BRAF + TSC1
BRAF and TSC1 co-occurrence in non-small cell lung cancer (OrigiMed China)
DataOrigiMed China (2020) · Non-small cell lung cancer · 2,016 tumours · both altered in 4 (0.2 expected if independent)
Strengthened. Significant, with a real effect in a consistent direction, and it still holds when tumours are compared only within the same tumour type (and within the same molecular subtype, wherever this cancer's subtypes are known in the data). No artifact check failed.
A well-studied pair (1,028 papers): on the map it is known biology, a positive control rather than an overlooked discovery.
Not called novel: a PubTator3 search finds 3 papers naming both BRAF and TSC1 in non-small cell lung cancer in the title or abstract. See the PubTator3 search.
Signal (x) is the corrected significance on the map's scale, discounted from 26% to 12% because the cohort-composition confound is not yet controlled. Efficacy (y) is credibility times actionability.
These genes are altered together more often than chance would predict.
Lung
This finding's tumour type arises in the highlighted organ.
Drag to rotate. Dark marks the hotspot residues on the predicted fold. For a fuller read of this same model, open the interactive structure workbench for this protein on Nanoverse (a companion site we also run), which maps its binding pockets, per-region confidence, and the likely effect of a mutation.
B-Raf proto-oncogene kinase
Oncogene: when altered it gets stuck ON and drives growth.
Serine/threonine kinase downstream of RAS; V600E targeted by BRAF+MEK inhibitor combinations.
- Pathway
- RTK to RAS to MAPK
- Hotspots in 3D
- V600 · K601 · G469
- Drives
- Melanoma, Thyroid, Colorectal
No structure profile is curated for this gene.
A human gene in this finding. Not in the curated driver set, so no structured profile is shown.
TSC1 mutations in non-small cell lung cancer →TSC1 co-mutations by tumour type →Other findings with TSC1 →Anatomical figure from the EBI Expression Atlas anatomogram, and predicted structures from the AlphaFold Protein Structure Database (both CC-BY-4.0). A model shows the protein's healthy fold; a highlighted residue marks a recurrent cancer position, not a prediction of a specific mutation's effect.
The raw 2×2 the FDR q and log₂ odds ratio above were computed from. It is the immutable evidence the score re-derives from: every number on this page traces back to these four counts.
| Gene state | TSC1 altered | TSC1 wild-type |
|---|---|---|
| BRAF altered | 4 | 36 |
| BRAF wild-type | 5 | 1,971 |
both 4 (expected 0.2 if independent) · BRAF-only 36 · TSC1-only 5 · neither 1,971
Substantial evidence. Below the α=0.05 reject threshold (e≥20). Unlike a single-look p, this stays valid under the engine's continuous re-testing.
Molecular-subtype certification is unresolved. Recorded lineage only. Within-lineage molecular subtype remains unresolved. The association remains visible, but does not qualify as a subtype-controlled discovery.
The two axes are variables: signal (x) and efficacy (y = credibility × actionability). A point high on both lands in the frontier (top-right). A strong signal with low credibility sits low and to the right: statistically strong, not worth pursuing.
A language model wrote this from the evidence listed below. It is annotation: the engine's verdict above comes only from the measured statistics, never from this text.
The most likely explanation for the BRAF–TSC1 population-level co-occurrence is residual molecular-subtype or lineage composition in this NSCLC cohort, rather than demonstrated within-tumour cooperation. This predicts that the association will weaken or disappear after adjustment for sufficiently detailed molecular subtype in an independent, subtype-annotated cohort.
