367:E198 2232:G142 367:G166 367:G524 367:L57 367:M523 367:M537 367:P269 2232:P340 367:P390 367:P514 10514:P515 367:P533 367:S296 367:S334

      Genes: 1387 207 367 2232 10514

      Variants: A234 D221 D528 E198 G142 G166 G524 L57 M523 M537 P269 P340 P390 P514 P515 P533 S296 S334

    1. Multiple jejunalgastrointestinal stromal tumors (GISTs) were found in a 52-year-old woman with a history of neurofibromatosis type 1. These tumors were composed of interlacing fascicles of uniform spindle cells with eosi

      [Paragraph-level] PMCID: PMC3219854 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Oncogenic, Diagnostic

      Justification: Oncogenic: The passage describes a missense point mutation (Trp557Gly) identified in the KIT gene associated with neurofibromatosis type 1-related gastrointestinal stromal tumors (GISTs), indicating its contribution to tumor development. Diagnostic: The variant Trp557Gly is mentioned in the context of identifying and characterizing the tumors associated with neurofibromatosis type 1, suggesting its role in defining the disease subtype.

      Gene→Variant (gene-first): 3815:Trp557Gly

      Genes: 3815

      Variants: Trp557Gly

    1. Fusions involving ETV6 in leukemia have long been recognized. Other mutation types, including single nucleotide variations, insertions, deletions, frame-shifts and non-sense alterations are also becoming increasingly evi

      [Paragraph-level] PMCID: PMC4477877 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Diagnostic, Functional

      Justification: Diagnostic: The passage discusses the identification of rare germline variants (V37M, R181H) in patients with B-ALL, indicating their association with the disease. Functional: Luciferase assays performed on the variants showed no significant changes in transcriptional repression activity compared to WT ETV6, indicating an assessment of their molecular function.

      Gene→Variant (gene-first): 2120:11905459G>A 2120:12022436 G>A 2120:R181H 2120:V37M 2120:rs150089916

      Genes: 2120

      Variants: 11905459G>A 12022436 G>A R181H V37M rs150089916

    2. Fibroblast and lymphocyte DNA from the proband with ALL and parents in Kindred 2 were analyzed by clinical whole exome sequencing (Ambry Genetics, Aliso Viejo, CA, USA). The proband and his mother harbored a heterozygous

      [Paragraph-level] PMCID: PMC4477877 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the identification of a heterozygous deletion in ETV6 that is associated with the diagnosis of acute lymphoblastic leukemia (ALL) in the proband, indicating its role in defining the disease. Oncogenic: The variant N385fs is described as leading to a truncation of the ETV6 protein, which is implicated in tumor development, specifically in the context of acute lymphoblastic leukemia (ALL).

      Gene→Variant (gene-first): 2120:N385fs 2120:c.1153-5_1153_1delAACAG

      Genes: 2120

      Variants: N385fs c.1153-5_1153_1delAACAG

    3. DNA from 16 individuals in Kindred 1 (9 individuals with thrombocytopenia and/or ALL and 7 unaffected individuals) was subjected to Sanger sequencing for all exons of a targeted panel of leukemia-associated genes (Method

      [Paragraph-level] PMCID: PMC4477877 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Diagnostic, Predisposing, Oncogenic

      Justification: Diagnostic: The variant 415 T>C is associated with thrombocytopenia and leukemia, as it was identified in all affected family members and absent in unaffected individuals, indicating its role in defining the disease. Predisposing: The passage describes the variant as being present in affected individuals and absent in unaffected individuals, suggesting it confers inherited risk for developing the disease, although it does not explicitly state that it is germline. Oncogenic: The variant is described in the context of leukemia, indicating its potential role in tumor development or progression, particularly as it is a missense mutation in a gene associated with leukemia.

      Gene→Variant (gene-first): 10320:415 T>C 2120:L349P 2120:c. T1046C 2120:proline for leucine at codon 349

      Genes: 10320 2120

      Variants: 415 T>C L349P c. T1046C proline for leucine at codon 349

    1. Uni- and multivariable Cox regression analyses were performed to evaluate whether the type of EGFR mutation is associated with OS (Table 3). Because OS for patients with EGFR exon 20 insertions and patients with not acti

      [Paragraph-level] PMCID: PMC8307492 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage discusses overall survival (OS) outcomes associated with the L858R variant, indicating that it correlates with disease outcome independent of therapy. Diagnostic: The mention of the type of EGFR mutation, including L858R, being associated with overall survival suggests its role in classifying or defining disease outcomes.

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

      Genes: 1956

      Variants: L858R

    2. OS in patients with any EGFR mutation was higher for those diagnosed in 2017 (median 18.1 months; 95% CI, 15.7-20.5) compared to 2013 (median 14.3 months; 95% CI, 12.5-16.1; p = 0.035), but similar to 2015 (median 17.6 m

      [Paragraph-level] PMCID: PMC8307492 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage discusses overall survival (OS) in patients with the L858R variant, indicating a correlation between this variant and disease outcome, independent of therapy. Diagnostic: The mention of distinct survival patterns observed in different EGFR mutation subclasses, including L858R, suggests that this variant is used to classify or define a subtype of disease.

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

      Genes: 1956

      Variants: L858R

    3. Of the 7908 patients tested for EGFR mutations at initial diagnosis, one or more mutations were reported in 11.7% of all cases (95% CI, 11.0-12.4%; n = 925) (Table 2). Female patients were more likely to harbor EGFR muta

      [Paragraph-level] PMCID: PMC8307492 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the prevalence of EGFR mutations, including L858R and L861X, in patients at initial diagnosis, indicating their association with the disease and their use in defining the mutation status of patients. Oncogenic: The variants L858R and L861X are described as actionable mutations within the context of EGFR, suggesting their role in tumor development or progression.

      Gene→Variant (gene-first): 1956:L858R 1956:L861X

      Genes: 1956

      Variants: L858R L861X

    1. To gain insight into the potential clinical relevance of these findings, we examined NRG1 expression in a cohort of 43 patients with localized prostate cancer who underwent radical prostatectomy surgery, 23 of whom recei

      [Paragraph-level] PMCID: PMC7472556 Section: RESULTS PassageIndex: 21

      Evidence Type(s): Diagnostic, Predictive

      Justification: Diagnostic: The passage discusses the detection of NRG1 expression in patients with localized prostate cancer, indicating its potential role in classifying or defining the disease based on the presence or absence of NRG1 staining. Predictive: The analysis includes a comparison of NRG1 expression in patients who received neoadjuvant ADT versus those who were hormonally intact, suggesting a correlation with treatment response.

      Gene→Variant (gene-first): 3084:S6 8850:S7

      Genes: 3084 8850

      Variants: S6 S7

    1. Results: Among a total of 148 patients, 48 (32%) had mutated KRAS, 77% at codon 12 and 23% at codon 13. The PFS was significantly worse in the mutant KRAS patients in comparison to wild type KRAS patients (p < 0.05). The

      [Paragraph-level] PMCID: PMC4378307 Section: ABSTRACT PassageIndex: 3

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage indicates that KRAS mutation, specifically G12D, is associated with a poor prognosis in progression-free survival (PFS), demonstrating its role as an independent negative prognostic factor. Diagnostic: The mention of KRAS mutations, including G12D, being associated with specific outcomes in patients suggests that these mutations can be used to classify or define disease subtypes.

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

      Genes: 3845

      Variants: G12D

    1. In the cBioPortal database, variants of the MAP2K1 gene are reported at frequencies of 1.7% in CRC patients (Table 1) and correlated with worse disease/progression-free survival (Logrank Test P-Value: 1.815e-3), but not

      [Paragraph-level] PMCID: PMC6627713 Section: RESULTS PassageIndex: 20

      Evidence Type(s): Diagnostic, Prognostic, Predictive, Oncogenic

      Justification: Diagnostic: The passage discusses the frequencies of MAP2K1 variants in CRC patients and their association with specific tumor characteristics, indicating their role in defining or classifying the disease. Prognostic: The variants are correlated with worse disease/progression-free survival, suggesting they have prognostic implications independent of therapy. Predictive: The passage mentions that MAP2K1 mutations are associated with de novo and acquired resistance to anti-EGFR MoAbs, indicating a predictive relationship with therapy response. Oncogenic: The variants are described as contributing to a gain of function of the MEK1 protein, which is indicative of their role in tumor development or progression.

      Gene→Variant (gene-first): 5604:c.169A>G 5604:c.199G>A 5604:p.Asp67Asn 5604:p.Lys57Glu

      Genes: 5604

      Variants: c.169A>G c.199G>A p.Asp67Asn p.Lys57Glu

    2. The CNVs were much more frequent among patients with longer PFS. Within this cohort, patient P16 had a significant copy number gain of ERBB2 (78.99) that was confirmed by FISH analysis (data not shown). Patient P16 had a

      [Paragraph-level] PMCID: PMC6627713 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Predictive, Diagnostic

      Justification: Predictive: The passage discusses the response of patients to cetuximab-based first-line therapy, specifically noting that patient P4, who carries the FBXW7 variant c.1268G>T; p.Gly423Val, had a complete response to this therapy. Diagnostic: The mention of the FBXW7 variant in the context of patient P4's treatment response suggests that it may be used to classify or define the patient's disease or treatment outcome.

      Gene→Variant (gene-first): 55294:c.1268G>T 55294:p.Gly423Val

      Genes: 55294

      Variants: c.1268G>T p.Gly423Val

    3. Of the 54 SNVs and insertions/deletions (Indels) identified, 35% and 41% were APC and TP53 variants, respectively (Figure 1). Nineteen patients (90.47%) had at least one TP53 SNV or Indel, whereas 15/21 (71.43%) patients

      [Paragraph-level] PMCID: PMC6627713 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the presence of specific variants in patients and their association with APC and TP53 mutations, indicating their role in defining or classifying the disease context. Oncogenic: The variants mentioned are associated with tumors, suggesting that they contribute to tumor development or progression, which aligns with the definition of oncogenic variants.

      Gene→Variant (gene-first): 7157:c.275_276insGGCC 324:c.4098_4099delTCinsAT 324:c.4467_4468insCATTTTG 324:c.589_590insGAGTT 324:c.837_838InsG

      Genes: 7157 324

      Variants: c.275_276insGGCC c.4098_4099delTCinsAT c.4467_4468insCATTTTG c.589_590insGAGTT c.837_838InsG

    1. The clinical activity of repotrectinib against ROS1 SFM was seen in a 49-year-old female ROS1-rearranged patient who progressed after 44 months of crizotinib treatment with an identified CD74-ROS1 G2032R mutation. The pa

      [Paragraph-level] PMCID: PMC10283448 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Predictive, Diagnostic

      Justification: Predictive: The passage discusses the clinical activity of repotrectinib in a patient with the G2032R mutation, indicating a response to therapy, which aligns with predictive evidence. Diagnostic: The G2032R mutation is identified in the context of a ROS1-rearranged patient, suggesting its role in defining the patient's disease subtype.

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

      Genes: 6098

      Variants: G2032R

    1. DNMT3A exon 23 screening was performed on available samples coming from 288 AML patients aged from 18 to 65-year old and treated in Toulouse between 2000 and 2009. DNMT3A exon 23 mutations were detected in 39 patients (1

      [Paragraph-level] PMCID: PMC3260002 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the detection of DNMT3A exon 23 mutations in AML patients, indicating that these mutations are associated with the disease, which supports their use in defining or confirming the disease. Oncogenic: The mention of DNMT3A mutations in AML patients suggests that these somatic variants contribute to tumor development or progression, as they are identified in a cancer context.

      Gene→Variant (gene-first): 1788:R882 1788:R882C 1788:R882H 1788:R882P 1788:W893 1788:W893S

      Genes: 1788

      Variants: R882 R882C R882H R882P W893 W893S

    1. All 13 METex14del cases were further confirmed by qualitative RT-PCR using probes overlapping an exon 13-15 junction, a fusion transcript caused by exon 14 skipping. In all cases, although the absolute Ct (cycles to thre

      [Paragraph-level] PMCID: PMC4695055 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage indicates that the variant c.3082+811A TTTTAACA > GGTTTGAT is found in all GI cancer samples, suggesting its association with the disease. Oncogenic: The presence of the variant in GI cancer samples implies a potential role in tumor development or progression, as it is discussed in the context of mutations in cancer.

