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.

Plos One
|August 2, 2019
PubMed

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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