Related Experiment Video
Updated: Apr 16, 2026

Author Spotlight: Exploring the Role of Inflammation in the Co-occurrence of Primary Sjogren's Syndrome and Lung Adenocarcinoma
Published on: September 20, 2024
Expression of EGFR and molecules downstream to PI3K/Akt, Raf-1-MEK-1-MAP (Erk1/2), and JAK (STAT3) pathways in
Alba Fabiola Torres1, Cleto Nogueira1, Juliana Magalhaes1
1Department of Investigative Pathology, Argos Laboratories, 60175-047 Fortaleza, CE, Brazil.
Abstract:
Therapies targeting EGFR are effective in treating tumors that harbor molecular alterations; however, there is heterogeneity in long-term response to these therapies. We retrospectively analyzed protein expression of EGFR, Stat3, phospho-Akt, and phospho-Erk1/2 by immunohistochemistry in a series of resected cases from a single institution, correlated with clinicopathological variables. There were 96 patients, with the majority of cases being of low stage tumors (17 pT1a, 23 pT1b, 30 pT2a, and 18 pT2b). Histologic subtypes were 45 acinar predominant, 2 cribriform, 25 solid, 7 papillary, 11 lepidic, and 4 mucinous tumors. The EGFR score was higher in tumors with vascular invasion (P = 0.013), in solid and cribriform acinar histology, and in high stage tumors (P = 0.006 and P = 0.01). EGFR was more likely overexpressed in solid compared to lepidic tumors (P = 0.02). Acinar tumors had the highest rate of ERK1/2 positivity (19%). There was a strong correlation among positivity for ERCC1 and other markers, including STAT3 (P = 0.003), Akt (P = 0.02), and ERK1/ERK2 (P = 0.0005). Expression of molecules downstream to EGFR varied from 12% to 31% of tumors; however, the expression did not directly correlate to EGFR expression, which may suggest activation of the cascades through different pathways. The correlation of protein expression and the new lung adenocarcinoma classification may help in the understanding of activated pathways of each tumor type, which may act in the oncogenesis and drug resistance of these tumors.
Insights
This study found that Epidermal Growth Factor Receptor (EGFR) expression varies by lung adenocarcinoma subtype and stage. Understanding these protein expressions may improve targeted therapies and predict drug resistance.
Area of Science:
- Oncology
- Molecular Biology
- Pathology
Background:
- Targeted therapies for Epidermal Growth Factor Receptor (EGFR) are vital for tumors with specific molecular alterations.
- Heterogeneity in long-term response to EGFR-targeted therapies necessitates further investigation into underlying mechanisms.
- Understanding tumor biology, including protein expression patterns, is crucial for optimizing cancer treatment.
Purpose of the Study:
- To analyze the protein expression of EGFR and downstream signaling molecules (STAT3, Akt, ERK1/2) in lung adenocarcinoma.
- To correlate these protein expressions with clinicopathological variables and histological subtypes.
- To explore the relationship between EGFR pathway activation and tumor characteristics, potentially impacting oncogenesis and drug resistance.
Main Methods:
- Retrospective analysis of protein expression using immunohistochemistry in 96 resected lung adenocarcinoma cases.
- Assessment of EGFR, STAT3, phospho-Akt, and phospho-Erk1/2 protein levels.
- Correlation of protein expression with clinicopathological data, including tumor stage and histological subtype.
Main Results:
- Higher EGFR expression was observed in tumors with vascular invasion, higher stage, and solid/cribriform histology compared to lepidic subtypes.
- EGFR was significantly overexpressed in solid tumors versus lepidic tumors.
- Acinar predominant tumors showed the highest rate of ERK1/2 positivity (19%).
- Strong correlations were found between ERCC1 positivity and STAT3, Akt, and ERK1/ERK2.
- Downstream molecule expression did not directly correlate with EGFR expression, suggesting alternative pathway activation.
Conclusions:
- Protein expression patterns of EGFR and its downstream effectors differ across lung adenocarcinoma subtypes and stages.
- The observed heterogeneity in pathway activation may contribute to tumor development and resistance to EGFR-targeted therapies.
- Integrating protein expression data with the new lung adenocarcinoma classification can enhance understanding of tumor-specific pathways and inform treatment strategies.
More Related Videos
13:34A Combined 3D Tissue Engineered In Vitro/In Silico Lung Tumor Model for Predicting Drug Effectiveness in Specific Mutational Backgrounds
Published on: April 6, 2016
09:38Establishment and Characterization of Three Afatinib-resistant Lung Adenocarcinoma PC-9 Cell Lines Developed with Increasing Doses of Afatinib
Published on: June 26, 2019
Related Concept Videos
PI3K/mTOR/AKT Signaling Pathway
MAPK Signaling Cascades
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
Mitogens and the Cell Cycle
The JAK-STAT Signaling Pathway