1,540 Matching Annotations
  1. Mar 2026
    1. Lifirafenib is an investigational, reversible inhibitor of B-RAFV600E, wild-type A-RAF, B-RAF, C-RAF, and EGFR. This first-in-human, phase I, dose-escalation/dose-expansion study evaluated the safety, tolerability, and e

      [Paragraph-level] PMCID: PMC7325368 Section: ABSTRACT PassageIndex: 2

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: B-RAFV600E | Summary: The B-RAFV600E mutation is associated with the response to the investigational therapy lifirafenib, indicating its predictive value for treatment sensitivity in patients with B-RAF-mutated solid tumors. Evidence Type: Oncogenic | Mutation: B-RAFV600E | Summary: The B-RAFV600E mutation contributes to tumor development or progression, as it is mentioned in the context of solid tumors with B-RAF mutations.

      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, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: G13D | Summary: The K-RAS G13D mutation is associated with treatment response, as patients with K-RAS mutations, including G13D, had confirmed responses and stable disease (SD) in the context of therapy. Evidence Type: Oncogenic | Mutation: G13D | Summary: The K-RAS G13D mutation contributes to tumor development or progression, as it is part of the K-RAS mutations observed in patients with endometrial cancer and NSCLC.

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

      Genes: 3845

      Variants: G13D

    3. Patients with B-RAF and K-RAS mutations from both phases had responses (Table 3). Among patients with B-RAF mutations, 8 (15.1%) of 53 achieved PR, including 1 patient with melanoma who received prior RAF inhibitor thera

      [Paragraph-level] PMCID: PMC7325368 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: B-RAFV600E | Summary: The B-RAFV600E mutation is associated with responses to therapy, as evidenced by patients achieving partial responses (PR) and stable disease (SD) in clinical studies. Evidence Type: Oncogenic | Mutation: B-RAFV600E | Summary: The B-RAFV600E mutation contributes to tumor development and progression, as indicated by its presence in various cancer types and the observed treatment responses in patients.

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

      Genes: 673

      Variants: B-RAFV600E

    1. TNBC cell lines (MDA-MB-231 and MDA-MB-468) with PIK3CA gene mutations (E545K and H1047R regions) and overexpression were established by transfection. NOD/SCID mice were used for in vivo experiments. Epirubicin was used

      [Paragraph-level] PMCID: PMC8033310 Section: ABSTRACT PassageIndex: 4

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: E545K | Summary: The E545K mutation in the PIK3CA gene is associated with tumor development or progression in TNBC cell lines. Evidence Type: Oncogenic | Mutation: H1047R | Summary: The H1047R mutation in the PIK3CA gene is associated with tumor development or progression in TNBC cell lines.

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

      Genes: 5290

      Variants: E545K H1047R

    1. KRAS G12D-mutant/p53-deficient non-small-cell lung cancer (NSCLC) models are dependent on the NF-kappaB pathway that can be down-regulated by the proteasome inhibitor bortezomib. Two exceptional responders were observed

      [Paragraph-level] PMCID: PMC6549573 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: G12D | Summary: The KRAS G12D mutation is associated with response to bortezomib therapy in non-small-cell lung cancer (NSCLC), although it is noted that this mutation alone is not a robust predictor of response. Evidence Type: Oncogenic | Mutation: G12D | Summary: The KRAS G12D mutation contributes to tumor development and progression in non-small-cell lung cancer (NSCLC) models.

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

      Genes: 3845

      Variants: G12D

    1. 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): Oncogenic, Prognostic

      Summary: Evidence Type: Oncogenic | Mutation: K700E | Summary: The K700E mutation is associated with superior overall survival in patients with MDS, indicating its role in tumor development or progression. Evidence Type: Prognostic | Mutation: K700E | Summary: The presence of the K700E mutation correlates with improved overall survival outcomes in MDS patients compared to those without this mutation. Evidence Type: Oncogenic | Mutation: R625 | Summary: The R625 mutation is part of recurrent non-K700E mutations associated with MDS, suggesting its contribution to tumor development or progression. Evidence Type: Prognostic | Mutation: R625 | Summary: The presence of R625, as a recurrent mutation, may correlate with disease outcomes in MDS patients, independent of therapy.

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

      Genes: 23451

      Variants: K666 K700 K700E R625

    1. The core of TAK-788, which is identical to osimertinib, binds in essentially the same manner as osimertinib and the additional isopropyl ester of TAK-788 extends into the back pocket alongside the gatekeeper T790 and sim

      [Paragraph-level] PMCID: PMC11551396 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: T790 | Summary: The T790 mutation is associated with the binding of TAK-788, indicating its role in tumor development or progression through its interaction with therapeutic agents.

      Gene→Variant (gene-first): 1956:T790

      Genes: 1956

      Variants: T790

    2. Poziotinib is an anilinoquinazoline inhibitor and binds in the manner expected for this compound class, with a single hydrogen bond to the hinge region, and the halogen-substituted aniline group in the back pocket adjace

      [Paragraph-level] PMCID: PMC11551396 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: C797 | Summary: The C797 mutation forms a covalent bond with the inhibitor, indicating an alteration in molecular function related to drug binding. Evidence Type: Oncogenic | Mutation: T790M | Summary: The T790M mutation is associated with an inactive kinase conformation, contributing to tumor development or progression. Evidence Type: Oncogenic | Mutation: V948R | Summary: The V948R mutation prevents the formation of the activating asymmetric dimer interaction, indicating its role in tumor development or progression.

      Gene→Variant (gene-first): 1956:C797 1956:T790M 1956:V948R

      Genes: 1956

      Variants: C797 T790M V948R

    3. BAY-33 binds with its pyridine group adjacent to the hinge region of the kinase, where it forms a single hydrogen bond with the backbone amide of M793 (Fig. 4 A and B). The fluoro- and methoxy- substituted anilino group

      [Paragraph-level] PMCID: PMC11551396 Section: RESULTS PassageIndex: 15

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: T790 | Summary: The T790 mutation is mentioned in the context of its interaction with inhibitors, suggesting its role in tumor development or progression as it is a gatekeeper residue involved in resistance mechanisms.

      Gene→Variant (gene-first): 1956:T790

      Genes: 1956

      Variants: T790

    4. To better understand the degree of correlation in drug sensitivity across WT and various EGFR mutants, we plotted pairwise comparisons of IC50 values (Fig. 2). This analysis revealed little if any correlation in inhibito

      [Paragraph-level] PMCID: PMC11551396 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: L858R | Summary: The L858R mutation shows a drug-sensitizing effect, correlating with greater potency against L858R EGFR compared to WT EGFR, indicating its relevance in therapy response. Evidence Type: Oncogenic | Mutation: L858R | Summary: The L858R mutation contributes to tumor development or progression, as it is associated with enhanced sensitivity to inhibitors compared to wild-type EGFR.

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

      Genes: 1956

      Variants: L858R

    5. The enhanced inhibitor sensitivity of EGFR L858R and exon 19 deletions stems, at least in part, from their decreased affinity for ATP compared to the WT EGFR. While the Km, ATP values of insASV and insSVD are higher as c

      [Paragraph-level] PMCID: PMC11551396 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: L858R | Summary: The L858R mutation is associated with enhanced inhibitor sensitivity due to its decreased affinity for ATP, which correlates with treatment response to EGFR TKIs. Evidence Type: Oncogenic | Mutation: L858R | Summary: The L858R mutation contributes to tumor development or progression, as indicated by its enhanced catalytic rates and sensitivity compared to other variants.

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

      Genes: 1956

      Variants: L858R

    1. Single molecule interaction analysis was performed to determine whether the S310F HER mutant formed a heterodimer with the EGFR. We constructed a bicistronic mammalian expression vector encoding EGFR-mCherry and S310F HE

      [Paragraph-level] PMCID: PMC6843359 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: S310F | Summary: The S310F HER2 mutant was analyzed for its ability to form a heterodimer with EGFR, indicating that it alters molecular interactions and functions in a cellular context. Evidence Type: Oncogenic | Mutation: S310F | Summary: The S310F HER2 mutation is implicated in altered reactivity to therapeutic antibodies, suggesting a role in tumor development or progression.

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

      Genes: 2064

      Variants: S310F

    2. We tested the effects of anti-HER2 agents on 5637 cell proliferation and the level of HER2 phosphorylation at Y1221 and Y1222 residues. The cells were incubated with pertuzumab, trastuzumab and lapatinib for 96 h, lysed

      [Paragraph-level] PMCID: PMC6843359 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Oncogenic, Predictive

      Summary: Evidence Type: Oncogenic | Mutation: S310F | Summary: The S310F HER2 mutant contributes to tumor development as indicated by its phosphorylation in response to EGFR signaling in 5637 cells. Evidence Type: Predictive | Mutation: S310F | Summary: The S310F HER2 mutant's response to anti-HER2 agents, particularly the lack of effect from trastuzumab on cell proliferation, suggests its predictive role in therapy resistance.

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

      Genes: 2064

      Variants: S310F

    3. 3.3. EGFR Activates S310F HER2 Mutant in 5637 Cell

      [Paragraph-level] PMCID: PMC6843359 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: S310F | Summary: The S310F mutation is associated with tumor development or progression as indicated by its activation in the context of the HER2 mutant in cell studies.

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

      Genes: 2064

      Variants: S310F

    4. To confirm the expression of the S310F HER2 mutant in 5637 cells, we used immunoprecipitation experiments. We hypothesized that if the cells expressed the S310F HER2 mutant, it would not be immunoprecipitated by pertuzum

      [Paragraph-level] PMCID: PMC6843359 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: S310F | Summary: The S310F HER2 mutant was confirmed to be expressed in 5637 cells through immunoprecipitation experiments, indicating that the variant alters the molecular function of HER2. Evidence Type: Oncogenic | Mutation: S310F | Summary: The expression of the S310F HER2 mutant in 5637 cells suggests that this somatic variant may contribute to tumor development or progression.

