Oncogenic mutations within the ?3-?C loop of EGFR/ERBB2/BRAF/MAP2K1 predict response to therapies.
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ABSTRACT: BACKGROUND:?3-?C loop is a highly conserved structural domain across oncogene families, which is a switch for kinase activity. There have been numerous researches on mutations within ?3-?C loop in EGFR, but relatively less in ERBB2, BRAF, and MAP2K1. In addition, previous studies mainly focus on ?3-?C deletion in EGFR, which is the most common type affecting kinase activity and driving lung cancer. Other mutation types are not well studied. METHODS:Here we analyzed the profile of ?3-?C loop mutations in a total of 10,000 tumor biopsy and/or ctDNA patient samples using hybridization capture-based next-generation sequencing. RESULTS:We identified 1616 mutations within ?3-?C loop in this cohort. Most mutations were located in EGFR, with less percentage in ERBB2, BRAF, and MAP2K1. EGFR ?3-?C deletions occurred at a high percentage of 96.7% and were all drug-relevant. We also detected rare EGFR ?3-?C insertions and point mutations, most of which were related to EGFR TKIs resistance. ERBB2 ?3-?C deletions were only found in breast cancers and sensitive to EGFR/ERBB2 inhibitor. Moreover, BRAF and MAP2K1 mutations within ?3-?C loop also demonstrated drugs relevance. CONCLUSION:Our study showed that oncogenic mutations within the ?3-?C loop of ERBB2, MAP2K1, and BRAF are analogous to that of EGFR, which have profound effect on drug response. Understanding the mutation profile within the ?3-?C loop is critical for targeted therapies.
SUBMITTER: Zhang B
PROVIDER: S-EPMC7549570 | biostudies-literature | 2020 Aug
REPOSITORIES: biostudies-literature
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