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Patterns of EGFR, HER2, TP53, and KRAS Mutations of p14^arf Expression in Non–Small Cell Lung Cancers in Relation to Smoking History

¹ IARC, Lyon, France; ² Institute of Carcinogenesis, Cancer Research Centre, Moscow, Russia; and ³ Inserm U578; ⁴ University of Grenoble; and ⁵ Département de Pathologie, Hôpital Michallon, Grenoble, France

Requests for reprints: Pierre Hainaut, Group of Molecular Carcinogenesis and Biomarkers, IARC, 150 cours Albert Thomas, 69372 Lyon Cedex 08, France. Phone: 33-4-72-73-84-62; Fax: 33-4-72-73-83-22; E-mail: hainaut{at}iarc.fr.

Mutations in the tyrosine kinase domain of the epidermal growth factor receptor EGFR are common in non–small cell lung cancer (NSCLC) of never smokers, whereas HER2 mutations are rare. We have analyzed EGFR and HER2 mutations and the expression of the two products of the CDKN2A gene (p14^arf and p16^INK4a) in 116 NSCLC that have been previously analyzed for TP53 and KRAS mutations in relation to smoking history of patients. EGFR mutations were detected in 20 of 116 (17%) tumors, whereas five (4.3%) tumors contained HER2 mutations. No tumor contained both mutations. Of tumors with EGFR or HER2 mutation, 72% were adenocarcinomas, 68% were from never smokers, and 32% were from former smokers. EGFR but not HER2 mutations were mutually exclusive with KRAS mutation. Among never smokers, 11 of 16 tumors with EGFR mutation also had TP53 mutation, in contrast with two of 17 tumors without EGFR mutation (P = 0.0008). Expression of p14^arf, but not p16^ink4a, was more frequently down-regulated in never smokers (62.5%) than ever smokers (35%; P = 0.008). All tumors with EGFR or HER2 mutations and wild-type TP53 showed down-regulation of p14^arf expression. These observations suggest that functional inactivation of the p14^arf/p53 connection is required in tumors with EGFR or HER2 mutations, consistent with the notion that these proteins are part of a fail-safe mechanism protecting cells against untimely or excessive mitotic signals. [Cancer Res 2007;67(12):5667–72]

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