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EGFR, HER2 and HER3 expression in esophageal primary tumours and corresponding metastases
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Oncology, Radiology and Clinical Immunology, Biomedical Radiation Sciences. (Enheten för biomedicinsk strålningsvetenskap, Biomedical Radiation Sciences)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Genetics and Pathology.
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2007 (English)In: International Journal of Oncology, ISSN 1019-6439, Vol. 31, no 3, 493-499 p.Article in journal (Refereed) Published
Abstract [en]

The expression of EGFR, HER2 and HER3 receptors were analyzed in immunohistochemical preparations from primary esophageal tumours and corresponding lymph node metastases. The goal was to evaluate whether any of these receptors are suitable as targets for radionuclide based imaging and therapy. The receptor expressions were evaluated in parallel samples, primary tumour and metastasiis, from each patient (n = 51). The majority of the cases were esophageal squamous cell carcinomas, ESCC, (n = 40). The HercepTest scoring was used for the analysis of both HER2 and EGFR expression (0, 1+, 2+ or 3+). HER3 was only evaluated as negative, weak or strong staining. EGFR overexpression (2+/3+) was found in 67.5 % (27/40) of both the ESCC primary tumours and the corresponding lymph node metastases. There were only a few changes in these EGFR-scores;: two cases from 2+/3+ to 0/1+ when the primary tumours were compared to the corresponding metastases and two changes the other way around. HER2 overexpression (2+/3+) was only found only in 3three of the primary ESCC tumours and 2two of the lymph node metastases. EGFR and HER2 stainings were found mainly in the cell membranes. The HER3 staining (weak or strong) was mainly cytoplasmic and granular and was observed in about half (20/39) of the cases, for both the ESCC primary tumours and the corresponding lymph node metastases. It is was concluded that ESCC lymph node metastases generally have a strong expression of EGFR stronglyin their cell membranes and to the same extent as in the primary tumours. The stability in EGFR expression is encouraging for efforts to develop radionuclide based EGFR imaging agents. It is also possible that EGFR targeting agents (e.g. Iressa, Tarceva, Erbitux or radiolabelled antibodies) can be applied for therapy of ESCC.

Place, publisher, year, edition, pages
2007. Vol. 31, no 3, 493-499 p.
Keyword [en]
Aged, Carcinoma; Squamous Cell/*metabolism, Esophageal Neoplasms/*metabolism, Gene Expression Regulation; Neoplastic, Humans, Immunohistochemistry/methods, Lymphatic Metastasis, Middle Aged, Neoplasm Metastasis, Receptor; Epidermal Growth Factor/*metabolism, Receptor; erbB-2/*metabolism, Receptor; erbB-3/*metabolism
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-17386ISI: 000248695800003PubMedID: 17671674OAI: oai:DiVA.org:uu-17386DiVA: diva2:45157
Available from: 2008-06-23 Created: 2008-06-23 Last updated: 2011-01-29Bibliographically approved

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Wester, KennethCarlsson, Jörgen
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Biomedical Radiation SciencesDepartment of Genetics and Pathology
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