aacr poster derya ozes

1
Gokhan Gorgisen 1 , Derya OZES 1 , Suray Pehlivanoglu 1 , Abdullah ERDOGAN 2 , Levent DERTSIZ 2 , Gulay OZBILIM 3 , Irem Hicran OZBUDAK 3 , Osman Nidai OZES 1 1 Department of Medical Biology, Faculty of Medicine, Akdeniz University, Antalya, Turkey. 2 Department of Chest Surgery, Faculty of Medicine, Akdeniz University, Antalya, Turkey. 3 Department of Medical Pathology, Faculty of Medicine, Akdeniz University, Antalya, Turkey. 16 NSCLC and control samples Preparation protein lysates Determine the expression levels and or phosphorylation of EGFR, STAT3, ERK, TWIST1, GAPDH, and AKT. DNA isolation DNA sequencing of EGFR exon 18, 19, 21 to see the presence or absence of mutations Members of Human Epidermal Growth Factor Receptor family (EGFR1-4) have been shown to be over-expressed in 88% of NSCLC. Tyrosine kinase (TK) inhibitors, Erlotinib and Gefitinib have been used to treat lung cancer but they are almost completely ineffective in patients who do not show EGFR over-expression or mutations. Therefore, before initiating therapy with these TK inhibitors, EGFR expression or mutation profiles must be determined. On the basis of the results obtained from samples of 16 tumor samples , we did not detect any activating mutations of EGFR1and K-RAS. Nonetheless, Western Blot analysis of the mentioned oncogenes indicate highly elevated levels of phosphorylation or expression in some samples. Among the patients different levels of induced phosphorylation have been found; these levels are, 2 to 23 fold induced phosphorylation of ERK, 1.5 to 20 in AKT, 2 to 10 in EGFR, and 2 to 24 in TWIST1 and 2-450 in GAPDH. Not only induced phosphorylation levels are elevated but also regular protein levels are increased in tumor samples. These levels are 2 fold expression of ERK, 1,5 to 278 fold in STAT3, 2,5 to 18 fold in AKT. These results indicate that even in the absence of any activating mutations of EGFR or K-Ras, the EGFR pathway is still very active in some NSCLC patients. Thus, in NSCLC patients, the tumor micro-environment created by the tumor or surrounding cells can be as important as the activation mutations of EGFR1, promoting the survival and metastasis of the cell. More importantly, if activating mutations of EGFR1 is considered to be the main reason for TK therapy, then TK therapy may not be the optimal decision to make. STAT3 pSTAT3 β actin ERK pERK β actin TWIST1 β actin AKT pAKT β actin GAPDH β actin AKT pAKT β actin GAPDH β actin STAT3 pSTAT3 β actin ERK pERK β actin TWIST1 β actin GAPDH β actin AKT pAKT β actin STAT3 pSTAT3 β actin ERK pERK β actin TWIST1 β actin STAT3 pSTAT3 β actin ERK pERK β actin TWIST1 β actin GAPDH β actin AKT pAKT β actin IP:EGFR IB:pY EGFR pY IP:EGFR IB:pY EGFR pY IP:EGFR IB:pY EGFR pY N1 T1 N2 T2 N3 T3 N4 T4 N1 T1 N2 T2 N3 T3 N4 T4 N1 T1 N2 T2 N3 T3 N4 T4 N1 T1 N2 T2 N3 T3 N4 T4 N1 T1 N2 T2 N3 T3 N4 T4 N1 T1 N2 T2 N3 T3 N4 T4 N5 T5 N6 T6 N7 T7 N8 T8 N5 T5 N6 T6 N7 T7 N8 T8 N5 T5 N6 T6 N7 T7 N8 T8 N5 T5 N6 T6 N7 T7 N8 T8 N5 T5 N6 T6 N7 T7 N8 T8 N5 T5 N6 T6 N7 T7 N8 T8 N9 T9 N10 T10 N11 T11 N12 T12 N9 T9 N10 T10 N11 T11 N12 T12 N9 T9 N10 T10 N11 T11 N12 T12 N9 T9 N10 T10 N11 T11 N12 T12 N9 T9 N10 T10 N11 T11 N12 T12 N9 T9 N10 T10 N11 T11 N12 T12 N13 T13 N14 T14 N15 T15N16 T16 N13 T13 N14 T14 N15 T15N16 T16 N13 T13 N14 T14 N15 T15 N16 T16 N13 T13 N14 T14 N15 T15 N16 T16 N13 T13 N14 T14 N15 T15 N16 T16 Abbr: N: Normal Tissue T:Tumor Tissue

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Page 1: AACR poster Derya Ozes

Gokhan Gorgisen1, Derya OZES1, Suray Pehlivanoglu1, Abdullah ERDOGAN2, Levent DERTSIZ2, Gulay OZBILIM3, Irem Hicran OZBUDAK3 , Osman Nidai OZES1

1Department of Medical Biology, Faculty of Medicine, Akdeniz University, Antalya, Turkey. 2Department of Chest Surgery, Faculty of Medicine, Akdeniz University, Antalya, Turkey.

