Genetic alteration of tumor suppressor gene and microsatellite in nonsmall cell lung cancer

2000 ◽  
Vol 49 (4) ◽  
pp. 453 ◽  
Author(s):  
Tae Rim Shin ◽  
Young Sook Hong ◽  
Jhin Gook Kim ◽  
Jung Hyun Chang
Cancer ◽  
2010 ◽  
Vol 117 (5) ◽  
pp. 1027-1037 ◽  
Author(s):  
Alexandros Daskalos ◽  
Urszula Oleksiewicz ◽  
Anastasia Filia ◽  
George Nikolaidis ◽  
George Xinarianos ◽  
...  

10.1038/86934 ◽  
2001 ◽  
Vol 27 (4) ◽  
pp. 427-430 ◽  
Author(s):  
Masami Kuramochi ◽  
Hiroshi Fukuhara ◽  
Takahiro Nobukuni ◽  
Takamasa Kanbe ◽  
Tomoko Maruyama ◽  
...  

2005 ◽  
Vol 79 (1) ◽  
pp. 248-253 ◽  
Author(s):  
Kyoji Hirai ◽  
Kiyoshi Koizumi ◽  
Shuji Haraguchi ◽  
Tomomi Hirata ◽  
Iwao Mikami ◽  
...  

2012 ◽  
Vol 180 (3) ◽  
pp. 1202-1214 ◽  
Author(s):  
Marianna Scrima ◽  
Carmela De Marco ◽  
Fernanda De Vita ◽  
Fernanda Fabiani ◽  
Renato Franco ◽  
...  

2008 ◽  
Vol 2008 ◽  
pp. 1-8 ◽  
Author(s):  
Carmen J. Marsit ◽  
E. Andres Houseman ◽  
Heather H. Nelson ◽  
Karl T. Kelsey

Both genetic and epigenetic alterations characterize human nonsmall cell lung cancer (NSCLC), but the biological processes that create or select these alterations remain incompletely investigated. Our hypothesis posits that a roughly reciprocal relationship between the propensity for promoter hypermethylation and a propensity for genetic deletion leads to distinct molecular phenotypes of lung cancer. To test this hypothesis, we examined promoter hypermethylation of 17 tumor suppressor genes, as a marker of epigenetic alteration propensity, and deletion events at the 3p21 region, as a marker of genetic alteration. To model the complex biology between these somatic alterations, we utilized an item response theory model. We demonstrated that tumors exhibiting LOH at greater than 30% of informative alleles in the 3p21 region have a significantly reduced propensity for hypermethylation. At the same time, tumors with activatingKRASmutations showed a significantly increased propensity for hypermethylation of the loci examined, a result similar to what has been observed in colon cancer. These data suggest that NSCLCs have distinct epigenetic or genetic alteration phenotypes acting upon tumor suppressor genes and that mutation of oncogenic growth promoting genes, such asKRAS, is associated with the epigenetic phenotype.


2007 ◽  
Vol 13 (5) ◽  
pp. 1399-1404 ◽  
Author(s):  
Sigal Gery ◽  
Naoki Komatsu ◽  
Norihiko Kawamata ◽  
Carl W. Miller ◽  
Julian Desmond ◽  
...  

2021 ◽  
Vol 11 ◽  
Author(s):  
Jiarong Tan ◽  
Chengping Hu ◽  
Pengbo Deng ◽  
Rongjun Wan ◽  
Liming Cao ◽  
...  

IntroductionEpidermal growth factor receptor (EGFR) 19del and L858R mutation are known as “common mutations” in non-small cell lung cancer (NSCLC) and predict sensitivities to EGFR tyrosine kinase inhibitors (TKIs), whereas 20ins and T790M mutations confer drug-resistance to EGFR-TKIs. The role of the remaining uncommon EGFR mutations remains elusive.MethodsWe retrospectively screened a group of NSCLC patients with uncommon EGFR mutations other than 20ins and T790M. The mutation patterns, use of different generations of EGFR-TKIs, and concurrent genetic alterations were analyzed. Meanwhile, a cohort of patients with single 19del or L858R were included for comparison.ResultsA total of 180/1,300 (13.8%) patients were identified. There were 102 patients with advanced or recurrent NSCLC that received first-line therapy of gefitinib/erlotinib/icotinib and afatinib and were eligible for analysis. The therapeutic outcomes among patients with common mutations (EGFRcm, n = 97), uncommon mutation plus common mutations (EGFRum+EGFRcm, n = 52), complex uncommon mutations (complex EGFRum, n = 22), and single uncommon mutations (single EGFRum, n = 28) were significantly different (ORRs: 76.3%, 61.5%, 54.5%, and 50.0%, respectively, p = 0.023; and mPFS: 13.3, 14.7, 8.1, and 6.0 months, respectively, p = 0.004). Afatinib showed superior efficacy over gefitinib/erlotinib/icotinib in EGFRcm (ORR: 81.0% vs. 75.0%, p = 0.773; mPFS: 19.1 vs. 12.0m, p = 0.036), EGFRum+EGFRcm (ORR: 100% vs. 54.5%, p = 0.017; mPFS: NE vs. 13.6m, p = 0.032), and single EGFRum (ORR: 78.6% vs. 21.4%, p = 0.007; mPFS: 10.1 vs. 3.0m, p = 0.025) groups. Comprehensive genomic profiling by Next Generation Sequencing encompassing multiple cancer-related genes was performed on 51/102 patients; the mPFS of patients without co-mutation (n = 16) and with co-mutations of tumor-suppressor genes (n = 31) and driver oncogenes (n = 4) were 31.1, 9.2, and 12.4 months, respectively (p = 0.046). TP53 mutation was the most common co-alteration and showed significantly shorter mPFS than TP53 wild-type patients (7.0 vs. 31.1m, p < 0.001). Multivariate analysis revealed that concurrent 19del/L858R and tumor-suppressor gene alterations independently predicted better and worse prognosis in patients with uncommon mutations, respectively.ConclusionsUncommon EGFR mutations constitute a highly heterogeneous subgroup of NSCLC that confer different sensitivities to EGFR-TKIs with regard to the mutation patterns. Afatinib may be a better choice for most uncommon EGFR mutations. Concurrent 19del/L858R and tumor-suppressor gene alterations, especially TP53, can be established as prognostic biomarkers.


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