Adenosquamous lung carcinoma
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Also known as adenosquamous cell lung carcinomaadenosquamous lung cancerlung adenosquamous carcinoma
Summary
Adenosquamous lung carcinoma (MONDO:0004973) is a cancer with 2 cohort genes (2 CIViC-evidence somatic drivers) and 6 clinical trials. Molecularly, FGFR1 Amplification confers sensitivity to Pazopanib in Adenosquamous Lung Carcinoma (CIViC Level C). Top therapeutic interventions include erlotinib, ipilimumab, and pegfilgrastim.
At a glance
- Classification: Cancer
- Cohort genes: 2
- Clinical trials: 6
- Precision-medicine evidence (CIViC): 1 subtype–drug association
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | adenosquamous lung carcinoma |
| Mondo ID | MONDO:0004973 |
| EFO | EFO:0000233 |
| DOID | DOID:4829 |
| NCIT | C9133 |
| SNOMED CT | 707405009 |
| UMLS | C0279557 |
| MedGen | 79006 |
| Anatomy (UBERON) | UBERON:0002048 |
| Is cancer (heuristic) | yes |
Also known as: adenosquamous cell lung carcinoma · adenosquamous lung cancer · adenosquamous lung carcinoma · lung adenosquamous carcinoma
Data availability: 25 cell lines.
Disease family
Classification path: disease › human disease › disease by etiologic mechanism › cancer or benign tumor › neoplastic disease or syndrome › neoplasm › epithelial neoplasm › squamous cell neoplasm › squamous cell carcinoma › adenosquamous carcinoma › adenosquamous lung carcinoma
Related subtypes (14): adenosquamous breast carcinoma, esophageal adenosquamous carcinoma, thymic adenosquamous carcinoma, Bartholin gland adenosquamous carcinoma, endometrial adenosquamous carcinoma, adenosquamous prostate carcinoma, pancreatic adenosquamous carcinoma, gastric adenosquamous carcinoma, cervical adenosquamous carcinoma, colorectal adenosquamous carcinoma, gallbladder adenosquamous carcinoma, salivary gland adenosquamous carcinoma, liver adenosquamous carcinoma, skin adenosquamous carcinoma
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
No tiered GWAS variants or ClinVar records for this disease.
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 17 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Somatic driver evidence (intOGen + CIViC, cohort fanout)
| Gene | intOGen role | Cancer types | CIViC |
|---|---|---|---|
| SLTM | Act | CCRCC,LGGNOS,LUAD,NSCLC,OS,PRCC,RCC | CIViC #52 |
| FGFR1 | Act | BLCA,GBM,OVT,PANCREAS,PAST,PGNG,WDTC | CIViC #1885 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| FGFR1 | Orphanet:168953 | Myeloid/lymphoid neoplasm associated with FGFR1 rearrangement |
| FGFR1 | Orphanet:2117 | Hartsfield syndrome |
| FGFR1 | Orphanet:220386 | Semilobar holoprosencephaly |
| FGFR1 | Orphanet:2396 | Encephalocraniocutaneous lipomatosis |
| FGFR1 | Orphanet:251576 | Gliosarcoma |
| FGFR1 | Orphanet:251579 | Giant cell glioblastoma |
| FGFR1 | Orphanet:251615 | Pilomyxoid astrocytoma |
| FGFR1 | Orphanet:2645 | Osteoglosphonic dysplasia |
| FGFR1 | Orphanet:280200 | Microform holoprosencephaly |
| FGFR1 | Orphanet:314950 | Primary hypereosinophilic syndrome |
| FGFR1 | Orphanet:3157 | Septo-optic dysplasia spectrum |
| FGFR1 | Orphanet:3366 | Non-syndromic metopic craniosynostosis |
| FGFR1 | Orphanet:432 | Normosmic congenital hypogonadotropic hypogonadism |
| FGFR1 | Orphanet:478 | Kallmann syndrome |
| FGFR1 | Orphanet:93258 | Pfeiffer syndrome type 1 |
| FGFR1 | Orphanet:93924 | Lobar holoprosencephaly |
| FGFR1 | Orphanet:99798 | Oligodontia |
Cohort genes → proteins
2 cohort genes, 2 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| civic_only | 2 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| SLTM | HGNC:20709 | ENSG00000137776 | Q9NWH9 | SAFB-like transcription modulator | civic_evidence |
| FGFR1 | HGNC:3688 | ENSG00000077782 | P11362 | Fibroblast growth factor receptor 1 | civic_evidence |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| SLTM | SAFB-like transcription modulator | When overexpressed, acts as a general inhibitor of transcription that eventually leads to apoptosis. |
| FGFR1 | Fibroblast growth factor receptor 1 | Tyrosine-protein kinase that acts as a cell-surface receptor for fibroblast growth factors and plays an essential role in the regulation of embryonic development, cell proliferation, differentiation and migration. |
Protein-family classification
Druggable: 1 · Difficult: 0 · Unknown: 1 · Druggable fraction: 0.5
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Kinase | 1 | 13.9× | 0.142 |
| Other/Unknown | 1 | 0.9× | 0.805 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| SLTM | Other/Unknown | no | RRM_dom, SAP_dom, Nucleotide-bd_a/b_plait_sf | |
| FGFR1 | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Ig_sub2 |
Expression context
Cohort genes with no expression data: 0.
