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April 5, 2026Cancer Research

Abstract 5341: Real-world landscape of BRAF fusions in chinese patients with lung and colorectal cancers: Insights from 26,248 DNA-NGS and RNA-NGS tests.

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Authors

LWLi WangWWWanpu WangXPXinyan Pan

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Overview

Analysis identifies BRAF fusion characteristics in lung and colorectal cancers, indicating the need for RNA-based sequencing.

Key Points

  • This analysis aims to characterize BRAF fusion events in lung and colorectal cancer patients using DNA and RNA-based sequencing.
  • Conducted next-generation sequencing (NGS) on 26,248 patients, including separate analyses of 11,337 by DNA-NGS and 14,911 by RNA-NGS.
  • Systematically evaluated BRAF fusions, partner genes, and co-mutations.
  • Compared detection performance and fusion structure between DNA-NGS and RNA-NGS.
  • Identified 65 distinct BRAF fusions in 55 patients (0.43%), with the highest incidence in female patients (58.5%).
  • Most common fusion partner was IMMP2L (11.1%).
  • Co-mutations in 30 fusion-positive patients indicated a prevalence in lung cancer post-targeted therapy.
  • RNA-NGS detected only canonical 5′-3′ fusions while DNA-NGS exhibited non-canonical structures.
  • IMMP2L-BRAF fusion was exclusive to RNA-NGS, highlighting its advantages over DNA-NGS.

Cite This Study

Wang et al. (2026) studied this question.

synapsesocial.com/papers/69d1fcd4a79560c99a0a2876https://doi.org/10.1158/1538-7445.am2026-5341
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Abstract 2519: Characterization of BRAF fusions and their therapeutic and resistance implications in NSCLC2026
  2. 2Abstract 1010: DNA-level complex fusions show high discordance with RNA expression: A validation study of 115 Chinese cases2026
  3. 3Abstract 7720: Differences in FGFR2 fusion detection between DNA and RNA NGS in a large Chinese lung cancer cohort2026
  4. 4Abstract 5334: Genomic profiling of lung cancer in Guizhou province and comparative performance of DNA-NGS versus DNA+RNA-NGS for fusion detection.2026
  5. 5Abstract 3003: Impact of sequencing technology on actionable fusion detection in precision oncology for lung cancer2026