PMID- 28756651 OWN - NLM STAT- MEDLINE DCOM- 20181004 LR - 20181202 IS - 1752-699X (Electronic) IS - 1752-6981 (Linking) VI - 12 IP - 4 DP - 2018 Apr TI - Relationship between driver gene mutations, their relative protein expressions and survival in non-small cell lung carcinoma in Macao. PG - 1416-1423 LID - 10.1111/crj.12670 [doi] AB - OBJECTIVES: We report the status of most common gene mutations in non-small cell lung carcinoma (NSCLC) in Macao, and explore the relationship between each gene mutation and clinicopathologic features and survival. METHODS: EGFR, KRAS and BRAF mutations were detected by PCR in 122 cases of NSCLC. ALK translocation and MET amplification were detected by fluorescence in situ hybridization (FISH). MET and thyroid transcription factor (TTF-1) were investigated by immunohistochemistry. Clinical data were collected for analyzing their correlation with the gene mutations. RESULTS: The mutation of EGFR, KRAS and BRAF was detected in 48 (39.3%), 13 (10.7%) and 3 (2.5%) of 122 cases of NSCLC, respectively. ALK translocation and MET amplification were detected in 7 (5.7%) and 3 cases (2.5%). The rate of EGFR mutation was significantly higher in female and non-smoker patients. In TTF-1 positive cases EGFR mutation was more frequent. Age of the patients over 62-year old was correlated with KRAS mutations. The concordance between ALK IHC and FISH was 58.3%. The MET protein in the cases with MET amplification was 100% positive. The survival was lower in the patients with positive MET protein than those with negative. MET protein was an independent prognostic factor for NSCLC. CONCLUSIONS: EGFR mutation occurred frequently in the female never smoke patients with NSCLC. KRAS mutation was more common in old patients. Negative MET protein expression could be used as a negative predictive marker of MET amplification. MET protein expression was an independent prognostic factor for NSCLC. CI - (c) 2017 John Wiley & Sons Ltd. FAU - Chan, Kin Iong AU - Chan KI AD - Department of Pathology, Kiang Wu Hospital, Macau Special Administrative Region, Macau, China. FAU - Vong, Hong Ting AU - Vong HT AD - Department of Pathology, Kiang Wu Hospital, Macau Special Administrative Region, Macau, China. FAU - Sin, Lai Fong AU - Sin LF AD - Department of Pathology, Kiang Wu Hospital, Macau Special Administrative Region, Macau, China. FAU - Yip, Yuk Ching AU - Yip YC AD - Department of Pathology, Kiang Wu Hospital, Macau Special Administrative Region, Macau, China. FAU - Zhong, Xue Yun AU - Zhong XY AD - Department of Pathology, Medical School, Jinan University, Guangzhou 510632, China. FAU - Wen, Jian Ming AU - Wen JM AUID- ORCID: 0000-0002-9859-5203 AD - Department of Pathology, Kiang Wu Hospital, Macau Special Administrative Region, Macau, China. LA - eng PT - Journal Article DEP - 20170809 PL - England TA - Clin Respir J JT - The clinical respiratory journal JID - 101315570 RN - 0 (DNA, Neoplasm) RN - 0 (KRAS protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.11.1 (BRAF protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins B-raf) RN - EC 3.6.5.2 (Proto-Oncogene Proteins p21(ras)) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biopsy MH - Carcinoma, Non-Small-Cell Lung/epidemiology/*genetics/pathology MH - DNA Mutational Analysis MH - DNA, Neoplasm/*genetics MH - ErbB Receptors/*genetics MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Incidence MH - Lung Neoplasms/epidemiology/*genetics/pathology MH - Macau/epidemiology MH - Male MH - Middle Aged MH - *Mutation MH - Neoplasm Staging MH - Polymerase Chain Reaction MH - Proto-Oncogene Proteins B-raf/*genetics MH - Proto-Oncogene Proteins p21(ras)/*genetics MH - Survival Rate/trends OTO - NOTNLM OT - BRAF OT - Kirsten rat sarcoma OT - MET OT - anaplastic lymphoma kinase OT - epidermal growth factor receptor OT - non-small cell lung carcinoma EDAT- 2017/08/02 06:00 MHDA- 2018/10/05 06:00 CRDT- 2017/07/31 06:00 PHST- 2017/03/17 00:00 [received] PHST- 2017/06/23 00:00 [revised] PHST- 2017/07/25 00:00 [accepted] PHST- 2017/08/02 06:00 [pubmed] PHST- 2018/10/05 06:00 [medline] PHST- 2017/07/31 06:00 [entrez] AID - 10.1111/crj.12670 [doi] PST - ppublish SO - Clin Respir J. 2018 Apr;12(4):1416-1423. doi: 10.1111/crj.12670. Epub 2017 Aug 9.