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Published on: January 7, 2019
Expression and amplification of therapeutic target genes in retinoblastoma
Doris Bösch1, Mona Pache, Ronald Simon
1Universitäts-Augenklinik Basel, Mittlere Strasse 91, 4056, Basel, Switzerland.
Purpose:
We set out to evaluate alterations of the therapeutic target genes KIT (CD 117), EGFR, and HER-2 in human retinoblastoma.
Methods:
Ninety-five formalin-fixed, paraffin-embedded retinoblastomas were brought into a tissue microarray (TMA) format. Immunohistochemistry was performed to analyze the expression of CD117, EGFR, and HER-2. Fluorescence in situ hybridization (FISH) was utilized for detection of EGFR amplifications. Three tumors with strong CD117 positivity were sequenced for KIT exon 11 mutations.
Results:
Detectable CD117 expression was seen in 19% of all interpretable cases. Sequence analysis of the three tumors with the strongest CD117 expression revealed no mutations. EGFR was positive in 14% of all cases. No EGFR amplification was observed by FISH, however. All tumors were negative for HER-2 expression.
Conclusions:
Our data suggest that selected cases of retinoblastoma may be candidates for anti-EGFR and imatinib mesylate (STI571) therapy.
Insights
This study investigated KIT (CD 117), EGFR, and HER-2 alterations in retinoblastoma. Some retinoblastoma cases show potential for targeted therapies like anti-EGFR and imatinib mesylate.
Area of Science:
- Oncology
- Molecular Biology
- Ophthalmology
Background:
- Retinoblastoma is a pediatric eye cancer.
- Identifying therapeutic targets is crucial for improving patient outcomes.
- Specific gene alterations may predict treatment response.
Purpose of the Study:
- To evaluate the expression and alterations of KIT (CD 117), EGFR, and HER-2 in human retinoblastoma.
- To determine the potential of these genes as therapeutic targets.
Main Methods:
- Analysis of 95 retinoblastoma tumor samples using tissue microarrays.
- Immunohistochemistry to assess CD117, EGFR, and HER-2 expression.
- Fluorescence in situ hybridization (FISH) for EGFR amplification detection.
- Sanger sequencing of KIT exon 11 in CD117-positive tumors.
Main Results:
- CD117 expression was detected in 19% of cases, with no KIT mutations found.
- EGFR was expressed in 14% of cases, but no EGFR amplification was observed.
- All tested retinoblastoma samples were negative for HER-2 expression.
Conclusions:
- The findings suggest that retinoblastoma may respond to therapies targeting EGFR.
- Imatinib mesylate (STI571) could be a potential therapeutic option for selected retinoblastoma cases.
- Further investigation into these genetic alterations could guide personalized treatment strategies.
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