PMID- 20385747 OWN - NLM STAT- MEDLINE DCOM- 20101012 LR - 20220317 IS - 1479-6821 (Electronic) IS - 1351-0088 (Linking) VI - 17 IP - 3 DP - 2010 Sep TI - Molecular markers for novel therapies in neuroendocrine (carcinoid) tumors. PG - 623-36 LID - 10.1677/ERC-09-0318 [doi] AB - Neuroendocrine (carcinoid) tumors (NETs) are endocrine neoplasms occurring most frequently in gastrointestinal and bronchopulmonary (BP) systems. The majority of patients present with advanced disease for which few treatment options exist. We assessed 104 NETs (74 cases) for biomarkers targeted by anticancer drugs under development for other forms of cancer. Activating mutations were assessed in epidermal growth factor receptor (EGFR), stem cell factor receptor (KIT), and platelet-derived growth factor receptor alpha (PDGFRA), as well as non-response mutations in KRAS. Copy number of EGFR and HER-2/neu was quantified with fluorescence in situ hybridization. Immunohistochemical analyses were performed for EGFR, KIT, PDGFRA, somatostatin receptor subtypes 2A and 5 (SSTR5), vascular endothelial growth factor receptor 1, mammalian target of rapamycin (mTOR), insulin-like growth factor 1 receptor (IGF1R), heat shock protein 90 (Hsp90), and transforming growth factor-beta receptor 1 (TGFBR1). NETs lacked HER2-overexpression predictive of anti-HER2 response and KIT and PDGFRA activating mutations indicative of imatinib sensitivity. High EGFR aneusomy (20% of all cases) and elevated EGFR copy number (39%) were found, but few KRAS mutations associated with non-response to anti-EGFR therapy (3%). Hsp90, TGFBR1, IGF1R, and SSTR5 exhibited highest levels of immunohistochemical staining in the largest percents of tumors. In subsequent in vitro studies, anticancer drug 17-(allylamino)-17-demethoxygeldanamycin (17-AAG) (targeting Hsp90) inhibited proliferation of BP NET lines NCI-H727, NCI-H720, and NCI-H835 with IC(50) values of 70.4, 310, and 788 nM respectively; BMS-754807 (targeting IGF1R/IR) inhibited growth with IC(50) values of 428 nM, 2.8 microM, and 1 microM. At growth-inhibiting concentrations, 17-AAG (24 h) induced loss of EGFR and IGF1R in the IGF1R-expressing NCI-H727 line, and BMS-754807 (24 h) inhibited constitutive IGF1R autophosphorylation. Our results support further research into Hsp90, IGF1R, and EGFR as targets for developing new anticancer therapeutics for some NETs. FAU - Gilbert, Judith A AU - Gilbert JA AD - Department of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, Minnesota 55905, USA. FAU - Adhikari, Laura J AU - Adhikari LJ FAU - Lloyd, Ricardo V AU - Lloyd RV FAU - Rubin, Joseph AU - Rubin J FAU - Haluska, Paul AU - Haluska P FAU - Carboni, Joan M AU - Carboni JM FAU - Gottardis, Marco M AU - Gottardis MM FAU - Ames, Matthew M AU - Ames MM LA - eng PT - Journal Article DEP - 20100625 PL - England TA - Endocr Relat Cancer JT - Endocrine-related cancer JID - 9436481 RN - 0 (Antineoplastic Agents) RN - 0 (BMS 754807) RN - 0 (Benzoquinones) RN - 0 (Biomarkers, Tumor) RN - 0 (Lactams, Macrocyclic) RN - 0 (Pyrazoles) RN - 0 (Triazines) RN - 4GY0AVT3L4 (tanespimycin) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents/*pharmacology MH - Benzoquinones/pharmacology MH - Biomarkers, Tumor/genetics/*metabolism MH - Blotting, Western MH - Cell Line, Tumor MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lactams, Macrocyclic/pharmacology MH - Male MH - Middle Aged MH - Neuroendocrine Tumors/*drug therapy/*metabolism/pathology MH - Polymerase Chain Reaction MH - Pyrazoles/pharmacology MH - Retrospective Studies MH - Tissue Array Analysis MH - Triazines/pharmacology MH - Young Adult EDAT- 2010/04/14 06:00 MHDA- 2010/10/13 06:00 CRDT- 2010/04/14 06:00 PHST- 2010/04/14 06:00 [entrez] PHST- 2010/04/14 06:00 [pubmed] PHST- 2010/10/13 06:00 [medline] AID - ERC-09-0318 [pii] AID - 10.1677/ERC-09-0318 [doi] PST - epublish SO - Endocr Relat Cancer. 2010 Jun 25;17(3):623-36. doi: 10.1677/ERC-09-0318. Print 2010 Sep.