EGFR pathway subgroups in Chilean colorectal cancer patients, detected by mutational and expression profiles, associated to different clinicopathological features

Colorectal cancer is a multistep process affecting several signaling pathways including EGFR (epidermal growth factor receptor), a therapeutic target for metastatic disease. Our aim was to characterize the mutational and expression profiles of the EGFR pathway in colorectal tumors and to integrate t...

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Main Authors: Karin Alvarez, Paulina Orellana, Cynthia Villarroel, Luis Contreras, Hiroshi Kawachi, Maki Kobayashi, Ana Maria Wielandt, Marjorie De la Fuente, Juan Carlos Triviño, Udo Kronberg, Pilar Carvallo, Francisco López-Köstner
Format: Article
Language:English
Published: SAGE Publishing 2017-09-01
Series:Tumor Biology
Online Access:https://doi.org/10.1177/1010428317724517
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author Karin Alvarez
Paulina Orellana
Cynthia Villarroel
Luis Contreras
Hiroshi Kawachi
Maki Kobayashi
Ana Maria Wielandt
Marjorie De la Fuente
Juan Carlos Triviño
Udo Kronberg
Pilar Carvallo
Francisco López-Köstner
author_facet Karin Alvarez
Paulina Orellana
Cynthia Villarroel
Luis Contreras
Hiroshi Kawachi
Maki Kobayashi
Ana Maria Wielandt
Marjorie De la Fuente
Juan Carlos Triviño
Udo Kronberg
Pilar Carvallo
Francisco López-Köstner
author_sort Karin Alvarez
collection DOAJ
description Colorectal cancer is a multistep process affecting several signaling pathways including EGFR (epidermal growth factor receptor), a therapeutic target for metastatic disease. Our aim was to characterize the mutational and expression profiles of the EGFR pathway in colorectal tumors and to integrate these results according to five previously defined groups. We screened seven genes for mutations ( KRAS-BRAF-PIK3CA-PIK3R1-AKT1-MAP2K1-PTEN ) and six proteins (EGFR-p110α-p85α-PTEN-phosphoAKT-phosphoMEK1) by immunohistochemistry, PTEN deletion, and MSI. At least one mutated gene was observed in 68% of tumors ( KRAS 45%, PIK3CA 21%, BRAF 14%, and PTEN 7%). PTEN deletion was observed in 10.7% of tumors and 19.6% were MSI-High. In all, 54% of tumors showed a high EGFR expression, 48% p110α, 4.4% phosphoAKT, and 22% phosphoMEK1; and 43% showed low PTEN expression and 22% p85α. In total, five groups of tumors were defined based on MSI, BRAF , and KRAS mutations. Three groups gather mainly early-stage tumors, whereas a fourth group is mostly conformed by advanced tumors. We described here that 71.4% of tumors from one group have a mutated PI3K/PTEN pathway, in comparison to other groups having 32%, 27%, and 25%. In addition, the five groups are differentiated by molecular features such as EGFR, p85α, p110α, and PTEN, showing variable expression among tumor groups. In conclusion, alterations on the EGFR pathway were found in a high percentage of colorectal cancer patients. Using the integration of diverse molecular markers, we ratified previous classification in an ethnic group having relevant genetic differences and living in a different environmental background, adding complementary molecular targets related to therapy.
