PMID- 37572583 OWN - NLM STAT- MEDLINE DCOM- 20231120 LR - 20231121 IS - 2210-7762 (Print) VI - 278-279 DP - 2023 Nov TI - Identification of a novel RSRC1-ALK (R6: A20) fusion using next-generation sequencing technique. PG - 18-23 LID - S2210-7762(23)00053-4 [pii] LID - 10.1016/j.cancergen.2023.08.003 [doi] AB - Non-small-cell lung cancer (NSCLC) patients with anaplastic lymphoma kinase (ALK) fusion showed promising responses to ALK tyrosine kinase inhibitors (TKIs). In this study, fluorescence in situ hybridization (FISH), immunohistochemistry (IHC), next generation sequencing (NGS) and Sanger sequencing were performed to identify the presence of ALK fusion, to investigate whether the patient may benefit from TKI therapy. Postoperative pathological analysis indicated invasive adenocarcinoma with mainly mucinous type and partial micropapillary type in left lower lung. Minimally invasive adenocarcinoma was seen in left upper lung, with mainly acinar type. NGS detected a novel RSRC1-ALK (R6: A20) fusion in left lower lobe sample, which was presented as the fusion of exon 6 of RSRC1 and exon 20 of ALK gene. Sanger sequencing validated the fusion. Break rearrangement signal of ALK gene was detected in 80% of tumor cells. Immunohistochemistry showed ALK positive expression in lung. For the treatment, the patient received ensartinib hydrochloride with a dose of 225 mg per day. He was in a state of progression-free survival for at least 24 months in follow-up with no complications. NGS can be used for exploring treatment options for NSCLC patients with ALK fusion. CI - Copyright (c) 2023 Elsevier Inc. All rights reserved. FAU - Xia, Jingjing AU - Xia J AD - Department of Medical Examination, Huai'an First People's Hospital, Nanjing Medical University, Huai'an 223300, PR China. FAU - Chen, Sheng AU - Chen S AD - Department of Thoracic Surgery, Huai'an First People's Hospital, Nanjing Medical University, Huai'an 223300, PR China. FAU - Zhang, Zhujian AU - Zhang Z AD - Omigen, Inc., Hangzhou 310000, PR China. FAU - Wang, Jipeng AU - Wang J AD - Department of Respiration, Huai'an First People's Hospital, Nanjing Medical University, Huai'an 223300, PR China. Electronic address: hayywjp@njmu.edu.cn. LA - eng PT - Journal Article DEP - 20230809 PL - United States TA - Cancer Genet JT - Cancer genetics JID - 101539150 RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (RSRC1 protein, human) RN - 0 (Nuclear Proteins) SB - IM MH - Male MH - Humans MH - Anaplastic Lymphoma Kinase/genetics MH - *Carcinoma, Non-Small-Cell Lung/drug therapy MH - *Lung Neoplasms/pathology MH - In Situ Hybridization, Fluorescence/methods MH - *Adenocarcinoma/genetics MH - Protein Kinase Inhibitors/therapeutic use MH - High-Throughput Nucleotide Sequencing MH - Oncogene Proteins, Fusion/genetics MH - Nuclear Proteins/genetics OTO - NOTNLM OT - ALK fusion mutation OT - ASB3-ALK OT - Non-small cell lung cancer OT - RSRC1-ALK OT - Synchronous multiple primary lung cancer COIS- Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Author Zhujian Zhang is employed by Omigen, Inc.. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/08/13 00:43 MHDA- 2023/11/20 06:55 CRDT- 2023/08/12 18:09 PHST- 2023/04/21 00:00 [received] PHST- 2023/07/27 00:00 [revised] PHST- 2023/08/07 00:00 [accepted] PHST- 2023/11/20 06:55 [medline] PHST- 2023/08/13 00:43 [pubmed] PHST- 2023/08/12 18:09 [entrez] AID - S2210-7762(23)00053-4 [pii] AID - 10.1016/j.cancergen.2023.08.003 [doi] PST - ppublish SO - Cancer Genet. 2023 Nov;278-279:18-23. doi: 10.1016/j.cancergen.2023.08.003. Epub 2023 Aug 9.