Abstract Introduction: Molecular oncology has revealed various types of genetic abnormality are involved in tumorigenesis of lung carcinomas. For example, mutations of epidermal growth factor receptor (EGFR) are associated with non-smoker patients with lung adenocarcinomas, and mutations of K-ras are associated with smoker patients with lung adenocarcinomas. However, few genetic abnormalities were reported in squamous cell carcinomas of the lung. In order to identify the specific genetic abnormality in squamous cell carcinoma of the lung, we performed a clinical study on the fibroblast growth factor receptor (FGFR) gene in patients with non-small cell lung cancers (NSCLCs). Method: One hundred and thirty eight NSCLC patients were studied. Quantitative real-time PCR was performed to evaluate gene expressions of all four members of human FGFR, including FGFR1, FGFR2, FGFR3, and FGFR4. In addition, gene status of EGFR (exon 19-22), K-ras (exon 1), and p53 (exon 5-8) was also investigated using PCR-SSCP confirmed by direct sequencing. Results: FGFR2 gene expression was significantly higher in smoker patients than in non-smoker patients (P=0.008). Regarding the tumor histology, FGFR2 gene expression was significantly higher in squamous cell carcinomas than in adenocarcinomas (P<0.001). Furthermore, among squamous cell carcinomas, FGFR2 gene expression was significantly higher in advanced stage tumors than in early stage tumors (P=0.034). Among squamous cell carcinomas, FGFR1 gene expression was also significantly higher in advanced stage tumors than in early stage tumors (P=0.031). In contrast, there was no these relationships in FGFR3 gene expression or FGFR4 gene expression. Regarding other gene status, FGFR2 gene expression was significantly higher in tumors with wild-type of EGFR than in tumors with mutant EGFR (P=0.004), and was likely to be higher in tumors with wild-type of K-ras than in tumors with mutant K-ras. Furthermore, FGFR1 gene expression was likely to be higher in tumors with wild-type of K-ras than in tumors with mutant K-ras (P=0.064). However, there was no difference in FGFR3 gene expression or FGFR4 gene expression according to EGFR gene status and K-ras gene status. In addition, there was no difference in gene expression of FGFR1, FGFR2, FGFR3, or FGFR4 according to p53 gene status. Conclusions: Overexpression of FGFR2 gene expression is associated with lung carcinomas with wild-type of EGFR and wild-type of K-ras, especially in advanced stage of squamous cell carcinomas. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 102nd Annual Meeting of the American Association for Cancer Research; 2011 Apr 2-6; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2011;71(8 Suppl):Abstract nr 341. doi:10.1158/1538-7445.AM2011-341
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