PMID- 26472021 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20201116 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 6 IP - 36 DP - 2015 Nov 17 TI - NTRK1 rearrangement in colorectal cancer patients: evidence for actionable target using patient-derived tumor cell line. PG - 39028-35 LID - 10.18632/oncotarget.5494 [doi] AB - BACKGROUND: We have investigated the incidence of NTRK1 rearrangements in metastatic gastrointestinal cancer patients and demonstrated the potential for clinical response of these patients to targeted therapy. METHODS: We prospectively collected tumor tissue specimens for one year and simultaneously generated patient-derived tumor cells (PDCs). Specimens were initially screened for TrkA protein expression using TrkA immunohistochemistry (IHC). In the case of TrkA IHC positive results, samples were further examined by fluorescence in situ hybridization (FISH) and next generation sequencing (NGS) to confirm the presence of NTRK1 rearrangements. RESULTS: From January 2014 to December 2014, a total of 74 metastatic colorectal cancer (CRC) patients and 66 gastric cancer (GC) patients were initially screened by TrkA IHC. Two of the 74 CRC patients (2.7%) and one of the 66 GC patients (1.5%) were positive for TrkA expression by IHC. All three IHC positive cases had evidence of NTRK1 rearrangements by FISH. NGS was performed on the 3 IHC positive cases and confirmed TPM3-NTRK1 rearrangements in the two CRC cases. One GC patient with TrkA expression by IHC did not harbor an NTRK1 rearrangement. PDCs established from the NTRK1 positive CRC patients were positive for the NTRK1 rearrangement. Entrectinib, a pan-TRK inhibitor, profoundly inhibited cell proliferation of NTRK1-rearranged PDCs with such inhibition associated with inactivation of TrkA, and down-regulation of downstream signaling pathways. CONCLUSIONS: TrkA IHC is an effective, initial screening method for NTRK1 rearrangement detection in the clinic. Inhibition of the TrkA kinase is a promising targeted therapy for cancer patients whose tumors harbor a NTRK1 rearrangement. FAU - Lee, Su Jin AU - Lee SJ AD - Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Li, Gang Gary AU - Li GG AD - Ignyta Inc, San Diego, California, USA. FAU - Kim, Seung Tae AU - Kim ST AD - Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Hong, Min Eui AU - Hong ME AD - Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Jang, Jiryeon AU - Jang J AD - Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Yoon, Nara AU - Yoon N AD - Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Ahn, Soo Min AU - Ahn SM AD - Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Murphy, Danielle AU - Murphy D AD - Ignyta Inc, San Diego, California, USA. FAU - Christiansen, Jason AU - Christiansen J AD - Ignyta Inc, San Diego, California, USA. FAU - Wei, Ge AU - Wei G AD - Ignyta Inc, San Diego, California, USA. FAU - Hornby, Zachary AU - Hornby Z AD - Ignyta Inc, San Diego, California, USA. FAU - Lee, Dong Woo AU - Lee DW AD - Samsung Electrics, Seoul, Korea. FAU - Park, Joon Oh AU - Park JO AD - Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. AD - The Innovative Cancer Medicine Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Park, Young Suk AU - Park YS AD - Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Lim, Ho Yeong AU - Lim HY AD - Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Hong, Sung No AU - Hong SN AD - Division of Gastroenterology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kim, Seok-Hyeong AU - Kim SH AD - Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kang, Won Ki AU - Kang WK AD - Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Park, Keunchil AU - Park K AD - Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Park, Woong Yang AU - Park WY AD - Samsung Genome Institute, Seoul, Korea. FAU - Kim, Kyoung-Mee AU - Kim KM AD - Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. AD - The Innovative Cancer Medicine Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Lee, Jeeyun AU - Lee J AD - Division of Hematology-Oncology, Department of Medicine, 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 (Benzamides) RN - 0 (Indazoles) RN - 0 (NTRK1 protein, human) RN - EC 2.7.10.1 (Receptor, trkA) RN - L5ORF0AN1I (entrectinib) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Benzamides/pharmacology MH - Cell Line, Tumor MH - Colorectal Neoplasms/drug therapy/enzymology/*genetics/pathology MH - Female MH - Gene Rearrangement MH - Humans MH - Immunohistochemistry MH - Indazoles/pharmacology MH - Male MH - Middle Aged MH - Molecular Targeted Therapy MH - Prospective Studies MH - Receptor, trkA/antagonists & inhibitors/*genetics MH - Tumor Cells, Cultured PMC - PMC4770754 OTO - NOTNLM OT - NTRK1 rearrangement OT - TRKA immunohistochemistry OT - colorectal cancer COIS- CONFLICTS OF INTEREST No conflicts of interest. EDAT- 2015/10/17 06:00 MHDA- 2016/12/15 06:00 PMCR- 2015/11/17 CRDT- 2015/10/17 06:00 PHST- 2015/06/22 00:00 [received] PHST- 2015/09/30 00:00 [accepted] PHST- 2015/10/17 06:00 [entrez] PHST- 2015/10/17 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] PHST- 2015/11/17 00:00 [pmc-release] AID - 5494 [pii] AID - 10.18632/oncotarget.5494 [doi] PST - ppublish SO - Oncotarget. 2015 Nov 17;6(36):39028-35. doi: 10.18632/oncotarget.5494.