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

      Genes: 2064

      Variants: S310F

    5. 3.2. A Bladder Cancer Cell Line, 5637, Expresses Both Wild-Type HER2 and S310F Mutant

      [Paragraph-level] PMCID: PMC6843359 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: S310F | Summary: The S310F mutation is mentioned in the context of a bladder cancer cell line, indicating that it alters the molecular or biochemical function of HER2. Evidence Type: Oncogenic | Mutation: S310F | Summary: The presence of the S310F mutation in a bladder cancer cell line suggests that it may contribute to tumor development or progression.

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

      Genes: 2064

      Variants: S310F

    1. KIT kinase V559D mutation is the most prevalent primary gain-of-function mutation in Gastrointestinal Stromal Tumors (GISTs). Here we reported a highly selective KIT V559D inhibitor CHMFL-KIT-031, which displayed about 1

      [Paragraph-level] PMCID: PMC5762309 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: V559D | Summary: The KIT V559D mutation is identified as a primary gain-of-function mutation in Gastrointestinal Stromal Tumors (GISTs), contributing to tumor development. Evidence Type: Functional | Mutation: V559D | Summary: The V559D mutation alters molecular function, as evidenced by its selectivity and efficacy in biochemical assays and signaling pathways. Evidence Type: Oncogenic | Mutation: L576P | Summary: The L576P mutation is mentioned as a primary mutant in the context of selective inhibition, indicating its role in tumor progression. Evidence Type: Oncogenic | Mutation: T670I | Summary: The T670I mutation is classified as a secondary mutant, contributing to tumor development in the context of selective inhibition. Evidence Type: Oncogenic | Mutation: V654A | Summary: The V654A mutation is noted as a secondary mutant involved in tumor progression, as indicated by its context in selective inhibition. Evidence Type: Oncogenic | Mutation: N822K | Summary: The N822K mutation is mentioned in the context of activation loop mutations, suggesting its contribution to tumor development. Evidence Type: Oncogenic | Mutation: D816V | Summary: The D816V mutation is described as an activation loop mutation, indicating its role in tumor progression.

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

      Genes: 3815

      Variants: D816V L576P N822K T670I V559D V654A

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 3815

      Variants: V559D

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

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

      Evidence Type(s): Oncogenic, Predictive

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

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

      Genes: 3815

      Variants: V559D

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 3815

      Variants: V559D

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 3815

      Variants: A829P L576P V559D

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 3815

      Variants: V559D

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 3815

      Variants: V559D

    1. Recent advances in molecular profiling technologies allow genetic driver events in individual tumors to be identified. The hypothesis behind this ongoing molecular profiling effort is that improvement in patients' clinic

      [Paragraph-level] PMCID: PMC5002925 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Predictive, Oncogenic, Functional

      Summary: Evidence Type: Predictive | Mutation: p.L755S | Summary: The ERBB2 p.L755S mutation was used to guide treatment with trastuzumab, indicating a correlation with therapy response. Evidence Type: Oncogenic | Mutation: p.L755S | Summary: The presence of the ERBB2 p.L755S mutation suggests it may contribute to tumor development or progression in colorectal cancer. Evidence Type: Functional | Mutation: p.L755S | Summary: The mutation is described in the context of its biological significance, indicating an alteration in molecular function. Evidence Type: Oncogenic | Mutation: p.N581S | Summary: The BRAF p.N581S mutation is mentioned as a genetic driver event, suggesting its role in tumor development or progression. Evidence Type: Oncogenic | Mutation: p.Q1429fs | Summary: The APC p.Q1429fs mutation is identified as a genetic driver event, indicating its contribution to tumor development or progression.

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

      Genes: 2064 673 324

      Variants: p.L755S p.N581S p.Q1429fs

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 2064 673 324

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

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 673 2064 324

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

    1. In keeping with the identification of KRAS and/or NRAS mutations as the dominant genomic change associated with treatment resistance, serial ctDNA analysis was able to reveal the emergence of these mutations prior to dis

      [Paragraph-level] PMCID: PMC10011885 Section: RESULTS PassageIndex: 24

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: Q61H | Summary: The KRAS Q61H mutation is associated with the emergence of subclonal mutations contributing to tumor development and progression, as indicated by its detection prior to disease progression. Evidence Type: Oncogenic | Mutation: Q61L | Summary: The KRAS Q61L mutation is part of the multiple subclonal KRAS mutations identified, which are implicated in tumor development and progression. Evidence Type: Oncogenic | Mutation: G12N | Summary: The KRAS G12N mutation is included among the subclonal mutations that contribute to tumor development and progression. Evidence Type: Oncogenic | Mutation: G13D | Summary: The KRAS G13D mutation is identified as a subclonal mutation that plays a role in tumor development and progression. Evidence Type: Oncogenic | Mutation: G12D | Summary: The NRAS G12D mutation is part of the identified mutations that contribute to tumor development and progression. Evidence Type: Functional | Mutation: A163G | Summary: The KDR A163G mutation is mentioned in the context of targeted sequencing, suggesting it may alter molecular or biochemical function. Evidence Type: Functional | Mutation: R106H | Summary: The MSH6 R106H mutation is identified in the context of targeted sequencing, indicating a potential alteration in molecular or biochemical function.

      Gene→Variant (gene-first): 3791:A163G 3845:G12D 3845:G12N 3845:G13D 3845:Q61H 4893:Q61L 79811:R106H 673:V600E

      Genes: 3791 3845 4893 79811 673

      Variants: A163G G12D G12N G13D Q61H Q61L R106H V600E

    2. Plasma DNA collected at the time of disease progression was analyzed through targeted sequencing to identify evidence of genomic evolution following treatment and potential mechanisms of acquired resistance to therapy. I

      [Paragraph-level] PMCID: PMC10011885 Section: RESULTS PassageIndex: 23

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: V600E | Summary: The BRAF V600E mutation was retained in patients at disease progression, indicating its role in tumor development or progression.

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

      Genes: 673

      Variants: V600E

    3. We next explored whether early, dynamic changes in ctDNA levels were predictive of outcomes to combination vemurafenib and erlotinib therapy. A total of 25 paired baseline-week 2 (BL-W2) and 21 paired baseline-week 4 (BL

      [Paragraph-level] PMCID: PMC10011885 Section: RESULTS PassageIndex: 19

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: V600E | Summary: The BRAF V600E mutation is associated with early changes in ctDNA levels that predict outcomes to combination vemurafenib and erlotinib therapy, indicating its role in treatment response. Evidence Type: Oncogenic | Mutation: V600E | Summary: The BRAF V600E mutation contributes to tumor development or progression, as indicated by its presence in ctDNA dynamics analyzed in the context of therapy.

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

      Genes: 673

      Variants: V600E

    4. 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): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: G13C | Summary: The NRAS G13C mutation was detected in a patient, indicating its potential role in tumor development or progression.

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

      Genes: 4893

      Variants: G13C

    5. 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): Oncogenic, Diagnostic

      Summary: Evidence Type: Oncogenic | Mutation: V600E | Summary: The BRAF V600E mutation is associated with tumor development or progression in various cancers, including non-colorectal cancers. Evidence Type: Diagnostic | Mutation: V600E | Summary: The presence of the BRAF V600E mutation is used to classify patients with selected cancers, confirming their mutation-positive status.

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

      Genes: 673

      Variants: V600E

    1. In addition, the ADx-ARMS identified 2 samples with both 19 del and L858R mutation, 4 with both 19 del and T790M mutation, and 1 with both L858R and L861Q or S768I (The two spots were designed in one tube, we could not d

      [Paragraph-level] PMCID: PMC3287118 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: L858R | Summary: The L858R mutation is associated with tumor development or progression as it is mentioned in the context of samples with other mutations indicative of cancer. Evidence Type: Oncogenic | Mutation: T790M | Summary: The T790M mutation is associated with tumor development or progression as it is mentioned in the context of samples with other mutations indicative of cancer. Evidence Type: Oncogenic | Mutation: L861Q | Summary: The L861Q mutation is associated with tumor development or progression as it is mentioned in the context of samples with other mutations indicative of cancer. Evidence Type: Oncogenic | Mutation: S768I | Summary: The S768I mutation is associated with tumor development or progression as it is mentioned in the context of samples with other mutations indicative of cancer.

      Gene→Variant (gene-first): 1956:L858R 1956:L861Q 1956:S768I 1956:T790M

      Genes: 1956

      Variants: L858R L861Q S768I T790M

    1. Although these cases are limited in number and by reporting biases, they provide supporting evidence that EGFR-D770>GY and other exon 20 insertion mutations with G770 equivalence are sensitive to the clinically available

      [Paragraph-level] PMCID: PMC8700411 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: G770 | Summary: The variant G770 is associated with sensitivity to EGFR TKIs such as dacomitinib, afatinib, and mobocertinib, indicating its predictive value for therapy response. Evidence Type: Oncogenic | Mutation: G770 | Summary: The G770 variant is implicated in tumor development or progression, as it is part of exon 20 insertion mutations in EGFR.

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

      Genes: 1956

      Variants: G770

    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, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: G770 | Summary: The G770 mutation is associated with radiographic responses to the therapies poziotinib and mobocertinib in advanced lung cancers, indicating its predictive value for treatment response. Evidence Type: Oncogenic | Mutation: G770 | Summary: The G770 mutation is part of EGFR exon 20 insertion mutations that contribute to tumor development in advanced lung cancers, supporting its classification as oncogenic.

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

      Genes: 1956

      Variants: G770

    3. We identified seven reports from the literature and added one case from our institutional cohort that detailed partial clinical-radiographic parameters in patients with metastatic lung cancers harboring EGFR exon 20 inse

      [Paragraph-level] PMCID: PMC8700411 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: G770 | Summary: The G770 mutation is associated with a lack of response to certain EGFR TKIs, indicating its predictive value regarding therapy resistance. Evidence Type: Oncogenic | Mutation: G770 | Summary: The G770 mutation is part of EGFR exon 20 insertion mutations that contribute to tumor development in patients with metastatic lung cancers.

