HER3 Expression Is a Marker of Tumor Progression in Premalignant Lesions of the Gastroesophageal Junction

Overexpression of receptor tyrosine kinases (RTK), including members of the HER family, has prognostic and therapeutic significance in invasive esophagogastric carcinoma. RTK expression in premalignant gastroesophageal lesions has not been extensively explored. Formalin-fixed paraffin-embedded tissu...

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Veröffentlicht in:PloS one 2016-08, Vol.11 (8), p.e0161781-e0161781
Hauptverfasser: Ecker, Brett L, Taylor, Laura, Zhang, Paul J, Furth, Emma E, Ginsberg, Gregory G, McMillan, Matthew T, Datta, Jashodeep, Czerniecki, Brian J, Roses, Robert E
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container_title PloS one
container_volume 11
creator Ecker, Brett L
Taylor, Laura
Zhang, Paul J
Furth, Emma E
Ginsberg, Gregory G
McMillan, Matthew T
Datta, Jashodeep
Czerniecki, Brian J
Roses, Robert E
description Overexpression of receptor tyrosine kinases (RTK), including members of the HER family, has prognostic and therapeutic significance in invasive esophagogastric carcinoma. RTK expression in premalignant gastroesophageal lesions has not been extensively explored. Formalin-fixed paraffin-embedded tissue samples of esophageal biopsy specimens from 73 patients with Barrett's esophagus with either low-grade dysplasia (LGD) (n = 32) or high-grade dysplasia (HGD) (n = 59) were analyzed for HER1, HER2, HER3 and CMET expression by immunohistochemistry (IHC). Immunophenotype was correlated with histologic and clinical features. High-grade dysplasia (HGD) was associated with overexpression of HER1 (20.7% vs. 3.1%, p = 0.023), HER2 (5.3% vs. 0.0%, p = 0.187) and HER3 (47.4% vs. 9.4%, p
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RTK expression in premalignant gastroesophageal lesions has not been extensively explored. Formalin-fixed paraffin-embedded tissue samples of esophageal biopsy specimens from 73 patients with Barrett's esophagus with either low-grade dysplasia (LGD) (n = 32) or high-grade dysplasia (HGD) (n = 59) were analyzed for HER1, HER2, HER3 and CMET expression by immunohistochemistry (IHC). Immunophenotype was correlated with histologic and clinical features. High-grade dysplasia (HGD) was associated with overexpression of HER1 (20.7% vs. 3.1%, p = 0.023), HER2 (5.3% vs. 0.0%, p = 0.187) and HER3 (47.4% vs. 9.4%, p&lt;0.001) compared to low-grade dysplasia (LGD). There was a significant association of HER2 (20.0% vs. 2.1%, p = 0.022) and HER3 (80.0% vs. 40.4%, p = 0.023) overexpression in HGD lesions associated with foci of invasive carcinoma compared to those without invasive foci. Overexpression of CMET was observed in 42.9% of specimens, was increasingly observed with HGD compared to LGD (58.3% vs. 36.7%, p = 0.200), and was most often co-expressed with HER3 (62.5% of HER3-positive specimens vs. 38.2% of HER3-negative specimens, p = 0.212). In summary, HER3 is frequently overexpressed in high-grade dysplastic lesions of the gastroesophageal junction and may be a marker of invasive progression. These data provide rationale for targeting HER2 and HER3 pathways in an early disease setting to prevent disease progression.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0161781</identifier><identifier>PMID: 27559738</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aged ; Alcohol ; Barrett Esophagus - metabolism ; Barrett Esophagus - pathology ; Biology and Life Sciences ; Biomarkers ; Biomarkers, Tumor - genetics ; Biomarkers, Tumor - metabolism ; Biopsy ; Breast cancer ; Carcinoma - metabolism ; Carcinoma - pathology ; Chemotherapy ; Cloning ; Dendritic cells ; Dysplasia ; Endoscopy ; ErbB-2 protein ; Esophageal cancer ; Esophageal Neoplasms - metabolism ; Esophageal Neoplasms - pathology ; Esophagogastric junction ; Esophagogastric Junction - metabolism ; Esophagogastric Junction - pathology ; Esophagus ; Female ; Genetic aspects ; Growth factors ; Humans ; Immunohistochemistry ; Invasiveness ; Kinases ; Laboratories ; Lesions ; Male ; Medicine and Health Sciences ; Middle Aged ; Paraffin ; Pathology ; Patients ; Physiological aspects ; Protein kinases ; Receptor, ErbB-2 - genetics ; Receptor, ErbB-2 - metabolism ; Receptor, ErbB-3 - genetics ; Receptor, ErbB-3 - metabolism ; Research and Analysis Methods ; Surgery ; Surveillance ; Tyrosine</subject><ispartof>PloS one, 2016-08, Vol.11 (8), p.e0161781-e0161781</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Ecker