      Gene→Variant (gene-first): 7157:c.3082+811A TTTTAACA > GGTTTGAT

      Genes: 7157

      Variants: c.3082+811A TTTTAACA > GGTTTGAT

    1. Based on our search criteria, a total of 41 studies, which enrolled 13,103 KRAS assessable patients with 18 percent (2,374) KRAS mutant positive cases, were eligible for inclusion in the present analyses. The process of

      [Paragraph-level] PMCID: PMC4884999 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the frequency of KRAS mutations, specifically mentioning that the majority occur in codon 12 with G12C being the most common, indicating its association with lung cancer subtypes. Oncogenic: The mention of KRAS mutations, including G12C, in the context of lung adenocarcinoma suggests that this somatic variant contributes to tumor development or progression.

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

      Genes: 3845

      Variants: G12C

    1. Pediatric glioblastomas (GBM) including diffuse intrinsic pontine gliomas (DIPG) are devastating brain tumors with no effective therapy. Here, we investigated clinical and biological impacts of histone H3.3 mutations. Fo

      [Paragraph-level] PMCID: PMC3422615 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Diagnostic, Prognostic, Oncogenic

      Justification: Diagnostic: K27M-H3.3 mutation defines clinically and biologically distinct subgroups in DIPG, indicating its use in classifying the disease. Prognostic: K27M-H3.3 is universally associated with short survival in DIPG, while patients wild-type for H3.3 show improved survival, indicating its correlation with disease outcome. Oncogenic: The K27M-H3.3 mutation contributes to tumor development or progression in pediatric glioblastomas, as indicated by its prevalence in DIPG and association with specific copy number changes.

      Gene→Variant (gene-first): 3021:G34V 3021:G34V/R 3021:K27M

      Genes: 3021

      Variants: G34V G34V/R K27M

    1. Diffuse Intrinsic Pontine Gliomas (DIPGs) are deadly paediatric brain tumours where needle biopsies help guide diagnosis and targeted therapies. To address spatial heterogeneity, here we analyse 134 specimens from variou

      [Paragraph-level] PMCID: PMC4823825 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Oncogenic, Diagnostic

      Justification: Oncogenic: The passage discusses how the K27M mutation contributes to tumorigenesis in DIPGs, indicating its role in tumor development and progression. Diagnostic: The K27M mutation is associated with the diagnosis of DIPGs, as it helps guide diagnosis and targeted therapies in these tumors.

      Gene→Variant (gene-first): 8358:K27M

      Genes: 8358

      Variants: K27M

    1. Recently, a rare activating mutation of AKT1 (E17K) has been reported in breast, ovarian, and colorectal cancers. However, analogous activating mutations in AKT2 or AKT3 have not been identified in any cancer lineage. To

      [Paragraph-level] PMCID: PMC2570525 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Diagnostic, Oncogenic, Functional

      Justification: Diagnostic: The passage discusses the identification of the AKT1 (E17K) mutation in various cancer types, indicating its association with melanoma and suggesting its role in defining the presence of this mutation in cancer specimens. Oncogenic: The passage states that the AKT1 E17K mutation is an activating mutation that contributes to tumor development, as evidenced by its identification in melanoma specimens and cell lines, indicating its role in cancer progression. Functional: The passage mentions that the AKT3 E17K mutation results in the activation of AKT when expressed in human melanoma cells, demonstrating a change in molecular function related to the variant.

      Gene→Variant (gene-first): 207:AKT1 (E17K 207:E17K

      Genes: 207

      Variants: AKT1 (E17K E17K

    1. Of the 21 unique ERBB2DeltaEx16 variants detected from Chinese patients, 9 involved complete deletion of exon 16, 3 were deletions or point mutations involving splice donors, and 9 deletions or point mutations affecting

      [Paragraph-level] PMCID: PMC9859631 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Diagnostic, Predictive

      Justification: Diagnostic: The passage discusses the detection of ERBB2 variants in patients, indicating their association with specific cases, which supports their use in defining or classifying a disease subtype. Predictive: The mention of the novel variant ERBB2 c.1899-2A>G being detected after treatment suggests a potential correlation with treatment response, indicating its relevance in predicting therapy outcomes.

      Gene→Variant (gene-first): 2064:c.1899-2A>G 2064:c.1899-880_1946+761del

      Genes: 2064

      Variants: c.1899-2A>G c.1899-880_1946+761del

    1. Ninety-two of the 93 tumors were amenable to data analysis. TP53 was the most common mutation, occurring in 47 (51%) patients, followed by CDKN2A (n=23, 25%), CCND1 (n=22, 24%), and PIK3CA (n=19, 21%). The total mutation

      [Paragraph-level] PMCID: PMC6333965 Section: ABSTRACT PassageIndex: 6

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage mentions that PIK3CA E545K and CDKN2A R58X are potentially targetable alterations, indicating their association with specific tumor characteristics or responses, which aligns with diagnostic evidence. Oncogenic: The variants PIK3CA E545K and CDKN2A R58X are described as potentially targetable alterations, suggesting their role in tumor development or progression, which supports oncogenic evidence.

      Gene→Variant (gene-first): 5290:E545K 1029:R58X

      Genes: 5290 1029

      Variants: E545K R58X

    1. Single nucleotide variants (SNVs) and insertions and deletions (InDels) were identified in mouse ccRCCs versus matched liver. The most frequent SNVs were C>A/G>T transversions, C>T/G>A transitions and A>G/T>C transitions

      [Paragraph-level] PMCID: PMC5509015 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the frequency and types of mutations observed in human ccRCC, indicating that these mutations are associated with the disease, thus providing evidence for their role in defining or classifying the disease. Oncogenic: The passage describes mutations in primary cilium-related genes that contribute to the formation of ccRCC precursor lesions in mice, indicating that these somatic variants play a role in tumor development.

      Gene→Variant (gene-first): 7428:A>G 7428:C>A 7428:C>T 7428:G>A 7428:G>T 7428:T>C

      Genes: 7428

      Variants: A>G C>A C>T G>A G>T T>C

    1. Among the variants detected in the runs of homozygosity common to both siblings, five were recorded as disease-associated variants in the HGMD public entries. However, they are related to diabetes or insulin secretion (r

      [Paragraph-level] PMCID: PMC5111006 Section: RESULTS PassageIndex: 18

      Evidence Type(s): Diagnostic, Predisposing

      Justification: Diagnostic: The passage states that the variants are recorded as disease-associated variants, indicating their use in defining or classifying diseases such as diabetes, carotid intima media thickness, and oligospermia. Predisposing: The variants mentioned are associated with inherited conditions, suggesting they confer an inherited risk for developing diseases, although the germline nature is implied rather than explicitly stated.

      Gene→Variant (gene-first): 440822:rs11703684 6289:rs2468844 3767:rs5215 3767:rs5219 6833:rs757110

      Genes: 440822 6289 3767 6833

      Variants: rs11703684 rs2468844 rs5215 rs5219 rs757110

    2. We surveyed variants in potential hereditary loci including those in TP53 (causative gene for Li-Fraumeni syndrome), BRCA2 (causative gene for hereditary breast/ovarian cancer), and mismatch repair genes (MSH2, MSH6, PMS

      [Paragraph-level] PMCID: PMC5111006 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Predisposing, Diagnostic

      Justification: Predisposing: The passage discusses variants in hereditary loci, specifically mentioning TP53 and BRCA2, which are associated with inherited cancer syndromes, indicating a potential inherited risk for developing disease. Diagnostic: The passage mentions the classification of variants as "Benign" or of "Uncertain significance," which relates to their use in defining or classifying disease risk or status.

      Gene→Variant (gene-first): 7157:p.P72R 675:p.V2466A 7157:rs1042522 2956:rs1042821 4072:rs1126497 675:rs169547 5395:rs1805323 5395:rs2228006 4436:rs2303424

      Genes: 7157 675 2956 4072 5395 4436

      Variants: p.P72R p.V2466A rs1042522 rs1042821 rs1126497 rs169547 rs1805323 rs2228006 rs2303424

    1. We studied 47 glioblastomas (WHO grade IV). Heterozygous mutations of IDH1 were found in 6/47 tumours (12%). All 6 mutations were single base substitutions c.395G>A occurring at residue R132, resulting in an arginine to

      [Paragraph-level] PMCID: PMC3100313 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the frequency of heterozygous mutations of IDH1, specifically the c.395G>A variant, in glioblastomas, indicating its association with this disease subtype. Oncogenic: The presence of the IDH1 mutation (p.R132H) in glioblastomas suggests that this somatic variant contributes to tumor development or progression.

      Gene→Variant (gene-first): 728294:R132 79944:arginine to histidine 728294:c.395G>A 3417:p.R132H

      Genes: 728294 79944 3417

      Variants: R132 arginine to histidine c.395G>A p.R132H

    1. To get a deeper insight into the molecular characteristics of this group, we analyzed next-generation sequencing results from 17 cases. Seven cases were analyzed using the Heidelberg 130 gene panel, six cases were sequen

      [Paragraph-level] PMCID: PMC7785563 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage indicates that 90% of the cases harbored IDH1-R132H mutations, which are associated with conventional supratentorial IDH-mutant astrocytomas, suggesting a role in defining or classifying the disease. Oncogenic: The presence of IDH1-R132H mutations in the tumors suggests that this somatic variant contributes to tumor development or progression, as it is commonly found in a specific type of cancer.

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

      Genes: 3417

      Variants: R132H

    1. The saturation density of cells expressing K652E FGFR3 was similar to controls and cells expressing wildtype FGFR3 or S249C KD. Therefore, the magnitude of the phenotypic effect was of the order S249C>Y375C>K652E=Wildtyp

      [Paragraph-level] PMCID: PMC2789045 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Diagnostic, Functional

      Justification: Diagnostic: The passage discusses the relative frequencies of the mutations K652E, S249C, and Y375C in bladder tumors, indicating an association with the disease. Functional: The passage mentions the phenotypic effects of the variants, suggesting that they alter the behavior of cells expressing these mutations compared to controls.

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

      Genes: 2261

      Variants: K652E S249C Y375C

    1. The 14 NF1-associated gliomas belonging to the molecular high-grade group did not form a distinct epigenomic cluster but instead aligned with other sporadic reference entities, most frequently high-grade astrocytoma with

      [Paragraph-level] PMCID: PMC9468105 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Diagnostic, Prognostic

      Justification: Diagnostic: The passage discusses the association of the BRAF p.V600E mutation with pleomorphic xanthoastrocytoma, indicating its role in defining or classifying this specific tumor type. Prognostic: The Kaplan-Meier survival analysis mentioned in the passage indicates that patients with NF1-associated gliomas have inferior outcomes, suggesting a correlation between the presence of certain mutations and disease prognosis.

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

      Genes: 673

      Variants: p.V600E

    1. Colorectal cancer (CRC) manifests after the accumulation of genetic and epigenetic alterations along with tumor microenvironments. MicroRNA (miRNA/miR) molecules have been revealed to serve in critical roles in the progr

      [Paragraph-level] PMCID: PMC7068240 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage discusses the association of high miR-31 expression with poorer mortality and shorter median survival time in patients with advanced colorectal cancer, indicating a prognostic relationship. Diagnostic: The study evaluates the potential of miRNAs as biomarkers for colorectal cancer, suggesting that the presence of the BRAF V600E mutation can be used to classify tumors based on miR-31 expression levels.

      Gene→Variant (gene-first): 673:V600E 673:serine/threonine

      Genes: 673

      Variants: V600E serine/threonine

    1. As a next step, among low-grade MDS (<5% BM blasts and <1% PB blasts) with therapy-related cases excluded, we explored to see if the differences persisted between K700E and non-K700E SF3B1mut MDS groups even after applyi

      [Paragraph-level] PMCID: PMC10015977 Section: RESULTS PassageIndex: 20

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage indicates that K700E SF3B1mut MDS showed a trend for longer overall survival (OS) compared to non-K700E SF3B1mut MDS, suggesting a correlation with disease outcome independent of therapy. Diagnostic: The passage discusses the classification of K700E SF3B1mut MDS in relation to the proposed 2020 IWG-PM criteria, indicating its use in defining or classifying a disease subtype.

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

      Genes: 23451

      Variants: K700E

    2. Therapy-related MDS cases were distributed equally between K700E and non-K700E groups. Within low-grade MDS (MDS-SLD, MDS-MLD and MDS-RS), we excluded therapy-related MDS cases due to a relatively higher representation o

      [Paragraph-level] PMCID: PMC10015977 Section: RESULTS PassageIndex: 19

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage indicates that K700E SF3B1mut MDS is associated with significantly better overall survival (OS) compared to SF3B1wt MDS, suggesting a correlation with disease outcome independent of therapy. Diagnostic: The mention of K700E in the context of classifying MDS subtypes (e.g., comparing K700E SF3B1mut MDS to non-K700E SF3B1mut MDS) supports its role in defining or classifying a disease or subtype.