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

      Genes: 1956

      Variants: G770

    4. 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): Oncogenic, Diagnostic

      Summary: Evidence Type: Oncogenic | Mutation: G770 | Summary: The passage discusses advanced lung cancers harboring EGFR Exon 20 insertion mutations, indicating that the G770 mutation contributes to tumor development or progression. Evidence Type: Diagnostic | Mutation: G770 | Summary: The mention of advanced lung cancers associated with EGFR Exon 20 insertion mutations suggests that the G770 mutation is used to classify or define a specific subtype of lung cancer.

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

      Genes: 1956

      Variants: G770

    5. To highlight the differences in proliferation assays between Ba/F3 cells driven by the EGFR-D770>GY mutant and the more typical EGFR-A767_V769dupASV mutant, we show the dose-response curve for increasing concentrations o

      [Paragraph-level] PMCID: PMC8700411 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: V769dupASV | Summary: The V769dupASV mutation is associated with a higher IC50 for afatinib and dacomitinib, indicating a correlation with resistance to these therapies. Evidence Type: Oncogenic | Mutation: V769dupASV | Summary: The V769dupASV mutation is implicated in driving proliferation in Ba/F3 cells, suggesting its role in tumor development or progression.

      Gene→Variant (gene-first): 1956:V769dupASV

      Genes: 1956

      Variants: V769dupASV

    6. 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): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: G770 | Summary: The G770 mutation is part of the EGFR exon 20 insertion mutations, which are known to contribute to tumor development or progression. Evidence Type: Functional | Mutation: G770 | Summary: The G770 mutation alters molecular or biochemical function as it is associated with changes in the EGFR protein due to the insertion mutations.

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

      Genes: 1956

      Variants: G770

    1. These updated results confirm the substantial clinical benefit and manageable toxicity of dabrafenib plus trametinib in BRAF V600E-mutant ATC. Dabrafenib plus trametinib notably improved long-term survival and represents

      [Paragraph-level] PMCID: PMC9338780 Section: ABSTRACT PassageIndex: 8

      Evidence Type(s): Predictive, Prognostic, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: V600E | Summary: The BRAF V600E mutation is associated with a substantial clinical benefit from the combination of dabrafenib and trametinib, indicating its predictive value for treatment response in patients with ATC. Evidence Type: Prognostic | Mutation: V600E | Summary: The presence of the BRAF V600E mutation correlates with improved long-term survival in patients treated with dabrafenib plus trametinib, suggesting its prognostic significance in this context. Evidence Type: Oncogenic | Mutation: V600E | Summary: The BRAF V600E mutation contributes to tumor development and progression in anaplastic thyroid carcinoma (ATC), indicating its oncogenic role in this aggressive cancer type.

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

      Genes: 673

      Variants: V600E

    2. ROAR (NCT02034110) is an open-label, nonrandomized, phase II basket study evaluating dabrafenib plus trametinib in BRAF V600E-mutant rare cancers. The ATC cohort comprised 36 patients with unresectable or metastatic ATC

      [Paragraph-level] PMCID: PMC9338780 Section: ABSTRACT PassageIndex: 4

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: V600E | Summary: The BRAF V600E mutation is evaluated in the context of a study assessing the response to the combination of dabrafenib and trametinib, indicating its predictive value for treatment response. Evidence Type: Oncogenic | Mutation: V600E | Summary: The BRAF V600E mutation is implicated in the development of rare cancers, supporting its role as an oncogenic variant contributing to tumor progression.

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

      Genes: 673

      Variants: V600E

    3. 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, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: V600E | Summary: The BRAF V600E mutation is associated with response to combined therapy with dabrafenib and trametinib in anaplastic thyroid cancer, indicating its predictive value for treatment efficacy. Evidence Type: Diagnostic | Mutation: V600E | Summary: The presence of the BRAF V600E mutation is used to define and classify anaplastic thyroid cancer, supporting its role as a diagnostic marker for this disease subtype. Evidence Type: Oncogenic | Mutation: V600E | Summary: The BRAF V600E mutation contributes to tumor development and progression in anaplastic thyroid cancer, indicating its oncogenic potential.

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

      Genes: 673

      Variants: V600E

    1. The present results suggested that acquired VOPP1-EGFR fusion gene with T790M potentially serve an additional resistance mechanism to first-generation EGFR tyrosine kinase inhibitors in EGFR-mutated NSCLC. And the presen

      [Paragraph-level] PMCID: PMC8727519 Section: ABSTRACT PassageIndex: 6

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: T790M | Summary: The T790M mutation is associated with resistance to first-generation EGFR tyrosine kinase inhibitors, suggesting its role in predicting treatment response in NSCLC patients. Evidence Type: Oncogenic | Mutation: T790M | Summary: The T790M mutation contributes to tumor development and progression in the context of EGFR-mutated non-small cell lung cancer (NSCLC).

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

      Genes: 1956

      Variants: T790M

    2. In this case report, we describe a 69-year-old female who received right lobectomy and was diagnosed with pathological stage IIIA lung adenocarcinoma harboring EGFR L858R. Twenty months later he had recurrent disease in

      [Paragraph-level] PMCID: PMC8727519 Section: ABSTRACT PassageIndex: 4

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: L858R | Summary: The L858R mutation in EGFR is associated with lung adenocarcinoma and contributes to tumor development. Evidence Type: Oncogenic | Mutation: T790M | Summary: The T790M mutation is identified as a potential resistance mechanism to icotinib treatment, indicating its role in tumor progression.

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

      Genes: 1956

      Variants: L858R T790M

    1. Taletrectinib continues to show high and durable overall responses, prolonged PFS, robust activity against intracranial lesions and acquired resistance mutations including G2032R, and a favorable safety profile with a lo

      [Paragraph-level] PMCID: PMC11272140 Section: ABSTRACT PassageIndex: 8

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: G2032R | Summary: The G2032R mutation is associated with acquired resistance to therapy, indicating its relevance in predicting treatment response and sensitivity to taletrectinib. Evidence Type: Oncogenic | Mutation: G2032R | Summary: The G2032R mutation is mentioned in the context of acquired resistance mutations, suggesting its role in tumor development or progression.

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

      Genes: 6098

      Variants: G2032R

    2. As of November 2023, 173 patients were enrolled (median age, 55 years; 58% female; 73% never smoked; TKI naive: n = 106; crizotinib pretreated: n = 67). In TKI-naive patients, cORR and intracranial cORR were 91% and 88%,

      [Paragraph-level] PMCID: PMC11272140 Section: ABSTRACT PassageIndex: 6

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: G2032R | Summary: The G2032R mutation is associated with a response rate of 67% in patients, indicating its potential predictive value for treatment outcomes. Evidence Type: Oncogenic | Mutation: G2032R | Summary: The presence of the G2032R mutation suggests a role in tumor development or progression, as it is linked to patient responses in a cancer treatment context.

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

      Genes: 6098

      Variants: G2032R

    3. Taletrectinib, a highly potent, CNS-active, ROS1 tyrosine kinase inhibitor (TKI), has demonstrated high and durable response rates, high intracranial objective response rate (ORR), prolonged progression-free survival (PF

      [Paragraph-level] PMCID: PMC11272140 Section: ABSTRACT PassageIndex: 2

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: G2032R | Summary: The G2032R mutation is associated with a favorable response to taletrectinib, a ROS1 tyrosine kinase inhibitor, indicating its predictive value for treatment response in ROS1+ non-small cell lung cancer. Evidence Type: Oncogenic | Mutation: G2032R | Summary: The G2032R mutation contributes to tumor development or progression in the context of ROS1+ non-small cell lung cancer, supporting its classification as an oncogenic variant.

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

      Genes: 6098

      Variants: G2032R

    1. The impact of each mutation on drug binding is expressed as a fold-difference in Ki compared to the FGFR3 KD WT (Figure 6C). Highly activating R669G and, in particular, hotspot mutation K650E had moderate effects on the

      [Paragraph-level] PMCID: PMC5029699 Section: RESULTS PassageIndex: 31

      Evidence Type(s): Predictive, Functional, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: K650E | Summary: The K650E mutation had moderate effects on the efficacy of all inhibitors, indicating a correlation with treatment response. Evidence Type: Predictive | Mutation: N540K | Summary: The N540K substitution affected the efficacy of AZD4547 more significantly, suggesting its role in treatment sensitivity. Evidence Type: Predictive | Mutation: N540S | Summary: The N540S mutation had a pronounced effect on the efficacy of JNJ42756493, indicating its impact on treatment response. Evidence Type: Predictive | Mutation: V555M | Summary: The V555M mutation conferred resistance to AZ12908010 and significantly impacted the efficacy of AZD4547, highlighting its role in treatment resistance. Evidence Type: Functional | Mutation: I538V | Summary: The I538V mutation had a substantial effect on drug binding, indicating an alteration in molecular function. Evidence Type: Oncogenic | Mutation: R669G | Summary: The highly activating R669G mutation contributes to tumor development or progression, supporting its oncogenic potential.

      Gene→Variant (gene-first): 2263:I538 2263:I538V 2261:K650E 2261:N540 2261:N540K 2261:N540S 2261:R669G 2261:V555M

      Genes: 2263 2261

      Variants: I538 I538V K650E N540 N540K N540S R669G V555M

    2. It is well established that some acquired mutations in protein kinases greatly reduce drug binding; the best-illustrated examples are gatekeeper mutations also described in FGFR3 (V555M). The question of how primary muta

      [Paragraph-level] PMCID: PMC5029699 Section: RESULTS PassageIndex: 29

      Evidence Type(s): Oncogenic, Predictive

      Summary: Evidence Type: Oncogenic | Mutation: V555M | Summary: The V555M mutation in FGFR3 is described as a gatekeeper mutation that reduces drug binding, indicating its role in tumor development or progression. Evidence Type: Predictive | Mutation: V555M | Summary: The passage suggests that the V555M mutation may affect drug efficacy, implying a correlation with response or resistance to specific therapies.