3Department of Medical Pathology, Faculty of Medicine, Akdeniz University, Antalya, Turkey.

16 NSCLC and control

samples

Preparation protein lysates

Determine the expression levels and or

phosphorylation of EGFR, STAT3, ERK, TWIST1,

GAPDH, and AKT.

DNA isolation

DNA sequencing of EGFR exon 18, 19, 21 to see the

presence or absence of mutations

Members of Human Epidermal Growth Factor Receptor family (EGFR1-4) have been shown to be over-expressed in 88% of NSCLC. Tyrosine kinase (TK) inhibitors, Erlotinib and Gefitinib have been used to treat lung cancer but they are almost completely ineffective in patients who do not show EGFR over-expression or mutations. Therefore, before initiating therapy with these TK inhibitors, EGFR expression or mutation profiles must be determined. On the basis of the results obtained from samples of 16 tumor samples , we did not detect any activating mutations of EGFR1and K-RAS. Nonetheless, Western Blot analysis of the mentioned oncogenes indicate highly elevated levels of phosphorylation or expression in some samples. Among the patients different levels of induced phosphorylation have been found; these levels are, 2 to 23 fold induced phosphorylation of ERK, 1.5 to 20 in AKT, 2 to 10 in EGFR, and 2 to 24 in TWIST1 and 2-450 in GAPDH. Not only induced phosphorylation levels are elevated but also regular protein levels are increased in tumor samples. These levels are 2 fold expression of ERK, 1,5 to 278 fold in STAT3, 2,5 to 18 fold in AKT. These results indicate that even in the absence of any activating mutations of EGFR or K-Ras, the EGFR pathway is still very active in some NSCLC patients. Thus, in NSCLC patients, the tumor micro-environment created by the tumor or surrounding cells can be as important as the activation mutations of EGFR1, promoting the survival and metastasis of the cell. More importantly, if activating mutations of EGFR1 is considered to be the main reason for TK therapy, then TK therapy may not be the optimal decision to make.

STAT3

pSTAT3

β actin

ERK

pERK

β actin

TWIST1

β actin

AKT

pAKT

β actin

GAPDH

β actin

AKT

pAKT

β actin

GAPDH

β actin

STAT3

pSTAT3

β actin

ERK

pERK

β actin

TWIST1

β actin

GAPDH

β actin

AKT

pAKT

β actin

STAT3

pSTAT3

β actin

ERK

pERK

β actin

TWIST1

β actin

STAT3

pSTAT3

β actin

ERK

pERK

β actin

TWIST1

β actin

GAPDH

β actin

AKT

pAKT

β actin

IP:EGFR IB:pY

EGFR

pY

IP:EGFR IB:pY

EGFR

pY

IP:EGFR IB:pY

EGFR

pY

N1 T1 N2 T2 N3 T3 N4 T4 N1 T1 N2 T2 N3 T3 N4 T4

N1 T1 N2 T2 N3 T3 N4 T4 N1 T1 N2 T2 N3 T3 N4 T4

N1 T1 N2 T2 N3 T3 N4 T4 N1 T1 N2 T2 N3 T3 N4 T4 N5 T5 N6 T6 N7 T7 N8 T8 N5 T5 N6 T6 N7 T7 N8 T8

N5 T5 N6 T6 N7 T7 N8 T8 N5 T5 N6 T6 N7 T7 N8 T8

N5 T5 N6 T6 N7 T7 N8 T8 N5 T5 N6 T6 N7 T7 N8 T8 N9 T9 N10 T10 N11 T11 N12 T12 N9 T9 N10 T10 N11 T11 N12 T12

N9 T9 N10 T10 N11 T11 N12 T12 N9 T9 N10 T10 N11 T11 N12 T12

N9 T9 N10 T10 N11 T11 N12 T12 N9 T9 N10 T10 N11 T11 N12 T12 N13 T13 N14 T14 N15 T15N16 T16 N13 T13 N14 T14 N15 T15N16 T16

N13 T13 N14 T14 N15 T15 N16 T16 N13 T13 N14 T14 N15 T15 N16 T16

N13 T13 N14 T14 N15 T15 N16 T16

Abbr: N: Normal Tissue T:Tumor Tissue