Investigation of the epidermal growth factor receptor mutation rate in non-small cell lung cancer patients and the analysis of associated risk factors using logistic regression

doi:10.3892/ol.2014.2160

科研成果详情

题名	Investigation of the epidermal growth factor receptor mutation rate in non-small cell lung cancer patients and the analysis of associated risk factors using logistic regression
作者	Pan, Qinshi1; Wang, Yumin1; Chen, Jie 2; Xu, Gang1; Chen, Bicheng3; Pan, Jingye2; Huang, Kate4,5
发表日期	2014-08-01
发表期刊	Oncology letters 影响因子和分区
语种	英语
原始文献类型	Article
关键词	epidermal growth factor receptor logistic regression analysis mutation non-small cell lung carcinoma.
摘要	The aim of the present study was to investigate the mutation rate of the epidermal growth factor receptor (EGFR) in non-small cell lung cancer (NSCLC) patients and to apply logistic regression analysis to investigate the factors associated with EGFR gene mutation to provide data for the treatment of NSCLC. Paraffin tissue, bronchoscopy or pleural effusion specimens were collected from 176 NSCLC patients following pathological diagnosis. The EGFR gene exon 19 delL747-S75linss and delL747-S752ins deletion mutations, and the exon 20 T790M and exon 21 L858R mutations were identified using amplification refractory mutation system analysis. The clinical data and laboratory results of the patients were collected, and the total mutation rate of the EGFR gene in exons 19, 20 and 21 in the 176 NSCLC patients was found to be 48.3% (85/176). In addition, the EGFR gene mutation rate in adenocarcinoma was found to be significantly higher than that in squamous cell and large cell carcinoma (χ2=12.454; P=0.002). Furthermore, the mutation rate was found to be significantly higher in females than in males (χ2=13.78; P=0.001). The rate of exon 19 mutation was 21.0% (37/176), whereas the rate of exon 20 T90M mutation was 1.7% (3/176) and that of exon 21 L858R mutation was 29.0% (51/176). The logistic regression analysis revealed that the female gender, adenocarcinoma, distant metastasis and chemotherapy are factors associated with EGFR gene mutation (P<0.05). The female gender resulted in an increased incidence (2.438 times that of males) of EGFR mutation. Similarly, adenocarcinoma, distant metastasis and chemotherapy exhibited an increase in EGFR mutation risk (by 2.571, 2.810 and 0.367 times, respectively). The rate of EGFR mutation was high in the NSCLC patients, predominantly in exons 21 and 19. Therefore, these factors (female gender, adenocarcinoma, distant metastasis and chemotherapy) may increase the probability of EGFR gene mutations.
出版者	Spandidos Publications10 Vriaxidos StreetAthens116 10
ISSN	1792-1074
EISSN	1792-1082
卷号	8 期号:2 页码:813-818.
DOI	10.3892/ol.2014.2160
收录类别	PUBMED ; SCOPUS
URL	查看原文
PubMed ID	25013503
PMC记录号	PMC4081401
SCOPUSEID	2-s2.0-84902345364
通讯作者地址	[Pan, Jingye]Department of Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical University,2 Fuxue Lane,China
Scopus学科分类	Oncology;Cancer Research
引用统计	被引频次：11[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/34713
专题	附属第一医院附属第一医院_重症医学科（ICU）
通讯作者	Pan, Jingye
作者单位	1.Department of Laboratory Medicine, The First Affiliated Hospital of Wenzhou Medical University,China; 2.Department of Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical University,China; 3.Department of Surgical Laboratory, The First Affiliated Hospital of Wenzhou Medical University,China; 4.Department of Patholog, The First Affiliated Hospital of Wenzhou Medical University,China; 5.Department of Pathology, The First Affiliated Hospital of Wenzhou Medical University,2 Fuxue Lane,China
第一作者单位	附属第一医院; 第一临床医学院（信息与工程学院）、附属第一医院
通讯作者单位	附属第一医院; 重症医学科（ICU）; 第一临床医学院（信息与工程学院）、附属第一医院
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	Pan, Qinshi,Wang, Yumin,Chen, Jie,et al. Investigation of the epidermal growth factor receptor mutation rate in non-small cell lung cancer patients and the analysis of associated risk factors using logistic regression[J]. Oncology letters,2014,8(2):813-818..
APA	Pan, Qinshi., Wang, Yumin., Chen, Jie., Xu, Gang., Chen, Bicheng., ... & Huang, Kate. (2014). Investigation of the epidermal growth factor receptor mutation rate in non-small cell lung cancer patients and the analysis of associated risk factors using logistic regression. Oncology letters, 8(2), 813-818..
MLA	Pan, Qinshi,et al."Investigation of the epidermal growth factor receptor mutation rate in non-small cell lung cancer patients and the analysis of associated risk factors using logistic regression".Oncology letters 8.2(2014):813-818..