      Gene→Variant (gene-first): 2261:V555M

      Genes: 2261

      Variants: V555M

    3. The residue corresponding to R669 in FGFR3 is conserved and also mutated in all other FGFRs in cancer as well as in FGFR2 in bone dysplasia (Supplementary Table S1). To assess the mechanism that underpins activation, we

      [Paragraph-level] PMCID: PMC5029699 Section: RESULTS PassageIndex: 21

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: R669 | Summary: The R669 mutation in FGFR3 is associated with cancer, indicating its contribution to tumor development or progression. Evidence Type: Functional | Mutation: R to G | Summary: The R to G replacement in FGFR1 KD alters the molecular activity of the protein, suggesting a functional change. Evidence Type: Oncogenic | Mutation: R675G | Summary: The R675G variant in FGFR1 KD shows higher activity compared to wild type, indicating its potential role in tumor development or progression.

      Gene→Variant (gene-first): 2260:R to G 2261:R669 2260:R675G

      Genes: 2260 2261

      Variants: R to G R669 R675G

    4. Comparison of our experimental data (Figure 2) with the assessments obtained using bioinformatics tools (Supplementary Table S1B and S1C) suggests that considering multiple methods together can provide insight into the i

      [Paragraph-level] PMCID: PMC5029699 Section: RESULTS PassageIndex: 19

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: D617G | Summary: The D617G mutation is predicted to reduce protein production or completely inactivate the kinase, indicating a functional alteration. Evidence Type: Functional | Mutation: E466K | Summary: The E466K mutation is predicted to reduce protein production or completely inactivate the kinase, indicating a functional alteration. Evidence Type: Functional | Mutation: G637W | Summary: The G637W mutation is predicted to reduce protein production or completely inactivate the kinase, indicating a functional alteration. Evidence Type: Oncogenic | Mutation: R669 | Summary: The R669 mutation is located within an identified cluster of observed A-loop cancer mutations, suggesting its contribution to tumor development or progression.

      Gene→Variant (gene-first): 2261:D617G 2263:E466K 2260:G637W 2261:R669

      Genes: 2261 2263 2260

      Variants: D617G E466K G637W R669

    5. It could be expected that some mutations that map to the KD do not affect kinase activity directly as measured under conditions in vitro. In particular, the hotspot G697C mutation which does not have an effect in such as

      [Paragraph-level] PMCID: PMC5029699 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: G697C | Summary: The G697C mutation does not affect kinase activity directly as measured in vitro, suggesting it may alter FGFR3 function in a cellular setting. Evidence Type: Oncogenic | Mutation: K650E | Summary: The K650E mutation is associated with a transformed phenotype and anchorage independent growth in cell lines, indicating its role in tumor development. Evidence Type: Oncogenic | Mutation: N540K | Summary: The N540K mutation is also linked to a transformed phenotype and anchorage independent growth in cell lines, supporting its contribution to tumor progression.

      Gene→Variant (gene-first): 2261:G697C 2261:K650E 2261:N540K

      Genes: 2261

      Variants: G697C K650E N540K

    6. From these direct measurements of kinase activity it seems that a considerable number of mutations reported so far result in kinase activation to some degree and that replacements that cause activation are not limited to

      [Paragraph-level] PMCID: PMC5029699 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: K650E | Summary: The K650E mutation is associated with altered kinase activity, indicating that it affects the molecular function of the FGFR3 protein. Evidence Type: Oncogenic | Mutation: K650E | Summary: The K650E mutation is described as a highly activating variant, suggesting its contribution to tumor development or progression.

      Gene→Variant (gene-first): 2261:K650E

      Genes: 2261

      Variants: K650E

    7. Twelve out of 26 analyzed mutations had very little or no effect on FGFR3 KD activity (Figure 2A and 2B, bottom panel). The number of observations in cancer for most of these mutations is low with the exception of G697C

      [Paragraph-level] PMCID: PMC5029699 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: G697C | Summary: The G697C mutation is mentioned in the context of FGFR3 KD activity, indicating that it alters molecular or biochemical function. Evidence Type: Oncogenic | Mutation: G697C | Summary: The G697C mutation is described as one of the hotspots, suggesting its contribution to tumor development or progression.

      Gene→Variant (gene-first): 2261:G697C

      Genes: 2261

      Variants: G697C

    8. A number of crystal structures of FGFR KD in non-phosphorylated and phosphorylated forms have been reported. The 3D-structures highlighted the features that undergo substantial changes and play a key role in the activati

      [Paragraph-level] PMCID: PMC5029699 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: K650 | Summary: The K650 mutation is located in a hot spot within the A-loop of the FGFR3 kinase domain, suggesting its contribution to tumor development or progression. Evidence Type: Oncogenic | Mutation: R669 | Summary: The R669 mutation is situated near the A-loop of the FGFR3 kinase domain, indicating its potential role in tumor development or progression. Evidence Type: Functional | Mutation: N540 | Summary: The N540 mutation is part of the molecular brake in the FGFR3 structure, suggesting it alters molecular or biochemical function. Evidence Type: Functional | Mutation: I538 | Summary: The I538 mutation is also part of the molecular brake in the FGFR3 structure, indicating it may affect molecular or biochemical function.

      Gene→Variant (gene-first): 2263:I538 2261:K650 2261:N540 2261:R669

      Genes: 2263 2261

      Variants: I538 K650 N540 R669

    9. 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): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: K650 | Summary: The K650 mutation in FGFR3 is associated with tumor development and progression, particularly in cancer contexts. Evidence Type: Oncogenic | Mutation: N540 | Summary: The N540 mutation in FGFR3 contributes to tumor development and is noted in the context of cancer. Evidence Type: Oncogenic | Mutation: N540K | Summary: The N540K mutation is frequently observed in cancer and is indicative of oncogenic behavior in FGFR3.

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

      Genes: 2261

      Variants: K650 N540 N540K

    10. The intracellular portion (residues 397-806 for FGFR3) comprises the juxtamembrane region, KD and C-terminal regions. The number of observed mutations at each residue within the intracellular portion of FGFR3 was compile

      [Paragraph-level] PMCID: PMC5029699 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: K650 | Summary: The mutation K650 in FGFR3 is identified as a frequently mutated hotspot in cancer, indicating its contribution to tumor development or progression. Evidence Type: Oncogenic | Mutation: G697 | Summary: The mutation G697 is noted as a frequently mutated hotspot in FGFR3, suggesting its role in tumor development or progression.

      Gene→Variant (gene-first): 2261:G697 2261:G697C 2261:K650 2261:N540

      Genes: 2261

      Variants: G697 G697C K650 N540

    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, Functional

      Summary: Evidence Type: Oncogenic | Mutation: c.236A>G (p.Tyr79Cys) | Summary: The c.236A>G (p.Tyr79Cys) variant is described as a somatic variant in renal cell carcinomas (RCCs) and contributes to tumor development in VHL-independent renal tumorigenesis. Evidence Type: Oncogenic | Mutation: c.274G>A (p.Glu92Lys) | Summary: The c.274G>A (p.Glu92Lys) variant is identified as a somatic variant in RCC, contributing to tumor development. Evidence Type: Oncogenic | Mutation: c.74A>T (p.Asp25Val) | Summary: The c.74A>T (p.Asp25Val) variant is reported as a somatic variant in RCC, indicating its role in tumor development. Evidence Type: Oncogenic | Mutation: c.311T>A (p.Leu104Gln) | Summary: The c.311T>A (p.Leu104Gln) variant is noted as a somatic variant in RCC, suggesting its involvement in tumor progression. Evidence Type: Functional | Mutation: c.261_272del (p.Thr88_Pro91del) | Summary: The c.261_272del (p.Thr88_Pro91del) variant is described as an in-frame deletion that alters molecular function, contributing to the understanding of ELOC variants in RCC.

      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): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: c.236A>G (p.Tyr79Cys) | Summary: The de novo missense variant c.236A>G (p.Tyr79Cys) alters the molecular function of the ELOC gene, as the Tyr79 residue is critical for forming a hydrogen bond with the Pro154 residue within the pVHL alpha domain. Evidence Type: Oncogenic | Mutation: c.236A>G (p.Tyr79Cys) | Summary: The missense variant c.236A>G (p.Tyr79Cys) is implicated in tumor development due to its location in the tetramerization domain of the ELOC gene, which is essential for its function in the context of VHL disease.

      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): Predisposing, Oncogenic, Functional

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

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

      Genes: 3091

      Variants: c.236A>G p.Tyr79Cys

    1. In the retrospective cohort (n = 102), 14 samples were excluded due to insufficient coverage. Among the remaining 88 cases, 45 cases had mutations: 27 PIK3CA, 11 TEK (one with two mutations in cis, TEK: c.[2690A > G; c.2

      [Paragraph-level] PMCID: PMC6594036 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: 2690A > G | Summary: The mutation 2690A > G in the TEK gene is associated with tumor development or progression. Evidence Type: Oncogenic | Mutation: c.2752A > G | Summary: The mutation c.2752A > G in the TEK gene is associated with tumor development or progression. Evidence Type: Functional | Mutation: Arg918Cys | Summary: The mutation Arg918Cys is likely to alter molecular or biochemical function. Evidence Type: Functional | Mutation: Tyr897Cys | Summary: The mutation Tyr897Cys is likely to alter molecular or biochemical function.

