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10.1177/17588359251351449

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suck abstract from ncbi


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pmid40585875
      Ther+Adv+Med+Oncol 2025 ; 17 (ä): 17588359251351449
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  • Frequency of driver oncogenic alterations in NSCLC and estimated indoor radon exposure in Europe (RADON EUROPE study) #MMPMID40585875
  • García-Pardo M ; García de Herreros M ; Auclin E ; Ferriol-Galmes M ; Laguna JC ; Gorría T ; Caravaca G ; Sart J ; Albarrán-Artahona V ; López-Castro R ; Teixidó C ; Castellano G ; Martínez Bedmar A ; Arcocha A ; Alcolea L ; Jiménez M ; Bernabeu M ; Delgado-Cano D ; Navarro A ; Prat A ; Reguart N ; Elio J ; Garrido P ; Leighl NB ; Besse B ; Mezquita L
  • Ther Adv Med Oncol 2025[]; 17 (ä): 17588359251351449 PMID40585875 show ga
  • BACKGROUND: Geographical variations in the frequency of oncogenic driver alterations in non-small cell lung cancer (NSCLC) are observed worldwide, likely influenced by genetic and environmental factors. Radon, a leading cause of lung cancer in nonsmokers, may influence NSCLC's molecular profile. OBJECTIVES: This study aims to explore the potential correlation between estimated indoor radon concentrations and the frequency of driver alterations in NSCLC across Europe. DESIGN: Ecological study of European countries with available data on indoor radon exposure (estimated mean levels and the proportion (%) of dwellings with concentrations >200 and >400?Bq/m(3)), and frequency of NSCLC actionable genomic alterations (EGFR, ALK) from PubMed articles and meeting abstracts with sample size >100 patients. METHODS: We retrospectively analyzed NSCLC molecular data and radon exposure levels from European countries. Radon data, including the mean and proportion (%) of dwellings with concentrations >200 and >400?Bq/m(3), were sourced from the European Commission Report 2005. NSCLC molecular alteration frequency (EGFR, ALK) was extracted from PubMed articles with sample sizes >100 patients. The correlation between molecular alteration frequencies and country-specific radon data were assessed. RESULTS: Data on radon exposure and EGFR/ALK frequency were available for 21 European countries. Five countries had mean radon levels >100?Bq/m(3), and eight countries had ?3% of dwellings with concentrations >400?Bq/m(3). The median frequency of EGFR mutations and ALK fusions was 11.3% (range 7%-18.1%) and 4.1% (range 3.4%-12%), respectively. A positive correlation was found between estimated ALK-fusion frequency and the percentage of dwellings with >400?Bq/m(3) (r?=?0.72, p?=?0.001). No correlation was found between EGFR mutation frequency and radon exposure. CONCLUSION: We found a positive correlation between estimated ALK fusion frequency in NSCLC and the proportion of dwellings exceeding 400?Bq/m(3) radon exposure in 21 European countries. Further research is needed to explore the potential influence of radon and other environmental factors on NSCLC with driver alterations.
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