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Updated: Jan 23, 2026

Detecting Somatic Genetic Alterations in Tumor Specimens by Exon Capture and Massively Parallel Sequencing
Published on: October 18, 2013
KRAS Exon 3 and PTEN Exon 7 Mutations in Small-cell Lung Cancer
Lei Lei1,2, Zhi-Ming Jiang1, Cheng-Hui Li2
1Zhejiang Key Laboratory of Diagnosis & Treatment Technology on Thoracic Oncology (Lung and Esophagus), Zhejiang Cancer Hospital, Hangzhou, 310022, China.
Abstract:
Small cell lung cancer (SCLC) is recognized as one of the most aggressive and fatal malignant tumors. No significant improvement has been made to prolong the survival of SCLC patients. This study aimed to examine the mutation status of K-Ras (KRAS) and phosphatase and tensin homolog (PTEN) in SCLC patients in order to identify potential therapeutic targets for SCLC. Nineteen primary SCLC tumor specimens were enrolled in the study. Direct sequencing was performed to detect the mutations of KRAS exon 3 and PTEN exon 7 in the specimens. Kaplan- Meier and Cox regression analysis was performed to determine the overall survival (OS) of these SCLC patients. KRAS exon 3 mutation was found in 4 (21%) SCLC patients, and PTEN exon 7 mutation in only 1 (5%) SCLC patient. Kaplan Meier analysis showed that clinical stage and brain metastasis were significantly associated with OS (both P<0.05), but neither KRAS exon 3 mutation nor PTEN exon 7 mutation was significantly associated with OS (P>0.05). Cox proportional hazards regression model indicated that extensive stage of disease was the only independent negative prognostic factor for OS in SCLC patients. In conclusion, KRAS exon 3 and PTEN exon 7 mutations had no significant impact on OS of SCLC patients. Further study is still necessary to validate the molecular profiles of SCLC.
Insights
Investigating KRAS and PTEN mutations in small cell lung cancer (SCLC) revealed no significant impact on patient survival. Extensive disease stage remains the primary negative prognostic factor for overall survival in SCLC.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Small cell lung cancer (SCLC) is a highly aggressive malignancy with limited therapeutic advancements.
- Identifying novel therapeutic targets is crucial for improving overall survival (OS) in SCLC patients.
Purpose of the Study:
- To investigate the mutation status of K-Ras (KRAS) exon 3 and phosphatase and tensin homolog (PTEN) exon 7 in SCLC.
- To determine the association between these mutations and the overall survival (OS) of SCLC patients.
Main Methods:
- Direct sequencing of KRAS exon 3 and PTEN exon 7 in 19 primary SCLC tumor specimens.
- Kaplan-Meier and Cox regression analyses were used to assess the prognostic significance of mutations and clinical factors.
Main Results:
- KRAS exon 3 mutations were detected in 21% of SCLC patients, and PTEN exon 7 mutations in 5%.
- Neither KRAS exon 3 nor PTEN exon 7 mutations were significantly associated with OS.
- Extensive stage of disease was identified as the sole independent negative prognostic factor for OS.
Conclusions:
- KRAS exon 3 and PTEN exon 7 mutations do not appear to significantly impact OS in SCLC patients.
- Further research is warranted to validate these molecular profiles and explore other potential therapeutic targets in SCLC.
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