      Gene→Variant (gene-first): 7010:2690A > G 3845:Arg918Cys 7010:Tyr897Cys 7010:c.2752A > G

      Genes: 7010 3845

      Variants: 2690A > G Arg918Cys Tyr897Cys c.2752A > G

    1. The BRCA1 tumor suppressor gene encodes a multi-domain protein for which several functions have been described. These include a key role in homologous recombination repair (HRR) of DNA double-strand breaks (DSB), which i

      [Paragraph-level] PMCID: PMC7612117 Section: ABSTRACT PassageIndex: 1

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

      Summary: Evidence Type: Oncogenic | Mutation: p.L1363P | Summary: The BRCA1 p.L1363P variant contributes to tumor development, as it leads to the acceleration of mammary tumors in genetically engineered mice, indicating its role in cancer progression. Evidence Type: Functional | Mutation: p.L1363P | Summary: The BRCA1 p.L1363P variant disrupts the interaction with PALB2 and results in HRR incompetence, demonstrating an alteration in molecular function. Evidence Type: Predictive | Mutation: p.L1363P | Summary: The BRCA1 p.L1363P variant is responsive to cisplatin and PARP inhibition, indicating its potential correlation with treatment response. Evidence Type: Prognostic | Mutation: p.L1363P | Summary: The presence of the BRCA1 p.L1363P variant is associated with distinct histopathological features and stable DNA copy number profiles in tumors, which may correlate with disease outcome.

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

      Genes: 7158

      Variants: p.L1363P

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

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

      Evidence Type(s): Predictive, Functional, Oncogenic

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

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

      Genes: 7158

      Variants: L1363P p.L1363P

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 7158

      Variants: L1363P

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

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

      Evidence Type(s): Oncogenic, Diagnostic

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

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

      Genes: 7158

      Variants: L1363P p.L1363P

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 7158

      Variants: L1363P

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 7158

      Variants: L1363P p.L1363P

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 7158

      Variants: p.L1363P

    1. We examined Mig-6 expression in PC9 cells harboring the EGFR exon 19 deletion and PC9/GR cells, which have EGFR-TKI resistance with an acquired T790M mutation. Western blotting and immunofluorescence analyses showed that

      [Paragraph-level] PMCID: PMC7302243 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: T790M | Summary: The T790M mutation is associated with acquired resistance to EGFR-TKI therapy in PC9/GR cells, indicating its role in treatment response. Evidence Type: Oncogenic | Mutation: T790M | Summary: The T790M mutation contributes to tumor progression by conferring resistance to targeted therapies in the context of EGFR-driven cancer.

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

      Genes: 1956

      Variants: T790M

    1. Overall, there is a strong correlation between lipid kinase activity and lipid binding (Figure 3i,j, total lipid binding on Fc4 is shown in Supplementary Figure S3), underscoring enhanced lipid binding as a general mecha

      [Paragraph-level] PMCID: PMC3378484 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: E545K | Summary: The E545K mutation is associated with enhanced lipid binding and increased basal activity, indicating its role in tumor development or progression.

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

      Genes: 5290

      Variants: E545K

    2. To gain a broader view of the effects of cancer-linked mutations, we studied seven mutations that have previously been characterized to be activating. They cover three structurally distinct regions (Figure 3a-c), namely,

      [Paragraph-level] PMCID: PMC3378484 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: C420R | Summary: The C420R mutation is characterized as activating, indicating its contribution to tumor development or progression. Evidence Type: Oncogenic | Mutation: E545K | Summary: The E545K mutation is described as activating, suggesting it plays a role in tumor development or progression. Evidence Type: Oncogenic | Mutation: G1049R | Summary: The G1049R mutation is noted to be activating, which implies its involvement in tumor development or progression. Evidence Type: Oncogenic | Mutation: H1047L | Summary: The H1047L mutation is characterized as activating, indicating its contribution to tumor development or progression. Evidence Type: Oncogenic | Mutation: H1047R | Summary: The H1047R mutation is described as activating, suggesting it plays a role in tumor development or progression. Evidence Type: Oncogenic | Mutation: M1043I | Summary: The M1043I mutation is noted to be activating, which implies its involvement in tumor development or progression.

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

      Genes: 5290 5295

      Variants: C420R E545K G1049R H1047L H1047R M1043I N564D

    3. To test whether lipid binding forms the basis of p110 activation, we compared lipid kinase with lipid binding activities for three sets of p110alpha/p85alpha complexes: SH2 deletions in p85alpha, engineered mutations in

      [Paragraph-level] PMCID: PMC3378484 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: D915N | Summary: The D915N mutation in the catalytic DRH motif of p110alpha is associated with altered molecular function, specifically in the context of lipid binding and activation of the p110/p85 complex. Evidence Type: Oncogenic | Mutation: D915N | Summary: The D915N mutation is described as a cancer-linked mutation, indicating its contribution to tumor development or progression.

      Gene→Variant (gene-first): 5290:D915N

      Genes: 5290

      Variants: D915N

    4. Our structure is for the WT p110alpha, but the kinase C-terminal tail more closely resembles those in the structures of the oncogenic mutant H1047R p110alpha/p85alpha-niSH2, than that in the WT apo p110alpha/p85alpha-iSH

      [Paragraph-level] PMCID: PMC3378484 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: H1047R | Summary: The H1047R mutation in p110alpha is described as an oncogenic mutant, indicating its contribution to tumor development or progression. Evidence Type: Functional | Mutation: H1047R | Summary: The passage discusses structural features of the H1047R mutant, suggesting that this variant alters molecular or biochemical function, particularly in relation to its conformation and interactions within the protein structure.

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

      Genes: 5290

      Variants: H1047R

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 5290 5295

      Variants: C420R E545K G1049R H1047L H1047R M1043I N564D

    1. This analysis reported a mutation in BRAF p.V600E c.1799T > A (8819 reads out of a total 16,712 sequence reads for an allele frequency of 52.77). After multidisciplinary discussion at our molecular tumour board, it was d

      [Paragraph-level] PMCID: PMC4239128 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: 1799T > A; p.V600E | Summary: The mutation p.V600E in BRAF is associated with a potential vulnerability to BRAF inhibition, indicating a correlation with response to therapy using dabrafenib and trametinib. Evidence Type: Oncogenic | Mutation: 1799T > A; p.V600E | Summary: The BRAF p.V600E mutation is implicated in tumor development and progression, contributing to the malignancy's characteristics.

      Gene→Variant (gene-first): 673:1799T > A 673:p.V600E

      Genes: 673

      Variants: 1799T > A p.V600E

    1. Our data suggest that some clinically relevant D835 mutants retain sensitivity to type II inhibitors at clinically achievable drug concentrations and propose a molecular mechanism for differences in sensitivity for indiv

      [Paragraph-level] PMCID: PMC4675689 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Predictive, Functional, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: D835 | Summary: The D835 mutation is associated with sensitivity to type II inhibitors, suggesting that certain D835 mutants may respond to therapy despite being excluded from clinical trials. Evidence Type: Functional | Mutation: D835 | Summary: The D835 residue is critical for stabilizing the inactive conformation of FLT3, and mutations at this site affect the molecular interactions necessary for type II inhibitor binding. Evidence Type: Oncogenic | Mutation: D835 | Summary: The D835 mutation contributes to tumor development by influencing the kinase's conformation and resistance to inhibitors. Evidence Type: Predictive | Mutation: D835N/E | Summary: The D835N/E mutations may retain sensitivity to type II FLT3 TKIs, indicating a potential response to therapy. Evidence Type: Functional | Mutation: D835N/E | Summary: The D835N/E mutations preserve critical structural features necessary for the binding of type II inhibitors, affecting the molecular function of FLT3. Evidence Type: Oncogenic | Mutation: D835N/E | Summary: The D835N/E mutations are implicated in tumor progression by maintaining a conformation that allows for continued kinase activity despite treatment.

      Gene→Variant (gene-first): 2322:D835 2322:D835N/E

      Genes: 2322

      Variants: D835 D835N/E

    2. The most sensitive mutants (D835E/N) are characterized by the predicted preservation of the hydrogen bond between D835 and S838 based on models utilizing both the apo and holo structures as templates. Side chains of the

      [Paragraph-level] PMCID: PMC4675689 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: D835E/N | Summary: The D835E/N mutations are predicted to preserve hydrogen bonding interactions that maintain the structural integrity of the protein, suggesting an alteration in molecular function related to inhibitor binding. Evidence Type: Oncogenic | Mutation: D835E/N | Summary: The D835E/N mutations contribute to tumor development by preserving the DFG-out conformation, which is associated with sensitivity to type II inhibitors, indicating a role in cancer progression.

      Gene→Variant (gene-first): 2322:D835 2322:D835E/N

      Genes: 2322

      Variants: D835 D835E/N

    3. We profiled all D835 substitutions previously reported to cause FLT3 TKI resistance in patients, as well as D835 mutations occurring in patients as cataloged in the Sanger COSMIC database or the Cancer Genome Atlas. Inhi

      [Paragraph-level] PMCID: PMC4675689 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: D835 | Summary: The D835 mutation is associated with resistance to FLT3 tyrosine kinase inhibitors (TKIs), indicating its predictive value for therapy response. Evidence Type: Oncogenic | Mutation: D835 | Summary: D835 substitutions are reported to contribute to FLT3 TKI resistance, suggesting their role in tumor development and progression. Evidence Type: Predictive | Mutation: D835V/Y/F | Summary: The D835V/Y/F mutations are linked to a high degree of resistance to type II FLT3 inhibitors, indicating their predictive value for therapy response. Evidence Type: Oncogenic | Mutation: D835V/Y/F | Summary: The D835V/Y/F mutations are implicated in clinical resistance to FLT3 inhibitors, supporting their oncogenic potential. Evidence Type: Predictive | Mutation: D835H | Summary: The D835H mutation is associated with intermediate resistance to sorafenib, indicating its predictive value for therapy response. Evidence Type: Oncogenic | Mutation: D835H | Summary: The D835H mutation has been observed in clinical resistance to sorafenib, suggesting its role in tumor progression. Evidence Type: Predictive | Mutation: D835A/E/G/N | Summary: The D835A/E/G/N mutations conferred the least degree of resistance to type II inhibitors, indicating their predictive value for therapy response. Evidence Type: Oncogenic | Mutation: D835A/E/G/N | Summary: The D835A/E/G/N mutations are associated with lower resistance to FLT3 inhibitors, suggesting their involvement in tumor behavior.

