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MET overexpression and amplification define a distinct molecular subgroup for targeted therapies in gastric cancer

Background Currently, only trastuzumab, ramucirumab, and apatinib effectively treat gastric cancer. Thus, additional novel targets are required for this disease. Methods We investigated the immunohistochemical and fluorescence in situ hybridization expression of MET, ROS1, and ALK in four gastric ce...

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Published in:Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association 2016-07, Vol.19 (3), p.778-788
Main Authors: Yang, Yang, Wu, Nandie, Shen, Jie, Teixido, Cristina, Sun, Xia, Lin, Zihan, Qian, Xiaoping, Zou, Zhengyun, Guan, Wenxian, Yu, Lixia, Rosell, Rafael, Liu, Baorui, Wei, Jia
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cited_by cdi_FETCH-LOGICAL-c466t-4c0f0dfbe6ee77eba498ef56603ca8c8746fe223672a362ada9573be3dd9b8e13
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container_title Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association
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creator Yang, Yang
Wu, Nandie
Shen, Jie
Teixido, Cristina
Sun, Xia
Lin, Zihan
Qian, Xiaoping
Zou, Zhengyun
Guan, Wenxian
Yu, Lixia
Rosell, Rafael
Liu, Baorui
Wei, Jia
description Background Currently, only trastuzumab, ramucirumab, and apatinib effectively treat gastric cancer. Thus, additional novel targets are required for this disease. Methods We investigated the immunohistochemical and fluorescence in situ hybridization expression of MET, ROS1, and ALK in four gastric cell lines and a cohort of 98 gastric cancer patients. Crizotinib response was studied in vitro and in vivo. Results Crizotinib potently inhibited in vitro cell growth in only one cell line, which also showed MET amplification. A positive correlation between crizotinib sensitivity and MET overexpression was observed ( P  = 0.045) in the histoculture drug response assay. Meanwhile, patient-derived tumor xenograft mouse models transplanted with tissues with higher MET protein expression displayed a highly selective sensitivity to crizotinib. In the 98 patients, MET overexpression was found in 42 (42.9 %) and MET was amplified in 4 (4.1 %). ROS1 and ALK overexpression were found in 25 (25.5 %) and 0 patients, respectively. However, none of the patients screened harbored ALK or ROS1 rearrangements. No significant association was found between overall survival and MET or ROS1 status. We also observed a stage IV gastric cancer patient with MET amplification who experienced tumor shrinkage and clinical benefit after 3 weeks of crizotinib as fourth-line treatment. Conclusions Crizotinib may induce clinically relevant anticancer effects in MET-overexpressed or MET-amplified gastric cancer patients.
doi_str_mv 10.1007/s10120-015-0545-5
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Thus, additional novel targets are required for this disease. Methods We investigated the immunohistochemical and fluorescence in situ hybridization expression of MET, ROS1, and ALK in four gastric cell lines and a cohort of 98 gastric cancer patients. Crizotinib response was studied in vitro and in vivo. Results Crizotinib potently inhibited in vitro cell growth in only one cell line, which also showed MET amplification. A positive correlation between crizotinib sensitivity and MET overexpression was observed ( P  = 0.045) in the histoculture drug response assay. Meanwhile, patient-derived tumor xenograft mouse models transplanted with tissues with higher MET protein expression displayed a highly selective sensitivity to crizotinib. In the 98 patients, MET overexpression was found in 42 (42.9 %) and MET was amplified in 4 (4.1 %). ROS1 and ALK overexpression were found in 25 (25.5 %) and 0 patients, respectively. However, none of the patients screened harbored ALK or ROS1 rearrangements. No significant association was found between overall survival and MET or ROS1 status. We also observed a stage IV gastric cancer patient with MET amplification who experienced tumor shrinkage and clinical benefit after 3 weeks of crizotinib as fourth-line treatment. Conclusions Crizotinib may induce clinically relevant anticancer effects in MET-overexpressed or MET-amplified gastric cancer patients.