Improved diagnostics targeting c-MET in non-small cell lung cancer: expression, amplification and activation?

针对非小细胞肺癌中 c-MET 的改进诊断:表达、扩增和激活?

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作者:I Watermann, B Schmitt, F Stellmacher, J Müller, R Gaber, Ch Kugler, N Reinmuth, R M Huber, M Thomas, P Zabel, K F Rabe, D Jonigk, A Warth, E Vollmer, M Reck, T Goldmann

Background

Several c-MET targeting inhibitory molecules have already shown promising

Conclusion

Our data indicate, that neither expression of c-MET nor the gene amplification status might be the best way to select patients for MET targeting therapies, since no correlation with the activation status of MET was observed. We propose to take into account analyzing the phosphorylation status of MET by IHC to select patients for MET targeting therapies. Signaling of the receptor and the activation of downstream molecules might be more crucial for the benefit of therapeutics targeting MET receptor tyrosine kinases than expression levels alone.

Methods

222 tumor tissues of patients with NSCLC were analyzed concerning c-MET expression and activation in terms of phosphorylation (Y1234/1235 and Y1349) using a microarray format employing immunohistochemistry (IHC). Furthermore, protein expression and MET activation was correlated with the amplification status by Fluorescence in Situ Hybridization (FISH).

Results

Correlation was observed between phosphorylation of c-MET at Y1234/1235 and Y1349 (spearman correlation coefficient rs = 0.41; p < 0.0001). No significant correlation was shown between MET expression and phosphorylation (p > 0.05). c-MET gene amplification was detected in eight of 214 patients (3.7%). No significant association was observed between c-MET amplification, c-MET protein expression and phosphorylation.

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