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

      Genes: 23451

      Variants: K700E

    3. Between K700E vs. non-K700E SF3B1mut MDS categories, 9 of 39 (23%) K700E SF3B1mut MDS patients died compared to 4 of 55 (7%; p=0.02) non-K700E patients; findings were similar in low-grade MDS patients (16% vs. 3%, p=0.04

      [Paragraph-level] PMCID: PMC10015977 Section: RESULTS PassageIndex: 18

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage discusses the overall survival (OS) rates of K700E SF3B1mut MDS patients compared to non-K700E patients, indicating a correlation with disease outcome independent of therapy. Diagnostic: The mention of K700E SF3B1mut MDS patients in relation to non-K700E patients suggests a classification or association with a specific disease subtype.

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

      Genes: 23451

      Variants: K700E

    4. The majority of patients in all 3 categories were treated with an HMA: 16/17 (94%) K700E mutated patients; 16/19 (84%) non-K700E mutated patients; and 217/277 (78%) SF3B1wt patients. The treatment details are provided in

      [Paragraph-level] PMCID: PMC10015977 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage discusses the overall survival (OS) outcomes of K700E SF3B1mut MDS patients compared to SF3B1wt patients, indicating that the K700E variant correlates with better disease outcomes independent of therapy. Diagnostic: The K700E variant is used to classify and differentiate between SF3B1mut and SF3B1wt MDS patients, indicating its role in defining disease subtypes.

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

      Genes: 23451

      Variants: K700E

    5. There were no significant differences in normal vs. complex karyotype. When cytogenetic aberrations were classified using the comprehensive cytogenetic scoring system (CCSS; scores from 0-5), SF3B1mut K700E mutated patie

      [Paragraph-level] PMCID: PMC10015977 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the classification of patients based on the presence of the K700E variant, indicating its association with lower CCSS scores, which suggests a role in defining or classifying a disease subtype. Oncogenic: The mention of the K700E variant in the context of patients with MDS (myelodysplastic syndromes) implies its contribution to tumor development or progression, as it is associated with specific cytogenetic aberrations.

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

      Genes: 23451

      Variants: K700E

    6. We compared the clinico-pathologic features of 55 K700E vs. 39 non-K700E treatment naive SF3B1mut MDS patients (Table 2). MDS with SF3B1 K700E mutations had a higher percentage of ring sideroblasts (median 50% vs. 34%; p

      [Paragraph-level] PMCID: PMC10015977 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the clinico-pathologic features of MDS patients with K700E mutations, indicating that these mutations are associated with specific disease characteristics and classifications, such as higher percentages of ring sideroblasts and differences in IPSS-R categories. Oncogenic: The K700E mutation in SF3B1 is implicated in the classification of MDS patients and is associated with specific tumor characteristics, suggesting its role in tumor development or progression.

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

      Genes: 23451

      Variants: K700E

    7. BM aspirates from all patients underwent NGS analysis with an 81-gene panel at the time of diagnosis. The most frequent SF3B1 mutation, noted in ~60% of all patients, was the hotspot K700E. Among the remaining mutations

      [Paragraph-level] PMCID: PMC10015977 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the frequency of specific mutations, including K666, K700E, and R625, in patients with MDS, indicating their association with the disease and their role in defining the mutational landscape. Oncogenic: The mention of SF3B1 mutations, including K700E, K666, and R625, as frequent mutations in patients with MDS suggests that these somatic variants contribute to tumor development or progression in this context.

      Gene→Variant (gene-first): 23451:K666 23451:K700E 23451:R625

      Genes: 23451

      Variants: K666 K700E R625

    8. Mutational landscape of SF3B1mut MDS (K700E and non-K700E subtypes)

      [Paragraph-level] PMCID: PMC10015977 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the mutational landscape of SF3B1 mutations, specifically mentioning the K700E subtype, which indicates its role in classifying or defining a disease subtype. Oncogenic: The mention of K700E in the context of SF3B1 mutations suggests its contribution to tumor development or progression, as it is associated with a specific subtype of myelodysplastic syndromes (MDS).

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

      Genes: 23451

      Variants: K700E

    9. Myelodysplastic syndromes with SF3B1 mutations are regarded to have a favorable prognosis by both WHO and the International Working Group for Prognostication of MDS (IWG-PM). However, in this article, we show that only M

      [Paragraph-level] PMCID: PMC10015977 Section: ABSTRACT PassageIndex: 12

      Evidence Type(s): Diagnostic, Prognostic

      Justification: Diagnostic: The passage discusses how MDS with SF3B1 K700E mutations can be used to refine sub-classification and risk assessment criteria, indicating its role in defining or classifying a disease subtype. Prognostic: The passage states that MDS with SF3B1 K700E mutations is regarded to have a favorable prognosis, which correlates with disease outcome independent of therapy.

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

      Genes: 23451

      Variants: K700E

    10. Myelodysplastic syndromes (MDS) with K700E and non-K700E SF3B1 mutations show distinct clinicopathological and genomic characteristics, with only SF3B1 K700E mutated MDS showing a significantly better OS compared to non-

      [Paragraph-level] PMCID: PMC10015977 Section: ABSTRACT PassageIndex: 10

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage indicates that SF3B1 K700E mutated MDS shows significantly better overall survival (OS) compared to non-K700E mutations, suggesting a correlation with disease outcome. Diagnostic: The mention of distinct clinicopathological and genomic characteristics associated with K700E and non-K700E SF3B1 mutations implies that the mutation type is used for risk-assessment and classification of MDS.

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

      Genes: 23451

      Variants: K700E

    11. Fifty-five (60%) patients carried K700E. Recurrent non-K700E mutations (39, 40%) included R625, H662 and K666. Compared to SF3B1mut-K700E, non-K700E patients had a lower median ANC (1 8 vs. 2 4, p=0 005) and were frequen

      [Paragraph-level] PMCID: PMC10015977 Section: ABSTRACT PassageIndex: 6

      Evidence Type(s): Diagnostic, Prognostic, Oncogenic

      Justification: Diagnostic: The passage discusses the association of K700E and non-K700E mutations with specific patient characteristics and outcomes, indicating their role in classifying patients with MDS. Prognostic: The passage reports on overall survival outcomes associated with SF3B1 mutations, including K700E, indicating that these variants correlate with disease prognosis independent of therapy. Oncogenic: The mention of mutations such as K700E contributing to the classification of MDS and their association with specific patient outcomes suggests a role in tumor development or progression.

      Gene→Variant (gene-first): 23451:K666 23451:K700 23451:K700E 23451:R625

      Genes: 23451

      Variants: K666 K700 K700E R625

    12. We analyzed the clinical-pathologic features and outcomes of a single-institutional series of 94 (19%) SF3B1mut and 415 SF3B1wt treatment-naive MDS patients and explored the differences between K700E and non-K700E.

      [Paragraph-level] PMCID: PMC10015977 Section: ABSTRACT PassageIndex: 4

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the analysis of clinical-pathologic features and outcomes in MDS patients, specifically exploring differences between K700E and non-K700E variants, indicating a potential role in classification or association with disease characteristics. Oncogenic: The mention of analyzing the clinical-pathologic features of SF3B1mut patients, including K700E, suggests that this variant may contribute to tumor development or progression in the context of MDS.

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

      Genes: 23451

      Variants: K700E

    13. SF3B1 mutations (SF3B1mut) in myelodysplastic syndromes (MDS) frequently involve codon K700E and have a favorable prognosis. The prognostic effect of non-K700E SF3B1mut is uncertain.

      [Paragraph-level] PMCID: PMC10015977 Section: ABSTRACT PassageIndex: 2

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage states that SF3B1 mutations, including K700E, have a favorable prognosis in myelodysplastic syndromes, indicating a correlation with disease outcome. Diagnostic: The mention of SF3B1 mutations in the context of myelodysplastic syndromes suggests that these mutations, including K700E, are used to classify or define the disease.

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

      Genes: 23451

      Variants: K700E

    1. The overall incidence of PIK3CA mutations was 12.3% (7 in 57 samples). The majority of mutations occurred at two hotspots, H1047R (7%, 4 samples) at exon 20 encoding the kinase domain (Figure 1a), and E542K (1.8%, 1 samp

      [Paragraph-level] PMCID: PMC3141770 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the incidence of PIK3CA mutations and their occurrence in specific samples, indicating their association with the disease. Oncogenic: The mention of PIK3CA mutations, including E542K and H1047R, suggests their role in tumor development, as they are described as mutations found in tumor samples.

      Gene→Variant (gene-first): 5290:E542K 5290:H1047R 5728:T1052A

      Genes: 5290 5728

      Variants: E542K H1047R T1052A

    1. OS of EGFR-TKI treated patients was similar for 1st and 2nd-line EGFR-TKI treatment. Patients not treated with EGFR-TKI had no benefit in OS. Re-biopsies obtained at progression revealed an EGFR-T790M mutation in 73% (n=

      [Paragraph-level] PMCID: PMC5652823 Section: ABSTRACT PassageIndex: 7

      Evidence Type(s): Predictive, Diagnostic

      Justification: Predictive: The passage indicates that patients with the EGFR-T790M mutation responded to the 3rd-generation EGFR-TKI osimertinib, suggesting a correlation between the variant and treatment response. Diagnostic: The EGFR-T790M mutation is mentioned as being revealed in re-biopsies at progression, indicating its role in defining or confirming the presence of a specific disease state in patients treated with EGFR-TKIs.

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

      Genes: 1956

      Variants: T790M

    1. BACKGROUND: The BRAF inhibitors vemurafenib and dabrafenib are currently the standard treatment for metastatic melanoma with BRAF V600 mutations. However, given the rarity of noncutaneous melanoma, including acral and mu

      [Paragraph-level] PMCID: PMC5122709 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Predictive, Diagnostic

      Justification: Predictive: The passage discusses the effectiveness of BRAF inhibitors in patients with metastatic melanoma harboring BRAF V600 mutations, indicating a correlation with treatment response. Diagnostic: The BRAF V600 mutation is used to define and classify patients with metastatic melanoma, as all patients in the study had BRAFV600E mutations.

      Gene→Variant (gene-first): 673:V600

      Genes: 673

      Variants: V600

    2. 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

      Justification: Predictive: The passage discusses patients treated with BRAF inhibitors, specifically mentioning the BRAF V600E mutation, which correlates with response to these therapies. Diagnostic: The passage states that all patients tested positive for the BRAF V600E mutation, indicating its use in defining or confirming the presence of a specific subtype of melanoma. Oncogenic: The BRAF V600E mutation is implicated in the development of melanoma, suggesting its role as a somatic variant contributing to tumor progression.

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

      Genes: 673

      Variants: V600E

    1. Mutations previously correlated with response were detected in five tumours, four with exon 19 deletions and one with an exon 21 missense L858R point mutation. Increased gene copy number was observed in thirteen tumours,

      [Paragraph-level] PMCID: PMC1952070 Section: ABSTRACT PassageIndex: 6

      Evidence Type(s): Predictive, Diagnostic

      Justification: Predictive: The passage discusses mutations, including the L858R point mutation, in the context of their correlation with response to treatment, indicating a predictive relationship. Diagnostic: The mention of the L858R mutation as part of a group of mutations previously correlated with response suggests its role in defining or classifying a disease subtype.

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

      Genes: 1956

      Variants: L858R

    1. Additional evidence suggested that the R115P mutation in PIK3CA (PI3K) was a likely candidate for macrodactyly. First, somatic activation of AKT, a downstream target of PI3K, was recently described in patients with Prote

      [Paragraph-level] PMCID: PMC3542862 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The R115P mutation in PIK3CA is suggested as a likely candidate for macrodactyly, indicating its association with a specific disease. Oncogenic: The R115L mutation is annotated in a database of somatic mutations in cancer, suggesting its contribution to tumor development or progression.

      Gene→Variant (gene-first): 5290:R115L 5163:R115P 5290:p.Arg115

      Genes: 5290 5163

      Variants: R115L R115P p.Arg115

    2. NS sequence variants were excluded as disease candidates by their (a) presence in 28 control samples sequenced by our group using a similar method, (b) presence in the exome sequence of the germline sample and (c) presen

      [Paragraph-level] PMCID: PMC3542862 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the presence of the R115P mutation in PIK3CA in lesional tissue but not in blood, indicating its potential role in defining or confirming a disease state. Oncogenic: The R115P mutation in PIK3CA is described as potentially deleterious and is present in lesional tissue, suggesting it contributes to tumor development or progression.

