PMID- 26375439 OWN - NLM STAT- MEDLINE DCOM- 20160802 LR - 20191210 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 6 IP - 29 DP - 2015 Sep 29 TI - Gastrointestinal malignancies harbor actionable MET exon 14 deletions. PG - 28211-22 LID - 10.18632/oncotarget.4721 [doi] AB - Recently, MET exon 14 deletion (METex14del) has been postulated to be one potential mechanism for MET protein overexpression. We screened for the presence of METex14del transcript by multiplexed fusion transcript analysis using nCounter assay followed by confirmation with quantitative reverse transcription PCR with correlation to MET protein expression by immunohistochemistry (IHC) and MET amplification by fluorescence in situ hybridization (FISH). We extracted RNAs from 230 patients enrolled onto the prospective molecular profiling clinical trial (NEXT-1) (NCT02141152) between November 2013 and August 2014. Thirteen METex14del cases were identified including 3 gastric cancer, 4 colon cancer, 5 non-small cell lung cancer, and one adenocarcinoma of unknown primary. Of these 13 METex14del cases, 11 were MET IHC 3+ and 2 were 2+. Only one out of the 13 METex14del cases was MET amplified (MET/CEP ratio > 2.0). Growths of two (gastric, colon) METex14del+ patient tumor derived cell lines were profoundly inhibited by both MET tyrosine kinase inhibitors and a monoclonal antibody targeting MET. In conclusion, METex14del is a unique molecular aberration present in gastrointestinal (GI) malignancies corresponding with overexpression of MET protein but rarely with MET amplification. Substantial growth inhibition of METex14del+ patient tumor derived cell lines by several MET targeting drugs strongly suggests METex14del is a potential actionable driver mutation in GI malignancies. FAU - Lee, Jeeyun AU - Lee J AD - Department of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. AD - Innovative Cancer Medicine Institute, Samsung Medical Center, Seoul, Republic of Korea. FAU - Ou, Sai-Hong Ignatius AU - Ou SH AD - Chao Family Comprehensive Cancer Center, University of California Irvine School of Medicine, Orange, California, USA. FAU - Lee, Ji Min AU - Lee JM AD - Samsung Biomedical Research Institute, Samsung Advanced Institute of Technology (SAIT)/Samsung Electronics Co. Ltd, Yeongtong-gu, Suwon-si, Gyeonggi-do, Korea. FAU - Kim, Hee Cheol AU - Kim HC AD - Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Hong, Mineui AU - Hong M AD - Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kim, Sun Young AU - Kim SY AD - Department of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Jang, Jiryeon AU - Jang J AD - Department of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Ahn, Soomin AU - Ahn S AD - Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kang, So Young AU - Kang SY AD - Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Lee, Sujin AU - Lee S AD - Department of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kim, Seung Tae AU - Kim ST AD - Department of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kim, Bogyou AU - Kim B AD - Samsung Biomedical Research Institute, Samsung Advanced Institute of Technology (SAIT)/Samsung Electronics Co. Ltd, Yeongtong-gu, Suwon-si, Gyeonggi-do, Korea. FAU - Choi, Jaehyun AU - Choi J AD - Samsung Biomedical Research Institute, Samsung Advanced Institute of Technology (SAIT)/Samsung Electronics Co. Ltd, Yeongtong-gu, Suwon-si, Gyeonggi-do, Korea. FAU - Kim, Kyung-Ah AU - Kim KA AD - Samsung Biomedical Research Institute, Samsung Advanced Institute of Technology (SAIT)/Samsung Electronics Co. Ltd, Yeongtong-gu, Suwon-si, Gyeonggi-do, Korea. FAU - Lee, Jiyun AU - Lee J AD - Department of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Park, Charny AU - Park C AD - Department of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. AD - Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Park, Se Hoon AU - Park SH AD - Department of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Park, Joon Oh AU - Park JO AD - Department of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. AD - Innovative Cancer Medicine Institute, Samsung Medical Center, Seoul, Republic of Korea. FAU - Lim, Ho Yeong AU - Lim HY AD - Department of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kang, Won Ki AU - Kang WK AD - Department of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Park, Keunchil AU - Park K AD - Department of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. AD - Innovative Cancer Medicine Institute, Samsung Medical Center, Seoul, Republic of Korea. FAU - Park, Young Suk AU - Park YS AD - Department of Medicine, Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kim, Kyoung-Mee AU - Kim KM AD - Innovative Cancer Medicine Institute, Samsung Medical Center, Seoul, Republic of Korea. AD - Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Anilides) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyridines) RN - 0 (SAIT301) RN - 1C39JW444G (cabozantinib) RN - EC 2.7.10.1 (MET protein, human) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-met) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Amino Acid Sequence MH - Anilides/pharmacology MH - Antibodies, Monoclonal/pharmacology MH - Antibodies, Monoclonal, Humanized MH - Cell Proliferation/drug effects/genetics MH - DNA Mutational Analysis/methods MH - Exons/*genetics MH - Female MH - Gastrointestinal Neoplasms/*genetics/metabolism/pathology MH - Gene Expression Regulation, Neoplastic/drug effects MH - Humans MH - Immunoblotting MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Molecular Sequence Data MH - Prospective Studies MH - Protein Kinase Inhibitors/pharmacology MH - Proto-Oncogene Proteins c-met/*genetics/immunology/metabolism MH - Pyridines/pharmacology MH - Reverse Transcriptase Polymerase Chain Reaction MH - *Sequence Deletion MH - Tumor Cells, Cultured PMC - PMC4695055 OTO - NOTNLM OT - MET exon 14 skipping OT - MET monoclonal antibodies OT - colorectal carcinoma OT - crizotinib OT - gastrointestinal malignancies COIS- CONFLICTS OF INTEREST The authors declare no conflicts of interest. EDAT- 2015/09/17 06:00 MHDA- 2016/08/03 06:00 PMCR- 2015/09/29 CRDT- 2015/09/17 06:00 PHST- 2015/05/19 00:00 [received] PHST- 2015/08/31 00:00 [accepted] PHST- 2015/09/17 06:00 [entrez] PHST- 2015/09/17 06:00 [pubmed] PHST- 2016/08/03 06:00 [medline] PHST- 2015/09/29 00:00 [pmc-release] AID - 4721 [pii] AID - 10.18632/oncotarget.4721 [doi] PST - ppublish SO - Oncotarget. 2015 Sep 29;6(29):28211-22. doi: 10.18632/oncotarget.4721.