2 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 2 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| calcaneal tendon | 2 |
| sural nerve | 1 |
| tibia | 1 |
| buccal mucosa cell | 1 |
| stromal cell of endometrium | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| SLTM | 291 | ubiquitous | marker | calcaneal tendon, sural nerve, tibia |
| FGFR1 | 292 | ubiquitous | marker | buccal mucosa cell, stromal cell of endometrium, calcaneal tendon |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| FGFR1 | 5,693 |
| SLTM | 2,598 |
Structural data
PDB: 1 · AlphaFold-only: 1 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| FGFR1 | P11362 | 83 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| SLTM | Q9NWH9 | 52.38 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 22. Enrichment computed across 2 evidence-associated genes (1 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Signaling by FGFR1 amplification mutants | 1 | 5710.0× | 0.003 | FGFR1 |
| FGFR1c and Klotho ligand binding and activation | 1 | 2855.0× | 0.003 | FGFR1 |
| Signaling by plasma membrane FGFR1 fusions | 1 | 2855.0× | 0.003 | FGFR1 |
| Epithelial-Mesenchymal Transition (EMT) during gastrulation | 1 | 1427.5× | 0.003 | FGFR1 |
| FGFR1b ligand binding and activation | 1 | 1268.9× | 0.003 | FGFR1 |
| Signaling by activated point mutants of FGFR1 | 1 | 951.7× | 0.004 | FGFR1 |
| FGFR1c ligand binding and activation | 1 | 761.3× | 0.004 | FGFR1 |
| Phospholipase C-mediated cascade: FGFR1 | 1 | 671.8× | 0.004 | FGFR1 |
| Downstream signaling of activated FGFR1 | 1 | 543.8× | 0.004 | FGFR1 |
| Signal transduction by L1 | 1 | 519.1× | 0.004 | FGFR1 |
| PI-3K cascade:FGFR1 | 1 | 519.1× | 0.004 | FGFR1 |
| SHC-mediated cascade:FGFR1 | 1 | 496.5× | 0.004 | FGFR1 |
| FRS-mediated FGFR1 signaling | 1 | 456.8× | 0.004 | FGFR1 |
| Formation of paraxial mesoderm | 1 | 407.9× | 0.004 | FGFR1 |
| Negative regulation of FGFR1 signaling | 1 | 368.4× | 0.004 | FGFR1 |
| Signaling by FGFR1 in disease | 1 | 292.8× | 0.004 | FGFR1 |
| PI3K Cascade | 1 | 271.9× | 0.004 | FGFR1 |
| NCAM signaling for neurite out-growth | 1 | 271.9× | 0.004 | FGFR1 |
| Constitutive Signaling by Aberrant PI3K in Cancer | 1 | 126.9× | 0.009 | FGFR1 |
| PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling | 1 | 96.8× | 0.011 | FGFR1 |
| PIP3 activates AKT signaling | 1 | 66.8× | 0.016 | FGFR1 |
| RAF/MAP kinase cascade | 1 | 61.1× | 0.016 | FGFR1 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 2 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| vitamin D3 metabolic process | 1 | 4213.0× | 0.004 | FGFR1 |
| positive regulation of mitotic cell cycle DNA replication | 1 | 4213.0× | 0.004 | FGFR1 |
| positive regulation of parathyroid hormone secretion | 1 | 4213.0× | 0.004 | FGFR1 |
| regulation of extrinsic apoptotic signaling pathway in absence of ligand | 1 | 4213.0× | 0.004 | FGFR1 |
| regulation of phosphate transport | 1 | 2808.7× | 0.004 | FGFR1 |
| fibroblast growth factor receptor signaling pathway involved in orbitofrontal cortex development | 1 | 2808.7× | 0.004 | FGFR1 |
| regulation of lateral mesodermal cell fate specification | 1 | 2808.7× | 0.004 | FGFR1 |
| ventricular zone neuroblast division | 1 | 2106.5× | 0.004 | FGFR1 |
