PMID- 30773851 OWN - NLM STAT- MEDLINE DCOM- 20200507 LR - 20210109 IS - 2045-7634 (Electronic) IS - 2045-7634 (Linking) VI - 8 IP - 4 DP - 2019 Apr TI - Retinoblastoma mutation predicts poor outcomes in advanced non small cell lung cancer. PG - 1459-1466 LID - 10.1002/cam4.2023 [doi] AB - The retinoblastoma gene (RB1) encodes the retinoblastoma (RB) pocket protein that plays an important role in cell cycle progression. Here we determine the frequency and prognostic significance of RB1 mutation in non small cell lung cancer (NSCLC), restricting inclusion to Stage III and IV patients with linked genomic and clinical data. The primary outcome was median overall survival (OS). We identified RB1 mutation in 8.2% of NSCLC patients. The median OS for wild-type (wt) RB1 was 28.3 months vs 8.3 months for mutant RB1 (Hazard Ratio = 2.59, P = 0.002). Of special interest, RB1 mutation also correlated with lack of response to immunotherapy. Our study focused on RB1 mutation in locally advanced and advanced non small cell lung cancer to better facilitate comparisons with small cell lung cancer (SCLC). In our SCLC cohort, RB1 mutation was identified in 75% of patients and wt RB1 was associated with significantly shorter OS (P = 0.002). The different outcomes of RB1 mutation observed among lung cancer subtypes suggest a more complicated mechanism than simple regulation of cell cycle or response to chemotherapy. CI - (c) 2019 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. FAU - Bhateja, Priyanka AU - Bhateja P AD - Department of Hematology and Oncology, Case Western Reserve University, University Hospitals Seidman Cancer Center, Cleveland, Ohio. FAU - Chiu, Michelle AU - Chiu M AD - School of Medicine, Case Western Reserve University, Cleveland, Ohio. FAU - Wildey, Gary AU - Wildey G AUID- ORCID: 0000-0001-7105-1313 AD - School of Medicine, Case Western Reserve University, Cleveland, Ohio. FAU - Lipka, Mary Beth AU - Lipka MB AD - Department of Hematology and Oncology, University Hospitals Seidman Cancer Center, Cleveland, Ohio. FAU - Fu, Pingfu AU - Fu P AD - Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio. FAU - Yang, Michael Chiu Lee AU - Yang MCL AD - Department of Pathology, University Hospitals Cleveland Medical Center, Cleveland, Ohio. FAU - Ardeshir-Larijani, Fatemeh AU - Ardeshir-Larijani F AD - Department of Internal Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio. FAU - Sharma, Neelesh AU - Sharma N AD - Department of Biomedical Research, Novartis Pharmaceuticals Corporation, East Hanover, New Jersey. FAU - Dowlati, Afshin AU - Dowlati A AD - Department of Hematology and Oncology, Case Western Reserve University, University Hospitals Seidman Cancer Center, Cleveland, Ohio. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190217 PL - United States TA - Cancer Med JT - Cancer medicine JID - 101595310 RN - 0 (Antineoplastic Agents, Immunological) RN - 0 (RB1 protein, human) RN - 0 (Retinoblastoma Binding Proteins) RN - EC 2.3.2.27 (Ubiquitin-Protein Ligases) SB - IM MH - Adult MH - Aged MH - Antineoplastic Agents, Immunological/*therapeutic use MH - Carcinoma, Non-Small-Cell Lung/drug therapy/*genetics/pathology MH - Diagnosis, Differential MH - Female MH - Humans MH - Lung Neoplasms/drug therapy/*genetics/pathology MH - Male MH - Middle Aged MH - *Mutation MH - Mutation Rate MH - Neoplasm Staging MH - Prognosis MH - Retinoblastoma Binding Proteins/*genetics MH - Small Cell Lung Carcinoma/drug therapy/*genetics/pathology MH - Survival Analysis MH - Treatment Outcome MH - Ubiquitin-Protein Ligases/*genetics PMC - PMC6488103 OTO - NOTNLM OT - genomics OT - immunotherapy OT - non small cell lung cancer OT - response OT - retinoblastoma OT - small cell lung cancer COIS- None declared. EDAT- 2019/02/19 06:00 MHDA- 2020/05/08 06:00 PMCR- 2019/02/17 CRDT- 2019/02/19 06:00 PHST- 2018/10/09 00:00 [received] PHST- 2019/01/07 00:00 [revised] PHST- 2019/01/16 00:00 [accepted] PHST- 2019/02/19 06:00 [pubmed] PHST- 2020/05/08 06:00 [medline] PHST- 2019/02/19 06:00 [entrez] PHST- 2019/02/17 00:00 [pmc-release] AID - CAM42023 [pii] AID - 10.1002/cam4.2023 [doi] PST - ppublish SO - Cancer Med. 2019 Apr;8(4):1459-1466. doi: 10.1002/cam4.2023. Epub 2019 Feb 17.