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- W4361946670 abstract "<div>Abstract<p><b>Purpose:</b> Activation of <i>MET</i> oncogene as the result of amplification or activation mutation represents an emerging molecular target for cancer treatment. We comprehensively studied MET alterations and the clinicopathologic correlations in a large cohort of treatment-naïve non–small cell lung carcinoma (NSCLC).</p><p><b>Experimental Design:</b> Six hundred eighty-seven NSCLCs were tested for <i>MET</i> exon 14 splicing site mutation (<i>METΔ</i>14), DNA copy number alterations, and protein expression by Sanger sequencing, FISH, and IHC, respectively.</p><p><b>Results:</b> <i>METΔ</i>14 mutation was detected in 2.62% (18/687) of NSCLC. The mutation rates were 2.6% in adenocarcinoma, 4.8% in adenosquamous carcinoma, and 31.8% in sarcomatoid carcinoma. <i>METΔ</i>14 mutation was not detected in squamous cell carcinoma, large cell carcinoma, and lymphoepithelioma-like carcinoma but significantly enriched in sarcomatoid carcinoma (<i>P</i> < 0.001). <i>METΔ</i>14 occurred mutually exclusively with known driver mutations but tended to coexist with <i>MET</i> amplification or copy number gain (<i>P</i> < 0.001). Low-level <i>MET</i> amplification and polysomy might occur in the background of EGFR or KRAS mutation whereas high-level amplification (<i>MET</i>/CEP7 ratio ≥5) was mutually exclusive to the major driver genes except <i>METΔ</i>14. Oncogenic <i>METΔ</i>14 mutation and/or high-level amplification occurred in a total of 3.3% (23/687) of NSCLC and associated with higher MET protein expression. <i>METΔ</i>14 occurred more frequently in older patients whereas amplification was more common in ever-smokers. Both <i>METΔ</i>14 and high-level amplification were independent prognostic factors that predicted poorer survival by multivariable analysis.</p><p><b>Conclusions:</b> The high incidence of <i>METΔ</i>14 mutation in sarcomatoid carcinoma suggested that MET inhibition might benefit this specific subgroup of patients. <i>Clin Cancer Res; 22(12); 3048–56. ©2016 AACR</i>.</p><p><i>See related commentary by Drilon, p. 2832</i></p></div>" @default.
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- W4361946670 date "2023-03-31" @default.
- W4361946670 modified "2023-09-27" @default.
- W4361946670 title "Data from <i>MET</i> Amplification and Exon 14 Splice Site Mutation Define Unique Molecular Subgroups of Non–Small Cell Lung Carcinoma with Poor Prognosis" @default.
- W4361946670 doi "https://doi.org/10.1158/1078-0432.c.6524124" @default.
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