      Gene→Variant (gene-first): 91544:C392G 5163:R115P

      Genes: 91544 5163

      Variants: C392G R115P

    1. Because genetic variation outside of classic somatic hotspots has received relatively little attention, we next sought to quantify similarities among them by combining information across different experimental measuremen

      [Paragraph-level] PMCID: PMC8688876 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Functional, Diagnostic

      Justification: Functional: The passage discusses how various KRAS variants, including both hotspot and non-hotspot mutations, exhibit distinct profiles and behaviors based on experimental measurements, indicating that these variants alter molecular or biochemical function. Diagnostic: The mention of clustering variants and their association with specific profiles suggests that these variants can be used to classify or define differences in behavior, which aligns with diagnostic evidence.

      Gene→Variant (gene-first): 3845:A146T 3845:A146T/V 3265:A59T 3845:G12A/R 3845:G12A/R/S 3845:G12V/D 3845:G13C 3845:G13V/D 673:K177N 3845:L19F 3845:Q22K 3845:Q61 3845:Q61H 3845:Q61L/P 3845:R164Q 22882:T74P

      Genes: 3845 3265 673 22882

      Variants: A146T A146T/V A59T G12A/R G12A/R/S G12V/D G13C G13V/D K177N L19F Q22K Q61 Q61H Q61L/P R164Q T74P

    1. The maximum tolerated dose was established as 40 mg/d; dose-limiting toxicities included reversible thrombocytopenia and nonhematologic toxicity. Across the entire study, the most common grade >= 3 treatment-emergent adv

      [Paragraph-level] PMCID: PMC7325368 Section: ABSTRACT PassageIndex: 6

      Evidence Type(s): Predictive, Diagnostic

      Justification: Predictive: The passage discusses the response of patients with B-RAFV600E mutations to therapy, indicating a correlation between the variant and treatment outcomes in various cancers. Diagnostic: The mention of B-RAFV600E in the context of specific cancer types suggests its use as a biomarker to classify or define these diseases.

      Gene→Variant (gene-first): 673:B-RAFV600E

      Genes: 673

      Variants: B-RAFV600E

    2. Across the entire study, 2 patients with K-RAS mutations (endometrial cancer [20 mg/d] and codon 12-mutated NSCLC [30 mg/d], n = 1 each) had confirmed responses, which resulted in an ORR of 3.4%; 32 patients (54.2%) with

      [Paragraph-level] PMCID: PMC7325368 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Predictive, Diagnostic, Oncogenic

      Justification: Predictive: The passage discusses the confirmed responses and stable disease (SD) in patients with K-RAS mutations, including G13D, indicating a correlation with treatment response. Diagnostic: The mention of K-RAS mutations, including G13D, in the context of specific cancer types (endometrial cancer and NSCLC) suggests its role in classifying or defining these diseases. Oncogenic: The reference to K-RAS mutations, including G13D, contributing to tumor development in specific cancer types supports the classification of this variant as oncogenic.

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

      Genes: 3845

      Variants: G13D

    1. The distribution pattern of the HER2 insertion mutations observed in our cohort was consistent with prior literature. The HER2 Y772_A775dupYVMA mutation was the most frequent and occurred in 65 (72.2%) patients, of whom

      [Paragraph-level] PMCID: PMC8887939 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Predictive, Diagnostic

      Justification: Predictive: The passage discusses the overall response rate (ORR) and median progression-free survival (PFS) associated with the HER2 insertion mutations, indicating a correlation with treatment response. Diagnostic: The mention of the frequency of the HER2 Y772_A775dupYVMA mutation in patients suggests its role in defining or classifying a specific disease subtype.

      Gene→Variant (gene-first): 2064:A775dupYVMA 2064:G776delinsVC

      Genes: 2064

      Variants: A775dupYVMA G776delinsVC

    1. In addition to ddPCR testing, baseline plasma DNA was analyzed using a targeted capture based next-generation sequencing assay (Avenio Expanded panel, Roche Diagnostics; Supplementary Table S1 for list of genes). At leas

      [Paragraph-level] PMCID: PMC10011885 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Predictive, Diagnostic, Oncogenic

      Justification: Predictive: The passage indicates that the presence of genetic alterations, including the NRAS G13C mutation, correlates with clinical benefit from treatment, suggesting a predictive relationship regarding therapy response. Diagnostic: The mention of the NRAS G13C mutation being detected in a patient implies its role in identifying or classifying the disease, which aligns with diagnostic evidence. Oncogenic: The NRAS G13C mutation is discussed in the context of being a mutation found in a patient, which suggests its potential role in tumor development or progression.

      Gene→Variant (gene-first): 4893:G13C

      Genes: 4893

      Variants: G13C

    2. Twenty-five patients had serial plasma available for ctDNA analyses (Fig. 3A). Baseline pretreatment plasma DNA analyzed by droplet digital PCR (ddPCR) was positive for BRAF V600E mutant ctDNA in 21 of 25 patients (84%).

      [Paragraph-level] PMCID: PMC10011885 Section: RESULTS PassageIndex: 15

      Evidence Type(s): Diagnostic, Prognostic, Oncogenic

      Justification: Diagnostic: The passage indicates that BRAF V600E mutant ctDNA is detected in a significant proportion of patients, suggesting its use in defining or confirming the presence of a specific disease. Prognostic: The passage states that higher levels of ctDNA at baseline are associated with inferior progression-free survival (PFS) and overall survival (OS), indicating a correlation with disease outcome independent of therapy. Oncogenic: The presence of the BRAF V600E variant in ctDNA suggests its role in tumor development or progression, as it is a known somatic mutation associated with cancer.

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

      Genes: 673

      Variants: V600E

    3. A total of 40 patients were enrolled across the dose escalation and dose expansion phases (mCRC n = 33 and non-CRC cohort n = 7) between July 2014 and August 2017 (Fig. 1A). The non-colorectal cancer cohort included 7 pa

      [Paragraph-level] PMCID: PMC10011885 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage mentions that the non-colorectal cancer cohort included patients who were BRAF V600E mutation positive, indicating that this variant is used to classify or define a specific group of patients with selected cancers. Oncogenic: The BRAF V600E mutation is associated with tumor development in various cancers, as indicated by its presence in patients with selected cancers, suggesting its role in oncogenesis.

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

      Genes: 673

      Variants: V600E

    1. Epidermal growth factor receptor (EGFR) exon 20 insertion mutations account for a tenth of all EGFR mutations in lung cancers. An important unmet clinical need is the identification of EGFR exon 20 insertion mutants that

      [Paragraph-level] PMCID: PMC8700411 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Predictive, Diagnostic, Oncogenic

      Justification: Predictive: The passage discusses the sensitivity of specific EGFR variants (D770 and G770) to various EGFR-TKIs, indicating a correlation with response to therapy. Diagnostic: The mention of EGFR exon 20 insertion mutations and their frequency in lung cancer suggests that these variants are used to classify and define a specific subtype of the disease. Oncogenic: The variants D770 and G770 are described as contributing to tumor development, as they are part of the EGFR mutations associated with lung cancer.

      Gene→Variant (gene-first): 1956:D770 1956:G770 1956:Y764insFQEA

      Genes: 1956

      Variants: D770 G770 Y764insFQEA

    2. The majority:but not all:of cases that received poziotinib or mobocertinib in this compiled cohort of advanced lung cancers harboring EGFR exon 20 insertion mutations with G770 equivalence had radiographic responses (Tab

      [Paragraph-level] PMCID: PMC8700411 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Predictive, Diagnostic

      Justification: Predictive: The passage discusses the correlation between the G770 variant and radiographic responses to therapies (poziotinib and mobocertinib) in advanced lung cancers, indicating its predictive nature regarding treatment response. Diagnostic: The mention of "EGFR exon 20 insertion mutations with G770 equivalence" suggests that the G770 variant is used to classify or define a specific subtype of lung cancer, supporting its role as a diagnostic marker.

      Gene→Variant (gene-first): 1956:G770

      Genes: 1956

      Variants: G770

    3. 3.3. Clinical Outcomes of Reported Patients with Advanced Lung Cancers Harboring EGFR Exon 20 Insertion Mutations Encompassing G770 Equivalence

      [Paragraph-level] PMCID: PMC8700411 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses patients with advanced lung cancers harboring EGFR Exon 20 insertion mutations, indicating that the variant is used to classify or define a specific disease subtype. Oncogenic: The mention of advanced lung cancers suggests that the G770 variant contributes to tumor development or progression, aligning with the definition of an oncogenic variant.

      Gene→Variant (gene-first): 1956:G770

      Genes: 1956

      Variants: G770

    4. We queried three separate cohorts of EGFR exon 20 insertion mutations. Out of the 429 cases reported, 17 (3.96%) had the EGFR mutation leading to G770 equivalent change in the context of an insertion (Figure 1B). The typ

      [Paragraph-level] PMCID: PMC8700411 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the prevalence of the G770 variant in a cohort of cases with EGFR exon 20 insertion mutations, indicating its association with a specific mutation type and providing context for its classification. Oncogenic: The mention of the G770 variant in the context of EGFR mutations suggests its role in tumor development or progression, as it is part of a known oncogenic pathway associated with cancer.

      Gene→Variant (gene-first): 1956:G770

      Genes: 1956

      Variants: G770

    5. 3.1. Frequency of EGFR Exon 20 Insertions with a G770 Equivalence

      [Paragraph-level] PMCID: PMC8700411 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Diagnostic

      Justification: Diagnostic: The mention of "frequency" in relation to "EGFR Exon 20 Insertions with a G770 Equivalence" suggests that the variant is being used to classify or define a specific disease or subtype.

      Gene→Variant (gene-first): 1956:G770

      Genes: 1956

      Variants: G770

    1. Combined therapy with dabrafenib plus trametinib was approved in several countries for treatment of BRAF V600E-mutant anaplastic thyroid cancer (ATC) based on an earlier interim analysis of 23 response-assessable patient

      [Paragraph-level] PMCID: PMC9338780 Section: ABSTRACT PassageIndex: 2

      Evidence Type(s): Predictive, Diagnostic

      Justification: Predictive: The passage discusses the approval of combined therapy with dabrafenib plus trametinib for treatment of BRAF V600E-mutant anaplastic thyroid cancer, indicating a correlation with treatment response. Diagnostic: The mention of BRAF V600E as a specific mutation in anaplastic thyroid cancer suggests its role in defining or classifying the disease subtype.

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

      Genes: 673

      Variants: V600E

    1. It has been previously highlighted that a number of cancer mutations, in particular in FGFR2 and FGFR3, have also been described in various developmental syndromes such as bone dysplasia. Positions mutated in FGFR3 in th

      [Paragraph-level] PMCID: PMC5029699 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses mutations in FGFR3, including K650 and N540, in the context of developmental syndromes such as bone dysplasia, indicating their association with specific disease states. Oncogenic: The mention of FGFR3 mutations, including K650 and N540, being prevalent in bladder cancer suggests that these somatic variants contribute to tumor development or progression.

      Gene→Variant (gene-first): 2261:K650 2261:N540 2261:N540K

      Genes: 2261

      Variants: K650 N540 N540K

    1. To elucidate the functional consequences of ETV6 alterations, we performed luciferase reporter assays using an ETV6-responsive reporter construct (pGL2-754TR) derived from the stromelysin-1 gene. In line with the role of

      [Paragraph-level] PMCID: PMC3244026 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Functional, Diagnostic

      Justification: Functional: The passage discusses how the ETV6 mutants (V345fs, N356fs, Y103fs, S105fs) are functionally inactive and lack transcriptional repression activity, indicating that these variants alter molecular function. Diagnostic: The passage mentions that ETV6-mutated cases have a characteristic gene expression signature and that all ETV6 mutant T-ALL samples were CD33 positive, suggesting that these variants are associated with a specific disease subtype.

      Gene→Variant (gene-first): 2120:N356fs 2120:S105fs 2120:V345fs 2120:Y103fs

      Genes: 2120

      Variants: N356fs S105fs V345fs Y103fs

    1. NM_005648.4(ELOC):c.236A>G (p.Tyr79Cys) was originally described as a somatic variant in six RCCs without VHL inactivation, in three cases within The Cancer Genome Atlas and subsequently in five cases from the Memorial S

      [Paragraph-level] PMCID: PMC9402235 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Oncogenic, Diagnostic

      Justification: Oncogenic: The passage describes the NM_005648.4(ELOC):c.236A>G (p.Tyr79Cys) variant as a somatic variant found in renal cell carcinomas (RCCs) and indicates its role in VHL-independent renal tumorigenesis, supporting its contribution to tumor development. Diagnostic: The passage discusses the search for germline ELOC variants in individuals with a VHL-like phenotype and indicates that the NM_005648.4(ELOC):c.236A>G (p.Tyr79Cys) variant was absent in these individuals, suggesting its potential use in defining or excluding a disease or subtype.

