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Updated: Apr 8, 2026

Comparative Lesions Analysis Through a Targeted Sequencing Approach
Published on: November 5, 2019
Retrospective Review of MET Gene Mutations
Maryam Zenali1, James deKay2, Zesheng Liu3
1Department of Pathology and Laboratory Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas.
Abstract:
C-MET proto-oncogene is a tyrosine kinase situated on chromosome 7. C-MET and its ligand hepatocyte growth factor/scatter factor (HGF/SF) play a role in proliferation, differentiation and organ development. C-MET genetic aberrations are found associated with driving tumorigenesis. In this retrospective study, we reviewed molecular analysis data gathered from a cancer institute during a two-year period (2010-2012). Upon detection of tumors harboring c-MET mutations, we determined the status of the other mutations tested and evaluated c-MET expression by fluorescent in-situ hybridization (FISH). Our search resulted in identification of 134 c-MET mutations, 44% of which had mutations of at least one of the other genes tested. No c-MET expression aberrancy was detected in this subset by FISH. Survival amongst the patients with surgically resected metastatic colorectal cancers (CRC) was slightly better in those with only a c-MET mutation compared to those with no mutation detected, although the difference was not statistically significant. When c-MET inhibition becomes an integrated part of chemotherapy practice, our observed frequency of co-mutations will be an argument for utilizing c-MET targeted treatment in combination with other targeted drugs and therapeutic strategies. Larger studies can aid to further parse out c-MET prognostic and therapeutic significance.
Insights
This study found that 44% of tumors with C-MET mutations also had other gene mutations. While not statistically significant, C-MET mutations showed a trend towards better survival in metastatic colorectal cancer patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The C-MET proto-oncogene, a tyrosine kinase, and its ligand hepatocyte growth factor/scatter factor (HGF/SF) are crucial for cell proliferation, differentiation, and organ development.
- Aberrations in C-MET are implicated in driving tumorigenesis, making it a target for cancer research.
Purpose of the Study:
- To investigate the frequency of co-occurring mutations in tumors with C-MET mutations.
- To evaluate C-MET expression in these tumors and assess its correlation with patient survival, particularly in metastatic colorectal cancer (CRC).
Main Methods:
- Retrospective analysis of molecular data from a cancer institute (2010-2012).
- Identification of tumors with C-MET mutations, followed by assessment of other gene mutations and C-MET expression via fluorescent in-situ hybridization (FISH).
Main Results:
- Identified 134 C-MET mutations; 44% of these tumors harbored mutations in at least one other tested gene.
- No C-MET expression aberrancy was detected by FISH in the subset of tumors analyzed.
- A non-statistically significant trend towards slightly better survival was observed in surgically resected metastatic CRC patients with only a C-MET mutation compared to those with no mutation.
Conclusions:
- The high frequency of co-mutations in C-MET-altered tumors suggests potential benefits of combination therapies targeting C-MET and other pathways.
- Further research is needed to fully elucidate the prognostic and therapeutic significance of C-MET in cancer treatment strategies.
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