Evidence map›Paper›PMID 30348992›Full record

ArticleOncogene2019

Deep multi-region whole-genome sequencing reveals heterogeneity and gene-by-environment interactions in treatment-naive, metastatic lung cancer.

Tracy L Leong, Velimir Gayevskiy, Daniel P Steinfort, Marc R De Massy, Alvaro Gonzalez-Rajal, Kieren D Marini, Emily Stone, Venessa Chin, Adrian Havryk, Marshall Plit and 18 more

Abstract read
In one paragraph

Article in Oncogene, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Examining the role of extrachromosomal DNA in lung cancer.Journal of the National Cancer Institute · 2026
    Article
  2. Article
  3. Panorama of Chromosomal Instability in Lung Cancer.medRxiv : the preprint server for health sciences · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors.

Tracy L LeongACRF Stem Cells and Cancer Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, 3050, Australia.
Velimir GayevskiyThe Kinghorn Centre for Clinical Genomics, Garvan Institute of Medical Research, Darlinghurst, NSW, 2010, Australia.
Daniel P SteinfortDepartment of Medical Biology, University of Melbourne, Parkville, VIC, 3050, Australia.
Marc R De MassyThe Kinghorn Centre for Clinical Genomics, Garvan Institute of Medical Research, Darlinghurst, NSW, 2010, Australia.ORCID http://orcid.org/0000-0002-3048-1680
Alvaro Gonzalez-RajalThe Kinghorn Cancer Centre, Garvan Institute of Medical Research, Darlinghurst, NSW, 2010, Australia.
Kieren D MariniThe Hudson Institute of Medical Research, Clayton, VIC, 3168, Australia.
Emily StoneThe Hudson Institute of Medical Research, Clayton, VIC, 3168, Australia.
Venessa ChinThe Kinghorn Cancer Centre, Garvan Institute of Medical Research, Darlinghurst, NSW, 2010, Australia.
Adrian HavrykDepartment of Thoracic Medicine, St Vincent's Hospital, Darlinghurst, NSW, 2010, Australia.
Marshall PlitDepartment of Thoracic Medicine, St Vincent's Hospital, Darlinghurst, NSW, 2010, Australia.
Louis B IrvingDepartment of Medical Biology, University of Melbourne, Parkville, VIC, 3050, Australia.
Barton R JenningsDepartment of Respiratory and Sleep Medicine, Monash Health, Clayton, VIC, 3168, Australia.
Rachael A McCloyThe Kinghorn Cancer Centre, Garvan Institute of Medical Research, Darlinghurst, NSW, 2010, Australia.
W Samantha N JayasekaraThe Hudson Institute of Medical Research, Clayton, VIC, 3168, Australia.
Muhammad AlamgeerThe Hudson Institute of Medical Research, Clayton, VIC, 3168, Australia.
Vishal BoolellThe Hudson Institute of Medical Research, Clayton, VIC, 3168, Australia.
Andrew FieldSt Vincent's Clinical School, UNSW Sydney, Darlinghurst, NSW, 2010, Australia.
Prudence A RussellDepartment of Pathology, St Vincent's Hospital Melbourne, Fitzroy, VIC, 3000, Australia.
Beena KumarDepartment of Pathology, Monash Health, Clayton, VIC, 3168, Australia.
Daniel J GoughThe Hudson Institute of Medical Research, Clayton, VIC, 3168, Australia.
Anette SzczepnyThe Hudson Institute of Medical Research, Clayton, VIC, 3168, Australia.
Vinod GanjuThe Hudson Institute of Medical Research, Clayton, VIC, 3168, Australia.ORCID http://orcid.org/0000-0003-4713-7752
Fernando J RosselloDepartment of Anatomy and Developmental Biology, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, 3168, Australia.ORCID http://orcid.org/0000-0003-3885-8777
Jason E CainThe Hudson Institute of Medical Research, Clayton, VIC, 3168, Australia.
Anthony T PapenfussComputational Cancer Biology Program, Peter MacCallum Cancer Centre, Melbourne, VIC, 3000, Australia.
Marie-Liesse Asselin-LabatACRF Stem Cells and Cancer Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, 3050, Australia. labat@wehi.edu.au.ORCID http://orcid.org/0000-0001-7082-6076
Mark J CowleyThe Kinghorn Centre for Clinical Genomics, Garvan Institute of Medical Research, Darlinghurst, NSW, 2010, Australia. m.cowley@garvan.org.au.
D Neil WatkinsThe Kinghorn Cancer Centre, Garvan Institute of Medical Research, Darlinghurst, NSW, 2010, Australia. dr.neil.watkins@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our understanding of genomic heterogeneity in lung cancer is largely based on the analysis of early-stage surgical specimens. Here we used endoscopic sampling of paired primary and intrathoracic metastatic tumors from 11 lung cancer patients to map genomic heterogeneity inoperable lung cancer with deep whole-genome sequencing. Intra-patient heterogeneity in driver or targetable mutations was predominantly in the form of copy number gain. Private mutation signatures, including patterns consistent with defects in homologous recombination, were highly variable both within and between patients. Irrespective of histotype, we observed a smaller than expected number of private mutations, suggesting that ancestral clones accumulated large mutation burdens immediately prior to metastasis. Single-region whole-genome sequencing of from 20 patients showed that tumors in ever-smokers with the strongest tobacco signatures were associated with germline variants in genes implicated in the repair of cigarette-induced DNA damage. Our results suggest that lung cancer precursors in ever-smokers accumulate large numbers of mutations prior to the formation of frank malignancy followed by rapid metastatic spread. In advanced lung cancer, germline variants in DNA repair genes may interact with the airway environment to influence the pattern of founder mutations, whereas similar interactions with the tumor microenvironment may play a role in the acquisition of mutations following metastasis.

Indexed as

Genetic HeterogeneityAdenocarcinoma of LungAgedAged, 80 and overCarcinoma, Squamous CellDNA Copy Number VariationsFemaleFounder EffectGene-Environment InteractionHigh-Throughput Nucleotide SequencingHumansLung NeoplasmsMaleMiddle AgedMutationSmall Cell Lung Carcinoma

Identifiers

PMID30348992
PMCPMC6462862

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.