      Gene→Variant (gene-first): 3091:c.236A>G 6921:c.261_272del 5979:c.274G>A 6921:c.311T>A 3855:c.74A>T 3855:p.Asp25Val 7409:p.Glu92Lys 6921:p.Leu104Gln 6921:p.Thr88_Pro91del 3091:p.Tyr79Cys

      Genes: 3091 6921 5979 3855 7409

      Variants: c.236A>G c.261_272del c.274G>A c.311T>A c.74A>T p.Asp25Val p.Glu92Lys p.Leu104Gln p.Thr88_Pro91del p.Tyr79Cys

    2. Routine diagnostic testing by Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA) for a germline VHL variant showed no abnormality, and after informed written consent, the proband and her parent

      [Paragraph-level] PMCID: PMC9402235 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Diagnostic, Functional

      Justification: Diagnostic: The passage discusses the identification of a de novo missense variant in ELOC and its validation in the proband, indicating its potential role in defining or confirming a genetic condition. Functional: The passage describes the critical role of the Tyr79 residue in forming a hydrogen bond within the pVHL alpha domain, suggesting that the variant alters molecular function.

      Gene→Variant (gene-first): 3091:Tyr79 3091:Y79 3091:c.236A>G 3091:p.Tyr79Cys

      Genes: 3091

      Variants: Tyr79 Y79 c.236A>G p.Tyr79Cys

    3. 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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses how the variant c.236A>G (p.Tyr79Cys) is associated with von Hippel-Lindau disease (VHL) and suggests that genetic testing for ELOC variants should be performed in individuals with suspected VHL disease, indicating its role in disease classification. Oncogenic: The variant is described as a de novo pathogenic variant identified in a proband with VHL disease and is linked to the development of renal cell carcinoma (RCC), suggesting its contribution to tumor development or progression.

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

      Genes: 3091

      Variants: c.236A>G p.Tyr79Cys

    1. In both patients with a clinical diagnosis of FAO (patients 2 and 3), targeted deep sequencing analysis led to the identification of a PIK3CA mutation in primary fibroblasts samples only. Specifically, a c.3140 A>G [p.H1

      [Paragraph-level] PMCID: PMC4411002 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the identification of PIK3CA mutations in patients with a clinical diagnosis of FAO, indicating that these variants are used to define or confirm the disease in these patients. Oncogenic: The PIK3CA mutations mentioned are somatic variants identified in primary fibroblasts, which suggests they contribute to tumor development or progression in the context of the patients' disease.

      Gene→Variant (gene-first): 5294:3140 A>T 5290:c.3140 A>G 5290:c.3140 A>T 5290:p.H1047L 5290:p.H1047R

      Genes: 5294 5290

      Variants: 3140 A>T c.3140 A>G c.3140 A>T p.H1047L p.H1047R

    2. This approach confirmed the presence of the c.241 G>A [p.E81K] mutation in the right and left leg biopsies of patient 1, with mutant allele frequencies of 9% and 21.5%, respectively (Fig 1d).

      [Paragraph-level] PMCID: PMC4411002 Section: RESULTS PassageIndex: 15

      Evidence Type(s): Diagnostic

      Justification: Diagnostic: The passage confirms the presence of the c.241 G>A [p.E81K] mutation in the biopsies of a patient, indicating its role in defining or confirming the disease in that individual.

      Gene→Variant (gene-first): 5290:c.241 G>A 5290:p.E81K

      Genes: 5290

      Variants: c.241 G>A p.E81K

    3. Mutational analysis of PIK3CA exons and adjacent intronic regions was performed by Sanger sequencing methods on genomic DNA isolated from blood samples, tissue biopsies, and cultured dermal fibroblasts. No pathogenic var

      [Paragraph-level] PMCID: PMC4411002 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the identification of the c.241 G>A [p.E81K] mutation in a specific patient, indicating its association with the patient's condition and its absence in the patient's parents, which suggests its role in defining or confirming a disease. Oncogenic: The mention of the mutation being detected in various tissues of the patient, particularly in the context of a mutational analysis, implies its potential contribution to tumor development or progression.

      Gene→Variant (gene-first): 5290:c.241 G>A 5290:p.E81K

      Genes: 5290

      Variants: c.241 G>A p.E81K

    1. To identify molecules that could be pharmacologically targeted in NF1Mut melanomas, we first established 32 STCs from subcutaneous, lymph node, and brain metastases of 30 patients with melanoma (Fig. 1A; Supplementary Ta

      [Paragraph-level] PMCID: PMC12221223 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the identification of mutational profiles in melanoma, specifically mentioning that C>T transitions are characterized as cutaneous melanoma-defining features, which indicates a role in classifying or defining the disease. Oncogenic: The mention of C>T transitions as part of the mutational profile in melanoma suggests that these somatic variants contribute to tumor development or progression, particularly in the context of melanoma.

      Gene→Variant (gene-first): 4763:C>T

      Genes: 4763

      Variants: C>T

    1. To understand whether trends observed in mouse tumors are also found in human disease, we next examined the HER2 and PIK3CA mutations in available TCGA RNA-seq data. We examined data available from 113 normal solid tissu

      [Paragraph-level] PMCID: PMC10527017 Section: RESULTS PassageIndex: 25

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the association of the H1047R PIK3CA mutation with specific tumor subtypes, indicating its role in classifying or defining disease characteristics in human samples. Oncogenic: The H1047R PIK3CA mutation is mentioned in the context of tumor analysis, suggesting its contribution to tumor development or progression as it is examined alongside other mutations in cancer samples.

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

      Genes: 5290

      Variants: H1047R

    1. As a third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI), osimeritnib is the standard treatment for patients with non-small cell lung cancer harboring the EGFR T790M mutation; however

      [Paragraph-level] PMCID: PMC5792548 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Predictive, Diagnostic, Oncogenic

      Justification: Predictive: The passage discusses the EGFR T790M mutation in the context of treatment response to osimeritinib and the development of resistance, indicating a correlation with therapy outcomes. Diagnostic: The passage states that the EGFR T790M mutation is used to identify patients with non-small cell lung cancer who are eligible for treatment with osimeritinib, thus classifying it as a diagnostic marker. Oncogenic: The EGFR T790M mutation is described as contributing to resistance in lung cancer, which implies its role in tumor progression and development.

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

      Genes: 1956

      Variants: T790M

    1. 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): Diagnostic, Oncogenic, Functional

      Justification: Diagnostic: The passage discusses the identification and relative frequencies of K-Ras mutations in human colorectal tumors, indicating their association with the disease. Oncogenic: The mention of K-Ras mutations, including the V600E mutation, suggests their contribution to tumor development or progression, as they are associated with increased mutation frequency in the Ras pathway. Functional: The passage notes the predicted localization of each mutation in the functional domains of the K-Ras protein, indicating an alteration in molecular function.

      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

    2. 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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the detection of specific mutations in colorectal tumors, indicating their association with the disease, which supports their use in defining or classifying the disease. Oncogenic: The mention of mutations at codon 19 (G57T, Leu19Phe) and in B-Raf (V600E) suggests that these somatic variants may contribute to tumor development, as they are found in tumor samples.

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

      Genes: 673 3845

      Variants: G57T Leu19Phe V600E

    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): Diagnostic, Prognostic

      Justification: Diagnostic: The passage mentions that patients with L858R mutations were included in a refined cohort, indicating that this variant is used to classify or define a specific group of patients with EGFR mutations in NSCLC. Prognostic: The passage discusses the progression-free survival (PFS) of patients with specific mutations, including L858R, suggesting that this variant correlates with disease outcome independent of therapy.

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

      Genes: 1956

      Variants: L858R

    2. 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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage states that all 71 patients harbored baseline EGFR mutations, including specific variants, indicating their role in defining the patient cohort and confirming the presence of a disease subtype (NSCLC). Oncogenic: The mention of EGFR mutations, including G719C, L858R, and S768I, suggests that these somatic variants contribute to tumor development or progression in the context of non-small cell lung cancer (NSCLC).

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

      Genes: 1956

      Variants: G719C L858R S768I

    1. 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, Prognostic

      Justification: Diagnostic: The passage discusses the analysis of PIK3CA mutations to define patient subgroups, indicating that these variants are used to classify or associate with a disease or subtype. Prognostic: The mention of estimating median progression-free survival (PFS) for patient subgroups defined by PIK3CA mutations suggests a correlation with disease outcome independent of therapy.

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

      Genes: 5290

      Variants: E542K E545K H1047R

    2. 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): Diagnostic, Predictive

      Justification: Diagnostic: The passage discusses the prevalence of PIK3CA mutations, including specific variants, in a patient population, indicating their association with the disease context. Predictive: The mention of higher prevalence of PIK3CA mutations in the everolimus arm compared to the placebo arm suggests a correlation with treatment response, indicating predictive value.

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

      Genes: 5290

      Variants: E542K E545K H1047R

    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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the detection of BRAF:p.V600E mutations in various tumor types, indicating its association with specific tumor classifications, which supports its use as a biomarker for diagnosis. Oncogenic: The H3F3A:p.K27M mutation is described as being present in specific tumor types, indicating its contribution to tumor development or progression.

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

      Genes: 3021 673

      Variants: p.K27M p.V600E

    2. 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, Diagnostic

      Justification: Oncogenic: The passage discusses the H3F3A:p.K27M mutation and BRAF:p.V600E mutation as recurrent abnormalities in specific tumor types, indicating their contribution to tumor development or progression. Diagnostic: The mention of BRAF:p.V600E mutations being frequent in pleomorphic xanthoastrocytomas suggests its use in defining or classifying this subtype of tumor.

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

      Genes: 3021 673

      Variants: p.K27M p.V600E

    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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses mutations in specific genes that are associated with druggable tyrosine kinase domains, indicating their relevance in defining or classifying disease subtypes. Oncogenic: The mention of mutations in tyrosine kinase domains suggests that these variants may contribute to tumor development or progression, particularly in the context of cancer-related mutations.

      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. 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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage mentions that AGTR2 harbored two missense mutations (V184I and R251H) and describes AGTR2 as a gene associated with familial hypercholesterolemia, indicating its role in defining or classifying a disease. Oncogenic: The passage discusses mutations in AGTR2 and their potential involvement in angiotensin signaling and tissue fibrosis, which are relevant to tumor development or progression, suggesting a role in oncogenesis.

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

      Genes: 186

      Variants: R251H V184I

    1. 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): Diagnostic, Oncogenic, Prognostic

      Justification: Diagnostic: The passage discusses the reclassification of glioma patients into different types based on expression levels and molecular alterations, indicating that these variants are used to define or classify the disease. Oncogenic: The mention of TERT mutation in gliomas suggests that this somatic variant may contribute to tumor development or progression, as it is associated with different expression levels in tumor types. Prognostic: The passage notes that molecular alterations in gliomas are linked to clinical phenotypes and can predict outcomes, such as overall survival, indicating a prognostic relationship.

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

      Genes: 7015

      Variants: CGGA 94) in the TCGA

    1. 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, Diagnostic

      Justification: Prognostic: The passage discusses how the number of risk genotypes (NRG) correlates with the hazard of death in patients with HNSCC, indicating a relationship between the variants and disease outcome. Diagnostic: The variants are used to define and classify patients into groups based on the number of risk genotypes, which is associated with survival outcomes in HNSCC.

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

      Genes: NA 388325 341019

      Variants: rs16879870 rs2641256 rs2761591 rs854936

    2. 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, Diagnostic

      Justification: Prognostic: The passage discusses the association of specific SNP genotypes with survival outcomes in HNSCC, indicating that these variants correlate with risk of death independent of therapy. Diagnostic: The passage mentions the classification performance of risk genotypes of selected SNPs, suggesting their use in defining or classifying disease risk.

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

      Genes: NA 388325 341019

      Variants: rs16879870 rs2641256 rs2761591 rs854936

    1. 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, Oncogenic

      Justification: Diagnostic: The passage discusses the prevalence of specific EGFR missense mutations (R108K, T263P, A289V, and G598V) in gliomas, indicating their association with the disease and their representation in the receptor pool, which supports their use in defining or classifying the disease. Oncogenic: The mention of EGFR missense mutations in the context of gliomas suggests that these somatic variants contribute to tumor development or progression, as they are associated with the receptor pool in tumor samples.

