PMID- 16161046 OWN - NLM STAT- MEDLINE DCOM- 20060302 LR - 20220408 IS - 0020-7136 (Print) IS - 0020-7136 (Linking) VI - 118 IP - 5 DP - 2006 Mar 1 TI - EGFR protein overexpression and gene amplification in squamous cell carcinomas of the esophagus. PG - 1173-80 AB - Overexpression of epidermal growth factor receptor (EGFR) is observed in many cancers, sometimes accompanied by gene amplification. Recently, several clinical therapies targeting EGFR were developed, but the eligibility criteria for these therapies is not fully established. To develop such eligibility criteria for esophageal squamous cell carcinoma (ESCC), we sought to clarify: (i) the exact frequency of EGFR overexpression, (ii) the relationship between protein overexpression and gene amplification, (iii) the relationship between gene amplification and specific gene mutations and (iv) the correlation between the status of EGFR and clinical or pathological features. Immunohistochemistry revealed that EGFR protein is overexpressed in 53 (50%) of the 106 ESCC examined. Fluorescence in situ hybridization (FISH) indicated clear EGFR gene amplification in 15 of the 53 tumors, somewhat higher EGFR copy in 32 cases, and no increase in 6 cases. Gene amplification was significantly associated with high level overexpression. Direct sequencing of exons 19 and 21 of EGFR revealed no mutations in 15 tumors exhibiting gene amplification, and no mutations in 25 tumors not exhibiting gene amplification. Overexpression of EGFR was significantly correlated with depth of invasion of the tumor. In conclusion, anti-EGFR therapies may be appropriate for patients with ESCC. We assume that combined analyses by immunohistochemistry/FISH would clarify aberrations in protein and gene function, and could help to identify those patients who may benefit from anti-EGFR therapy. CI - (c) 2005 Wiley-Liss, Inc. FAU - Hanawa, Mitsuhiko AU - Hanawa M AD - Department of Pathology, School of Medicine, University of Yamanashi, Japan. FAU - Suzuki, Shioto AU - Suzuki S FAU - Dobashi, Yoh AU - Dobashi Y FAU - Yamane, Tetsu AU - Yamane T FAU - Kono, Koji AU - Kono K FAU - Enomoto, Nobuyuki AU - Enomoto N FAU - Ooi, Akishi AU - Ooi A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 9007-49-2 (DNA) RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Adult MH - Aged MH - Base Sequence MH - Carcinoma, Squamous Cell/*genetics/*metabolism/pathology MH - DNA/genetics MH - ErbB Receptors/genetics/*metabolism MH - Esophageal Neoplasms/*genetics/*metabolism/pathology MH - Gene Amplification/*genetics MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - In Situ Hybridization, Fluorescence MH - Middle Aged MH - Neoplasm Invasiveness/pathology EDAT- 2005/09/15 09:00 MHDA- 2006/03/03 09:00 CRDT- 2005/09/15 09:00 PHST- 2005/09/15 09:00 [pubmed] PHST- 2006/03/03 09:00 [medline] PHST- 2005/09/15 09:00 [entrez] AID - 10.1002/ijc.21454 [doi] PST - ppublish SO - Int J Cancer. 2006 Mar 1;118(5):1173-80. doi: 10.1002/ijc.21454.