2021
DOI: 10.1101/2021.11.27.21266822
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KRASmutations impact clinical outcome in metastatic non-small cell lung cancer

Abstract: BackgroundPembrolizumab, a humanized antibody targeting Programmed Cell Death 1 (PD-1), is used as first-line therapy for patients with metastatic Non-Small Cell Lung Cancer (NSCLC) expressing Programmed Death Ligand 1 (PD-L1). However, not all PD-L1 expressing patients respond to pembrolizumab. Thus, there is an urgent need to identify new predictive biomarkers for response to immune checkpoint blockade (ICB) therapy. KRAS mutational status has been suggested to affect treatment outcome, but no clear consensu… Show more

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“…We observe that TP53 mutation status is associated with resistance to three drugs, concordant with earlier observations showing that TP53 mutant are more resistant to chemotherapy [14]. Resistance to Gemcitabine and Vincristine is also associated with KRAS and PI3KCA mutations, known for their proliferative potential [18, 10]. Interestingly, mutations in MYC and MAPK8IP2 are associated with sensitivity to these three drugs.…”
Section: Resultssupporting
confidence: 90%
“…We observe that TP53 mutation status is associated with resistance to three drugs, concordant with earlier observations showing that TP53 mutant are more resistant to chemotherapy [14]. Resistance to Gemcitabine and Vincristine is also associated with KRAS and PI3KCA mutations, known for their proliferative potential [18, 10]. Interestingly, mutations in MYC and MAPK8IP2 are associated with sensitivity to these three drugs.…”
Section: Resultssupporting
confidence: 90%