</description><identifier>ISSN: 1436-3291</identifier><identifier>EISSN: 1436-3305</identifier><identifier>DOI: 10.1007/s10120-015-0545-5</identifier><identifier>PMID: 26404902</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Aged, 80 and over ; Animals ; Apoptosis ; Biomarkers, Tumor - metabolism ; Blotting, Western ; Cancer Research ; Cell Proliferation ; Drug Resistance, Neoplasm - genetics ; Female ; Fluorescent Antibody Technique ; Follow-Up Studies ; Gastric cancer ; Gastroenterology ; Humans ; Immunoenzyme Techniques ; In Situ Hybridization, Fluorescence ; Male ; Medicine ; Medicine &amp; Public Health ; Mice ; Mice, Inbred BALB C ; Mice, Nude ; Middle Aged ; Neoplasm Grading ; Neoplasm Invasiveness ; Neoplasm Metastasis ; Neoplasm Staging ; Oncology ; Original Article ; Prognosis ; Protein Kinase Inhibitors - therapeutic use ; Proto-Oncogene Proteins c-met - metabolism ; Pyrazoles - therapeutic use ; Pyridines - therapeutic use ; Stomach Neoplasms - drug therapy ; Stomach Neoplasms - metabolism ; Stomach Neoplasms - pathology ; Surgical Oncology ; Tumor Cells, Cultured ; Xenograft Model Antitumor Assays</subject><ispartof>Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2016-07, Vol.19 (3), p.778-788</ispartof><rights>The International Gastric Cancer Association and The Japanese Gastric Cancer Association 2015</rights><rights>The International Gastric Cancer Association and The Japanese Gastric Cancer Association 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-4c0f0dfbe6ee77eba498ef56603ca8c8746fe223672a362ada9573be3dd9b8e13</citedby><cites>FETCH-LOGICAL-c466t-4c0f0dfbe6ee77eba498ef56603ca8c8746fe223672a362ada9573be3dd9b8e13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26404902$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Yang</creatorcontrib><creatorcontrib>Wu, Nandie</creatorcontrib><creatorcontrib>Shen, Jie</creatorcontrib><creatorcontrib>Teixido, Cristina</creatorcontrib><creatorcontrib>Sun, Xia</creatorcontrib><creatorcontrib>Lin, Zihan</creatorcontrib><creatorcontrib>Qian, Xiaoping</creatorcontrib><creatorcontrib>Zou, Zhengyun</creatorcontrib><creatorcontrib>Guan, Wenxian</creatorcontrib><creatorcontrib>Yu, Lixia</creatorcontrib><creatorcontrib>Rosell, Rafael</creatorcontrib><creatorcontrib>Liu, Baorui</creatorcontrib><creatorcontrib>Wei, Jia</creatorcontrib><title>MET overexpression and amplification define a distinct molecular subgroup for targeted therapies in gastric cancer</title><title>Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association</title><addtitle>Gastric Cancer</addtitle><addtitle>Gastric Cancer</addtitle><description>Background Currently, only trastuzumab, ramucirumab, and apatinib effectively treat gastric cancer. Thus, additional novel targets are required for this disease. Methods We investigated the immunohistochemical and fluorescence in situ hybridization expression of MET, ROS1, and ALK in four gastric cell lines and a cohort of 98 gastric cancer patients. Crizotinib response was studied in vitro and in vivo. Results Crizotinib potently inhibited in vitro cell growth in only one cell line, which also showed MET amplification. A positive correlation between crizotinib sensitivity and MET overexpression was observed ( P  = 0.045) in the histoculture drug response assay. Meanwhile, patient-derived tumor xenograft mouse models transplanted with tissues with higher MET protein expression displayed a highly selective sensitivity to crizotinib. In the 98 patients, MET overexpression was found in 42 (42.9 %) and MET was amplified in 4 (4.1 %). ROS1 and ALK overexpression were found in 25 (25.5 %) and 0 patients, respectively. However, none of the patients screened harbored ALK or ROS1 rearrangements. No significant association was found between overall survival and MET or ROS1 status. We also observed a stage IV gastric cancer patient with MET amplification who experienced tumor shrinkage and clinical benefit after 3 weeks of crizotinib as fourth-line treatment. Conclusions Crizotinib may induce clinically relevant anticancer effects in MET-overexpressed or MET-amplified gastric cancer patients.