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Updated: Jun 1, 2026

Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
[Study on point mutations of K-ras gene in non-small cell lung cancer in Guangxi]
Weixiang Zhong1, Mingwu Chen, Lei Xian
1Department of Cardiothoracic Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China.
Background And Objective:
Recent studies indicated that non-small cell lung cancer (NSCLC) patients with mutant K-ras were resistant to epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs). The aim of this study is to explore the relationship between the mutation of K-ras gene and NSCLC in Guangxi by detecting the point mutations in codon 12, 13 and 61 of K-ras gene in NSCLC.
Methods:
The point mutations in codon 12, 13 and 61 of K-ras gene were detected by single-strand conformation polymorphism (SSCP) analysis of polymerase chain reaction (PCR) products and DNA sequencing analysis in 105 cases of NSCLC tissues and 30 cases of adjacent normal tissues.
Results:
No point mutation in codon 12, 13 and 61 of K-ras gene was found in 105 cases of NSCLC tissues and 30 cases of adjacent normal tissues. In this study, the mutation frequency of K-ras gene in NSCLC was 0 (0/105).
Conclusion:
The high proportion of K-ras gene in wild-type indicates that patients with NSCLC in Guangxi could take more benefits from the therapy with EGFR-TKIs.
Insights
In Guangxi, non-small cell lung cancer (NSCLC) patients rarely have K-ras gene mutations. This suggests that most NSCLC patients in this region may benefit from epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI) therapy.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- K-ras mutations in non-small cell lung cancer (NSCLC) are linked to resistance to epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs).
- Understanding K-ras mutation status is crucial for guiding NSCLC treatment strategies.
Purpose of the Study:
- To investigate the prevalence of K-ras gene mutations in NSCLC patients in the Guangxi region.
- Specifically, to detect point mutations in codons 12, 13, and 61 of the K-ras gene.
Main Methods:
- Analysis of 105 NSCLC tissue samples and 30 adjacent normal tissues.
- Polymerase chain reaction (PCR) amplification followed by single-strand conformation polymorphism (SSCP) and DNA sequencing.
Main Results:
- No K-ras gene mutations were detected in codons 12, 13, or 61 in any of the 105 NSCLC samples.
- The mutation frequency of the K-ras gene in this NSCLC cohort was 0%.
Conclusions:
- The high frequency of wild-type K-ras genes in NSCLC patients from Guangxi suggests potential therapeutic benefits from EGFR-TKIs.
- This finding supports the use of EGFR-TKI therapy for NSCLC patients in Guangxi, as they are less likely to exhibit resistance due to K-ras mutations.
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