      Gene→Variant (gene-first): 2322:D835 2322:D835A/E 2322:D835H 2322:D835V/Y

      Genes: 2322

      Variants: D835 D835A/E D835H D835V/Y

    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): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: c.3140 A>G [p.H1047R] | Summary: The c.3140 A>G [p.H1047R] mutation was identified in primary fibroblasts and is associated with tumor development in patients with FAO. Evidence Type: Oncogenic | Mutation: c.3140 A>T [p.H1047L] | Summary: The c.3140 A>T [p.H1047L] mutation was detected in a tissue biopsy and is implicated in tumor progression in the context of FAO.

      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, Oncogenic

      Summary: Evidence Type: Diagnostic | Mutation: c.241 G>A; p.E81K | Summary: The presence of the c.241 G>A [p.E81K] mutation was confirmed in biopsies, indicating its use in defining or confirming a disease or subtype. Evidence Type: Oncogenic | Mutation: c.241 G>A; p.E81K | Summary: The mutation is present in tumor biopsies, suggesting it contributes 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

    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): Oncogenic, Predisposing

      Summary: Evidence Type: Oncogenic | Mutation: c.241 G>A; p.E81K | Summary: The mutation c.241 G>A [p.E81K] in PIK3CA is identified as a somatic variant contributing to tumor development or progression, as it was detected in various tissues of the proband but not in the blood or parents, indicating its potential role in cancer. Evidence Type: Predisposing | Mutation: c.241 G>A; p.E81K | Summary: The presence of the c.241 G>A [p.E81K] mutation in the proband's tissues, along with its absence in the blood and parents, suggests it may confer inherited risk for disease, indicating a possible germline component.

      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

      Summary: Evidence Type: Diagnostic | Mutation: C>T | Summary: The C>T mutation is characterized as a well-established feature defining cutaneous melanoma, indicating its role in classifying the disease. Evidence Type: Oncogenic | Mutation: C>T | Summary: The C>T mutation contributes to tumor development in the context of NF1Mut melanomas, supporting its classification as an oncogenic variant.

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

      Genes: 4763

      Variants: C>T

    1. Pilomyxoid astrocytomas are an aggressive subtype of astrocytoma, not graded by WHO, frequently located in hypothalamic/chiasmatic regions, affecting diencephalic structures, and characterized by shorter survival and hig

      [Paragraph-level] PMCID: PMC8077124 Section: ABSTRACT PassageIndex: 10

      Evidence Type(s): Oncogenic, Predictive

      Summary: Evidence Type: Oncogenic | Mutation: p.K656E | Summary: The FGFR1 p.K656E mutation is described as activating and transforming, indicating its contribution to tumor development or progression. Evidence Type: Predictive | Mutation: p.V561M | Summary: The FGFR1 p.V561M mutation is noted to impart resistance to FGFR inhibitors, suggesting its correlation with treatment response.

      Gene→Variant (gene-first): 2260:p.K656E 2260:p.V561M

      Genes: 2260

      Variants: p.K656E p.V561M

    2. We identified two somatic activating missense mutations affecting FGFR1, including FGFR1 p.K656E and FGFR1 p.V561M. While the former is a known hotspot mutation that is both activating and transforming, the latter has be

      [Paragraph-level] PMCID: PMC8077124 Section: ABSTRACT PassageIndex: 7

      Evidence Type(s): Oncogenic, Predictive

      Summary: Evidence Type: Oncogenic | Mutation: p.K656E | Summary: The p.K656E mutation is described as a known hotspot mutation that is both activating and transforming, indicating its role in tumor development. Evidence Type: Predictive | Mutation: p.V561M | Summary: The p.V561M mutation is characterized as a gatekeeper mutation that imparts resistance to FGFR inhibitors, suggesting its relevance in therapy response.

      Gene→Variant (gene-first): 2260:p.K656E 2260:p.V561M

      Genes: 2260

      Variants: p.K656E p.V561M

    1. Finally, patient UPN 2 was characterized by TKD D835Y mutation (43%) and a small ITD mutated clone (revealed only by UDS analysis, 0,4%) at diagnosis. After two months of conventional chemotherapy treatment (3+7 schedule

      [Paragraph-level] PMCID: PMC4741605 Section: RESULTS PassageIndex: 20

      Evidence Type(s): Predictive, Prognostic, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: D835Y | Summary: The D835Y mutation is associated with the patient's response to chemotherapy treatment, indicating its relevance in predicting treatment outcomes. Evidence Type: Prognostic | Mutation: D835Y | Summary: The increase in the D835Y mutated clone at relapse suggests that this mutation may correlate with disease outcome independent of therapy, highlighting its prognostic significance. Evidence Type: Oncogenic | Mutation: D835Y | Summary: The D835Y mutation contributes to tumor development or progression, as indicated by its increase in frequency at relapse.

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

      Genes: 2322

      Variants: D835Y

    2. Patient UPN 5 showed resistance to conventional induction chemotherapy (Cytarabine and Idarubicine). UDS analysis revealed a progressive expansion of the ITD+ clone over time (from 3,78% at diagnosis to 12,3% two months

      [Paragraph-level] PMCID: PMC4741605 Section: RESULTS PassageIndex: 19

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: D835Y | Summary: The D835Y mutation was successfully inhibited by treatment, indicating a correlation with treatment response. Evidence Type: Oncogenic | Mutation: D835Y | Summary: The presence of the D835Y mutation is associated with tumor behavior, as it is part of a clone that is monitored during disease progression.

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

      Genes: 2322

      Variants: D835Y

    3. Patient UPN 3 received best supportive therapy (BST). The ITD+ clone progressively increased (from 1,34% at diagnosis to 29,4% after 14 months of follow-up), along with the appearance of a minor ITD+ clone (0,6%) and two

      [Paragraph-level] PMCID: PMC4741605 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: D835Y | Summary: The D835Y mutation is associated with the presence of small TKD mutated clones in the patient, indicating its contribution to tumor development or progression. Evidence Type: Oncogenic | Mutation: D839G | Summary: The D839G mutation is also part of the small TKD mutated clones observed in the patient, suggesting its role in tumor development or progression.

      Gene→Variant (gene-first): 2322:D835Y 2322:D839G

      Genes: 2322

      Variants: D835Y D839G

    1. Since 2011, with the approval of crizotinib and subsequent approval of four additional targeted therapies, anaplastic lymphoma kinase (ALK) inhibitors have become important treatments for a subset of patients with lung c

      [Paragraph-level] PMCID: PMC9398166 Section: ABSTRACT PassageIndex: 2

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: G1202R | Summary: The G1202R mutation is described as a major resistance mechanism to first-generation ALK inhibitors and contributes to tumor development, as evidenced by its role in ALK compound mutation-dependent xenograft models. Evidence Type: Oncogenic | Mutation: L1196M | Summary: The L1196M mutation is identified as a significant resistance mechanism to first-generation ALK inhibitors, indicating its contribution to tumor development in the context of ALK mutations.

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

      Genes: 238

      Variants: G1202R L1196M

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 238

      Variants: G1202R L1196M L1198 L1198F

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 238

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

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 238

      Variants: G1202

    1. In order to assess if oncogenic BRAF signaling may induce venetoclax resistance, we overexpressed mutated BRAF (p.V600E) in a venetoclax-sensitive cell line OCI-LY19 (Fig. 3a). Exome sequencing of this cell line revealed

      [Paragraph-level] PMCID: PMC5820258 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Predictive, Oncogenic, Functional

      Summary: Evidence Type: Predictive | Mutation: BRAFV600E | Summary: The BRAFV600E mutation is associated with venetoclax resistance, indicating a correlation with treatment response. Evidence Type: Oncogenic | Mutation: BRAFV600E | Summary: The BRAFV600E mutation contributes to tumor development and progression, as evidenced by its role in inducing venetoclax resistance in cell lines. Evidence Type: Functional | Mutation: p.W110 | Summary: The p.W110 mutation in CDKN2A/B is a nonsense mutation that likely alters the molecular function of the gene, contributing to cancer-related processes.

      Gene→Variant (gene-first): 673:BRAFV600E 673:p.V600E 7157:p.W110*

      Genes: 673 7157

      Variants: BRAFV600E p.V600E p.W110*

    2. Finally, case C586 showed a remarkable pattern of convergent evolution (Fig. 2d). We found two SF3B1 mutations (c.1996A > C; p.K666Q and c.1997A > C; p.K666T) affecting the same codon, but evolved in two independent clon

      [Paragraph-level] PMCID: PMC5820258 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: c.1996A > C | Summary: The SF3B1 mutation c.1996A > C was identified in cancer cell subclones that evolved during venetoclax exposure, indicating its contribution to tumor development and progression. Evidence Type: Oncogenic | Mutation: c.1997A > C | Summary: The SF3B1 mutation c.1997A > C was found in subclones that emerged during treatment with venetoclax, suggesting its role in tumor development and progression. Evidence Type: Oncogenic | Mutation: p.K666Q | Summary: The mutation p.K666Q was detected in small subclones before treatment and evolved during venetoclax therapy, indicating its involvement in oncogenic processes. Evidence Type: Oncogenic | Mutation: p.K666T | Summary: The mutation p.K666T was present in subclones that evolved during venetoclax exposure, supporting its role in tumor development and progression.

