Somatic mutations of ERBB2 kinase domain in gastric, colorectal, and breast carcinomas

Jong Woo Lee1, Young Hwa Soung, Si Hyung Seo

  • 1Department of Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

Insights

ERBB2 kinase domain mutations are found in gastric, breast, and colorectal cancers, not just lung cancer. These ERBB2 mutations, sometimes with K-RAS mutations, may drive cancer development.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • The ERBB2 gene's kinase domain is somatically mutated in lung adenocarcinoma, indicating its oncogenic potential.
  • Previous research on ERBB2 mutations has predominantly focused on lung cancers, leaving data on other cancer types largely unknown.

Purpose of the Study:

  • To investigate the frequency and spectrum of ERBB2 kinase domain mutations in gastric, colorectal, and breast carcinomas.
  • To explore the co-occurrence of ERBB2 mutations with other cancer-associated gene mutations (EGFR, K-RAS, PIK3CA, BRAF).

Main Methods:

  • PCR single-strand conformational polymorphism (SSCP) assay was employed for mutational analysis.
  • Analysis was performed on DNA extracted from gastric, colorectal, and breast carcinoma tissues.
  • Somatic mutations in EGFR, K-RAS, PIK3CA, and BRAF were analyzed in samples with ERBB2 mutations.

Main Results:

  • ERBB2 kinase domain mutations were detected in 5.0% of gastric (9/180), 2.9% of colorectal (3/104), and 4.3% of breast (4/94) carcinomas.
  • Most ERBB2 mutations were missense, with specific mutations affecting Val777 (exon 20) and Leu755 (exon 19).
  • All three colorectal cancer samples with ERBB2 mutations also harbored K-RAS mutations.

Conclusions:

  • ERBB2 kinase domain mutations occur in common human cancers beyond lung adenocarcinoma, including gastric, breast, and colorectal cancers.
  • Alterations in the ERBB2-mediated signaling pathway, driven by ERBB2 mutations alone or in conjunction with K-RAS mutations, may contribute to human cancer development.

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