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Animals</subject><subject>Apoptosis</subject><subject>Biomarkers, Tumor - metabolism</subject><subject>Blotting, Western</subject><subject>Cancer Research</subject><subject>Cell Proliferation</subject><subject>Drug Resistance, Neoplasm - genetics</subject><subject>Female</subject><subject>Fluorescent Antibody Technique</subject><subject>Follow-Up Studies</subject><subject>Gastric cancer</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Immunoenzyme Techniques</subject><subject>In Situ Hybridization, Fluorescence</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mice</subject><subject>Mice, Inbred BALB C</subject><subject>Mice, Nude</subject><subject>Middle Aged</subject><subject>Neoplasm Grading</subject><subject>Neoplasm Invasiveness</subject><subject>Neoplasm Metastasis</subject><subject>Neoplasm Staging</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Prognosis</subject><subject>Protein Kinase Inhibitors - therapeutic use</subject><subject>Proto-Oncogene Proteins c-met - metabolism</subject><subject>Pyrazoles - therapeutic use</subject><subject>Pyridines - therapeutic use</subject><subject>Stomach Neoplasms - drug therapy</subject><subject>Stomach Neoplasms - metabolism</subject><subject>Stomach Neoplasms - pathology</subject><subject>Surgical Oncology</subject><subject>Tumor Cells, Cultured</subject><subject>Xenograft Model Antitumor Assays</subject><issn>1436-3291</issn><issn>1436-3305</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp1kU9LHjEQxkOpqLV-gF5KoJdeVvM_7x5FrBaUXuw5ZJPJ28husk2yRb999-XVIgVPM8z85plhHoQ-UXJGCdHnlRLKSEeo7IgUspPv0DEVXHWcE_n-JWc9PUIfan0gK9hTdYiOmBJE9IQdo3J3dY_zHyjwOBeoNeaEbfLYTvMYQ3S27SoeQkyALfaxtphcw1MewS2jLbguw7bkZcYhF9xs2UIDj9svKHaOUHFMeGtrK9FhZ5OD8hEdBDtWOH2OJ-jnt6v7y5vu9sf198uL284JpVonHAnEhwEUgNYwWNFvIEilCHd24zZaqACMcaWZ5YpZb3up-QDc-37YAOUn6Otedy759wK1mSlWB-NoE-SlGqp7zaQmUq3ol__Qh7yUtF63oxRlQhGxUnRPuZJrLRDMXOJky5OhxOwMMXtDzPpnszPEyHXm87PyMkzg_028OLACbA_UtZW2UF6tflP1L_SXl44</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Yang, Yang</creator><creator>Wu, Nandie</creator><creator>Shen, Jie</creator><creator>Teixido, Cristina</creator><creator>Sun, Xia</creator><creator>Lin, Zihan</creator><creator>Qian, Xiaoping</creator><creator>Zou, Zhengyun</creator><creator>Guan, Wenxian</creator><creator>Yu, Lixia</creator><creator>Rosell, Rafael</creator><creator>Liu, Baorui</creator><creator>Wei, Jia</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20160701</creationdate><title>MET overexpression and amplification define a distinct molecular subgroup for targeted therapies in gastric cancer</title><author>Yang, Yang ; Wu, Nandie ; Shen, Jie ; Teixido, Cristina ; Sun, Xia ; Lin, Zihan ; Qian, Xiaoping ; Zou, Zhengyun ; Guan, Wenxian ; Yu, Lixia ; Rosell, Rafael ; Liu, Baorui ; Wei, Jia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-4c0f0dfbe6ee77eba498ef56603ca8c8746fe223672a362ada9573be3dd9b8e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Animals</topic><topic>Apoptosis</topic><topic>Biomarkers, Tumor - metabolism</topic><topic>Blotting, Western</topic><topic>Cancer Research</topic><topic>Cell Proliferation</topic><topic>Drug Resistance, Neoplasm - genetics</topic><topic>Female</topic><topic>Fluorescent Antibody Technique</topic><topic>Follow-Up Studies</topic><topic>Gastric cancer</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Immunoenzyme Techniques</topic><topic>In Situ Hybridization, Fluorescence</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Mice</topic><topic>Mice, Inbred BALB C</topic><topic>Mice, Nude</topic><topic>Middle