作者: Florent Baty , Sacha Rothschild , Martin Früh , Daniel Betticher , Cornelia Dröge
DOI: 10.1371/JOURNAL.PONE.0072966
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摘要: Activating epidermal growth factor receptor (EGFR) mutations are recognized biomarkers for patients with metastatic non-small cell lung cancer (NSCLC) treated EGFR tyrosine kinase inhibitors (TKIs). TKIs can also have activity against NSCLC without mutations, requiring the identification of additional relevant biomarkers. Previous studies on tumor protein levels and gene copy number revealed inconsistent results. The aim study was to identify novel response in by investigating whole genome expression at exon-level. We used exon arrays clinical samples from a previous trial (SAKK19/05) investigate variations exon-level 3 genes potentially playing key role modulating treatment response: EGFR, V-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog (KRAS) vascular endothelial (VEGFA). identified 18 as new predictive marker untreated bevacizumab erlotinib first line setting. overexpression significantly associated shrinkage, independently mutation status. A similar significant association could be found blood samples. In conclusion, exonic particularly biomarker erlotinib. Based these results, we propose model testing blood.