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spelling doaj-art-dbf0a351406046f8b2dacbb41214d3db2025-08-20T03:38:58ZengSAGE PublishingTumor Biology1423-03802017-09-013910.1177/1010428317724517EGFR pathway subgroups in Chilean colorectal cancer patients, detected by mutational and expression profiles, associated to different clinicopathological featuresKarin Alvarez0Paulina Orellana1Cynthia Villarroel2Luis Contreras3Hiroshi Kawachi4Maki Kobayashi5Ana Maria Wielandt6Marjorie De la Fuente7Juan Carlos Triviño8Udo Kronberg9Pilar Carvallo10Francisco López-Köstner11Laboratorio de Oncología y Genética Molecular, Unidad de Coloproctología, Clínica Las Condes, Santiago, ChileLaboratorio de Oncología y Genética Molecular, Unidad de Coloproctología, Clínica Las Condes, Santiago, ChileLaboratorio de Oncología y Genética Molecular, Unidad de Coloproctología, Clínica Las Condes, Santiago, ChileLaboratorio de Anatomía Patológica, Clínica Las Condes, Santiago, ChileLatin America Collaborative Research Center, Tokyo Medical and Dental University, Clínica Las Condes, Santiago, ChileLatin America Collaborative Research Center, Tokyo Medical and Dental University, Clínica Las Condes, Santiago, ChileLaboratorio de Oncología y Genética Molecular, Unidad de Coloproctología, Clínica Las Condes, Santiago, ChileLaboratorio de Inmunidad Innata, Facultad de Medicina, Universidad de Chile, Santiago, ChileSistemas Genómicos S.L., Valencia, EspañaLaboratorio de Oncología y Genética Molecular, Unidad de Coloproctología, Clínica Las Condes, Santiago, ChileDepartamento de Biología Celular y Molecular, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, ChileLaboratorio de Oncología y Genética Molecular, Unidad de Coloproctología, Clínica Las Condes, Santiago, ChileColorectal cancer is a multistep process affecting several signaling pathways including EGFR (epidermal growth factor receptor), a therapeutic target for metastatic disease. Our aim was to characterize the mutational and expression profiles of the EGFR pathway in colorectal tumors and to integrate these results according to five previously defined groups. We screened seven genes for mutations ( KRAS-BRAF-PIK3CA-PIK3R1-AKT1-MAP2K1-PTEN ) and six proteins (EGFR-p110α-p85α-PTEN-phosphoAKT-phosphoMEK1) by immunohistochemistry, PTEN deletion, and MSI. At least one mutated gene was observed in 68% of tumors ( KRAS 45%, PIK3CA 21%, BRAF 14%, and PTEN 7%). PTEN deletion was observed in 10.7% of tumors and 19.6% were MSI-High. In all, 54% of tumors showed a high EGFR expression, 48% p110α, 4.4% phosphoAKT, and 22% phosphoMEK1; and 43% showed low PTEN expression and 22% p85α. In total, five groups of tumors were defined based on MSI, BRAF , and KRAS mutations. Three groups gather mainly early-stage tumors, whereas a fourth group is mostly conformed by advanced tumors. We described here that 71.4% of tumors from one group have a mutated PI3K/PTEN pathway, in comparison to other groups having 32%, 27%, and 25%. In addition, the five groups are differentiated by molecular features such as EGFR, p85α, p110α, and PTEN, showing variable expression among tumor groups. In conclusion, alterations on the EGFR pathway were found in a high percentage of colorectal cancer patients. Using the integration of diverse molecular markers, we ratified previous classification in an ethnic group having relevant genetic differences and living in a different environmental background, adding complementary molecular targets related to therapy.https://doi.org/10.1177/1010428317724517
spellingShingle Karin Alvarez
Paulina Orellana
Cynthia Villarroel
Luis Contreras
Hiroshi Kawachi
Maki Kobayashi
Ana Maria Wielandt
Marjorie De la Fuente
Juan Carlos Triviño
Udo Kronberg
Pilar Carvallo
Francisco López-Köstner
EGFR pathway subgroups in Chilean colorectal cancer patients, detected by mutational and expression profiles, associated to different clinicopathological features
Tumor Biology
title EGFR pathway subgroups in Chilean colorectal cancer patients, detected by mutational and expression profiles, associated to different clinicopathological features
title_full EGFR pathway subgroups in Chilean colorectal cancer patients, detected by mutational and expression profiles, associated to different clinicopathological features
title_fullStr EGFR pathway subgroups in Chilean colorectal cancer patients, detected by mutational and expression profiles, associated to different clinicopathological features
title_full_unstemmed EGFR pathway subgroups in Chilean colorectal cancer patients, detected by mutational and expression profiles, associated to different clinicopathological features
title_short EGFR pathway subgroups in Chilean colorectal cancer patients, detected by mutational and expression profiles, associated to different clinicopathological features
title_sort egfr pathway subgroups in chilean colorectal cancer patients detected by mutational and expression profiles associated to different clinicopathological features
url https://doi.org/10.1177/1010428317724517
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