Wang LD, Wu SH, Li YY, Gao XQ, He S, Wen FF. Expression of EGFR, PIK3CA and PIK3CB in colorectal carcinoma.
Shijie Huaren Xiaohua Zazhi 2015;
23:4200-4207. [DOI:
10.11569/wcjd.v23.i26.4200]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
AIM: To investigate the expression of epidermal growth factor receptor (EGFR), PIK3CA and PIK3CB in colorectal cancer (CRC), to analyze the correlation between EGFR, PIK3CA and PIK3CB expression, and to discuss their role in the occurrence, development and targeted therapy of CRC.
METHODS: Immunohistochemistry was employed to detect the expression of EGFR, PIK3CA and PIK3CB in 120 CRC and 30 normal mucosa tissue sample (from the margin of the lesion > 5 cm), and the correlation between EGFR, PIK3CA and PIK3CB expression as well their relationship with clinicopathological factors were analyzed.
RESULTS: The positive expression rates of EGFR, PIK3CA and PIK3CB in CRC were 48%, 55.7% and 75.9%, respectively, which were significantly higher than those in tumor adjacent tissues (P < 0.05). In EGFR positive CRC tissues, 68.9% were PIK3CA positive and 72.4% was PIK3CB positive, while in EGFR negative CRC tissues, 43.5% were PIK3CA positive and 21.0% were PIK3CB positive. EGFR receptor expression was significantly different from the expression of PIK3CA and PIK3CB (P < 0.05). The expression of EGFR, PIK3CA and PIK3CB was positively correlated with tumor differentiation and lymph node metastasis in CRC (P < 0.05). Kaplan-Meier analysis revealed that the 5-year survival rate was significantly correlated with lymph node metastasis, EGFR, PIK3CA and PIK3CB expression. Multivariate analysis revealed that lymph node metastasis, EGFR, PIK3CA and PIK3CB expression could serve as independent predictive factors for overall survival.
CONCLUSION: EGFR, PIK3CA and PIK3CB are highly expressed in CRC, and their expression is closely correlated with tumor differentiation and lymph node metastasis. The high expression of PIK3CA and PIK3CB is not only correlated with the activation of EGFR, but also correlated with mutation by itself. The mutation of PIK3CA and PIK3CB genes in colorectal cancer may be a factor to influence therapies targeting EGFR in CRC.
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