Annotation Detail

Information
Associated Genes
ROS1
Associated Variants
ROS1 CD74-ROS1 L2155S
Associated Disease
lung non-small cell carcinoma
Source Database
CIViC Evidence
Description
The L2155S mutation in ROS1 was identified in the HCC78CR1, -2 and -3 cell lines which harbor the SLC34A2–ROS1 rearrangement and in 2 patients with NSCLC with progressive disease following crizotinib treatment and CD74–ROS1 rearrangment. Crystal structure predicted ROS1 L2155S mutation to be highly destabilizating and cause protein structural modification. HCC78CR1, 2, and 3 cells and Ba/F3 cells transfected with CD74–ROS1 L2155S, showed resistance to crizotinib compared with parental HCC78 and Ba/F3 cells. In addition, these cell lines showed resistance to foretinib, a potent ROS1 inhibitor that is effective against ROS1 G2032R-mutant cells (16), and TAE684, a potent ALK inhibitor
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1256
Gene URL
https://civic.genome.wustl.edu/links/genes/4941
Variant URL
https://civic.genome.wustl.edu/links/variants/517
Rating
3
Evidence Type
Predictive
Disease
Lung Non-small Cell Carcinoma
Evidence Direction
Supports
Drug
Foretinib,Crizotinib,TAE684
Evidence Level
D
Clinical Significance
Resistance
Pubmed
25688157
Drugs
Drug NameSensitivitySupported
CrizotinibResitance or Non-Reponsetrue
ForetinibResitance or Non-Reponsetrue
TAE684Resitance or Non-Reponsetrue