Annotation Detail

Information
Associated Genes
BCL2L11
Associated Variants
BCL2L11 DELETION POLYMORPHISM
BCL2L11 DELETION POLYMORPHISM
Associated Disease
lung non-small cell carcinoma
Source Database
CIViC Evidence
Description
The BIM (BCL2L11) deletion polymorphism was identified in an EGFR Mutant NSCLC cell line with resistance to EGFR-TKI (HCC2779). Introduction of this polymorphism in a previously EGFR-inhibitor sensitive cell line led to TKI-resistance. In 141 NSCLC patients with EGFR mutations, the presence of the polymorphism (N=26) was predictive of a significantly shorter PFS under treatment with EGFR-TKI (6.6 months vs. 11.9 months, p = 0.0027). Patients received either gefitinib only (N=136) or erlotinib only (N=5).
Variant Origin
Common Germline
Variant Origin
Common Germline
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1281
Gene URL
https://civic.genome.wustl.edu/links/genes/7953
Variant URL
https://civic.genome.wustl.edu/links/variants/526
Rating
4
Evidence Type
Predictive
Disease
Lung Non-small Cell Carcinoma
Evidence Direction
Supports
Drug
Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor
Evidence Level
B
Clinical Significance
Resistance
Pubmed
22426421
Drugs
Drug NameSensitivitySupported
Epidermal Growth Factor Receptor Tyrosine Kinase InhibitorResitance or Non-Reponsetrue