      Gene→Variant (gene-first): 23451:c.1996A > C 23451:c.1997A > C 23451:p.K666Q 23451:p.K666T

      Genes: 23451

      Variants: c.1996A > C c.1997A > C p.K666Q p.K666T

    3. Patient C548 showed a divergent evolutionary path of two branches (Fig. 2c). One branch (subclone C3 and C4) was selected during venetoclax therapy. This branch harbored a homozygous loss of CDKN2A/B, and mutations in BR

      [Paragraph-level] PMCID: PMC5820258 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.K601E | Summary: The mutation p.K601E in BRAF is associated with tumor development and progression, as it was retained in the subclone that emerged during venetoclax therapy. Evidence Type: Oncogenic | Mutation: p.S321fs | Summary: The mutation p.S321fs in MLL3 is implicated in tumor development, as it was present in the subclone that persisted through treatment. Evidence Type: Oncogenic | Mutation: p.Q547fs | Summary: The frameshift deletion p.Q547fs in BIRC3 is recognized as a driver mutation in CLL, contributing to tumorigenesis.

      Gene→Variant (gene-first): 673:p.K601E 330:p.Q547fs 58508:p.S321fs

      Genes: 673 330 58508

      Variants: p.K601E p.Q547fs p.S321fs

    4. To gain insight into the clonal evolution towards therapy resistance, we inferred subclonal populations and reconstructed phylogenetic trees (see Methods). Intriguingly, we observed a wide spectrum of evolutionary dynami

      [Paragraph-level] PMCID: PMC5820258 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: p.E46K | Summary: The p.E46K mutation in BTG1 is associated with the development of a dominant clone at relapse, suggesting its involvement in resistance to venetoclax treatment. Evidence Type: Oncogenic | Mutation: p.E46K | Summary: The p.E46K mutation contributes to tumor evolution and is selected as a dominant clone, indicating its role in tumor progression. Evidence Type: Oncogenic | Mutation: p.Q36H | Summary: The p.Q36H mutation is part of a branch observed only in the relapse sample, suggesting its contribution to tumor evolution and progression.

      Gene→Variant (gene-first): 7157:p.E46K 694:p.Q36H

      Genes: 7157 694

      Variants: p.E46K p.Q36H

    5. Recurrent genomic changes that evolved during venetoclax treatment were homozygous deletions affecting CDKN2A/B in three patients (C548, C577, C586) and BTG1 missense mutations in two cases (C577: p.Q36H; C789: p.E46K).

      [Paragraph-level] PMCID: PMC5820258 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: p.Q36H | Summary: The BTG1 missense mutation p.Q36H may contribute to tumor development or progression in CLL cells under targeted BCL2-inhibition, providing a survival advantage. Evidence Type: Oncogenic | Mutation: p.E46K | Summary: The BTG1 missense mutation p.E46K may contribute to tumor development or progression in CLL cells under targeted BCL2-inhibition, providing a survival advantage.

      Gene→Variant (gene-first): 7157:p.E46K 694:p.Q36H

      Genes: 7157 694

      Variants: p.E46K p.Q36H

    6. In line with previous findings patients responded to venetoclax therapy, even if TP53 was initially mutated in a bi-allelic fashion (5/8 patients). Two patients showed genome alterations that might qualify for further th

      [Paragraph-level] PMCID: PMC5820258 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Oncogenic, Predictive

      Summary: Evidence Type: Oncogenic | Mutation: p.K601E | Summary: The BRAF p.K601E mutation is described as oncogenic and contributes to tumor development, making it a target for therapies such as MEK inhibitors. Evidence Type: Predictive | Mutation: p.K601E | Summary: The BRAF p.K601E mutation correlates with response to venetoclax therapy, indicating its potential role in guiding treatment options.

      Gene→Variant (gene-first): 673:p.K601E

      Genes: 673

      Variants: p.K601E

    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): Oncogenic, Diagnostic

      Summary: Evidence Type: Oncogenic | Mutation: H1047R | Summary: The H1047R mutation in PIK3CA is associated with tumor development and progression, as indicated by its presence in samples from patients with specific cancer subtypes. Evidence Type: Diagnostic | Mutation: H1047R | Summary: The H1047R mutation is used to classify tumors into specific subtypes, such as Luminal A and B, based on PAM50 classification, indicating its role in defining disease characteristics.

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

      Genes: 5290

      Variants: H1047R

    2. Consistent with the proteomic data, pathway analysis showed that these genes were enriched for the PIK3-Akt-mTOR signaling pathway (Fig. 6B). The GSEA analysis showed that the mTOR pathway and the MYC target signature we

      [Paragraph-level] PMCID: PMC10527017 Section: RESULTS PassageIndex: 22

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: V777L | Summary: The HER2 V777L mutation contributes to tumor development and progression by amplifying the signaling transduction cascade, leading to increased oncogene expression and tumorigenesis.

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

      Genes: 2064

      Variants: V777L

    3. We next examined gene expression changes using RNA sequencing. We established organoids from H, P, and HP mice tumors and normal mammary glands from WT littermate mice and performed RNA sequencing analysis on 16 independ

      [Paragraph-level] PMCID: PMC10527017 Section: RESULTS PassageIndex: 20

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: V777L | Summary: The HER2 V777L mutation is implicated in contributing to tumor development or progression, as it affects distinct expression programs in the context of cancer.

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

      Genes: 2064

      Variants: V777L

    4. To further elucidate the function of the HER2V777L mutation in the HP mice tumor model, we then performed mass-spectrometry based phosphoproteomics on P and HP breast cancer organoids (Fig. 5C-5F). Organoids were prepare

      [Paragraph-level] PMCID: PMC10527017 Section: RESULTS PassageIndex: 18

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: V777L | Summary: The HER2 V777L mutation is associated with altered molecular function as indicated by the changes in phosphorylation levels of various proteins in breast cancer organoids, suggesting a role in signal transduction pathways. Evidence Type: Oncogenic | Mutation: V777L | Summary: The HER2 V777L mutation contributes to tumor development or progression, as evidenced by its presence in the HP mice tumor model and the associated changes in cellular markers related to cancer.

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

      Genes: 2064

      Variants: V777L

    5. In order to characterize the mechanism causing the rapid breast cancer growth in HP mice, we measured protein phosphorylation using proteomics. We examined the key signaling pathways using the Human/Mouse AKT Pathway Pho

      [Paragraph-level] PMCID: PMC10527017 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: V777L | Summary: The HER2V777L mutation is associated with promoting cell proliferation and enhancing the cell cycle process, contributing to tumor development in the context of breast cancer. Evidence Type: Functional | Mutation: V777L | Summary: The HER2V777L mutation alters molecular function by enhancing the phosphorylation of key proteins involved in cell cycle regulation, indicating a role in the signaling pathways that drive cancer progression.

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

      Genes: 2064

      Variants: V777L

    6. To validate the results of the neratinib plus T-DXd in a second experimental model, we used the human breast cancer PDX, WHIM51, which has the same PIK3CA mutation and a HER2 activating mutation at the neighboring codon,

      [Paragraph-level] PMCID: PMC10527017 Section: RESULTS PassageIndex: 15

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: G776insYVMA | Summary: The G776insYVMA mutation is associated with tumor development as it is part of a HER2 activating mutation in a breast cancer model. Evidence Type: Oncogenic | Mutation: V777L | Summary: The V777L mutation is linked to tumor progression in the context of HER2 activation, as demonstrated in the breast cancer PDX model.

      Gene→Variant (gene-first): 2064:G776insYVMA 2064:V777L

      Genes: 2064

      Variants: G776insYVMA V777L

    7. We hypothesized that the HER2V777L mutation plays a vital role in metastatic breast cancer. To test this, H, P and HP mice were examined for metastasis to the lung or liver. Metastasis were not seen in HP mice likely bec

      [Paragraph-level] PMCID: PMC10527017 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Oncogenic, Functional

      Summary: Evidence Type: Oncogenic | Mutation: V777L | Summary: The HER2V777L mutation is implicated in the development of metastatic breast cancer, as evidenced by the observed lung metastasis in transgenic mice expressing this mutation. Evidence Type: Functional | Mutation: V777L | Summary: The HER2V777L mutation alters the invasive phenotype of breast tumor cells, as indicated by the metastatic behavior observed in vitro and in vivo.

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

      Genes: 2064

      Variants: V777L

    8. Lung metastases in HER2V777L transgenic mice and HP organoid transplant mice

      [Paragraph-level] PMCID: PMC10527017 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: V777L | Summary: The V777L mutation is associated with lung metastases in transgenic mice, indicating its contribution to tumor development or progression.

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

      Genes: 2064

      Variants: V777L

    9. We isolated breast organoids from WT, H, P, HP mice (Fig. 2A) in order to obtain an enriched epithelial cell population. To assess the cellular migration and invasion signature of HER2V777L and PIK3CAH1047R breast epithe

      [Paragraph-level] PMCID: PMC10527017 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: V777L | Summary: The HER2V777L mutation is associated with enhanced cellular migration and invasion in breast organoids, indicating its role in promoting cancer cell behavior and contributing to tumor progression.

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

      Genes: 2064

      Variants: V777L

    10. We previously reported the development of a novel transgenic mouse that conditionally expresses the human HER2 V777L cDNA (abbreviated as "H"), which is inserted into the Rosa26 locus using TALEN-based genome editing. Ou

      [Paragraph-level] PMCID: PMC10527017 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: H1047R | Summary: The PIK3CA H1047R mutation is described as a gain-of-function allele and activating mutation commonly found in human breast cancers, indicating its role in tumor development. Evidence Type: Oncogenic | Mutation: V777L | Summary: The HER2 V777L mutation is part of a transgenic model that expresses this variant, suggesting its involvement in tumor progression.

      Gene→Variant (gene-first): 5290:H1047R 2064:V777L

      Genes: 5290 2064

      Variants: H1047R V777L

    11. Tumor formation in mice with HER2V777L and PIK3CAH1047R

      [Paragraph-level] PMCID: PMC10527017 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: V777L | Summary: The HER2 V777L mutation is associated with tumor formation in mice, indicating its role in tumor development and progression.