- 1The signal is statistically strong after burden-aware testing and multiple-testing correction, with a very large within-lineage estimated odds ratio (2^5.6), but it is based on only four double-altered tumours. Thus it merits follow-up without establishing a biological interaction.E1E19
- 2Residual molecular-subtype composition is the leading explanation: the adjustment recorded lineage but did not resolve molecular subtype, and the prior NSCLC BRAF–TSC1 corpus finding explicitly proposed unresolved subtype composition. The lead therefore CONVERGES with that prior finding and with the prior NSCLC BRAF–KRAS subtype concern; the pancreatic BRAF–KRAS and melanoma BRAF–PTEN findings are related context, not direct replication of this pair.E2E16E18E15E17
- 3Among alternatives, a cohort-specific artifact or winner's-curse effect ranks next because the association has not recurred in another independent patient source. A shared upstream driver is possible but not specifically supported here; deterministic co-amplification is also unsubstantiated because the evidence gives neither alteration classes nor genomic proximity. Genuine within-tumour cooperation ranks last as an interpretation of this population-level pattern.E1E3E13E14
- 4The supplied paper abstracts do not establish a BRAF–TSC1 relationship: the tuberous-sclerosis case report concerns TSC and a lung manifestation, while the colorectal review discusses broad pathway dysregulation; neither studies this gene pair. The co-mention summary likewise does not show that the pair was studied mechanistically. This lack of pair-specific evidence strengthens the under-explored status of the lead, not a cooperation claim.E9E10E11
Test the subtype-composition hypothesis in an independent NSCLC cohort with detailed molecular-subtype annotation: estimate the BRAF–TSC1 association within subtypes and using a subtype-adjusted model, while accounting for alteration class and tumour-level alteration burden. Persistence within well-powered subtype strata would weaken the leading explanation. To earn a within-tumour cooperation claim, additionally use clonal or single-cell profiling to verify both alterations in the same tumour cells and a functional co-dependency experiment comparing single- versus double-altered models.
The subtype explanation is a testable best guess, not a demonstrated cause. The very large estimated effect comes from just four co-altered tumours, the subtype adjustment is incomplete, and the signal is confined so far to one patient source; cohort composition or a winner's-curse/data artifact could therefore account for it. There is no cited paper that studies BRAF and TSC1 together, so a within-tumour mechanism is unearned.
Weakest link: Residual subtype composition is only a plausible explanation, not demonstrated: subtype is unresolved, the signal rests on four co-altered tumors in one cohort, and no independent replication tests the prediction.
Significant (after FDR correction) in one independent source of this tumour type so far. The engine records where a pattern is significant, not every source that could test it, so this calls for caution: a pattern selected from many tests tends to overstate its effect. It does not count against the pattern.
- E1In Non-small cell lung cancer (OrigiMed China 2020), BRAF and TSC1 are co-occurring: burden-aware DISCOVER p = 5.0e-6 (a test that accounts for each tumor's overall alteration burden, so co-occurrence is not inflated by unstable tumors carrying more of everything), Benjamini-Hochberg FDR q = 3.0e-3, within-stratum (Mantel-Haenszel) log2 odds ratio 5.6 (95% CI 3.8 to 7.4), 4 tumors carry both alterations.cBioPortal / OrigiMed China (2020)
- E2The co-occurrence was tested at adjusted FDR q=3.0e-3 with 100% annotation coverage. Recorded lineage only. Within-lineage molecular subtype remains unresolved. The measured heterogeneity test did not reject a common effect; this does not prove homogeneity. This control alone establishes neither a mechanism nor novelty.cBioPortal / OrigiMed China (2020), scoped DISCOVER control
- E3This co-occurrence is FDR-significant in only 1 independent patient source so far and does NOT recur across sources, so it could be cohort-specific biology or a winner's-curse artifact of scanning many cohorts. Treat confidence accordingly.cBioPortal (cross-cohort)