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

      Genes: 1956

      Variants: A289V G598V R108K T263P

    2. 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): Diagnostic, Oncogenic, Predisposing

      Justification: Diagnostic: The passage discusses the identification of EGFR missense mutations in glioblastomas and their association with the disease, indicating that these mutations can be used to classify or define the tumor type. Oncogenic: The passage mentions that the identified EGFR mutations contribute to tumor development in glioblastomas, particularly noting the presence of somatic mutations in the tumor samples. Predisposing: The passage specifies that one of the mutations (E330K) was identified as germline, indicating it confers inherited risk for developing disease.

      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 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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the presence of specific PIK3CA mutations in patients with distinct clinical features, indicating that these mutations are associated with certain syndromes, such as linear nevus sebaceous or Schimmelpenning syndrome and CLOVES syndrome. Oncogenic: The passage mentions that the PIK3CA mutations are "hotspot" mutations commonly seen in cancer, suggesting that these somatic variants contribute 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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the presence of the p.Glu453Lys and p.Gly914Arg mutations in patients with specific congenital conditions, indicating their association with the phenotypes observed, which supports their use in defining or classifying the disease. Oncogenic: The p.Glu453Lys and p.Gly914Arg mutations are described in the context of patients with congenital overgrowth syndromes, suggesting a role in tumor development or progression, particularly in the context of somatic mutations.

      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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the presence of specific mutations (p.Arg93Gln, p.Gly106Val, p.Cys378Tyr) in patients with phenotypes that overlap with or suggest variants of MCAP, indicating that these mutations are associated with defining or classifying the disease. Oncogenic: The passage describes the mutations as somatic variants present in patients with specific phenotypes, suggesting their contribution to tumor development or progression, particularly in the context of the patients' conditions.

      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

      Justification: Diagnostic: The passage discusses individuals with mosaic PIK3CA mutations, including the p.Glu726Lys variant, in the context of classic features of MCAP, indicating its role in defining or classifying the disease. Predisposing: The passage mentions that several patients with the p.Glu726Lys mutation had various clinical findings associated with MCAP, suggesting an inherited risk for developing this condition.

      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, Diagnostic

      Justification: Oncogenic: The passage discusses mutations that are proven or predicted to have a gain-of-function mechanism, indicating that these somatic variants contribute to tumor development or progression. Diagnostic: The mention of Glu545Ala and Glu545Lys mutations being detected in individuals with undefined "Cowden-like" features suggests an association with a specific disease or phenotype, supporting their use in diagnosis.

      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, Oncogenic

      Justification: Diagnostic: The passage discusses the association of PIK3CA mutations with developmental pediatric disorders, indicating that these mutations are used to classify or define the disease phenotypes. Oncogenic: The mention of PIK3CA mutations, particularly the hotspot mutations, suggests their role in tumor development or progression, as they are frequently observed in affected individuals.

      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): Diagnostic

      Justification: Diagnostic: The passage discusses the identification of mutations in patients, including the p.Arg93Gln variant, suggesting its association with specific cases and indicating its role in defining or confirming a disease.

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

      Genes: 5290

      Variants: p.Arg93Gln

    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, Diagnostic

      Justification: Oncogenic: The passage discusses the presence of the p.M90I mutation in lung adenocarcinoma cell lines and its association with human primary lung adenocarcinomas, indicating that this somatic variant contributes to tumor development or progression. Diagnostic: The p.M90I mutation is mentioned as being seen in human primary lung adenocarcinomas, suggesting its role in defining or classifying the disease.

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

      Genes: 6016

      Variants: p.M90I

    2. 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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the presence of the RIT1 p.M90I variant in different cancer types, indicating its association with malignancies, which supports its use in defining or classifying disease subtypes. Oncogenic: The mention of somatic RIT1 mutations in myeloid malignancies and their overlap with mutations in lung adenocarcinoma suggests that these variants contribute to tumor development or progression.

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

      Genes: 6016

      Variants: F82L M90I p.M90I

    3. 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): Diagnostic, Predisposing

      Justification: Diagnostic: The passage discusses the recurrent alteration of RIT1 alanine 77 and mentions that one of the mutated samples harbored a p.A77P mutation, indicating its association with tumor classification. Predisposing: The passage suggests that p.A77S may represent a rare germline variant, indicating a potential inherited risk for disease, although it is noted to be unlikely.

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

      Genes: NA 6016

      Variants: alanine 77 p.A77P p.A77S

    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, Diagnostic, Oncogenic

      Justification: Predictive: The passage discusses how certain HER2 mutations, such as S310F, S310Y, R678Q, D769H, and I767M, correlate with favorable outcomes and good responses to anti-HER2 therapy, indicating their predictive value for treatment efficacy. Diagnostic: The passage mentions the identification of HER2 SNPs in HER2-positive breast cancer patients and their relationship with clinical outcomes, suggesting that these variants can be used to classify or define the disease subtype. Oncogenic: The passage indicates that somatic mutations in HER2 are linked to resistance to anti-HER2 therapy, suggesting that these mutations contribute to tumor development or progression.

      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): Diagnostic, Oncogenic

      Justification: Diagnostic: The K27M-H3 mutation is described as being exclusively found in tumors with specific WHO grade II-IV astrocytoma histology, indicating its role in classifying and defining the disease subtype. Oncogenic: The passage indicates that the K27M-H3 mutation is associated with tumors that behave clinically as high-grade astrocytomas, suggesting its contribution to tumor development or progression.

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

      Genes: 90

      Variants: K27M

    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, Diagnostic

      Justification: Predictive: The passage discusses the improved overall survival (OS), objective response rate (ORR), and progression-free survival associated with the treatment of encorafenib plus cetuximab in patients with BRAF V600E mCRC, indicating a correlation with therapy response. Diagnostic: The mention of BRAF V600E in the context of metastatic colorectal cancer (mCRC) suggests its role in defining or classifying a specific disease subtype, as it is associated with a particular treatment regimen.

      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, Diagnostic

      Justification: Predictive: The passage discusses a trial involving patients with BRAF V600E-mutant mCRC and mentions endpoints related to overall survival (OS) and objective response rate (ORR), indicating a correlation with treatment response. Diagnostic: The mention of "BRAF V600E-mutant mCRC" implies that the variant is used to classify or define a specific subtype of cancer, which aligns with diagnostic evidence.

      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, Diagnostic

      Justification: Predictive: The passage discusses the correlation of the BRAFV600E variant with improved overall survival and objective response rate in patients treated with specific therapies, indicating its predictive value for treatment response. Diagnostic: The mention of BRAFV600E in the context of metastatic colorectal cancer suggests its role in defining or classifying a specific subtype of the disease, supporting its use as a diagnostic marker.

      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, Diagnostic

      Justification: Predictive: The passage discusses the overall response rate (ORR) and disease control rate (DCR) in patients with the T790M variant, indicating a correlation with treatment response to abivertinib. Diagnostic: The mention of T790M+ in the context of evaluating patient cohorts suggests that this variant is used to classify or define a specific group of patients for treatment assessment.

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

      Genes: 1956

      Variants: T790M

    2. 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): Diagnostic, Predictive

      Justification: Diagnostic: The passage indicates that T790M-negative status was a major reason for exclusion from the study, suggesting its role in defining eligibility for treatment in patients with NSCLC. Predictive: The mention of T790M-negative status as a reason for screening failure implies that the presence of this variant may correlate with resistance to the treatment being studied (abivertinib).

      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, Diagnostic, Oncogenic

      Justification: Predictive: The passage discusses the use of combination targeted therapy with a selective BRAF inhibitor and MEK inhibitor for a patient with a BRAF mutation, indicating a correlation with treatment response. Diagnostic: The identification of BRAF alterations is mentioned as a means to assist clinicians in determining alternative targeted treatment strategies, suggesting its role in classifying or defining the tumor type. Oncogenic: The passage implies that the BRAF mutations contribute to tumor development or progression, as the patient has a ganglioglioma harboring a BRAF mutation.

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

      Genes: 673

      Variants: V600E p.T599dup p.V600E

    1. 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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the detection of the KRAS mutation c.34G>T (p.G12C) in NSCLC samples, indicating its association with the disease and its role in characterizing the mutation through sequencing. Oncogenic: The variant c.34G>T (p.G12C) is mentioned in the context of being a mutation detected in NSCLC samples, suggesting its contribution to tumor development or progression.

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

      Genes: 3845

      Variants: c.34G>T p.G12C

    2. 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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the identification of specific mutations (c.38G>A and delE746_A750) in the context of sequencing and testing, indicating their role in defining or confirming the presence of these mutations in the respective cell lines. Oncogenic: The mention of the delE746_A750 EGFR mutation in the context of tumor cell lines (NCI-H1650) suggests that this somatic variant contributes to tumor development or progression.

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

      Genes: 3845

      Variants: c.38G>A delE746_A750 EGFR

    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, Diagnostic, Functional

      Justification: Predisposing: The passage describes the discovery of the GATA2 gene as a predisposition gene for myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML), indicating that the variants are associated with inherited risk for developing these diseases. Diagnostic: The variants are used to define and classify familial forms of MDS and AML, as they are reported to segregate with the disease in multiple families, which supports their role in diagnosis. Functional: The passage mentions that the mutations have differential effects on transactivation of target genes, cellular differentiation, apoptosis, and global gene expression, indicating that they alter molecular or biochemical function.

      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. 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): Diagnostic

      Justification: Diagnostic: The passage discusses the classification of variants as Pathogenic and Likely Pathogenic, indicating their association with specific diseases or subtypes, which aligns with the definition of diagnostic evidence.

      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. 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): Diagnostic, Oncogenic, Functional

      Justification: Diagnostic: The passage discusses the classification of variants, including C124S, G129E, R130X, and R335X, in relation to their association with conditions such as ASD, PHTS, and somatic cancer, indicating their role in defining or confirming these diseases. Oncogenic: The passage mentions that C124S and G129E have been found in somatic cancer, indicating that these variants contribute to tumor development or progression. Functional: The passage describes several variants, including C124S and G129E, as having well-characterized disruptions on protein function, indicating that they alter molecular or biochemical function.

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

      Genes: 5728

      Variants: C124S G129E R130X R335X Y138L

    1. R248 and R282 mutations associate with drug metabolism enzymes

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

      Evidence Type(s): Diagnostic, Predictive

      Justification: Diagnostic: The passage indicates that the R282 mutation is associated with drug metabolism enzymes, suggesting its role in defining or classifying a specific biological context related to drug metabolism. Predictive: The mention of the R282 mutation in relation to drug metabolism enzymes implies a potential correlation with response or sensitivity to therapies that involve these enzymes.

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

      Genes: 7157

      Variants: R282

    1. 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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses how KB1(L1363P)P mammary tumors are classified as predominantly carcinosarcomas, indicating that the variant is used to define and classify a specific tumor subtype. Oncogenic: The variant L1363P is associated with the development of carcinosarcomas, suggesting that it contributes to tumor progression and development, which aligns with oncogenic behavior.

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

      Genes: 7158

      Variants: L1363P 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

      Justification: Diagnostic: The passage discusses the correlation of MIB-1 labeling indices with the diagnosis and grade of tumors, indicating that the K27M variant is associated with specific tumor classifications.

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

      Genes: 3417

      Variants: K27M

    2. 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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the identification of H3 K27M-mutant tumors and provides demographic information, indicating that the variant is associated with specific histological diagnoses and patient characteristics. Oncogenic: The mention of H3 K27M in the context of tumors suggests that this somatic variant contributes to tumor development or progression, as it is identified in mutant tumors.

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

      Genes: 3417

      Variants: K27M

    3. 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): Diagnostic, Prognostic, Oncogenic

      Justification: Diagnostic: The passage discusses the H3 K27M mutation's association with various tumor types, indicating its role in defining and classifying these tumors, particularly in pediatric and adult cohorts. Prognostic: The passage mentions survival outcomes for patients with H3 K27M-mutant tumors, comparing mean survival times between adults and pediatric patients, which indicates a correlation with disease outcome. Oncogenic: The H3 K27M mutation is described as contributing to tumor development in various glioma types, indicating its role as a somatic variant involved in tumor progression.

