PMID- 28881608 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20170925 LR - 20181113 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 8 IP - 31 DP - 2017 Aug 1 TI - Anti-tumor efficacy of theliatinib in esophageal cancer patient-derived xenografts models with epidermal growth factor receptor (EGFR) overexpression and gene amplification. PG - 50832-50844 LID - 10.18632/oncotarget.17243 [doi] AB - Targeted therapy is not yet approved for esophageal cancer (EC). In this study, we first evaluated EGFR gene and protein expression in 70 Chinese EC patient tumor samples collected during surgery. We then established 23 patient-derived EC xenograft (PDECX) models and assessed the efficacy of theliatinib, a potent and highly selective EGFR inhibitor currently in Phase I clinical study, in 9 PDECX models exhibiting various EGFR expression levels. Immunohistochemical analysis showed that 50 patient tumor samples (71.4%) had high EGFR expression. Quantitative PCR showed that eight tumors (11.6%) had EGFR gene copy number gain, and fluorescence in situ hybridization (FISH) revealed that four tumors had EGFR gene amplification. These results suggest that EGFR protein may be overexpressed in many EC tumors without gene amplification. Also detected were rare hot-spot mutations in EGFR and PIK3CA, whereas no mutations were found in K-Ras or B-Raf. Theliatinib exhibited strong antitumor activity in PDECX models with high EGFR expression, including remarkable tumor regression in two PDECX models with both EGFR gene amplification and protein overexpression. However, the efficacy of theliatinib was diminished in models with PI3KCA mutations or FGFR1 overexpression in addition to high EGFR expression. This study demonstrates that theliatinib could potentially benefit EC patients with high EGFR protein expression without mutations or aberrant activities of associated factors, such as PI3KCA or FGFR1. FAU - Ren, Yongxin AU - Ren Y AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Zheng, Jianming AU - Zheng J AD - Department of Pathology, Changhai Hospital, the Second Military Medical University, Shanghai, China. FAU - Fan, Shiming AU - Fan S AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Wang, Linfang AU - Wang L AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Cheng, Min AU - Cheng M AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Shi, Dongxia AU - Shi D AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Zhang, Wei AU - Zhang W AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Tang, Renxiang AU - Tang R AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Yu, Ying AU - Yu Y AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Jiao, Longxian AU - Jiao L AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Ni, Jun AU - Ni J AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Yang, Haibin AU - Yang H AD - Department of Chemistry, Hutchison MediPharma Limited, Shanghai, China. FAU - Cai, Huaqing AU - Cai H AD - Department of Chemistry, Hutchison MediPharma Limited, Shanghai, China. FAU - Yin, Fang AU - Yin F AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Chen, Yunxin AU - Chen Y AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Zhou, Feng AU - Zhou F AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Zhang, Weihan AU - Zhang W AD - Department of Chemistry, Hutchison MediPharma Limited, Shanghai, China. FAU - Qing, Weiguo AU - Qing W AD - Department of Oncology Research, Hutchison MediPharma Limited, Shanghai, China. FAU - Su, Weiguo AU - Su W AD - Department of Chemistry, Hutchison MediPharma Limited, Shanghai, China. LA - eng PT - Journal Article DEP - 20170419 PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 PMC - PMC5584209 OTO - NOTNLM OT - EGFR targeted therapy OT - esophageal cancer OT - patient derived xenograft models OT - theliatinib COIS- CONFLICTS OF INTEREST All authors disclose no conflicts of interest. EDAT- 2017/09/09 06:00 MHDA- 2017/09/09 06:01 PMCR- 2017/08/01 CRDT- 2017/09/09 06:00 PHST- 2016/12/01 00:00 [received] PHST- 2017/03/27 00:00 [accepted] PHST- 2017/09/09 06:00 [entrez] PHST- 2017/09/09 06:00 [pubmed] PHST- 2017/09/09 06:01 [medline] PHST- 2017/08/01 00:00 [pmc-release] AID - 17243 [pii] AID - 10.18632/oncotarget.17243 [doi] PST - epublish SO - Oncotarget. 2017 Apr 19;8(31):50832-50844. doi: 10.18632/oncotarget.17243. eCollection 2017 Aug 1.