| negative regulation of fibroblast growth factor production | 1 | 2106.5× | 0.004 | FGFR1 |
| positive regulation of phospholipase activity | 1 | 1685.2× | 0.004 | FGFR1 |
| regulation of branching involved in salivary gland morphogenesis by mesenchymal-epithelial signaling | 1 | 1685.2× | 0.004 | FGFR1 |
| diphosphate metabolic process | 1 | 1685.2× | 0.004 | FGFR1 |
| chordate embryonic development | 1 | 1404.3× | 0.004 | FGFR1 |
| positive regulation of MAPKKK cascade by fibroblast growth factor receptor signaling pathway | 1 | 1404.3× | 0.004 | FGFR1 |
| cementum mineralization | 1 | 1203.7× | 0.004 | FGFR1 |
| auditory receptor cell development | 1 | 936.2× | 0.004 | FGFR1 |
| paraxial mesoderm development | 1 | 842.6× | 0.004 | FGFR1 |
| lung-associated mesenchyme development | 1 | 842.6× | 0.004 | FGFR1 |
| response to sodium phosphate | 1 | 842.6× | 0.004 | FGFR1 |
| outer ear morphogenesis | 1 | 766.0× | 0.005 | FGFR1 |
| branching involved in salivary gland morphogenesis | 1 | 702.2× | 0.005 | FGFR1 |
| organ induction | 1 | 601.9× | 0.005 | FGFR1 |
| mesenchymal cell proliferation | 1 | 561.7× | 0.005 | FGFR1 |
| positive regulation of endothelial cell chemotaxis | 1 | 495.6× | 0.006 | FGFR1 |
| cell projection assembly | 1 | 468.1× | 0.006 | FGFR1 |
| regulation of mRNA processing | 1 | 443.5× | 0.006 | SLTM |
| regulation of postsynaptic density assembly | 1 | 443.5× | 0.006 | FGFR1 |
| positive regulation of vascular endothelial cell proliferation | 1 | 421.3× | 0.006 | FGFR1 |
| middle ear morphogenesis | 1 | 351.1× | 0.007 | FGFR1 |
| phosphatidylinositol-mediated signaling | 1 | 351.1× | 0.007 | FGFR1 |
Therapeutics
Drug target analysis
Approved (phase 4): 2 · Phase ≥3: 2 · Phased (≥1): 2 · Undrugged: 0
Druggability breadth: 2 of 2 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| SLTM | CABOZANTINIB |
| FGFR1 | PONATINIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| FGFR1 | 93 | 4 |
| SLTM | 1 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| CABOZANTINIB | 4 | FGFR1, SLTM |
| PONATINIB | 4 | FGFR1 |
| PEMIGATINIB | 4 | FGFR1 |
| NINTEDANIB | 4 | FGFR1 |
| FEDRATINIB | 4 | FGFR1 |
| TIVOZANIB | 4 | FGFR1 |
| LENVATINIB | 4 | FGFR1 |
| AXITINIB | 4 | FGFR1 |
| SORAFENIB | 4 | FGFR1 |
| NICLOSAMIDE | 4 | FGFR1 |
| INFIGRATINIB PHOSPHATE | 4 | FGFR1 |
| INFIGRATINIB | 4 | FGFR1 |
| REGORAFENIB | 4 | FGFR1 |
| ENTRECTINIB | 4 | FGFR1 |
| CAPIVASERTIB | 4 | FGFR1 |
| VANDETANIB | 4 | FGFR1 |
| NINTEDANIB ESYLATE | 4 | FGFR1 |
| BRIGATINIB | 4 | FGFR1 |
| ERDAFITINIB | 4 | FGFR1 |
| UPADACITINIB | 4 | FGFR1 |
| FUTIBATINIB | 4 | FGFR1 |
| PAZOPANIB | 4 | FGFR1 |
| SUNITINIB | 4 | FGFR1 |
| DASATINIB | 4 | FGFR1 |
| MIDOSTAURIN | 4 | FGFR1 |
| LINIFANIB | 3 | FGFR1 |
| SEMAXANIB | 3 | FGFR1 |
| OLVEREMBATINIB | 3 | FGFR1 |
| BRIVANIB ALANINATE | 3 | FGFR1 |
| ORANTINIB | 3 | FGFR1 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| FGFR1 | 1,465 | Binding:1428, Functional:24, ADMET:13 |
| SLTM | 14 | Binding:14 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| FGFR1 | 2.7.10.1 | receptor protein-tyrosine kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| FGFR1 | 1,465 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 2; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Drug repurposing candidates
