Identification of Actionable Gene Variants in Pulmonary Large-Cell Neuroendocrine Carcinoma: A Real-World Analysis of a Polish Cohort
International journal of molecular sciences · Mar 2026 · retrospective cohort
Researchers performed targeted next-generation sequencing on 216 pulmonary LCNEC tumor samples from a retrospective Polish cohort to look for actionable gene variants. They found 46 variants in 46/216 samples (21.3%), with 28/216 (13%) harboring at least one potentially actionable alteration; most common were KRAS and PIK3CA (each 5%), and a novel TMEM79::NTRK1 fusion was found in one case (0.5%). Several typical NSCLC alterations (classical EGFR exon 18–21, ALK, FGFR1/2/3, ROS1) were not detected.
Reported effects: variant_count 46, n=216 · variant_positive_rate 21.3%, n=216 · +8 more
Key findings
- Overall, 46 variants were identified in 46/216 (21.3%) tumor samples.
- 28/216 (13%) LCNECs harbored at least one actionable molecular variant potentially targetable by registered or investigational agents.
- KRAS variants were present in 5% of tumors (including G12C at 2%).
- PIK3CA variants were present in 5% of tumors.
- RET single-nucleotide variants were observed in 3% of tumors.
- Uncommon EGFR variants were observed in 1% of tumors; BRAF class II and III variants were observed at <1%.
- A novel in-frame gene fusion (TMEM79::NTRK1) was identified in a single tumor sample (0.5%).
- No classical EGFR exon 18-21 mutations nor ALK, FGFR1/2/3, or ROS1 alterations (mutations or fusions) were detected.
AI summary of the abstract, human-reviewed · Jun 2026. Describes what this study reported, not medical advice. View on PubMed · Full text