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Defining the sensitivity landscape of EGFR variants to tyrosine kinase inhibitors

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单位: [1]Henan Univ, Huaihe Hosp, Translat Med Ctr, Kaifeng 475000, Peoples R China [2]Shenzhen Typhoon HealthCare, Shenzhen 518000, Peoples R China [3]Henan Univ, Sch Pharm, Kaifeng 475000, Peoples R China [4]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Oncol, Wuhan 430030, Peoples R China [5]Henan Univ, Affiliated Hosp 1, Key Lab Clin Resources Translat, Kaifeng 475000, Peoples R China [6]Zhengzhou Univ, Acad Med Sci, Precis Med Ctr, Zhengzhou 450000, Peoples R China [7]Zhengzhou Univ, Affiliated Hosp 2, Res & Applicat Ctr Precis Med, Zhengzhou 450000, Peoples R China [8]Typhoon HealthCare, 2 Haijing Rd, Shenzhen 518000, Guangdong, Peoples R China [9]Zhengzhou Univ, Acad Med Sci, Precis Med Ctr, 40 Daxuebei Rd, Zhengzhou 450000, Peoples R China
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关键词: Non-small-cell lung carcinoma Tyrosine kinase inhibitor EGFR rare mutation Functionalclassification of variants Deep mutational scanning

摘要:
Tyrosine kinase inhibitor (TKI) is a standard treatment for patients with NSCLC harboring constitutively active epider-mal growth factor receptor (EGFR) mutations. However, most rare EGFR mutations lack treatment regimens except for the well-studied ones. We constructed two EGFR variant libraries containing substitutions, deletions, or insertions using the saturation mutagenesis method. All the variants were located in the EGFR mutation hotspot (exons 18-21). The sensitivity of these variants to afatinib, erlotinib, gefitinib, icotinib, and osimertinib was systematically studied by determining their enrichment in massively parallel cytotoxicity assays using an endogenous EGFR-depleted cell line. A total of 3914 and 70,475 variants were detected in the constructed EGFR Substitution-Deletion (Sub-Del) and exon 20 Insertion (Ins) libraries. Of the 3914 Sub-Del variants, 221 proliferated fast in the control assay and were sensitive to EGFR-TKIs. For the 70,475 Ins variants, insertions at amino acid positions 770-774 were highly enriched in all 5 TKI cytotoxicity assays. Moreover, the top 5% of the enriched insertion variants included a glycine or serine insertion at high frequency. We present a comprehensive reference for the sensitivity of EGFR variants to five commonly used TKIs. The approach used here should be applicable to other genes and targeted drugs.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 1 区 医学实验技术 2 区 医学:研究与实验 2 区 医学:内科
最新[2025]版:
大类 | 2 区 医学
小类 | 1 区 医学实验技术 2 区 医学:内科 2 区 医学:研究与实验
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出版当年[2021]版:
Q1 MEDICAL LABORATORY TECHNOLOGY Q1 MEDICINE, GENERAL & INTERNAL Q1 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q1 MEDICAL LABORATORY TECHNOLOGY Q1 MEDICINE, GENERAL & INTERNAL Q1 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者单位: [1]Henan Univ, Huaihe Hosp, Translat Med Ctr, Kaifeng 475000, Peoples R China
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通讯机构: [2]Shenzhen Typhoon HealthCare, Shenzhen 518000, Peoples R China [6]Zhengzhou Univ, Acad Med Sci, Precis Med Ctr, Zhengzhou 450000, Peoples R China [7]Zhengzhou Univ, Affiliated Hosp 2, Res & Applicat Ctr Precis Med, Zhengzhou 450000, Peoples R China [8]Typhoon HealthCare, 2 Haijing Rd, Shenzhen 518000, Guangdong, Peoples R China [9]Zhengzhou Univ, Acad Med Sci, Precis Med Ctr, 40 Daxuebei Rd, Zhengzhou 450000, Peoples R China
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