30 approved/phased drugs hit cohort targets but don’t yet appear in disease-level clinical trials. Target-inhibition rationale is strongest for cancer driver genes; a bioactivity hit is a screening signal, not a treatment claim.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| CABOZANTINIB | 4 | FGFR1, SLTM |
| PONATINIB | 4 | FGFR1 |
| PEMIGATINIB | 4 | FGFR1 |
| NINTEDANIB | 4 | FGFR1 |
| FEDRATINIB | 4 | FGFR1 |
| TIVOZANIB | 4 | FGFR1 |
| LENVATINIB | 4 | FGFR1 |
| AXITINIB | 4 | FGFR1 |
| SORAFENIB | 4 | FGFR1 |
| NICLOSAMIDE | 4 | FGFR1 |
| INFIGRATINIB PHOSPHATE | 4 | FGFR1 |
| INFIGRATINIB | 4 | FGFR1 |
| REGORAFENIB | 4 | FGFR1 |
| ENTRECTINIB | 4 | FGFR1 |
| CAPIVASERTIB | 4 | FGFR1 |
| VANDETANIB | 4 | FGFR1 |
| NINTEDANIB ESYLATE | 4 | FGFR1 |
| BRIGATINIB | 4 | FGFR1 |
| ERDAFITINIB | 4 | FGFR1 |
| UPADACITINIB | 4 | FGFR1 |
| FUTIBATINIB | 4 | FGFR1 |
| PAZOPANIB | 4 | FGFR1 |
| SUNITINIB | 4 | FGFR1 |
| DASATINIB | 4 | FGFR1 |
| MIDOSTAURIN | 4 | FGFR1 |
| LINIFANIB | 3 | FGFR1 |
| SEMAXANIB | 3 | FGFR1 |
| OLVEREMBATINIB | 3 | FGFR1 |
| BRIVANIB ALANINATE | 3 | FGFR1 |
| ORANTINIB | 3 | FGFR1 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 2 | SLTM, FGFR1 |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
0 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
Clinical trials & evidence
Clinical trials
Clinical trials: 6.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| PHASE2 | 4 |
| PHASE2/PHASE3 | 1 |
| PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04929041 | PHASE2/PHASE3 | SUSPENDED | Testing the Addition of Radiation Therapy to the Usual Treatment (Immunotherapy With or Without Chemotherapy) for Advanced Stage Non-small Cell Lung Cancer Patients Who Are PD-L1 Negative |
| NCT00334815 | PHASE2 | ACTIVE_NOT_RECRUITING | Combination Chemotherapy, Radiation Therapy, and Bevacizumab in Treating Patients With Newly Diagnosed Stage III Non-small Cell Lung Cancer That Cannot Be Removed by Surgery |
| NCT00126581 | PHASE2 | COMPLETED | Erlotinib Hydrochloride With or Without Carboplatin and Paclitaxel in Treating Patients With Stage III-IV Non-small Cell Lung Cancer |
| NCT01294306 | PHASE2 | COMPLETED | MK2206 and Erlotinib Hydrochloride in Treating Patients With Advanced Non-Small Cell Lung Cancer Who Have Progressed After Previous Response to Erlotinib Hydrochloride Therapy |
| NCT02186847 | PHASE2 | COMPLETED | Chemotherapy and Radiation Therapy With or Without Metformin Hydrochloride in Treating Patients With Stage III Non-small Cell Lung Cancer |
| NCT06602661 | PHASE1 | NOT_YET_RECRUITING | Reinforced and Non-Reinforced Staple Lines in Fissureless Lobectomy |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| ERLOTINIB | 4 | 3 |
| IPILIMUMAB | 4 | 1 |
| PEGFILGRASTIM | 4 | 1 |
Precision-medicine subtype map (CIViC)
Drug × molecular subtype: 1 predictive associations from 1 curated evidence items; also 1 prognostic.
| Molecular subtype | Therapy | Effect | Level | CIViC |
|---|---|---|---|---|
| FGFR1 Amplification | Pazopanib | Sensitivity/Response | CIViC C | EID7811 |
Related Atlas pages
- Cohort genes: SLTM, FGFR1
- Drugs: Erlotinib, Ipilimumab, Pegfilgrastim, Pazopanib