Fibroblast growth factor receptor 1 gene amplification and protein expression in human lung cancer

Cancer Medicine - Tập 9 Số 10 - Trang 3574-3583 - 2020
Omar Elakad1, Anna‐Maria Lois1, Katja Schmitz1, Sha Yao1, Sara Hugo1, Laura Lukat1, Marc Hinterthaner2, Bernhard C. Danner2, Alexander von Hammerstein‐Equord2, Kirsten Reuter‐Jessen1, Hans‐Ulrich Schildhaus1, Philipp Ströbel1, Hanibal Bohnenberger1
1Institute of Pathology, University Medical Center, Göttingen, Germany
2Department of Thoracic and Cardiovascular Surgery, University Medical Center, Göttingen, Germany

Tóm tắt

AbstractBackgroundTargeting fibroblast growth factor receptor 1 (FGFR1) is a potential treatment for squamous cell lung cancer (SQCLC). So far, treatment decision in clinical studies is based on gene amplification. However, only a minority of patients have shown durable response. Furthermore, former studies have revealed contrasting results regarding the impact of FGFR1 amplification and expression on patient's prognosis.AimsHere, we analyzed prevalence and correlation of FGFR1 gene amplification and protein expression in human lung cancer and their impact on overall survival.Materials & MethodsFGFR1 gene amplification and protein expression were analyzed by fluorescence in situ hybridization and immunohistochemistry (IHC) in 208 SQCLC and 45 small cell lung cancers (SCLC). Furthermore, FGFR1 protein expression was analyzed in 121 pulmonary adenocarcinomas (ACs). Amplification and expression were correlated to each other, clinicopathological characteristics, and overall survival.ResultsFGFR1 was amplified in 23% of SQCLC and 8% of SCLC. Amplification was correlated to males (P = .027) but not to overall survival. Specificity of immunostaining was verified by cellular CRISPR/Cas9 FGFR1 knockout. FGFR1 was strongly expressed in 9% of SQCLC, 35% of AC, and 4% of SCLC. Expression was correlated to females (P = .0187) and to the absence of lymph node metastasis in SQCLC (P = .018) with no significant correlation to overall survival. Interestingly, no significant correlation between amplification and expression was detected.DiscussionFGFR1 gene amplification does not seem to correlate to protein expression.ConclusionWe believe that patient selection for FGFR1 inhibitors in clinical studies should be reconsidered. Neither FGFR1 amplification nor expression influences patient's prognosis.

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