      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): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the frequency of the p.K27M mutation in DIPGs and its association with this specific subtype of brain tumors, indicating its role in defining or classifying the disease. Oncogenic: The p.K27M and p.G34R mutations are described as somatic mutations found in pediatric gliomas, suggesting their contribution to tumor development or progression.

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

      Genes: 3021

      Variants: p.G34R p.K27M

    1. Detection of ERBB2 E401G VUS in a patient with CUP

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

      Evidence Type(s): Diagnostic

      Justification: Diagnostic: The passage mentions the detection of the ERBB2 E401G variant of uncertain significance (VUS) in a patient, indicating its use in defining or classifying a disease context, specifically in a patient with cancer of unknown primary (CUP).

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

      Genes: 2176

      Variants: E401G

  2. Jan 2025
    1. Document de Synthèse : La Santé des Franciliens (2023-2027)

      Introduction

      Ce document analyse les principaux thèmes et données saillantes extraits du rapport "La santé des Franciliens : diagnostic pour le projet régional de santé 2023-2027" de l'Observatoire régional de santé d'Île-de-France (ORS Île-de-France).

      Il vise à fournir un outil de référence pour les décideurs régionaux, l'Agence Régionale de Santé (ARS) et l'ensemble des acteurs de santé du territoire, dans le cadre de la préparation du Projet Régional de Santé 3 (PRS3) pour la période 2023-2027.

      Comme le souligne le Dr. Ludovic Toro, Président de l'ORS : "La santé est un bien commun.

      Agir sur les déterminants sociétaux et environnementaux pour l’améliorer nous concerne tous."

      Thèmes Clés

      Inégalités Territoriales et Sociales de Santé

      • Le document met en évidence des disparités importantes en matière de santé au sein de la région Île-de-France, qui "font écho aux disparités sociales et environnementales infrarégionales".
      • Accès aux Soins: L'accessibilité aux médecins généralistes s'est dégradée entre 2015 et 2021, particulièrement en Seine-Saint-Denis, Seine-et-Marne, Essonne et Val-d'Oise. On note aussi une "répartition différente des autres médecins spécialistes de ville (densités médicales plus importantes à Paris, dans les Hauts-de-Seine, le Val-de-Marne et les Yvelines, plus faibles en Seine-Saint-Denis et Seine-et-Marne)".
      • Logement et Environnement : La densité de l'habitat varie considérablement, avec une prédominance d'habitat collectif à Paris et d'habitat individuel en petite couronne. La présence d'espaces naturels est très faible dans la métropole, contrastant avec la grande couronne. La "sobriété foncière" de la région est notée.
      • Segmentation Sociale : L'origine des populations (nationalité et pays de naissance) est un facteur de ségrégation, impactée par "les politiques d’attribution différenciées dans les logements HLM selon leur localisation". Ces logiques de regroupement ont des conséquences sur la santé publique: "L’origine géographique des populations peut avoir des implications en termes de santé publique (facteurs génétiques, culturels, habitudes de vie, maîtrise de la langue et capacités d’échanges avec le système de soins, discriminations...)."
      • Précarité et Pauvreté: Les populations en situation de pauvreté sont présentes en Île-de-France et leur "accès aux soins, mais au-delà à la prévention, aux droits, à l’accompagnement vers le soin" doit être amélioré.
      • Espérance de Vie et Revenus: Il existe une corrélation entre le revenu médian disponible et l'espérance de vie : l'espérance de vie augmente avec le revenu médian, et vice-versa. L'espérance de vie sans incapacité est un enjeu majeur.

      Santé des Femmes

      • Contraception et IVG: Le document analyse l'évolution des remboursements de contraceptifs hormonaux. L'accès à l'Interruption Volontaire de Grossesse (IVG) est identifié comme un enjeu majeur, avec des programmes existants visant à réduire les inégalités sociales et territoriales. On note également une augmentation des IVG médicamenteuses et du recours à l'anesthésie locale pour les IVG chirurgicales.
      • Suivi de Grossesse: Une importance est donnée au suivi de grossesse et à l'accouchement, avec des données sur les différents types d'accouchement et leur évolution.
      • Prévention et Dépistage: Le dépistage des cancers féminins (sein et col de l'utérus) est abordé, avec des disparités géographiques dans la participation.

      Comportements à Risque et Addictions

      • Tabagisme : Le document explore les tendances du tabagisme, notant que "61% [des fumeurs] disent avoir envie d'arrêter de fumer". Des disparités sont observées selon le niveau d'éducation.
      • Alcool : La consommation d'alcool est analysée, soulignant que les recommandations sont : "Ne pas consommer plus de dix verres standard par semaine ; Ne pas consommer plus de deux verres standard par jour ; Avoir des jours dans la semaine sans consommation." Les alcoolisations ponctuelles importantes (API) sont étudiées, notamment chez les jeunes.
      • Cannabis: Les usages de cannabis sont abordés, avec une "stabilité de l’expérimentation du cannabis en Île-de-France, augmentation hors Île-de-France". Les usages sont plus masculins et plus fréquents chez les jeunes. Il y a une préoccupation concernant les usages à risque mesurés par le test CAST.
      • Chemsex : Le document reconnait que "le développement des relations sexuelles sous l’emprise de produits psychotropes (dit 'chemsex'), causant à la fois des problèmes d’addiction et une mauvaise prise en compte des risques infectieux encourus, est observé en France depuis le début des années 2010"

      Déterminants Environnementaux de la Santé

      • Marchabilité: Le concept de "marchabilité" des territoires est introduit, c'est-à-dire la capacité d'un territoire à encourager la marche à pied. Cela prend en compte la connectivité des voies, la compacité urbaine et la qualité des aménagements piétons. Des cartes d'indice de marchabilité sont utilisées à des fins de diagnostic.
      • Espaces Verts: L'accès aux espaces verts est considéré comme un facteur de santé important, en particulier en milieu urbain. L'objectif est de 10 m²/habitant en zone centrale et de 25 m²/habitant en zone périurbaine. La carence en espaces verts est un problème majeur.
      • Nuisances Environnementales: Le document mentionne que "le bruit constitue des déterminants négatifs". Des politiques de prévention sont nécessaires.

      Santé Mentale

      • Définition et Déterminants : La santé mentale est définie selon l'OMS, et l'on souligne que ses déterminants sont multiples (socio-économiques, biologiques, environnementaux). Les épisodes dépressifs caractérisés (EDC) sont considérés.
      • Pensées Suicidaires : Des données sont présentées sur les pensées suicidaires, leurs causes et leur prise en compte. On note que "les femmes ayant eu des pensées suicidaires en ont plus souvent parlé à quelqu’un que les hommes".
      • Compétences Psychosociales: Le développement des compétences psychosociales est vu comme essentiel pour l'adaptation aux difficultés et un meilleur contrôle sur sa vie.
      • Offre de Soins : L'amélioration de l'offre de soins en santé mentale (psychiatres, psychologues, CMP, etc.) est préconisée, en termes de quantité, répartition et accessibilité financière.

      Santé des Enfants et Adolescents

      • Morbidité et Mortalité : Le document aborde la morbidité et la mortalité chez les 1-14 ans, ainsi que les cancers de l'enfant.
      • Santé des Adolescents : L'adolescence est identifiée comme une période de transformations importantes et de prises de risques potentielles. Une attention particulière est donnée aux comportements à risques et aux conduites addictives. Les consommations régulières d'alcool, de tabac et de cannabis chez les jeunes de 17 ans sont étudiées.
      • Puberté Précoce : L'incidence de la puberté précoce est étudiée et des données sont présentées sur le saturnisme infantile.
      • Santé Bucco-Dentaire : Des données sur la santé bucco-dentaire des élèves sont également incluses.

      Santé des Personnes Âgées

      • Démographie et Perte d'Autonomie: Le document s'intéresse à la démographie des personnes âgées, à la perte d'autonomie fonctionnelle et aux maladies neuro-dégénératives. Des données sont fournies sur les chutes et les soins palliatifs. La dépendance est un enjeu important, en particulier pour les femmes.
      • Accès aux Soins: L'accès aux soins cardiologiques, ophtalmologiques, endocrinologiques, podologiques et dentaires est étudié. Des données sont présentées pour identifier les besoins spécifiques par territoire.

      Santé Sexuelle

      • VIH : L'épidémie de VIH est analysée, avec des données sur la prévalence, le dépistage et les nouvelles admissions en ALD (Affection de Longue Durée). Une attention particulière est donnée aux populations les plus touchées (HSH et personnes migrantes). L'importance de la prévention et des stratégies "95-95-95" est soulignée. Des données sur l'utilisation de la PrEP sont également incluses.
      • IST : Les Infections Sexuellement Transmissibles (IST) sont identifiées comme un problème de santé publique persistant, avec une augmentation constante depuis le début des années 2000, surtout chez les jeunes. Les données disponibles couvrent le dépistage et l'incidence de Chlamydia, Gonocoque et Syphilis. Les dispositifs de surveillance (SNDS et CeGIDD) sont mentionnés.

      Offre et Accès aux Soins

      • Déserts Médicaux : Les difficultés d'accès aux soins (notamment en médecine générale) sont soulignées, avec un focus sur les "déserts médicaux". Les actions mises en oeuvre pour résorber ces difficultés sont mentionnées, mais leur efficacité est limitée.
      • Attractivité des Professionnels : Le document aborde la problématique de l'attractivité des métiers de la santé, et mentionne les "facteurs de fuite" (manque d'aménités, cadre de vie, sécurité, etc.). Des pistes d'amélioration sont proposées, notamment par l'aménagement du territoire. Les infirmiers libéraux augmentent, mais des déséquilibres persistent.
      • Coopération : Le document note qu'il faut aller "vers plus de coopération à tous les niveaux".
      • Recours Hospitaliers : Le rapport met en évidence les flux de patients entre départements, en analysant les "taux d'attractivité et taux de fuite" des établissements de santé. Il précise que "les temps d’attente et les temps d’accès peuvent être le signe d’une offre à renforcer". Des différences d'accessibilité aux soins entre la petite et la grande couronne sont identifiées.

      Nutrition et Sécurité Alimentaire

      Insécurité Alimentaire: Le document met en évidence le problème de l'insécurité alimentaire, en utilisant le "Household Food Security Survey Module".

      Les prévalences les plus élevées d'IA sont observées chez les ménages avec faibles revenus. L'inadéquation de l'offre alimentaire est également un facteur de risque.

      La précarité alimentaire est diagnostiquée par une approche par "public" et par une approche par "l'offre". Surpoids et Obésité :

      Le rapport mentionne que "l'indice de masse corporelle (IMC) est une mesure simple du poids par rapport à la taille couramment utilisée pour estimer le surpoids et l’obésité chez l’adulte". Perspectives et Enjeux

      Le document conclut en soulignant l'importance d'une approche globale et coordonnée pour améliorer la santé des Franciliens. Il met en avant les besoins de :

      • Réduire les inégalités sociales et territoriales de santé.
      • Améliorer l'accès aux soins, notamment en médecine générale et en santé mentale.
      • Renforcer la prévention et le dépistage des maladies.
      • Lutter contre les addictions et les comportements à risque.
      • Agir sur les déterminants environnementaux et sociaux de la santé.
      • Soutenir les populations vulnérables.
      • Améliorer la coopération entre les acteurs de santé.
      • Citation Recommandée ORS Île-de-France. La santé des Franciliens : diagnostic pour le projet régional de santé 2023-2027. Paris : ORS Île-de-France ;2023.

      Conclusion

      Ce document de synthèse, en s'appuyant sur le rapport de l'ORS Île-de-France, fournit un aperçu complet des défis et des enjeux de santé dans la région.

      Il doit servir de base solide pour l'élaboration du Projet Régional de Santé 3 (PRS3), afin de promouvoir une santé équitable et accessible pour tous les Franciliens.

  3. Dec 2024
  4. May 2024
  5. Feb 2024
    1. Résumé de la vidéo [00:00:00][^1^][1] - [00:30:09][^2^][2] :

      Cette vidéo est un webinaire organisé par Solidatech, un programme de solidarité numérique pour les associations. Il présente leur outil gratuit d'autodiagnostic numérique, qui permet aux associations d'évaluer leur niveau de maturité numérique et de prioriser leurs actions pour renforcer leur impact. Le webinaire explique le fonctionnement, les objectifs, les résultats et les conseils pour utiliser cet outil.

