PMID- 35399233 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220413 IS - 2072-1439 (Print) IS - 2077-6624 (Electronic) IS - 2072-1439 (Linking) VI - 14 IP - 3 DP - 2022 Mar TI - Comprehensive analysis of aneuploidy status and its effect on the efficacy of EGFR-TKIs in lung cancer. PG - 625-634 LID - 10.21037/jtd-22-73 [doi] AB - BACKGROUND: Lung cancer has the highest mortality rate among cancers worldwide, and most patients are diagnosed with non-small-cell lung cancer (NSCLC), and evaluating the clinical efficacy of molecularly targeted cancer therapy remains a major challenge. METHODS: This paper retrospectively investigated the outcome information of 291 lung cancer patients detected by next-generation sequencing (NGS) analysis and fluorescence in situ hybridization (FISH), including 63 patients with lung cancer who were followed up. We analyzed epidermal growth factor receptor (EGFR) mutation abundance and aneuploidy status to evaluate clinical efficacy. RESULTS: The progress free survival (PFS) of patients diagnosed as euploidy was actually higher than that of patients diagnosed with aneuploidy, and was related to both the objective response rate (ORR) and disease control rate (DCR). Patients with an epidermal growth factor receptor (EGFR) mutation abundance >/=28.86% had slightly higher ORR and similar DCR. Two-way analysis of variance was used to assess the effects of EGFR mutation abundance and tumor aneuploidy status on patients' PFS. The results indicated a strong correlation between aneuploidy status and clinical efficacy, with euploid patients having a higher ORR and DCR. CONCLUSIONS: Aneuploidy status could effectively evaluate the clinical efficacy of patients with lung cancer. However, EGFR mutations abundance could not predict the extent of benefit from tyrosine kinase inhibitors (EGFR-TKI) treatment. CI - 2022 Journal of Thoracic Disease. All rights reserved. FAU - Wei, Bing AU - Wei B AD - Department of Molecular Pathology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China. AD - Henan Provincial Key Laboratory of Molecular Pathology, Zhengzhou, China. FAU - Zhao, Chengzhi AU - Zhao C AD - Department of Molecular Pathology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China. AD - Henan Provincial Key Laboratory of Molecular Pathology, Zhengzhou, China. FAU - Yang, Ke AU - Yang K AD - Department of Molecular Pathology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China. AD - Henan Provincial Key Laboratory of Molecular Pathology, Zhengzhou, China. FAU - Yan, Chi AU - Yan C AD - Department of Molecular Pathology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China. AD - Henan Provincial Key Laboratory of Molecular Pathology, Zhengzhou, China. FAU - Chang, Yuxi AU - Chang Y AD - Department of Molecular Pathology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China. AD - Henan Provincial Key Laboratory of Molecular Pathology, Zhengzhou, China. FAU - Gao, Huijie AU - Gao H AD - Department of Molecular Pathology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China. AD - Henan Provincial Key Laboratory of Molecular Pathology, Zhengzhou, China. FAU - Guo, Yongjun AU - Guo Y AD - Department of Molecular Pathology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China. AD - Henan Provincial Key Laboratory of Molecular Pathology, Zhengzhou, China. FAU - Ma, Jie AU - Ma J AD - Department of Molecular Pathology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China. AD - Henan Provincial Key Laboratory of Molecular Pathology, Zhengzhou, China. LA - eng PT - Journal Article PL - China TA - J Thorac Dis JT - Journal of thoracic disease JID - 101533916 PMC - PMC8987823 OTO - NOTNLM OT - Aneuploidy, lung cancer OT - Next-generation sequencing (NGS) OT - epidermal growth factor receptor mutations abundance (EGFR mutations abundance) OT - fluorescence in situ hybridization (FISH) COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jtd.amegroups.com/article/view/10.21037/jtd-22-73/coif). All authors report that this work received technical support from Shanghai Tongshu Biotechnology Co. Ltd. The authors have no other conflicts of interest to declare. EDAT- 2022/04/12 06:00 MHDA- 2022/04/12 06:01 PMCR- 2022/03/01 CRDT- 2022/04/11 05:11 PHST- 2021/12/17 00:00 [received] PHST- 2022/02/25 00:00 [accepted] PHST- 2022/04/11 05:11 [entrez] PHST- 2022/04/12 06:00 [pubmed] PHST- 2022/04/12 06:01 [medline] PHST- 2022/03/01 00:00 [pmc-release] AID - jtd-14-03-625 [pii] AID - 10.21037/jtd-22-73 [doi] PST - ppublish SO - J Thorac Dis. 2022 Mar;14(3):625-634. doi: 10.21037/jtd-22-73.