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Comprehensive pan-cancer genomic landscape of KRAS altered cancers and real-world outcomes in solid tumors
by
Schutzman, Jennifer L.
, Hegde, Priti S.
, Schrock, Alexa B.
, Ye, Xin
, Napalkov, Pavel
, Ou, Sai-Hong Ignatius
, Shi, Zhen
, Oxnard, Geoffrey R.
, Gjoerup, Ole
, Frampton, Garrett M.
, Sokol, Ethan S.
, Madison, Russell
, Ross, Jeffrey S.
, Montesion, Meagan
, Lee, Jessica K.
, Sivakumar, Smruthy
, Fabrizio, David
, Nagasaka, Misako
in
631/67/69
/ 692/308/409
/ 692/4017
/ 692/53/2423
/ Blood cancer
/ Cancer
/ Cancer Research
/ Clinical outcomes
/ Colorectal cancer
/ Gene Therapy
/ Genomics
/ Human Genetics
/ Internal Medicine
/ Medicine
/ Medicine & Public Health
/ Mutation
/ Oncology
/ Pediatrics
/ Tumors
2022
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Comprehensive pan-cancer genomic landscape of KRAS altered cancers and real-world outcomes in solid tumors
by
Schutzman, Jennifer L.
, Hegde, Priti S.
, Schrock, Alexa B.
, Ye, Xin
, Napalkov, Pavel
, Ou, Sai-Hong Ignatius
, Shi, Zhen
, Oxnard, Geoffrey R.
, Gjoerup, Ole
, Frampton, Garrett M.
, Sokol, Ethan S.
, Madison, Russell
, Ross, Jeffrey S.
, Montesion, Meagan
, Lee, Jessica K.
, Sivakumar, Smruthy
, Fabrizio, David
, Nagasaka, Misako
in
631/67/69
/ 692/308/409
/ 692/4017
/ 692/53/2423
/ Blood cancer
/ Cancer
/ Cancer Research
/ Clinical outcomes
/ Colorectal cancer
/ Gene Therapy
/ Genomics
/ Human Genetics
/ Internal Medicine
/ Medicine
/ Medicine & Public Health
/ Mutation
/ Oncology
/ Pediatrics
/ Tumors
2022
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Comprehensive pan-cancer genomic landscape of KRAS altered cancers and real-world outcomes in solid tumors
by
Schutzman, Jennifer L.
, Hegde, Priti S.
, Schrock, Alexa B.
, Ye, Xin
, Napalkov, Pavel
, Ou, Sai-Hong Ignatius
, Shi, Zhen
, Oxnard, Geoffrey R.
, Gjoerup, Ole
, Frampton, Garrett M.
, Sokol, Ethan S.
, Madison, Russell
, Ross, Jeffrey S.
, Montesion, Meagan
, Lee, Jessica K.
, Sivakumar, Smruthy
, Fabrizio, David
, Nagasaka, Misako
in
631/67/69
/ 692/308/409
/ 692/4017
/ 692/53/2423
/ Blood cancer
/ Cancer
/ Cancer Research
/ Clinical outcomes
/ Colorectal cancer
/ Gene Therapy
/ Genomics
/ Human Genetics
/ Internal Medicine
/ Medicine
/ Medicine & Public Health
/ Mutation
/ Oncology
/ Pediatrics
/ Tumors
2022
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Comprehensive pan-cancer genomic landscape of KRAS altered cancers and real-world outcomes in solid tumors
Journal Article
Comprehensive pan-cancer genomic landscape of KRAS altered cancers and real-world outcomes in solid tumors
2022
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Overview
Recent clinical development of KRAS inhibitors has heightened interest in the genomic landscape of
KRAS
-altered cancers. We performed a pan-cancer analysis of
KRAS
-altered samples from 426,706 adult patients with solid or hematologic malignancies using comprehensive genomic profiling; additional analyses included 62,369 liquid biopsy and 7241 pediatric samples. 23% of adult pan-cancer samples had
KRAS
alterations; 88% were mutations, most commonly
G12D/G12V/G12C/G13D/G12R
, and prevalence was similar in liquid biopsies. Co-alteration landscapes were largely similar across
KRAS
mutations but distinct from
KRAS
wild-type, though differences were observed in some tumor types for tumor mutational burden, PD-L1 expression, microsatellite instability, and other mutational signatures. Prognosis of
KRAS-
mutant versus other genomic cohorts of lung, pancreatic, and colorectal cancer were assessed using a real-world clinicogenomic database. As specific KRAS inhibitors and combination therapeutic strategies are being developed, genomic profiling to understand co-alterations and other biomarkers that may modulate response to targeted or immunotherapies will be imperative.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
Subject
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