      Points forts : + [00:00:00][^3^][3] La présentation du programme Solidatech * Aide les associations à mieux utiliser le numérique * Propose des équipements, des logiciels, des ressources et des formations à tarif solidaire * Fait partie du mouvement Emmaüs et du réseau international TechSoup + [00:04:52][^4^][4] L'introduction à l'outil d'autodiagnostic numérique * Basé sur un questionnaire en 60 questions réparties en 7 thématiques * Permet d'identifier les points forts et les points faibles de son association sur le numérique * Donne accès à des solutions et des ressources adaptées à ses besoins + [00:10:13][^5^][5] La démonstration de l'outil d'autodiagnostic numérique * Montre comment se connecter, répondre aux questions et consulter les résultats * Explique le système de scoring et les statuts des outils et chantiers numériques * Donne des exemples concrets de solutions et de ressources proposées + [00:21:11][^6^][6] Les conseils pour compléter et exploiter l'outil d'autodiagnostic numérique * Impliquer plusieurs personnes de l'association pour avoir une vision globale * Comparer et discuter les réponses pour identifier les besoins et les priorités * Traduire les résultats en une cartographie visible de tous * Adopter une méthodologie de gestion de projet pour mettre en place les outils et chantiers numériques

    1. comment on fait le diagnostic il est finalement assez simple imaginez que demain vous avez dans votre classe un gamin qui qui bouge la 00:44:50 première chose à dire aux parents il a 8 ans il bouge mais c'est quoi son histoire il bouge ou quand et depuis quand est-ce qu'il bougeait déjà l'année dernière est-ce qu'il bougeait en 00:45:02 général un enfant qui a un TDAH il bouge de partout dans toutes les situations si il bouge de partout dans toutes ces institution rappelez-vous dans Marguerite ça va être un enfant qui a un TDAH ou un enfant qui a une maladie neuropédiatrique ou un enfant qui a un 00:45:15 trouble du spectre autistique en revanche si on vous dit ben non il bouge il bouge pas il bouge pas tout le temps bah c'est les autres si on vous dit bougez pas l'année dernière en première année de primaire il bouge dans 00:45:27 des années de primaire où il bougeait pas en maternelle il se met à bouger en primaire il va falloir rechercher soit un enfant qui a un trouble spécifique des apprentissages soit un enfant qui a ou potentiel soit un enfant qui 00:45:39 récemment et déprimé ou un autre problème et là il nous reste trop de l'humeur précocité troubles apprentissages mais c'est important parce que ça va orienter aussi la façon dont on va dont on va intervenir
    2. on va parler de ça on va parler du TDAH 00:24:31 TDAH c'est troupes déficit d'attention avec ou sans hyperactivité cela les Américains disent et il dit étudie vous voyez que et vous voyez que pour cela il y a il y a plein de il y a plein d'idées 00:24:44 il y a ce que la société pense que c'est uniquement des médicaments il y a ce que les enseignants pensent que c'est c'est-à-dire que un enfant qui le fait exprès eux ils pensent qu'ils sont très forts au moins au début et puis jusqu'à il y a quelques années on pensait que ça 00:24:58 s'arrêtait ça à l'adolescence on verra tout à l'heure que quand vous avez un trouble d'attention ça dure toute la vie et quand vous êtes adulte avec un trouble d'attention vu qu'il est petit agité adulte vous avez ce qu'on appelle une phobie administrative c'est-à-dire 00:25:10 une grande difficulté à remplir tous les papiers et à faire les tâches administratives alors voilà la définition du TDAH il va falloir les repérer rapidement la définition elle est simple et vous voyez 00:25:22 ah oui merci la définition elle est simple et vous voyez que il faut pour parler de TDAH avoir six symptômes d'hyperactivité ou d'impulsivité je vais vous les tailler vous allez comprendre comment on les repère en classe ou si 00:25:34 symptômes d'inattention j'insiste sur le ou ça veut dire que vous pouvez avoir un enfant qui a un trouble déficit d'attention sans hyperactivité mais qui va être en difficulté uniquement dans 00:25:46 les devoirs qui vous rend avec des fautes bêtes avec des grandes difficultés pour pour se relire par exemple alors voilà voilà le trépied voilà ceux qui nous ceux qui nous posent des problèmes et qui nous intéressent 00:25:57 hyperactivité déficit d'attention impulsivité une triade de trois trucs attention vous pouvez être alerté chez des gamins qui ont une intolérance à la frustration il 00:26:12 supporte pas les consignes supportent pas les contraintes et puis tendance puis grandissent tendance à procrastiner et à faire les choses le plus tard possible l'hyperactivité motrice vous les connaissez tous en général il court il 00:26:25 grimpe ils ne tiennent pas en place il s'agite d'ailleurs le tournant c'est la première année de primaire parce qu'en maternelle on peut encore se lever on peut bouger donc on sait pas si au moment où on va 00:26:38 lui demander en première année de primaire de s'arrêter il sera capable de s'arrêter donc on pense pas de diagnostic de TDAH avant la première lettre primaire et c'est là que on aura la certitude qui peut ou qui peut pas il 00:26:50 reste pas assis ils prennent des risques si vous voyez arriver dans votre classe dès le premier jour un gamin qui a des idées recousu là où là avec un signe qu'ils ont pratiquement tous c'est les garçons il 00:27:03 leur manque un petit bout dedans vous l'avez vous l'avez celui-là donc je suis là d'entrée de jeu si vous pouvez mettre en place les aménagements pédagogiques avant même que ça soit la catastrophe donc on y reviendra il faut qu'il soit 00:27:15 devant il faut solliciter sur la tension visuelle dès qu'on lui demande quelque chose bref et bien entendu vous avez le dernier point ils prennent des risques ils se font ils se font mal ils grimpent de partout ça c'est le trouble hyperactivité et 00:27:29 deuxième ils ont ils ont un deuxième élément c'est le déficit d'attention c'est à dire que là ils arrivent pas à se concentrer ils sont distraits donc il est évident que si on le met au fond à côté d'un autre qui est comme lui et 00:27:42 bien il va parler il va être encore plus distrait il faut le mettre devant il y en a dernièrement il s'est fait disputé parce qu'il n'arrêtait pas de parler à sa copine sa copine a dit à la maîtresse vous pouvez le changer j'en peux plus et il peut pas s'empêcher de parler elle 00:27:56 l'a mis au fond et il a continué à faire rire tout le monde qui parlait au mur il attendait que le mur lui répondre la maîtresse elle dit bon là tu exagères il faut le mettre devant seul dans un coin et puis le solliciter son attention il perdent leurs affaires aussi on y 00:28:08 reviendra c'est un des gros éléments de des conseils pédagogiques c'est de ne pas les pénaliser les oublis de matériel parce qu'ils ne font pas exprès il vaut mieux leur apprendre à faire une checklist sinon c'est compliqué et il commence quelque chose il ne termine pas 00:28:21 il commence une activité il la termine par on le voit très vite et moi j'ai un piège à l'enfant hyperactif sur mon bureau avec plein de petits jouets que j'ai acheté chez Nature et Découverte et touche chatouilles oh c'est trop bien ce truc il le prend qu'il le fait tomber il 00:28:34 arrête pas j'ai un bon piège aussi enfant hyperactif vous pouvez pas le rater c'est sur mon bureau vous savez un trou pour faire passer la lampe le fil de la lampe et là je ne connais pas un enfant TDAH qui ne touche pas par dessus par dessous 00:28:46 qui enlève le plastique il le fait tomber etc qui le casse la mère l'engueule elle dit s'excuse parce que vous repérez que cela très souvent vous les disputez il vous il s'excuse mais il recommence juste après 00:28:58 ils font du bruit tout ce qu'ils font on l'avait vu ils prennent deux crayons ils font un avion et vous dites tu peux t'arrêter deux secondes Brandon t'appelle toujours Brandon Kevin ou Bryan ou Dylan tu peux t'arrêter deux 00:29:11 secondes Kevin et Kevin ce qui fait la différence c'est que Kévin il s'excuse il dit oui ah oui je suis désolé mais il va recommencer donc là tu peux arrêter de mettre ta main la merde tu peux arrêter de tu étais en train de casser le le bureau du docteur ou pardon je 00:29:24 m'excuse il s'arrête c'est ce qui se passe de ce qu'on a fait avant même qu'il recommande c'est son père qui fait la même chose et vous avez la mer qui est au milieu et qui dit vous avez compris le docteur ma vie parce qu'effectivement effectivement 00:29:37 c'est génétique c'est marié qu'un chasseur
    3. chaque 00:23:16 pétale est une cause potentielle et voyez que on va parler du TDAH c'est cela il faut pas les rater cela ils vont pas les rater parce que cela il y a des solutions et cela ils ne font pas exprès et cela ils ont un trouble neurologique pour lequel vous devez mettre en place 00:23:28 on met tous en place des aménagements il faut pas rater non plus ceux qui bouge comme Paul de carotte parce qu'ils sont déprimés et puis il y a ceux qui bougent et cela ils vont bouger qu'à l'école ceux qui sont à haut potentiel ou ceux qui ont un trouble spécifique 00:23:40 d'apprentissage un enfant qui dysphasique par exemple un problème du langue avec le langage oral il est évident que dès qu'il va arriver dans en maternelle il comprendra pas ce que disent les autres il comprendra pas le langage de l'enseignant et donc il peut 00:23:54 bouger s'il a un trouble du langage écrit c'est à dire dyslexie des orthographies et quand il va arriver en première primaire en CP que ça ne fonctionnera pas les enfants qui ont une maladie neuropédiatrique comme par exemple l'X fragile des enfants anxieux 00:24:07 des enfants qui ont le ce qu'on appelle le trouble du spectre autistique c'est un drone d'Asperger qui sont souvent pris dans des angoisses personnelles et puis mes fameuses enfants mal élevées qu'on appelle le top trouble oppositionnel elle provocation ou 00:24:19 trouble des conduites Emma ou lui fait une remarque il est en train de déchirer sa feuille son cahier puis tu arrêtes s'il te plaît il vous regarde dans les yeux et ils en déchire une autre celui-là il le fait exprès
    4. ce qui est intéressant dans cette affaire c'est que tous ces enfants là ils bougent vous pouvez avoir à l'école en classe mais il bouge pas tous pour 00:20:02 les mêmes raisons Tom Sawyer le vilain petit diable et Sophie ils ont un problème neurologique qu'on appelle le TDAH dont je vais vous parler après et cela il mérite des aménagements pédagogiques extrêmement serrés je les 00:20:16 ai fait passer à l'achep je voulais le document qu'on donne à la fin du bilan des enfants dans deux trois jours dans notre service voilà madame vous recevez dans votre classe un enfant qui agitait voilà pourquoi il est agité il a un trouble d'attention une concentration il 00:20:29 peut pas gérer son impulsivité voilà ce qu'il faut faire là ce qu'il faut pas faire et cela il faut s'adapter en revanche Poil de Carotte il bouge non pas parce qu'il a un trouble neurologique mais parce qu'il est déprimé rappelez-vous il disait c'est pas tout le monde qui peut être orphelin 00:20:41 donc lui il va falloir faire un travail psychothérapique quant à Abdallah et puis Périclès eux ils bougent figurez-vous donc pas de problème neurologiques ils sont pas déprimés ils sont juste mal élevés très très mal 00:20:54 élevé c'est des enfants rois et eux on peut pas il y a pas besoin d'ordonner un médicament il y a pas besoin d'une psychothérapie il y a juste besoin de dire aux parents maintenant il va falloir que vous repreniez les choses en main parce que sinon ça va être très 00:21:06 très compliqué
    5. on les met en perspective sur la table et on va apparaître déjà une orientation diagnostique il est évident que si il bouge à la maison et pas à l'école et avec aucune des deux maîtresses c'est qu'il y a un problème à la maison s'il 00:07:19 bouge à l'école et pas à la maison c'est qu'il y a un problème avec l'école
    1. French hospital medicine came to be based on three pillars, none entirely new, but which together constituted a new way of looking at disease. The three pillars were physical diagnosis, pathologico-clinical correlation, and the use of large numbers of cases to elucidate diagnostic categories and to evaluate therapy

      3 pillars to french hospital medicine;

      -physical diagnosis -pathologico-clinical correlation -use of large numbers of cases to elucidate diagnostic categories + evaluate therapy

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    1. . However, the data did not support a meresimilarity effect: Our results were robust to controlling for partic-ipants’ own moral judgments, such that participants who made adeontological judgment (the majority) strongly preferred a deon-tological agent, whereas participants who made a consequentialistjudgment (the minority) showed no preference between the two

      But this is a lack of a result in the context of a critical underlying assumption. Yes, the results were 'robust', but could we really be statistically confident that this was not driving the outcome? How tight are the error bounds?