- E4NOVELTY: no curated network (STRING functional association, Reactome pathway, or OmniPath causal edge) already links BRAF and TSC1. A statistically strong co-alteration with no existing network edge is a genuinely overlooked candidate, not a known interaction.OmniPath / Reactome / STRING
- E5BRAF expression is lower in tumor than matched GTEx+adjacent normal tissue: log2 fold change -0.50 (8.7 vs 12.3 TPM, n=1013 tumor / 397 normal).UCSC Xena (tumor vs GTEx normal)
- E6BRAF strongest disease associations (overall score 0–1): cardiofaciocutaneous syndrome 0.88; Noonan syndrome 0.84; melanoma 0.82; cardiofaciocutaneous syndrome 1 0.76.Open Targets
- E7BRAF is drugged by: BELVARAFENIB, PLIXORAFENIB, SORAFENIB, REGORAFENIB, TOVORAFENIB.Open Targets
- E8Tractability for BRAF: Approved Drug, Structure with Ligand, High-Quality Ligand, High-Quality Pocket.Open Targets
- E91,028 paper(s) co-mention this: well studied. Against each gene's own cancer literature, ~109 co-mentions would be expected by chance, so this pair is already studied more than its parts predict. Most relevant: "Real-World Evaluation of Next-Generation Sequencing in Lung Cancer: Associations Between …" (2026).Europe PMC
- E10"Multifocal micronodular pneumocyte hyperplasia in a patient with undiagnosed tuberous sclerosis: next-generation sequen…" (2025): Background: Multifocal micronodular pneumocyte hyperplasia as first manifestation of tuberous sclerosis complex has rarely been reported. Case presentation: We report a case of a 50-year-old white, non-Hispanic or Latino, female with no prior history of tuberous sclerosis complex who presented with nonspecific symptoms. Chest computed tomograph…Europe PMC (paper)
- E11"Targeting molecular and genetic pathways driving tumorigenesis for precision therapy in colorectal cancer." (2026): Colorectal cancer (CRC) remains a major global health challenge and a leading cause of cancer-related mortality worldwide. Central to its pathogenesis is the dysregulation of interconnected signal transduction networks that govern cellular proliferation, survival, differentiation, apoptosis, and immune modulation. Progressive disruption of these pathways fa…Europe PMC (paper)
- E120 clinical trial(s) match BRAF/TSC1 in Non-small cell lung cancer, 0 currently open.ClinicalTrials.gov
- E13BRAF is a oncogene in the RTK to RAS to MAPK pathway. Serine/threonine kinase downstream of RAS; V600E targeted by BRAF+MEK inhibitor combinations.Cybergenic knowledge
- E14TSC1: tumor suppressor, driver in 9 cancer types (intOGen 2024.09.20)intOGen (driver catalogue)
- E15Prior finding (KRAS ⊥ BRAF in Pancreatic cancer): verdict inconclusive, confidence 54%. “KRAS and BRAF alterations may mark largely alternative MAPK-driver states across pancreatic-cancer patients, …”Cybergenic corpus
- E16Prior finding (BRAF ⊥ KRAS in Non-small cell lung cancer): verdict inconclusive, confidence 53%. “In NSCLC, unresolved molecular-subtype composition is the leading explanation for at least part of the BRAF–K…”Cybergenic corpus
- E17Prior finding (BRAF + PTEN in Melanoma): verdict inconclusive, confidence 51%. “The BRAF–PTEN co-occurrence is most likely driven by residual molecular-subtype composition within melanoma: …”Cybergenic corpus
- E18Prior finding (BRAF + TSC1 in Non-small cell lung cancer): verdict inconclusive, confidence 49%. “The BRAF–TSC1 co-occurrence in this NSCLC cohort is most likely driven by unresolved molecular-subtype compos…”Cybergenic corpus
- E19Significance is FDR-corrected: Benjamini-Hochberg q = 3.0e-3 across 8911 gene pairs tested in this cohort, so this pair SURVIVES multiple-testing correction (q ≤ 0.05). The q, not the nominal p, is the honest signal strength.Cybergenic method
Model-written annotation, not a finding. The statistics it cites are real and are shown above; the argument connecting them is a hypothesis that needs wet-lab or clinical validation before it means anything.
- Permalink
- https://cybergenic.im/findings/4f673113-a959-4bfc-8af8-59bb4e7514f4
- First seen
- 29 Sep 2026
- Prediction registry
- Locked 29 Sep 2026, row hash
25434de14bad8faeaf268d146b88d54c(not testable out of sample). How the registry works
@misc{cybergenic_4f673113,
author = {{Cybergenic}},
title = {{BRAF and TSC1 co-occurrence in non-small cell lung cancer (OrigiMed China)}},
year = {2026},
howpublished = {\url{https://cybergenic.im/findings/4f673113-a959-4bfc-8af8-59bb4e7514f4}},
note = {Research engine finding, first seen 2026-09-29; prediction locked 2026-09-29, registry row hash 25434de14bad8faeaf268d146b88d54c},
month = sep
}