Aged</topic><topic>Neoplasm Grading</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplasm Metastasis</topic><topic>Neoplasm Staging</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Prognosis</topic><topic>Protein Kinase Inhibitors - therapeutic use</topic><topic>Proto-Oncogene Proteins c-met - metabolism</topic><topic>Pyrazoles - therapeutic use</topic><topic>Pyridines - therapeutic use</topic><topic>Stomach Neoplasms - drug therapy</topic><topic>Stomach Neoplasms - metabolism</topic><topic>Stomach Neoplasms - pathology</topic><topic>Surgical Oncology</topic><topic>Tumor Cells, Cultured</topic><topic>Xenograft Model Antitumor Assays</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Yang</creatorcontrib><creatorcontrib>Wu, Nandie</creatorcontrib><creatorcontrib>Shen, Jie</creatorcontrib><creatorcontrib>Teixido, Cristina</creatorcontrib><creatorcontrib>Sun, Xia</creatorcontrib><creatorcontrib>Lin, Zihan</creatorcontrib><creatorcontrib>Qian, Xiaoping</creatorcontrib><creatorcontrib>Zou, Zhengyun</creatorcontrib><creatorcontrib>Guan, Wenxian</creatorcontrib><creatorcontrib>Yu, Lixia</creatorcontrib><creatorcontrib>Rosell, Rafael</creatorcontrib><creatorcontrib>Liu, Baorui</creatorcontrib><creatorcontrib>Wei, Jia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>ProQuest Health &amp; 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Thus, additional novel targets are required for this disease. Methods We investigated the immunohistochemical and fluorescence in situ hybridization expression of MET, ROS1, and ALK in four gastric cell lines and a cohort of 98 gastric cancer patients. Crizotinib response was studied in vitro and in vivo. Results Crizotinib potently inhibited in vitro cell growth in only one cell line, which also showed MET amplification. A positive correlation between crizotinib sensitivity and MET overexpression was observed ( P  = 0.045) in the histoculture drug response assay. Meanwhile, patient-derived tumor xenograft mouse models transplanted with tissues with higher MET protein expression displayed a highly selective sensitivity to crizotinib. In the 98 patients, MET overexpression was found in 42 (42.9 %) and MET was amplified in 4 (4.1 %). ROS1 and ALK overexpression were found in 25 (25.5 %) and 0 patients, respectively. However, none of the patients screened harbored ALK or ROS1 rearrangements. No significant association was found between overall survival and MET or ROS1 status. We also observed a stage IV gastric cancer patient with MET amplification who experienced tumor shrinkage and clinical benefit after 3 weeks of crizotinib as fourth-line treatment. Conclusions Crizotinib may induce clinically relevant anticancer effects in MET-overexpressed or MET-amplified gastric cancer patients.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>26404902</pmid><doi>10.1007/s10120-015-0545-5</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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source Springer Nature
subjects Abdominal Surgery
Adult
Aged
Aged, 80 and over
Animals
Apoptosis
Biomarkers, Tumor - metabolism
Blotting, Western
Cancer Research
Cell Proliferation
Drug Resistance, Neoplasm - genetics
Female
Fluorescent Antibody Technique
Follow-Up Studies
Gastric cancer
Gastroenterology
Humans
Immunoenzyme Techniques
In Situ Hybridization, Fluorescence
Male
Medicine
Medicine & Public Health
Mice
Mice, Inbred BALB C
Mice, Nude
Middle Aged
Neoplasm Grading
Neoplasm Invasiveness
Neoplasm Metastasis
Neoplasm Staging
Oncology
Original Article
Prognosis
Protein Kinase Inhibitors - therapeutic use
Proto-Oncogene Proteins c-met - metabolism
Pyrazoles - therapeutic use
Pyridines - therapeutic use
Stomach Neoplasms - drug therapy
Stomach Neoplasms - metabolism
Stomach Neoplasms - pathology
Surgical Oncology
Tumor Cells, Cultured
Xenograft Model Antitumor Assays
title MET overexpression and amplification define a distinct molecular subgroup for targeted therapies in gastric cancer
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