Abstract: Previous studies have shown that total epidermal growth factor receptor (EGFR) protein is highly expressed in soft tissue sarcoma (STS). We aimed to investigate the significance of phosphorylated-EGFR (pEGFR) and its activated-downstream signal transducers in STS tissue samples. A tissue microarray comprising 87 STS samples was assessed for total EGFR, pEGFR and its phosphorylated signal transducers and expression was correlated with clinicopathlogical parameters including patient outcome. Although the expression of total EGFR was significantly associated with adverse STS histologic grade (p = 0.004) and clinical stage (p = 0.012) similar to pEGFR, phosphorylated protein kinase B (pAkt) and phosphorylated extracellular signal regulated kinase (pERK), it is not a prognostic factor for survival. By contrast, the expression of pEGFR is an independent factor for cancer specific survival, while pERK is an independent prognostic factor for both overall and cancer specific survival in STS (p < 0.05, Cox proportional hazard model and log-rank test) in addition to the recognised factors of tumour grade and clinical stage. pERK and pEGFR are new independent prognostic factors for overall and/or cancer specific survival in STS. The expression of EGFR/pEGFR, and their associated downstream signal transducers, was associated with STS progression, suggesting that EGFR downstream signalling pathways may jointly support STS cell survival.

译文

摘要: 已有研究表明,表皮生长因子受体 (EGFR) 蛋白在软组织肉瘤 (STS) 中高表达。我们旨在研究STS组织样品中磷酸化EGFR (pEGFR) 及其激活的下游信号换能器的意义。评估了包含87个STS样品的组织微阵列的总EGFR,pEGFR及其磷酸化信号换能器,并且表达与包括患者结果在内的临床病理参数相关。尽管总EGFR的表达与pEGFR、磷酸化蛋白激酶B (pAkt) 和磷酸化细胞外信号调节激酶 (pERK) 相似的不良STS组织学分级 (p = 0.004) 和临床分期 (p = 0.012) 显著相关,但它不是生存的预后因素。相比之下,除了肿瘤分级和临床分期的公认因素外,pEGFR的表达是癌症特异性生存的独立因素,而pERK是STS总体和癌症特异性生存的独立预后因素 (p <0.05,Cox比例风险模型和log-rank检验)。pERK和pEGFR是STS总体和/或癌症特异性生存的新的独立预后因素。EGFR/pEGFR及其相关下游信号转导子的表达与STS进展相关,提示EGFR下游信号通路可能共同支持STS细胞存活。

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