Tumor response to radiotherapy and expression of epidermal growth factor receptor mutation and echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase rearrangement in patients with non-small cell lung cancer

Abstract Background One of the main limitations of radiation therapy is the resistance of tumor cells. This study aimed at evaluating the relationship between the expression of epidermal growth factor receptor (EGFR) and echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase (EM...

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Main Authors: Nadeem M. S. Nagi, Yasir A. M. Khair, Khamis H. Bakari, Mohamed N. Nagi, Fabian P. Mghanga
Format: Article
Language:English
Published: SpringerOpen 2022-07-01
Series:Journal of the Egyptian National Cancer Institute
Subjects:
Online Access:https://doi.org/10.1186/s43046-022-00130-7
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author Nadeem M. S. Nagi
Yasir A. M. Khair
Khamis H. Bakari
Mohamed N. Nagi
Fabian P. Mghanga
author_facet Nadeem M. S. Nagi
Yasir A. M. Khair
Khamis H. Bakari
Mohamed N. Nagi
Fabian P. Mghanga
author_sort Nadeem M. S. Nagi
collection DOAJ
description Abstract Background One of the main limitations of radiation therapy is the resistance of tumor cells. This study aimed at evaluating the relationship between the expression of epidermal growth factor receptor (EGFR) and echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase (EML4-ALK) and tumor radiosensitivity in patients with non-small cell lung cancer. Methods Medical case files, pathological results for EGFR and EML4-ALK, and computerized tomography scans of patients with NSCLC treated with thoracic radiation therapy were analyzed. Results The sample size was 101 patients with mean age 58.43 ± 9.89 years. Statistically significant differences were observed in the mean reduction of long tumor diameter during the early treatment phase in EGFR-positive versus EGFR-negative patients (p value = 0.04) and in short tumor diameter during the late treatment phase in EGFR-positive versus EGFR-negative patients (p value = 0.04). Conclusion Patients with overexpression of EGFR mutations are more radiosensitive during the early treatment phase, and EML4-ALK mutations were less radiosensitive regardless of phases.
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spelling doaj.art-9ec53e4a8a844d8abab3d6ad4d6d86742022-12-22T01:29:41ZengSpringerOpenJournal of the Egyptian National Cancer Institute2589-04092022-07-013411710.1186/s43046-022-00130-7Tumor response to radiotherapy and expression of epidermal growth factor receptor mutation and echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase rearrangement in patients with non-small cell lung cancerNadeem M. S. Nagi0Yasir A. M. Khair1Khamis H. Bakari2Mohamed N. Nagi3Fabian P. Mghanga4Department of Oncology, King Khalid HospitalDepartment of Oncology, King Khalid HospitalDepartment of Radiology and Medical Imaging, College of Health Sciences, University of DodomaDepartment of Oncology, King Khalid HospitalDepartment of Clinical Medicine, Peramiho Institute of Health and Allied SciencesAbstract Background One of the main limitations of radiation therapy is the resistance of tumor cells. This study aimed at evaluating the relationship between the expression of epidermal growth factor receptor (EGFR) and echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase (EML4-ALK) and tumor radiosensitivity in patients with non-small cell lung cancer. Methods Medical case files, pathological results for EGFR and EML4-ALK, and computerized tomography scans of patients with NSCLC treated with thoracic radiation therapy were analyzed. Results The sample size was 101 patients with mean age 58.43 ± 9.89 years. Statistically significant differences were observed in the mean reduction of long tumor diameter during the early treatment phase in EGFR-positive versus EGFR-negative patients (p value = 0.04) and in short tumor diameter during the late treatment phase in EGFR-positive versus EGFR-negative patients (p value = 0.04). Conclusion Patients with overexpression of EGFR mutations are more radiosensitive during the early treatment phase, and EML4-ALK mutations were less radiosensitive regardless of phases.https://doi.org/10.1186/s43046-022-00130-7EGFR mutationEML4-ALK mutationLung cancerRadiotherapy
spellingShingle Nadeem M. S. Nagi
Yasir A. M. Khair
Khamis H. Bakari
Mohamed N. Nagi
Fabian P. Mghanga
Tumor response to radiotherapy and expression of epidermal growth factor receptor mutation and echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase rearrangement in patients with non-small cell lung cancer
Journal of the Egyptian National Cancer Institute
EGFR mutation
EML4-ALK mutation
Lung cancer
Radiotherapy
title Tumor response to radiotherapy and expression of epidermal growth factor receptor mutation and echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase rearrangement in patients with non-small cell lung cancer
title_full Tumor response to radiotherapy and expression of epidermal growth factor receptor mutation and echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase rearrangement in patients with non-small cell lung cancer
title_fullStr Tumor response to radiotherapy and expression of epidermal growth factor receptor mutation and echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase rearrangement in patients with non-small cell lung cancer
title_full_unstemmed Tumor response to radiotherapy and expression of epidermal growth factor receptor mutation and echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase rearrangement in patients with non-small cell lung cancer
title_short Tumor response to radiotherapy and expression of epidermal growth factor receptor mutation and echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase rearrangement in patients with non-small cell lung cancer
title_sort tumor response to radiotherapy and expression of epidermal growth factor receptor mutation and echinoderm microtubule associated protein like 4 anaplastic lymphoma kinase rearrangement in patients with non small cell lung cancer
topic EGFR mutation
EML4-ALK mutation
Lung cancer
Radiotherapy
url https://doi.org/10.1186/s43046-022-00130-7
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