HER family receptor and ligand status in thymic carcinoma
Annikka Weissferdt1, Heather Lin, Denise Woods
1Department of Pathology, MD Anderson Cancer Center, Houston, TX 77030, USA. aweissferdt@doctors.org.uk
Abstract:
Overexpression and gene amplification of the HER family of receptors and their ligands are important prognostic factors in many solid tumors and treatment targeting these molecules has recently become available. The role of this group of receptors has only rarely been described in thymic epithelial neoplasms and never before in a series of cases consisting exclusively of thymic carcinoma. Twenty-four primary squamous cell carcinomas of the thymus were examined for immunohistochemical expression of epidermal growth factor receptor (EGFR), phosphorylated EGFR (pEGFR), HER2, phosphorylated HER2 (pHER2), HER3, phosphorylated HER3 (pHER3) and their ligands epidermal growth factor (EGF), transforming growth factor-α (TGF-α), amphiregulin and epiregulin. Fluorescence in situ hybridization (FISH) analysis for amplification of the EGFR and HER2 genes was performed including assessment of the copy numbers of EGFR and HER2 gene per cell and the ratio of EGFR and HER2 to centromere 7 and 17, respectively. Significant immunohistochemical expression was observed for EGFR (33.3%), pEGFR (33.3%), HER2 (58.3%), HER3 (45.8%), TGF-α (54.1%), amphiregulin (25.0%) and epiregulin (91.7%). A single case showed HER2 gene amplification by FISH. Increased EGFR and HER2 gene copy numbers were observed in 2 (8.4%) and 18 cases (75%), respectively. Eight cases (33.3%) showed an increased HER2:CEP17 ratio. The results of this study indicate that EGFR and HER2 amplification is a rare event in thymic carcinoma, however, protein expression for HER receptors as well as their ligands is a common finding indicating that targeted therapy directed against these molecules may be considered in the treatment of these tumors.
Insights
HER receptor and ligand protein expression is common in thymic carcinoma, suggesting targeted therapy may be beneficial. However, gene amplification for EGFR and HER2 is rare in these tumors.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- The HER family of receptors and ligands are key in many solid tumors.
- Their role in thymic epithelial neoplasms, especially thymic carcinoma, is understudied.
- Targeted therapies against HER molecules are emerging treatments.
Purpose of the Study:
- To investigate the expression of HER receptors (EGFR, HER2, HER3) and their ligands in thymic carcinoma.
- To determine the frequency of gene amplification for EGFR and HER2 in thymic carcinoma.
- To assess the potential for targeted therapy in thymic carcinoma.
Main Methods:
- Immunohistochemistry was used to evaluate protein expression of EGFR, pEGFR, HER2, pHER2, HER3, pHER3, EGF, TGF-α, amphiregulin, and epiregulin.
- Fluorescence in situ hybridization (FISH) was performed to detect EGFR and HER2 gene amplification.
- Gene copy numbers and ratios to centromeres were assessed.
Main Results:
- Significant protein expression was found for EGFR, pEGFR, HER2, HER3, TGF-α, amphiregulin, and epiregulin.
- HER2 gene amplification was observed in only one case.
- Increased HER2 gene copy numbers and HER2:CEP17 ratio were noted in 75% and 33.3% of cases, respectively.
Conclusions:
- EGFR and HER2 gene amplification are infrequent in thymic carcinoma.
- Widespread protein expression of HER receptors and ligands suggests potential efficacy of targeted therapies.
- Targeted therapy against HER molecules could be a viable treatment option for thymic carcinoma.
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