PMID- 30302873 OWN - NLM STAT- MEDLINE DCOM- 20200306 LR - 20200306 IS - 1097-0347 (Electronic) IS - 1043-3074 (Linking) VI - 40 IP - 11 DP - 2018 Nov TI - Prognostic role of epiregulin/amphiregulin expression in recurrent/metastatic head and neck cancer treated with cetuximab. PG - 2424-2431 LID - 10.1002/hed.25353 [doi] AB - BACKGROUND: Cetuximab combined with chemoradiotherapy chemotherapy is the standard therapy for recurrent/metastatic head and neck squamous cell carcinoma (HNSCC). However, survival benefit is limited. The purpose of this study was to investigate the expression of epiregulin (EREG) and amphiregulin (AREG), as predictive prognostic markers for the efficacy of cetuximab combined with chemotherapy in R/M HNSCC. METHODS: We conducted a retrospective analysis of 37 patients diagnosed with R/M HNSCC. Tumor samples were analyzed for EREG and AREG mRNA gene expression, and clinical outcomes evaluated. RESULTS: Values of EREG and AREG were associated with significantly longer overall survival (OS) (P = .03 and P = .01, respectively), as well as progression-free survival (PFS) (P = .04 and P = .04, respectively). Multivariate analysis revealed that AREG expression was significantly associated with OS and PFS. CONCLUSIONS: Patients with recurrent/metastatic HNSCC with higher EREG and AREG gene expression appear to benefit more from cetuximab combined with chemoradiotherapy chemotherapy than those with lower expression. CI - (c) 2018 Wiley Periodicals, Inc. FAU - Kogashiwa, Yasunao AU - Kogashiwa Y AUID- ORCID: 0000-0003-1074-2326 AD - Department of Head and Neck Surgery, Otolaryngology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan. FAU - Inoue, Hitoshi AU - Inoue H AD - Department of Head and Neck Surgery, Otolaryngology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan. FAU - Kuba, Kiyomi AU - Kuba K AD - Department of Head and Neck Surgery, Otolaryngology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan. FAU - Araki, Ryuichiro AU - Araki R AD - Community Health Science Center, Saitama Medical University, 38 Morohongo, Moroyama, Iruma-gun, Saitama, 350-0495, Japan. FAU - Yasuda, Masanori AU - Yasuda M AD - Department of Pathology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan. FAU - Nakahira, Mitsuhiko AU - Nakahira M AD - Department of Head and Neck Surgery, Otolaryngology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan. FAU - Sugasawa, Masashi AU - Sugasawa M AD - Department of Head and Neck Surgery, Otolaryngology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20181010 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 RN - 0 (Amphiregulin) RN - 0 (Biomarkers, Tumor) RN - 0 (Epiregulin) RN - PQX0D8J21J (Cetuximab) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Amphiregulin/*genetics MH - Analysis of Variance MH - Biomarkers, Tumor/analysis MH - Cetuximab/*therapeutic use MH - Chemoradiotherapy/methods MH - Cohort Studies MH - Databases, Factual MH - Disease-Free Survival MH - Epiregulin/*genetics MH - Female MH - Gene Expression Regulation, Neoplastic MH - Head and Neck Neoplasms/drug therapy/*genetics/mortality/pathology MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Neoplasm Metastasis MH - Neoplasm Recurrence, Local/drug therapy/*genetics/mortality/pathology MH - Prognosis MH - Proportional Hazards Models MH - Retrospective Studies MH - Squamous Cell Carcinoma of Head and Neck/drug therapy/*genetics/mortality/pathology MH - Survival Analysis MH - Treatment Outcome OTO - NOTNLM OT - AREG OT - EREG OT - EGFR OT - biomarker OT - cetuximab EDAT- 2018/10/12 06:00 MHDA- 2020/03/07 06:00 CRDT- 2018/10/11 06:00 PHST- 2017/11/25 00:00 [received] PHST- 2018/02/12 00:00 [revised] PHST- 2018/05/16 00:00 [accepted] PHST- 2018/10/12 06:00 [pubmed] PHST- 2020/03/07 06:00 [medline] PHST- 2018/10/11 06:00 [entrez] AID - 10.1002/hed.25353 [doi] PST - ppublish SO - Head Neck. 2018 Nov;40(11):2424-2431. doi: 10.1002/hed.25353. Epub 2018 Oct 10.