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Published on: May 7, 2020
MET exon 14 skipping mutations and gene amplification in a Taiwanese lung cancer population
Jrhau Lung1, Ming-Szu Hung2,3,4, Yu-Ching Lin2,3,4
1Department of Medical Research and Development, Chang Gung Memorial Hospital, Chiayi branch, Taiwan.
Abstract:
Somatic mutations of MET gene are emerging as important driver mutations for lung cancers. To identify the common clinicopathological features of MET exon 14 skipping mutations and amplification and clarify whether the two MET gene alterations cause protein overexpression were investigated using 196 lung cancer samples of Taiwan through real time-qPCR/sequencing, fluorescence in situ hybridization, and immunohistochemistry. The two MET gene alterations are both present in low frequency, ~1%, in the studied lung cancer population of Taiwan. MET exon 14 skipping mutations were identified from two early-stage patients, who were both relatively advanced in age, and did not carry other driver mutations. One was an adenocarcinoma and the other was a rare carcinosarcoma. Three gene amplifications cases were identified. Neither of the two MET gene alterations would lead to protein overexpression; hence, direct detection in nucleic acid level would be a preferred and straightforward solution for the identification of skipping mutations. The presence of MET exon 14 mutations in minor histological types of lung cancers urge to extend screening scope of this mutation in lung cancer and treatment response evaluation in clinical trials. These would be important next steps for the success of MET target therapy in clinical practice.
Insights
MET exon 14 skipping mutations and amplification are rare in Taiwanese lung cancers (~1%). These alterations do not cause protein overexpression, suggesting nucleic acid testing is ideal for detection. Further research is needed for MET target therapy.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Somatic mutations in the MET gene are recognized as significant driver mutations in lung cancer development.
- Understanding the clinicopathological characteristics of MET alterations is crucial for targeted therapy.
Purpose of the Study:
- To identify clinicopathological features of MET exon 14 skipping mutations and gene amplification in lung cancer.
- To determine if these MET alterations lead to protein overexpression.
- To evaluate the frequency of these alterations in the Taiwanese lung cancer population.
Main Methods:
- Analysis of 196 lung cancer samples from Taiwan.
- Utilized real-time quantitative polymerase chain reaction (qPCR) and sequencing for mutation detection.
- Employed fluorescence in situ hybridization (FISH) for gene amplification analysis.
- Immunohistochemistry (IHC) was used to assess protein expression levels.
Main Results:
- MET exon 14 skipping mutations and MET gene amplification were found at a low frequency of approximately 1% in the study cohort.
- MET exon 14 skipping mutations were observed in two early-stage patients with advanced age and no other driver mutations; one had adenocarcinoma, the other a rare carcinosarcoma.
- Three cases of MET gene amplification were identified.
- Neither MET exon 14 skipping mutations nor gene amplification resulted in MET protein overexpression.
Conclusions:
- Direct nucleic acid level detection is a preferred method for identifying MET exon 14 skipping mutations due to lack of protein overexpression.
- The occurrence of MET exon 14 mutations in rare histological types necessitates expanding screening for this mutation in lung cancer.
- Further investigation into MET mutations in diverse lung cancer subtypes and their role in treatment response is vital for advancing MET-targeted therapies.
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