RT Journal Article SR Electronic T1 Activated Akt Expression has Significant Correlation with EGFR and TGF-α Expressions in Stage I NSCLC JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 11 OP 18 VO 24 IS 1 A1 TORU MUKOHARA A1 SHINZOH KUDOH A1 KUNIOMI MATSUURA A1 SETSUKO YAMAUCHI A1 TATSUO KIMURA A1 NARUO YOSHIMURA A1 HIROSHI KANAZAWA A1 KAZUTO HIRATA A1 KIYOTOSHI INOUE A1 HIDEKI WANIBUCHI A1 SHOJI FUKUSHIMA A1 JUNICHI YOSHIKAWA YR 2004 UL http://ar.iiarjournals.org/content/24/1/11.abstract AB Background: In vitro studies have indicated that epidermal growth factor receptor (EGFR) may intensify signaling output by the receptor's overexpression, heterodimerization with HER-2, or autocrine expression of ligands. The purpose of the present study was to evaluate the correlation between EGFR and its related proteins and to explore the prognostic value of the proteins. Materials and Methods: Immunohistochemical staining of transforming growth factor alpha (TGF-α), EGFR, HER-2, and phosphorylated (p-)Akt was performed in specimens surgically excised from 91 consecutive patients with p-stage I non-small cell lung cancer (NSCLC). Expression or coexpression of TGF-α and the receptors were related to expression of p-Akt. The prognostic impact of these peptides was also tested. Results: TGF-α, EGFR and HER-2 overexpressions were detected in 32%, 79% and 13% of tumors, respectively. Coexpressions of TGF-α & EGFR and EGFR & HER-2 were observed in 29% and 11% of tumors, respectively. P-Akt expression was found in 73% of tumors. Significant correlations between EGFR, TGF-α or coexpression of TGF-α & EGFR and p-Akt expression were found (p=0.006, 0.008 and 0.010, respectively). No proteins examined had an impact on relapse-free survival. Conclusion: The Akt pathway is frequently involved in NSCLC and overexpression of EGFR and autocrine expression of TGF-α may increase the potency of Akt activation.