Abstract
The aim of this study was to determine the incidence and role of c-erbB-2 overexpression as a predictive/prognostic marker in small-cell lung carcinoma (SCLC). We performed a retrospective study on subjects with a biopsy-proven diagnosis of SCLC. A chart review for demographic and clinical data was performed on patients with SCLC diagnosed between 1998 and 2004. c-erbB-2 overexpression was evaluated using immunohistochemistry performed on archival paraffin-embedded specimens. Sixty-seven patients with SCLC were identified (6 females, 61 males; median age- 56.5 yr, range-34–75) all of whom had adequate tissue specimens available for c-erB-2 testing. Of the 67 specimens, 12 (17.9%) showed c-erbB-2 overexpression. Seventy-five of the cases were positive for c-erbB-2, had extensive disease. The median overall survival of patients with SCLC whose tumors were positive and negative for c-erbB-2 were 8 ± 0.9 months (95%CI 6.3–9.7) and 11 ± 1.5 months (95%CI 8.0–14.0), respectively. c-erbB-2 overexpression detected using immunohistochemistry is observed in 17.9% of patients with SCLC and has statistically significant prognostic value. Our findings suggest that c-erbB-2 may be a potential target for site-specific immunotherapy in SCLC. Considering one technique examined, further molecular investigation is needed to confirm these preliminary findings.
Similar content being viewed by others
References
Artega CL (1995) Epidermal growth factor receptors and c-erbB-2 in human lung cancer. In: Pass HI, Mitchell JB, Johnson DH, Turrisi AT (eds) Lung Cancer. Principles and practice. Lippincott, Philadelphia, pp 107–121
Coombs LM, Pigott DA, Sweeney E, et al. (1991) Amplification and over-expression of c-erbB-2 in transitional cell carcinoma of the urinary bladder. Br J Cancer 63:601–608
Elias AD (1997) Small cell lung cancer: state-of-the-art therapy in 1996. Chest 12:251s–258s
Fu XL, Zhu XZ, Wang LJ, et al. (1999) Study of prognostic predictors for non-small cell lung cancer. Lung Cancer 23:143–152
Giatromanolaki A, Koukourakis MI, O’Byrne K, et al. (1996) Non-small cell lung cancer: c-erbB-2 overexpression correlates with low angiogenesis and poor prognosis, Anticancer Res l6:3819–3825
Hall PA, Hughes CM, Staddon SL, et al. (1990) The c-erbB-2 proto-oncogene in human pancreatic cancer. J Pathol 161:195–200
Han H, Lanreneu RJ, et al. (2002) Prognostic value of immunohistochemical expression of p53, HER2/neu, and bcl-2 in stage I non-small cell lung cancer. Hum Pathol 33:105–110
Hanna W, Kahn HJ, Trudeau M (1999) Evaluation of Her-2/neu (erbB-2) status in breast cancer: From bench to bedside. Mod Pathol 12:827–834
Hirashima N, Takahashi W, Yoshii S, Yamane T, Ooi A (2001) Protein overexpression and gene amplification of c-erbB-2 in pulmonary carcinomas: a comparative immunohistochemical and fluorescence in situ hybridization study. Mod Pathol 14:556–562
Ihde DC (1992) Chemotherapy of lung cancer. N EngI J Med 327:1434–l441
Kay EW, Mulcahy H, Walsh CB, Leader M, O’Donoghue D (1994) Cytoplasmic c-erbB-2 protein expression correlates with survival in Duke’ a post B colorectal carcinoma. Histopathology 25:455–461
Landis SH, Murray T, Bolden S, Wingo PA (1998) Cancer statistics, 1998. CA Cancer J Clin 48:6–29
Micke P, Hengstler JG, Ros R, et al. (2001) c-erbB-2 expression in small-cell lung cancer is associated with poor prognosis. Int J Cancer 92:474–479
Peethambaram PP, Cliby WA, Lubiniecki G, et al. (2003) HER2/neu expression in ovarian cancer: Pre and postexposure to platinum chemotherapy. Gynecol Oncol 89:99–104
Pfeiffer P, Clausen PP, Andersen K, Rose C (1996) Lack of prognostic significance of epidermal growth factor receptor and the oncoprotein p185HER2 in patients with systemically untreated non-small-cell lung cancer: an immunohistochemical study on cryosections. Br J Cancer 74:86–91
Saad RS, Liu Y, Han H, Landreneau RJ, Silverman JF (2004) Prognostic significance of HER2/neu, p53, and vascular endothelial growth factor expression in early stage conventional adenocarcinoma and bronchioloalveolar carcinoma of the lung. Mod Pathol 17:1235–1242
Schechter AL, Stem DF, Vaidyanathan L, et al. (1984) The neu oncogene encode: An erbB related gen encoding a 185,000-Mr tumour antigen. Nature 312:513–516
Schneider PM, Hung MC, Chiocca SM, et al. (1989) Differential expression of the c-erbB-2 gene in human small cell and non-small cell lung cancer. Cancer Res 49:4968–4971
Shiraishi M, Noguchi M, Shimosato Y, Sekiya T (1989) Amplification of protooncogenes in surgical specimens of human lung carcinomas. Cancer Res 49:6474–6479
Slamon DJ, Leyland-Jones B, Shak S, et al. (2001) Use of chemotherapy plus a monoclonal antibody against HER2 for metastatic breast cancer that overexpresses HER2. N Engl J Med 344:783–792
Sloman A, D’Amco F, Yousem SA (1996) Immunohistochemical markers of prolonged survival in small cell carcinoma of the lung. An immunohistochemical study. Arch Pathol Lab Med 120:465–472
Stahel RA, Ginsberg R, Havemann K (1989) Staging and prognostic factors in small cell lung cancer: a consensus report. Lung Cancer 5:119–126
Sugg SL, Ezzat S, Zheng L, et al. (1998) Cytoplasmic staining of erbB-2 but not mRNA levels correlates with differentiation in human thyroid neoplasia. Clin Endocrinol (Oxf) 49:629–637
Tetu B, Brisson J (1994) Prognostic significance of HER- 2/neu oncoprotein & expression in node positive breast cancer. The influence of the pattern of immunostaining and adjuvant therapy. Cancer 73:2359–2365
Treish I, Schwartz R, Lindley C (2000) Pharmacology and therapeutic use of trastuzumab in breast cancer. Am J Health Syst Pharm 57:2063–2076
Weiner DB, Nordberg J, Robinson R (1990) Expression of the neu gene-encoded protein (P185neu) in human non-small cell carcinomas of the lung. Cancer Res 50:421–425
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Canoz, O., Ozkan, M., Arsav, V. et al. The Role of c-erbB-2 Expression on the Survival of Patients with Small-Cell Lung Cancer. Lung 184, 267–272 (2006). https://doi.org/10.1007/s00408-005-2591-y
Received:
Issue Date:
DOI: https://doi.org/10.1007/s00408-005-2591-y