NRAS + RBM10
NRAS and RBM10 co-occurrence in thyroid cancer (MSK-IMPACT 50K)
DataMSK-IMPACT 50K (2026) · Thyroid cancer · 770 tumours · both altered in 9 (3.6 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.
On the map: An early signal. Neither its statistical strength nor its expected value is high enough yet to count as a discovery.
Not called novel: a PubTator3 search finds 2 papers naming both NRAS and RBM10 in thyroid cancer in the title or abstract. See the PubTator3 search.
Signal (x) is the corrected significance on the map's scale, discounted from 11% to 5% 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.
Thyroid
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.
NRAS proto-oncogene GTPase
Oncogene: when altered it gets stuck ON and drives growth.
RAS isoform; no direct drug, targeted indirectly via MEK inhibitors.
- Pathway
- RTK to RAS to MAPK
- Hotspots in 3D
- G12 · G13 · Q61
- Drives
- Melanoma, AML, Thyroid
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.
RBM10 co-mutations by tumour type →Other findings with RBM10 →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 | RBM10 altered | RBM10 wild-type |
|---|---|---|
| NRAS altered | 9 | 95 |
| NRAS wild-type | 18 | 648 |
both 9 (expected 3.6 if independent) · NRAS-only 95 · RBM10-only 18 · neither 648
Weak 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 NRAS–RBM10 co-occurrence across thyroid cancer patients is most likely driven by residual molecular-subtype or lineage composition: subgroups enriched for NRAS alterations may also be enriched for RBM10 alterations, without the two alterations necessarily occurring in the same tumour clone or cooperating.
- 1The association is a credible population-level signal: it survives multiple-testing correction, and the reported lineage-stratified effect is positive. However, only 9 tumours carry both alterations, and the confidence interval is broad, so the effect estimate remains uncertain.E1E19
- 2Residual subtype composition is the leading explanation because lineage was recorded but molecular subtype remains unresolved. The absence of detected heterogeneity does not establish that the association is homogeneous across subtypes.E2
- 3The signal has not replicated across independent patient sources, making cohort-specific composition or a winner's-curse/data artifact an important competing explanation. Burden adjustment and FDR significance make a simple overall-mutation-burden explanation less compelling, but do not rule out other artifacts or confounding.E1E3E19
- 4The supplied thyroid-cancer paper abstracts discuss broader genomic progression or stage-specific drivers, but do not establish that NRAS and RBM10 were specifically studied as a pair. The reported co-mentions therefore do not support a pair-specific mechanism; that gap strengthens the claim that the relationship remains under-explored.E9E10E11
- 5This lead CONVERGES with the prior Cybergenic NRAS–RBM10 thyroid finding, which also favored residual subtype or lineage composition. It is also directionally consistent with the prior corpus's subtype/lineage explanations for other NRAS- or RBM10-containing pairs, but those findings are not independent replication of this thyroid association.E15E16E17E18
- 6There is no curated network edge linking the genes, and no supplied paper is shown to study their relationship. Thus the population co-occurrence does not earn a within-tumour cooperation or redundancy claim.E4E9E10E11
In an independent thyroid cancer cohort, obtain reliable molecular-subtype and lineage annotations and test the NRAS–RBM10 association within and across subtypes using a subtype-adjusted model; attenuation or disappearance after adjustment would support subtype composition as the explanation. To earn a within-tumour claim, additionally use single-cell or clonal genotyping to establish that both alterations occur in the same clone, followed by a functional co-dependency test.
Ranked explanations: (1) residual molecular-subtype or lineage composition; (2) cohort-specific artifact or winner's curse, given the lack of cross-source replication; (3) a shared upstream driver; (4) deterministic co-amplification, for which no evidence of a shared amplicon is provided; (5) genuine within-tumour cooperation, which is unearned without pair-specific study and clonal or functional evidence. The significant adjusted association supports follow-up, but the small number of double-altered tumours and unresolved subtype confounding limit confidence. The supplied paper abstracts do not establish the NRAS–RBM10 relationship; this absence strengthens the under-explored interpretation rather than supplying a mechanism.
Weakest link: The residual-subtype explanation is plausible but untested: subtype composition was not measured, and the observed within-lineage association could instead be cohort-specific or artifactual, with no independent replication.
