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Updated: Jul 7, 2026

Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays
Published on: September 19, 2018
[Therapy-relevant mutations of receptor tyrosine kinases in malignant thymomas and thymic carcinomas: a therapeutic
1Institut für Pathologie, Universitätsklinikum Mannheim der Universität Heidelberg.
Unlabelled:
50-70% of patients with malignant thymic epithelial tumors (thymomas or thymic carcinomas) cannot be cured by current treatment strategies and are therefore candidates for second line therapies.
Methods:
Malignant thymomas and thymic squamous cell carcinomas (TSCC) were analyzed by genomic sequencing and functional tests using ex vivo explant cell cultures to study alterations of the receptor tyrosine kinases c-Kit and epidermal growth factor receptor (EGFR) and their relevance for tumor cell function.
Results:
Overexpression of c-Kit was observed only in TSCC, but not in thymomas. In spite of overexpression in almost 90% of TSCC, c-Kit mutations were very infrequent (10%). A strong expression of the EGFR was observed in 70% of thymomas and 35% of TSCC. Mutations of exons encoding extra- or intracellular domains were not observed in a single case (n=40). However, in vitro studies with epithelial explant cell cultures of these tumors suggested that treatment with Cetuximab was effective in a subset of cases, while others were resistant.
Conclusions:
Our findings may forecast therapeutic responses to emerging target treatments in malignant thymomas and thymic carcinomas and may help to develop novel strategies.
Insights
Targeted therapies show promise for thymic cancers. Research on c-Kit and EGFR in thymomas and thymic squamous cell carcinomas (TSCC) suggests potential for treatments like Cetuximab in subsets of patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Malignant thymic epithelial tumors (thymomas and thymic carcinomas) often resist current treatments, necessitating exploration of second-line therapies.
- Identifying molecular targets is crucial for improving outcomes in these rare cancers.
Purpose of the Study:
- To investigate alterations in receptor tyrosine kinases c-Kit and epidermal growth factor receptor (EGFR) in malignant thymomas and thymic squamous cell carcinomas (TSCC).
- To assess the functional relevance of these alterations for tumor cell behavior and potential therapeutic responses.
Main Methods:
- Genomic sequencing and ex vivo explant cell cultures were employed for analysis.
- Focus was placed on c-Kit and EGFR alterations in malignant thymomas and TSCC.
Main Results:
- c-Kit was overexpressed in TSCC but not thymomas; mutations were infrequent (10%).
- EGFR was strongly expressed in 70% of thymomas and 35% of TSCC, with no observed mutations.
- In vitro studies indicated Cetuximab efficacy in a subset of tumors, highlighting variable responses.
Conclusions:
- Findings may predict therapeutic responses to emerging targeted treatments for thymic malignancies.
- The study provides insights for developing novel treatment strategies for thymomas and thymic carcinomas.
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