PMID- 25293577 OWN - NLM STAT- MEDLINE DCOM- 20160621 LR - 20211021 IS - 1776-260X (Electronic) IS - 1776-2596 (Linking) VI - 10 IP - 3 DP - 2015 Sep TI - Comparison of tyrosine kinase receptors HER2, EGFR, and VEGFR expression in micropapillary urothelial carcinoma with invasive urothelial carcinoma. PG - 355-63 LID - 10.1007/s11523-014-0341-x [doi] AB - Invasive micropapillary urothelial carcinomas (MPUC) emerge at higher stages and follow a more aggressive course than conventional invasive urothelial carcinomas (UC). Little is known about the target therapies using tyrosine kinase inhibitors in MPUC. This study is to investigate potential effectiveness of tyrosine kinase receptor inhibitors by determining expression of epidermal growth factor receptor (EGFR), human epidermal receptor 2 (HER2), and vascular endothelial growth factor receptor 2 (VEGFR) proteins in MPUC and UC. 16 cases of MPUC and 16 stage-matched UC were identified. Immunohistochemistry for EGFR, HER2, and VEGFR2 and HER2 gene amplification by fluorescence in situ hybridization (FISH) were performed. HER2 and EGFR proteins were expressed in MPUC and UC, with significantly higher HER2 expression in MPUC (ratio 1.82, p < 0.01). HER2 gene amplification was identified in 4 of 16 MPUC (25 %). Amplification was limited to cases with 3+ HER2 expression (100% concordance). EGFR expression in MPUC was slightly higher than UC but not statistically significant (ratio 1.57, p = 0.19). EGFR and HER2 coexpression was noted in 75% of MPUC and 37.5% of UC. No VEGFR expression was identified in the urothelium. Strong VEGFR expression was noted in stromal vessels in both MPUC and UC. In conclusion, EGFR and HER2 are potential targets for neoadjuvant chemotherapy in MPUC and UC. There is no direct anti-tumor effect expected for VEGFR inhibitors. FAU - Li, Jianhong AU - Li J AD - Department of Pathology and Laboratory Medicine, Warren Alpert Medical School of Brown University, Rhode Island Hospital, 593 Eddy Street, Providence, RI, 02903, USA, jli4@lifespan.org. FAU - Jackson, Cynthia L AU - Jackson CL FAU - Yang, Dongfang AU - Yang D FAU - Noble, Lelia AU - Noble L FAU - Wheeler, Michael AU - Wheeler M FAU - MacKenzie, Dolores AU - MacKenzie D FAU - Adegun, Temitope AU - Adegun T FAU - Amin, Ali AU - Amin A LA - eng PT - Comparative Study PT - Journal Article DEP - 20141008 PL - France TA - Target Oncol JT - Targeted oncology JID - 101270595 RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (KDR protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 2.7.10.1 (Vascular Endothelial Growth Factor Receptor-2) SB - IM MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents/chemistry MH - Biomarkers, Tumor/metabolism MH - Carcinoma, Papillary/genetics/*metabolism MH - Cohort Studies MH - ErbB Receptors/*metabolism MH - Female MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Neoplasm Invasiveness MH - Receptor, ErbB-2/*metabolism MH - Urinary Bladder Neoplasms/genetics/*metabolism MH - Urothelium/metabolism MH - Vascular Endothelial Growth Factor Receptor-2/*metabolism EDAT- 2014/10/09 06:00 MHDA- 2016/06/22 06:00 CRDT- 2014/10/09 06:00 PHST- 2014/05/28 00:00 [received] PHST- 2014/09/25 00:00 [accepted] PHST- 2014/10/09 06:00 [entrez] PHST- 2014/10/09 06:00 [pubmed] PHST- 2016/06/22 06:00 [medline] AID - 10.1007/s11523-014-0341-x [doi] PST - ppublish SO - Target Oncol. 2015 Sep;10(3):355-63. doi: 10.1007/s11523-014-0341-x. Epub 2014 Oct 8.