Related Experiment Video
Updated: Apr 5, 2026

Fully Processed Recombinant KRAS4b: Isolating and Characterizing the Farnesylated and Methylated Protein
Published on: January 16, 2020
Phosphorylated epidermal growth factor receptor expression and KRAS mutation status in salivary gland carcinomas
T Schneider1, A Strehl2, C Linz1
1Oral and Maxillofacial Plastic Surgery, University Hospital Würzburg, Pleicherwall 2, 97070, Würzburg, Germany.
Objectives:
Salivary gland carcinomas (e.g., adenoidcystic carcinoma or mucoepidermoid carcinoma) are rare and often unresectable head and neck tumors. They are also weakly affected by most chemotherapeutic drugs, which emphasize the need for further studies on this topic. In clinical practice, various drugs target the well-characterized EGFR pathway in many epithelial tumors. There is limited reliable data on phophorylated EGFR expression, such as activated conformation, in salivary gland tumors.
Materials And Methods:
This study investigates the pEGFR expression in salivary gland carcinomas (n = 43). Three different carcinoma varieties, that represent >50 % of all salivary gland tumors, were included: adenoidcystic carcinoma (n = 23), mucoepidermoid carcinoma (n = 17), and adenocarcinoma NOS (not otherwise specified) (n = 3). The specimens were investigated by immunohistochemistry. Additionally, mutations of KRAS oncogene were screened with gene sequencing. The findings were correlated with clinical data by using SPSS.
Results:
In 34 out of 43 specimens (79 %), a positive staining for pEGFR was found. Sex, tumor entity, tumor site, and grading had no significant correlation with pEGFR expression. A weak correlation was found for tumor size and pEGFR expression. Significant correlations were found for pEGFR expression with patient's age and lymph node metastasis (pN). No specimen showed a KRAS mutation in codon 12 or 13.
Conclusion:
Salivary gland carcinomas show a high expression of pEGFR. This high expression correlates with lymph node metastasis, which supports the hypothesis that a high pEGFR expression facilitates lymphogenous metastasis. Due to this pEGFR expression, status may be a negative predictive factor in salivary gland carcinoma diagnostics. Patients with pN-positive salivary gland cancer may benefit from EGFR-inhibiting drugs.
Clinical Relevance:
The EGFR pathway may be a potential target for chemotherapy of advanced unresectable salivary gland carcinomas.
Insights
Salivary gland carcinomas frequently express phosphorylated EGFR (pEGFR), a marker linked to lymph node metastasis. This suggests EGFR-inhibiting drugs may benefit patients with advanced disease.
Area of Science:
- Oncology
- Head and Neck Cancer Research
- Molecular Pathology
Background:
- Salivary gland carcinomas are rare, often unresectable head and neck tumors.
- Limited understanding of targeted therapy efficacy due to poor response to chemotherapy.
- The Epidermal Growth Factor Receptor (EGFR) pathway is a target in many epithelial tumors, but its role in salivary gland cancers is understudied.
Purpose of the Study:
- To investigate the expression of phosphorylated EGFR (pEGFR) in salivary gland carcinomas.
- To correlate pEGFR expression with clinicopathological features and KRAS mutations.
- To explore the potential of the EGFR pathway as a therapeutic target.
Main Methods:
- Immunohistochemistry was used to assess pEGFR expression in 43 salivary gland carcinoma specimens.
- Included were adenoidcystic carcinoma, mucoepidermoid carcinoma, and adenocarcinoma NOS.
- KRAS mutations were screened, and findings correlated with clinical data.
Main Results:
- A high prevalence of pEGFR expression (79%) was observed in salivary gland carcinomas.
- pEGFR expression correlated significantly with patient age and lymph node metastasis (pN).
- No KRAS mutations were detected in codons 12 or 13.
Conclusions:
- High pEGFR expression is common in salivary gland carcinomas and associated with lymph node metastasis.
- pEGFR status may serve as a negative predictive factor.
- The EGFR pathway represents a potential therapeutic target for advanced, unresectable salivary gland carcinomas.
More Related Videos
Related Concept Videos
The Ras Gene
Ras is a...
Mitogens and the Cell Cycle
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
PI3K/mTOR/AKT Signaling Pathway
Small GTPases - Ras and Rho
Three regulatory proteins control their activity:
Abnormal Proliferation

