PMID- 20008839 OWN - NLM STAT- MEDLINE DCOM- 20100416 LR - 20220331 IS - 1557-3265 (Electronic) IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 16 IP - 1 DP - 2010 Jan 1 TI - Overexpression of phospho-eIF4E is associated with survival through AKT pathway in non-small cell lung cancer. PG - 240-8 LID - 10.1158/1078-0432.CCR-09-0986 [doi] AB - PURPOSE: The eukaryotic translation initiation factor complex 4E (eIF4E) is downstream in the mammalian target of rapamycin (mTOR) pathway. This study explored expression of eIF4E and its relationship with the PTEN/AKT and RAS/MEK/ERK pathways in non-small cell lung carcinoma (NSCLC). EXPERIMENTAL DESIGN: The status of phosphorylated eIF4E (p-eIF4E), phosphorylated AKT (p-AKT), PTEN, phosphorylated tuberin (p-TSC2), phosphorylated mTOR (p-mTOR), phosphorylated S6 (p-S6), and phosphorylated Erk1/2 (p-Erk1/2) was studied using immunohistochemical analysis applied to a tissue microarray containing 300 NSCLCs. Staining results for each antibody were compared with clinical and pathologic features, and the relationship between staining results was explored. RESULTS: Overexpression of p-eIF4E, p-AKT, p-TSC2, p-mTOR, p-S6, and p-Erk1/2 in NSCLC was found in 39.9%, 78.8%, 5.1%, 46.7%, 27.1%, and 16.6% of tumors, respectively. The phenotype of p-eIF4E correlated positively with that of p-AKT, p-TSC2, and p-S6 (P < 0.001). Overall survival in NSCLC patients was significantly shorter in cases with overexpression of p-eIF4E and p-AKT alone and in combination (log-rank P < 0.001, each). Cases with underexpression of PTEN were limited (6.4%), and this phenotype did not correlate with any clinical variable. In cluster analysis, the p-AKT/p-mTOR/p-eIF4E/p-S6-positive group had significantly shorter survival compared with the survival of all cases (P < 0.001). Multivariate analysis showed that p-eIF4E overexpression is an independent prognostic factor for NSCLC (P = 0.004). CONCLUSIONS: This study shows that p-eIF4E expression in addition to p-AKT predicts poor prognosis in NSCLC. Moreover, the correlation between expression of p-eIF4E with p-AKT, as well as p-TSC2 and p-S6, indicates that eIF4E activation through the AKT pathway plays an important role in the progression of NSCLC. FAU - Yoshizawa, Akihiko AU - Yoshizawa A AD - Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA. FAU - Fukuoka, Junya AU - Fukuoka J FAU - Shimizu, Shigeki AU - Shimizu S FAU - Shilo, Konstantin AU - Shilo K FAU - Franks, Teri J AU - Franks TJ FAU - Hewitt, Stephen M AU - Hewitt SM FAU - Fujii, Takeshi AU - Fujii T FAU - Cordon-Cardo, Carlos AU - Cordon-Cardo C FAU - Jen, Jin AU - Jen J FAU - Travis, William D AU - Travis WD LA - eng GR - ZIC BC011257/ImNIH/Intramural NIH HHS/United States PT - Journal Article DEP - 20091215 PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Eukaryotic Initiation Factor-4E) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinase 3) RN - EC 3.1.3.67 (PTEN Phosphohydrolase) RN - EC 3.1.3.67 (PTEN protein, human) SB - IM MH - Carcinoma, Non-Small-Cell Lung/*metabolism/mortality MH - Eukaryotic Initiation Factor-4E/*metabolism MH - Female MH - Humans MH - Lung Neoplasms/*metabolism/mortality MH - Male MH - Mitogen-Activated Protein Kinase 3/metabolism MH - PTEN Phosphohydrolase/metabolism MH - Phosphorylation MH - Prognosis MH - Proto-Oncogene Proteins c-akt/*metabolism MH - Signal Transduction MH - Tissue Array Analysis PMC - PMC7581274 MID - NIHMS1634315 COIS- Disclosure of Potential Conflicts of Interest No potential conflicts of interest were disclosed. EDAT- 2009/12/17 06:00 MHDA- 2010/04/17 06:00 PMCR- 2020/10/22 CRDT- 2009/12/17 06:00 PHST- 2009/12/17 06:00 [entrez] PHST- 2009/12/17 06:00 [pubmed] PHST- 2010/04/17 06:00 [medline] PHST- 2020/10/22 00:00 [pmc-release] AID - 1078-0432.CCR-09-0986 [pii] AID - 10.1158/1078-0432.CCR-09-0986 [doi] PST - ppublish SO - Clin Cancer Res. 2010 Jan 1;16(1):240-8. doi: 10.1158/1078-0432.CCR-09-0986. Epub 2009 Dec 15.