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Updated: Sep 13, 2025

Establishing Dual Resistance to EGFR-TKI and MET-TKI in Lung Adenocarcinoma Cells In Vitro with a 2-step Dose-escalation Procedure
Published on: August 11, 2017
Myeloid-Derived Growth Factor-Regulated Oncogenesis in Lung Adenocarcinoma Is Associated with EGFR Status and Cancer
Ting-Feng Hsiao1,2, Chih-Liang Wang3,4, Yi-Cheng Wu5
1Graduate Institute of Biomedical Sciences, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan.
Abstract:
Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors have transformed lung adenocarcinoma (LUAD) treatment in EGFR-mutant (MT) patients, but strategies targeting wild-type (WT) EGFR tumors remain necessary. This study analyzed a diverse LUAD patient cohort with EGFR mutation statuses and wild-type profiles for ALK and KRAS to identify stage-specific biomarkers. Using quantitative proteomics and multiomics, we discovered 21 dysregulated proteins in early-stage EGFR-WT LUAD, identifying myeloid-derived growth factor (MYDGF) as a key candidate biomarker. Elevated MYDGF levels in tissue (n = 117) and serum (n = 196) correlated significantly with cancer stage in EGFR-WT patients but not EGFR-MT cases. Notably, a higher tumor-to-normal MYDGF ratio predicted a favorable prognosis in early-stage EGFR-WT LUAD. Functional studies demonstrated that MYDGF exerts distinct roles in cell viability and migration depending on its cellular localization and the invasive potential of cancer cells. Specifically, secreted MYDGF promoted a protumorigenic phenotype, whereas excess intracellular MYDGF appeared to suppress the oncogenic capacity of aggressive cancer cells. MYDGF knockdown and subsequent proteomic analysis provided further insights into these context-dependent functions. These findings highlight EGFR status- and stage-specific proteomic profiles in LUAD, emphasizing the importance of context-dependent biomarker assessment for personalized treatment strategies.
Insights
Myeloid-derived growth factor (MYDGF) shows promise as a biomarker for early-stage, wild-type epidermal growth factor receptor (EGFR) lung adenocarcinoma. Elevated MYDGF levels correlate with cancer stage and prognosis in these specific patients.
Area of Science:
- Oncology
- Proteomics
- Molecular Biology
Background:
- Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors are effective for EGFR-mutant lung adenocarcinoma (LUAD).
- Effective treatment strategies for EGFR wild-type (WT) LUAD are still needed.
- Identifying stage-specific biomarkers is crucial for personalized LUAD treatment.
Purpose of the Study:
- To identify novel stage-specific biomarkers in EGFR-WT LUAD.
- To investigate the role of myeloid-derived growth factor (MYDGF) in LUAD.
- To understand the context-dependent functions of MYDGF based on EGFR status and cellular localization.
Main Methods:
- Quantitative proteomics and multiomics analysis of LUAD patient cohorts.
- Analysis of tissue and serum MYDGF levels in relation to EGFR mutation status and cancer stage.
- Functional studies including MYDGF knockdown and proteomic analysis to assess its role in cell viability and migration.
Main Results:
- Discovery of 21 dysregulated proteins in early-stage EGFR-WT LUAD.
- Identification of MYDGF as a key candidate biomarker.
- Elevated MYDGF levels in tissue and serum correlated with cancer stage in EGFR-WT LUAD.
- A higher tumor-to-normal MYDGF ratio predicted a favorable prognosis in early-stage EGFR-WT LUAD.
- MYDGF demonstrated context-dependent roles in cell viability and migration based on localization and cancer cell invasiveness.
Conclusions:
- EGFR status and cancer stage define distinct proteomic profiles in LUAD.
- MYDGF is a promising prognostic and diagnostic biomarker for EGFR-WT LUAD.
- Understanding the context-dependent functions of MYDGF is essential for developing targeted therapies.
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