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

      Genes: 2064

      Variants: V777L

    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, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: T790M | Summary: The EGFR T790M mutation is associated with resistance to the standard treatment osimeritinib in non-small cell lung cancer, indicating its predictive role in therapy response. Evidence Type: Oncogenic | Mutation: T790M | Summary: The EGFR T790M mutation contributes to tumor development and progression, as it is implicated in acquired resistance to EGFR tyrosine kinase inhibitors.

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

      Genes: 1956

      Variants: T790M

    1. We then tried to study possible targets of EPHB4. We studied three EPHB4 downstream target genes by analysing the mRNA levels of: VEGF, c-RAF and CDK4 genes by qRt-PCR. All three of these genes showed significantly highe

      [Paragraph-level] PMCID: PMC7294133 Section: RESULTS PassageIndex: 15

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: V871I | Summary: The EPHB4-V871I variant is associated with increased expression levels of downstream target genes and enhanced phosphorylation of the ERK1-2 pathway, indicating an alteration in molecular function. Evidence Type: Oncogenic | Mutation: V871I | Summary: The EPHB4-V871I variant contributes to tumor development or progression as suggested by its impact on downstream signaling pathways and gene expression.

      Gene→Variant (gene-first): 2050:V871I

      Genes: 2050

      Variants: V871I

    2. The migration potential was firstly assayed by wound-healing experiments demonstrating increased migration properties of EPHB4-V871I compared with both EV and EPHB4-WT in both cell lines (Figure 3C). Indeed, the percenta

      [Paragraph-level] PMCID: PMC7294133 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: V871I | Summary: The EPHB4-V871I variant demonstrates increased migration properties in wound-healing experiments, indicating an alteration in molecular function related to cell migration. Evidence Type: Oncogenic | Mutation: V871I | Summary: The increased migration potential of EPHB4-V871I suggests that this somatic variant may contribute to tumor development or progression by enhancing cell motility.

      Gene→Variant (gene-first): 2050:V871I

      Genes: 2050

      Variants: V871I

    3. Due to EPHB4 involvement in tumour angiogenesis, growth and metastasis, 21 we speculated on its potential regulation of cellular proliferation, cell migration and anchorage-independent growth in vitro. The proliferation

      [Paragraph-level] PMCID: PMC7294133 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Functional, Oncogenic

      Summary: Evidence Type: Functional | Mutation: V871I | Summary: The V871I mutation in EPHB4 is associated with altered cellular proliferation, as indicated by increased propagation rates in cells overexpressing this variant compared to controls. Evidence Type: Oncogenic | Mutation: V871I | Summary: The V871I mutation in EPHB4 contributes to tumor development and progression, as suggested by its involvement in increased proliferation rates in cancer cell lines.

      Gene→Variant (gene-first): 2050:V871I

      Genes: 2050

      Variants: V871I

    4. Interestingly, we found two mutations in EPHB4 (V871I) and in EphB6 (A417S) genes, both involved in axon guidance pathway. The variant V871I in the kinase domain of EPHB4 showed a high pathogenic score (Figure 1A and Tab

      [Paragraph-level] PMCID: PMC7294133 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: V871I | Summary: The variant V871I in the kinase domain of EPHB4 is associated with a high pathogenic score, indicating its contribution to tumor development or progression.

      Gene→Variant (gene-first): 4613:A417S 2050:V871I

      Genes: 4613 2050

      Variants: A417S V871I

    5. We performed targeted sequencing of TK domains on a total of 45 NB normal-primary tumour matched pairs and 9 NB cell lines. All tumour samples were high-risk patients according to the COG Risk Group Classification System

      [Paragraph-level] PMCID: PMC7294133 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: F1174L | Summary: The F1174L mutation in the ALK gene is identified as a somatic variant that is frequently observed in neuroblastoma, suggesting its contribution to tumor development or progression.

      Gene→Variant (gene-first): 238:F1174L

      Genes: 238

      Variants: F1174L

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 3845

      Variants: A146T G12D G12V G13D K117N L19F Q61H R164Q

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 3845 673

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

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 673 3845

      Variants: G57T Leu19Phe V600E

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 1956

      Variants: G719C L858R S768I

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

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

      Evidence Type(s): Oncogenic, Predictive

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

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

      Genes: 2064

      Variants: T733I

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 2064

      Variants: G778A V777L

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 3021 673

      Variants: p.K27M p.V600E

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 1106 1029 3417 23152

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

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 3021 673

      Variants: p.K27M p.V600E

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 3845 673

      Variants: G12D G12V Q636X V600E

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 4436

      Variants: p.Ala636Pro

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 4436

      Variants: p.Ala636Pro

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 4436

      Variants: p.Ala636Pro

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 4436

      Variants: p.Ala636Pro

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 780 207 405 3084 2048 5156 208 3169 2064

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

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 2625

      Variants: M294K

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 186

      Variants: R251H V184I

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 9757 23451 4216 861 1588 51742

      Variants: G168E K666Q K700E N104S R166Q R169K S184L

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 7015

      Variants: CGGA 94) in the TCGA

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 7157

      Variants: Y220C

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

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

      Evidence Type(s): Predictive, Prognostic, Oncogenic

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

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

      Genes: 673

      Variants: V600E

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 3417

      Variants: p.R132H

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 6098

      Variants: G2032R

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

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

      Evidence Type(s): Oncogenic, Predisposing

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

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

      Genes: 79728 3845

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

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 1956

      Variants: R108K

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

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

      Evidence Type(s): Oncogenic, Predictive

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

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

      Genes: 1956

      Variants: L858R L861Q T790M

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 1956

      Variants: A289V G598V L861Q R108K T263P

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 1956

      Variants: A289V G598V L861Q R108K T263P

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 1956

      Variants: A289 A289D A289T E330K L861Q R108 R324L

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 5290

      Variants: p.Glu542Lys p.Glu545Lys p.His1047Arg

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 5290

      Variants: p.Glu453Lys p.Gly914Arg

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 5290

      Variants: p.Arg93Gln p.Cys378Tyr p.Gly106Val

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

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

      Evidence Type(s): Diagnostic, Predisposing, Oncogenic

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

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

      Genes: 5290

      Variants: p.Glu726Lys

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 5290 7249

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

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 5290

      Variants: p.Arg93Gln

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 5290

      Variants: p.Glu545Lys p.His1047Arg

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 6016

      Variants: p.M90I

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 6016

      Variants: Q40L

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 3845 1956 6016

      Variants: G12V L858R Q40 Q40L Q79L

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 6016

      Variants: F82L M90I p.M90I

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 6016

      Variants: p.R122L

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

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

      Evidence Type(s): Oncogenic, Predisposing

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

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

      Genes: NA 6016

      Variants: alanine 77 p.A77P p.A77S

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 6016

      Variants: p.M90I

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 672

      Variants: E384X

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 672

      Variants: E384X

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

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

      Evidence Type(s): Oncogenic, Predictive

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

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

      Genes: 672

      Variants: E384X

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 2064 1956

      Variants: D769H D769Y I767M K753I L755S R678Q S310F S310Y V842I

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

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

      Evidence Type(s): Oncogenic, Diagnostic, Prognostic

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

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

      Genes: 90

      Variants: K27M

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 4486 5395 7297

      Variants: A35V C192Y R1027H

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 80312

      Variants: H1297Y

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 3718

      Variants: A572 A572T A572V M511I

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 673

      Variants: V600E

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

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

      Evidence Type(s): Predictive, Prognostic, Oncogenic

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

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

      Genes: 673

      Variants: V600E

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 1956

      Variants: T790M

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 1956

      Variants: T790M

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 673

      Variants: V600E p.T599dup p.V600E

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 3845

      Variants: c.34G>T p.G12C

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

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

      Evidence Type(s): Predictive, Functional, Oncogenic

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

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

      Genes: 596

      Variants: G101V

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 2064

      Variants: p.L755P

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 2064

      Variants: p.L755P

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 2064

      Variants: p.L755P

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 2064

      Variants: c.2262_2264delinsTCC p.(L755P)

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 7157 2176 2064

      Variants: E321G E401G S310F

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 4843 3845 4893

      Variants: C118 C118S G13D Q61L

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 4843 4893 3845

      Variants: C118S Q61R Q61R/L

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 4843 3845

      Variants: C118S G12D

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 4843 3845

      Variants: C118S G12D

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 4843

      Variants: C118S

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 4843

      Variants: C118S

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 4843 3845

      Variants: C118S Q61R/L

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 4843 4846

      Variants: C118S G353>C S1177D

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 4843

      Variants: C118 C118S G353 transversion to C G353>C

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 1956

      Variants: C797Y E734Q E868G L831H L858R T785A W731L Y801H

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 23451

      Variants: K700E

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

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

      Evidence Type(s): Oncogenic, Functional

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

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

      Genes: 23451

      Variants: K700E

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 246243

      Variants: D210N

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 23451

      Variants: K700E

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 23451

      Variants: K700E

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 5290

      Variants: E542K E545K H1047R

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

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

      Evidence Type(s): Oncogenic

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

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

      Genes: 5728

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

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 5728

      Variants: C124S G129E R130X R335X Y138L

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 7157

      Variants: R175H R248W R273H R282W

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 7157

      Variants: R175 R175H R248 R248W R273 R273H R282 R282W

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

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

      Evidence Type(s): Prognostic, Oncogenic, Functional

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

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

      Genes: 7157

      Variants: R175H R248Q/W R248W R273H R282W

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

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

      Evidence Type(s): Prognostic, Oncogenic

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

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

      Genes: 7157

      Variants: R175 R248 R273 R282

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

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

      Evidence Type(s): Functional, Oncogenic

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

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

      Genes: 1788

      Variants: V716F

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

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

      Evidence Type(s): Predictive, Oncogenic

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

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

      Genes: 3845

      Variants: G12V