et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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RTK expression in premalignant gastroesophageal lesions has not been extensively explored. Formalin-fixed paraffin-embedded tissue samples of esophageal biopsy specimens from 73 patients with Barrett's esophagus with either low-grade dysplasia (LGD) (n = 32) or high-grade dysplasia (HGD) (n = 59) were analyzed for HER1, HER2, HER3 and CMET expression by immunohistochemistry (IHC). Immunophenotype was correlated with histologic and clinical features. High-grade dysplasia (HGD) was associated with overexpression of HER1 (20.7% vs. 3.1%, p = 0.023), HER2 (5.3% vs. 0.0%, p = 0.187) and HER3 (47.4% vs. 9.4%, p&lt;0.001) compared to low-grade dysplasia (LGD). There was a significant association of HER2 (20.0% vs. 2.1%, p = 0.022) and HER3 (80.0% vs. 40.4%, p = 0.023) overexpression in HGD lesions associated with foci of invasive carcinoma compared to those without invasive foci. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ecker, Brett L</au><au>Taylor, Laura</au><au>Zhang, Paul J</au><au>Furth, Emma E</au><au>Ginsberg, Gregory G</au><au>McMillan, Matthew T</au><au>Datta, Jashodeep</au><au>Czerniecki, Brian J</au><au>Roses, Robert E</au><au>Mukaisho, Ken-ichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HER3 Expression Is a Marker of Tumor Progression in Premalignant Lesions of the Gastroesophageal Junction</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-08-25</date><risdate>2016</risdate><volume>11</volume><issue>8</issue><spage>e0161781</spage><epage>e0161781</epage><pages>e0161781-e0161781</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Overexpression of receptor tyrosine kinases (RTK), including members of the HER family, has prognostic and therapeutic significance in invasive esophagogastric carcinoma. RTK expression in premalignant gastroesophageal lesions has not been extensively explored. Formalin-fixed paraffin-embedded tissue samples of esophageal biopsy specimens from 73 patients with Barrett's esophagus with either low-grade dysplasia (LGD) (n = 32) or high-grade dysplasia (HGD) (n = 59) were analyzed for HER1, HER2, HER3 and CMET expression by immunohistochemistry (IHC). Immunophenotype was correlated with histologic and clinical features. High-grade dysplasia (HGD) was associated with overexpression of HER1 (20.7% vs. 3.1%, p = 0.023), HER2 (5.3% vs. 0.0%, p = 0.187) and HER3 (47.4% vs. 9.4%, p&lt;0.001) compared to low-grade dysplasia (LGD). There was a significant association of HER2 (20.0% vs. 2.1%, p = 0.022) and HER3 (80.0% vs. 40.4%, p = 0.023) overexpression in HGD lesions associated with foci of invasive carcinoma compared to those without invasive foci. Overexpression of CMET was observed in 42.9% of specimens, was increasingly observed with HGD compared to LGD (58.3% vs. 36.7%, p = 0.200), and was most often co-expressed with HER3 (62.5% of HER3-positive specimens vs. 38.2% of HER3-negative specimens, p = 0.212). In summary, HER3 is frequently overexpressed in high-grade dysplastic lesions of the gastroesophageal junction and may be a marker of invasive progression. These data provide rationale for targeting HER2 and HER3 pathways in an early disease setting to prevent disease progression.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27559738</pmid><doi>10.1371/journal.pone.0161781</doi><tpages>e0161781</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Alcohol
Barrett Esophagus - metabolism
Barrett Esophagus - pathology
Biology and Life Sciences
Biomarkers
Biomarkers, Tumor - genetics
Biomarkers, Tumor - metabolism
Biopsy
Breast cancer
Carcinoma - metabolism
Carcinoma - pathology
Chemotherapy
Cloning
Dendritic cells
Dysplasia
Endoscopy
ErbB-2 protein
Esophageal cancer
Esophageal Neoplasms - metabolism
Esophageal Neoplasms - pathology
Esophagogastric junction
Esophagogastric Junction - metabolism
Esophagogastric Junction - pathology
Esophagus
Female
Genetic aspects
Growth factors
Humans
Immunohistochemistry
Invasiveness
Kinases
Laboratories
Lesions
Male
Medicine and Health Sciences
Middle Aged
Paraffin
Pathology
Patients
Physiological aspects
Protein kinases
Receptor, ErbB-2 - genetics
Receptor, ErbB-2 - metabolism
Receptor, ErbB-3 - genetics
Receptor, ErbB-3 - metabolism
Research and Analysis Methods
Surgery
Surveillance
Tyrosine
title HER3 Expression Is a Marker of Tumor Progression in Premalignant Lesions of the Gastroesophageal Junction
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