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Updated: Aug 29, 2026

Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays
Published on: September 19, 2018
Tyrosine kinase receptor expression in thymomas
John D Henley1, Oscar W Cummings, Patrick J Loehrer
1Department of Pathology, Indiana University School of Medicine, Clarian Health Partners, 550 North University Blvd, Rm 3465, Indianapolis 46202, USA. jhenley@iupui.edu
Purpose:
Promising new therapies for neoplasia include tyrosine kinase receptor antagonists. Tyrosine kinase oncogenes present an appealing anti-tumor drug target since they play an integral role in a variety of cellular responses including cell proliferation and differentiation. We previously demonstrated a high rate of epidermal growth factor receptor (EGFR) expression in advanced-stage thymic epithelial tumors. More recently, we have examined c-KIT (CD117) expression in a similar series of tumors.
Methods:
Tumor from 35 patients seen at our institution for treatment of advanced-stage thymoma was available. Twenty thymomas and 15 thymic carcinomas were assessed for c-KIT expression. Tissue sections of tumor were stained immunohistochemically with anti-c-KIT (Oncogene). Either cytoplasmic or membrane staining was considered positive. Appropriate controls were performed. Positive staining for c-KIT was present in 12 tumors (11 thymic carcinomas and 1 thymoma).
Results:
In distinction to EGFR, c-KIT is expressed more commonly in thymic carcinomas (73% of carcinomas) than in thymoma (5% of thymomas).
Conclusions:
An EGFR negative/c-KIT positive staining pattern is typical of thymic carcinoma, whereas thymomas are generally EGFR positive/c-KIT negative. Possible therapeutic implications of these observations remain to be determined.
Insights
Tyrosine kinase receptor antagonists are promising for neoplasia. This study found c-KIT expression is common in thymic carcinomas but rare in thymomas, unlike EGFR expression.
Area of Science:
- Oncology
- Molecular Biology
- Immunohistochemistry
Background:
- Tyrosine kinase receptors are key targets for anti-cancer therapies.
- Epidermal Growth Factor Receptor (EGFR) is highly expressed in advanced thymic epithelial tumors.
- c-KIT (CD117) is investigated as another potential therapeutic target in thymic neoplasms.
Purpose of the Study:
- To assess the expression of c-KIT in thymoma and thymic carcinoma.
- To compare c-KIT expression patterns with EGFR expression in these tumors.
Main Methods:
- Immunohistochemical staining for c-KIT was performed on tumor tissue from 35 patients with advanced-stage thymoma.
- Tumor samples included 20 thymomas and 15 thymic carcinomas.
- Positive staining was defined as cytoplasmic or membrane staining.
Main Results:
- c-KIT expression was detected in 12 out of 35 tumors (34%).
- c-KIT was significantly more common in thymic carcinomas (73%) than in thymoma (5%).
- EGFR expression patterns were generally inverse to c-KIT expression.
Conclusions:
- Thymic carcinomas typically show EGFR negative/c-KIT positive staining.
- Thymomas are usually EGFR positive/c-KIT negative.
- These distinct expression patterns may have future therapeutic implications for thymic neoplasms.
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