1. mRNA expression levels and genetic status of genes involved in the EGFR and NF-κB pathways in metastatic non-small-cell lung cancer patients.
- Author
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Santarpia M, Magri I, Sanchez-Ronco M, Costa C, Molina-Vila MA, Gimenez-Capitan A, Bertran-Alamillo J, Mayo C, Benlloch S, Viteri S, Gasco A, Mederos N, Carcereny E, Taron M, and Rosell R
- Subjects
- Adult, Aged, BRCA1 Protein genetics, BRCA1 Protein metabolism, Carcinoma, Non-Small-Cell Lung pathology, Cell Adhesion Molecules genetics, Cell Adhesion Molecules metabolism, Disease-Free Survival, ErbB Receptors genetics, Female, Humans, Lung Neoplasms pathology, Male, Membrane Proteins, Middle Aged, Multivariate Analysis, Mutation genetics, NF-kappa B genetics, Neoplasm Metastasis, RNA, Messenger genetics, RNA, Messenger metabolism, RNA-Binding Proteins, Carcinoma, Non-Small-Cell Lung genetics, ErbB Receptors metabolism, Gene Expression Regulation, Neoplastic, Genes, Neoplasm genetics, Lung Neoplasms genetics, NF-kappa B metabolism, Signal Transduction genetics
- Abstract
Background: Metastatic non-small-cell lung cancer (NSCLC) has a dismal prognosis. EGFR is overexpressed or mutated in a large proportion of cases. Downstream components of the EGFR pathway and crosstalk with the NF-κB pathway have not been examined at the clinical level. We explored the prognostic significance of the mRNA expression of nine genes in the EGFR and NF-κB pathways and of BRCA1 and RAP80 in patients in whom EGFR and K-ras gene status had previously been determined. In addition, NFKBIA and DUSP22 gene status was also determined., Methods: mRNA expression of the eleven genes was determined by QPCR in 60 metastatic NSCLC patients and in nine lung cancer cell lines. Exon 3 of NFKBIA and exon 6 of DUSP22 were analyzed by direct sequencing. Results were correlated with outcome to platinum-based chemotherapy in patients with wild-type EGFR and to erlotinib in those with EGFR mutations., Results: BRCA1 mRNA expression was correlated with EZH2, AEG-1, Musashi-2, CYLD and TRAF6 expression. In patients with low levels of both BRCA1 and AEG-1, PFS was 13.02 months, compared to 5.4 months in those with high levels of both genes and 7.7 months for those with other combinations (P=0.025). The multivariate analysis for PFS confirmed the prognostic role of high BRCA1/AEG-1 expression (HR, 3.1; P=0.01). Neither NFKBIA nor DUSP22 mutations were found in any of the tumour samples or cell lines., Conclusions: The present study provides a better understanding of the behaviour of metastatic NSCLC and identifies the combination of BRCA1 and AEG-1 expression as a potential prognostic model.
- Published
- 2011
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