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Establishing Dual Resistance to EGFR-TKI and MET-TKI in Lung Adenocarcinoma Cells In Vitro with a 2-step Dose-escalation Procedure
Published on: August 11, 2017
Biomarkers for EGFR-antagonist response: in the genes and on the genes!
Hariharan Easwaran1, Stephen B Baylin
1Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. heaswar2@jhmi.edu
Abstract:
Patients with non-small cell lung carcinoma containing epidermal growth factor receptor (EGFR)-activating mutations benefit from EGFR-antagonist therapy. EGFR-antagonist sensitivity is also correlated with epithelial-mesenchymal transition, which Walter and colleagues show to be marked by DNA-methylation changes. If validated, these markers could help identify patients with wild-type EGFR who will benefit from EGFR therapy.
Insights
New research identifies DNA methylation changes linked to epithelial-mesenchymal transition in non-small cell lung carcinoma. These markers may predict response to epidermal growth factor receptor (EGFR) antagonist therapy in patients with wild-type EGFR.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Non-small cell lung carcinoma (NSCLC) patients with activating epidermal growth factor receptor (EGFR) mutations benefit from EGFR-antagonist therapy.
- EGFR-antagonist sensitivity is associated with epithelial-mesenchymal transition (EMT).
Purpose of the Study:
- To investigate potential biomarkers for predicting EGFR-antagonist therapy response in NSCLC.
- To explore the relationship between DNA methylation, EMT, and EGFR-antagonist sensitivity.
Main Methods:
- Analysis of DNA methylation patterns in NSCLC samples.
- Correlation of methylation changes with epithelial-mesenchymal transition markers.
- Assessment of EGFR-antagonist sensitivity in relation to identified methylation profiles.
Main Results:
- DNA methylation changes are identified as markers of epithelial-mesenchymal transition in NSCLC.
- These methylation markers show a correlation with EGFR-antagonist sensitivity.
Conclusions:
- DNA methylation changes associated with EMT could serve as predictive biomarkers for EGFR-antagonist therapy.
- Further validation may help identify wild-type EGFR NSCLC patients who can benefit from EGFR therapy.
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