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 Thyroid cancer (MSK-IMPACT 50K 2026), NRAS and RBM10 are co-occurring: burden-aware DISCOVER p = 2.8e-4 (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 = 2.1e-2, within-stratum (Mantel-Haenszel) log2 odds ratio 1.9 (95% CI 0.5 to 3.2), 9 tumors carry both alterations.cBioPortal / MSK-IMPACT 50K (2026)
- E2The co-occurrence was tested at adjusted FDR q=2.1e-2 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 / MSK-IMPACT 50K (2026), 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 NRAS and RBM10. A statistically strong co-alteration with no existing network edge is a genuinely overlooked candidate, not a known interaction.OmniPath / Reactome / STRING
- E5NRAS expression is higher in tumor than matched GTEx+adjacent normal tissue: log2 fold change 0.17 (10.2 vs 9.1 TPM, n=512 tumor / 338 normal).UCSC Xena (tumor vs GTEx normal)
- E6NRAS strongest disease associations (overall score 0–1): Noonan syndrome 0.83; Noonan syndrome 6 0.81; large congenital melanocytic nevus 0.71; nevus, epidermal 0.70.Open Targets
- E7NRAS is drugged by: SALIRASIB.Open Targets
- E8Tractability for NRAS: Advanced Clinical, Structure with Ligand, High-Quality Ligand, UniProt loc high conf.Open Targets
- E9115 paper(s) co-mention this: modestly studied. Against each gene's own cancer literature, ~4 co-mentions would be expected by chance, so this pair is already studied more than its parts predict. Most relevant: "Real-World Genomic Characteristics and Prognostic Association in Advanced Papillary Thyro…" (2026).Europe PMC
- E10"Real-World Genomic Characteristics and Prognostic Association in Advanced Papillary Thyroid Carcinoma." (2026): Purpose: Most thyroid cancers are initiated by alterations activating the mitogen-activated protein kinase (MAPK) pathway and progress via additional genomic events. Because papillary thyroid carcinoma (PTC) generally has a favorable prognosis and rarely advances, knowledge about later-acquired genomic alterations and their impact on prognosis is lim…Europe PMC (paper)
- E11"Deconvolving mutation and selection reveals stage-specific drivers of thyroid cancer" (2025): Objective: Mutational profiles of primary and metastatic thyroid cancer (THCA) have been examined by comparison of somatic mutation prevalences in the two stages, using P values to identify significant differences. However, prevalences and P values for mutations do not directly quantify the cancer effects of somatic variants. Methods: We cal…Europe PMC (paper)
- E120 clinical trial(s) match NRAS/RBM10 in Thyroid cancer, 0 currently open.ClinicalTrials.gov
- E13NRAS is a oncogene in the RTK to RAS to MAPK pathway. RAS isoform; no direct drug, targeted indirectly via MEK inhibitors.Cybergenic knowledge
- E14RBM10: tumor suppressor, driver in 6 cancer types (intOGen 2024.09.20)intOGen (driver catalogue)
- E15Prior finding (EGFR + RBM10 in Non-small cell lung cancer): verdict strengthened, confidence 53%. “The most likely explanation is residual molecular-subtype composition within NSCLC: EGFR- and RBM10-altered t…”Cybergenic corpus
- E16Prior finding (NRAS + EPHA3 in Melanoma): verdict inconclusive, confidence 49%. “The NRAS–EPHA3 co-occurrence in melanoma is most likely driven by residual molecular-subtype or lineage compo…”Cybergenic corpus
- E17Prior finding (RBM10 + CDKN1B in Bladder cancer): verdict inconclusive, confidence 48%. “The RBM10–CDKN1B co-occurrence in bladder cancer is most likely driven by residual molecular-subtype or linea…”Cybergenic corpus
- E18Prior finding (NRAS + RBM10 in Thyroid cancer): verdict inconclusive, confidence 48%. “The most likely explanation is residual molecular-subtype or lineage composition within thyroid cancer: NRAS …”Cybergenic corpus
- E19Significance is FDR-corrected: Benjamini-Hochberg q = 2.1e-2 across 300 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/6829d849-9b35-4ebe-a4c3-7200b3c2249c
- First seen
- 29 Sep 2026
- Prediction registry
- Locked 29 Sep 2026, row hash
b254ba8d337e1516ee316d4a3219551d(not testable out of sample). How the registry works
@misc{cybergenic_6829d849,
author = {{Cybergenic}},
title = {{NRAS and RBM10 co-occurrence in thyroid cancer (MSK-IMPACT 50K)}},
year = {2026},
howpublished = {\url{https://cybergenic.im/findings/6829d849-9b35-4ebe-a4c3-7200b3c2249c}},
note = {Research engine finding, first seen 2026-09-29; prediction locked 2026-09-29, registry row hash b254ba8d337e1516ee316d4a3219551d},
month = sep
}