PMID- 22614881 OWN - NLM STAT- MEDLINE DCOM- 20121019 LR - 20181201 IS - 1791-2423 (Electronic) IS - 1019-6439 (Linking) VI - 41 IP - 2 DP - 2012 Aug TI - Association of amphiregulin with the cetuximab sensitivity of gastric cancer cell lines. PG - 733-44 LID - 10.3892/ijo.2012.1479 [doi] AB - The therapeutic activity of the epidermal growth factor receptor (EGFR)-directed monoclonal antibody cetuximab in gastric cancer is currently being investigated in clinical studies. Reliable biomarkers for the identification of patients who are likely to benefit from this treatment are not available. In this study, we assessed the activity of cetuximab in five gastric cancer cell lines (AGS, AZ521, Hs746T, LMSU and MKN1). The viability of two of these cell lines, AZ521 and MKN1, was significantly reduced by cetuximab treatment. High expression and secretion levels of the EGFR-binding ligand, amphiregulin (AREG), were associated with cetuximab responsiveness. MET activation and mutations in Kirsten-Ras gene (KRAS) were associated with cetuximab resistance. By introducing a hierarchy between these markers, we established a model that facilitated the correct classification of all five gastric cancer cell lines as cetuximab responsive or non-responsive. The highest priority was allocated to activating KRAS mutations, followed by MET activation and finally by the levels of secreted AREG. In order to validate these results, we used three additional human gastric cancer cell lines (KATOIII, MKN28 and MKN45). In conclusion, we propose that our model allows the response of gastric cancer cell lines to cetuximab treatment to be predicted. FAU - Kneissl, Julia AU - Kneissl J AD - Institute of Pathology, Technische Universitat Munchen, Klinikum rechts der Isar, Munich, Germany. FAU - Keller, Simone AU - Keller S FAU - Lorber, Thomas AU - Lorber T FAU - Heindl, Stefan AU - Heindl S FAU - Keller, Gisela AU - Keller G FAU - Drexler, Ingo AU - Drexler I FAU - Hapfelmeier, Alexander AU - Hapfelmeier A FAU - Hofler, Heinz AU - Hofler H FAU - Luber, Birgit AU - Luber B LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120514 PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (AREG protein, human) RN - 0 (Amphiregulin) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) RN - 0 (EGF Family of Proteins) RN - 0 (Glycoproteins) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (KRAS protein, human) RN - 0 (Proto-Oncogene Proteins) RN - 62229-50-9 (Epidermal Growth Factor) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (MET protein, human) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-met) RN - EC 3.6.5.2 (Proto-Oncogene Proteins p21(ras)) RN - EC 3.6.5.2 (ras Proteins) RN - PQX0D8J21J (Cetuximab) SB - IM MH - Amphiregulin MH - Antibodies, Monoclonal/*pharmacology MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/*pharmacology MH - Biomarkers, Tumor/genetics/metabolism MH - Cell Line, Tumor/drug effects MH - Cell Proliferation MH - Cell Survival/drug effects MH - Cetuximab MH - DNA Mutational Analysis MH - Drug Resistance, Neoplasm MH - EGF Family of Proteins MH - Enzyme Activation MH - Epidermal Growth Factor/metabolism MH - ErbB Receptors/metabolism MH - Glycoproteins/*metabolism MH - Humans MH - Intercellular Signaling Peptides and Proteins/*metabolism MH - Mutation MH - Phosphorylation MH - Protein Processing, Post-Translational/drug effects MH - Proto-Oncogene Proteins/genetics MH - Proto-Oncogene Proteins c-met/metabolism MH - Proto-Oncogene Proteins p21(ras) MH - Stomach Neoplasms/*drug therapy MH - ras Proteins/genetics EDAT- 2012/05/23 06:00 MHDA- 2012/10/20 06:00 CRDT- 2012/05/23 06:00 PHST- 2011/12/29 00:00 [received] PHST- 2012/03/02 00:00 [accepted] PHST- 2012/05/23 06:00 [entrez] PHST- 2012/05/23 06:00 [pubmed] PHST- 2012/10/20 06:00 [medline] AID - 10.3892/ijo.2012.1479 [doi] PST - ppublish SO - Int J Oncol. 2012 Aug;41(2):733-44. doi: 10.3892/ijo.2012.1479. Epub 2012 May 14.