Abstract. Laminin 5 (Ln5) is an extracellular matrix protein that plays an important role in cell migration and tumor invasion. This study explored the expression of Ln5 and the role of its relationships with PTEN, phospho-EGFR (p-EGFR) and phospho-Akt (p-Akt) in the prognosis of patients with non-small cell lung cancer (NSCLC). The protein expression of Ln5, PTEN, p-EGFR and p-Akt was assessed by immunohistochemical analysis, and their relationships to prognosis were analyzed.
IntroductionLung cancer is the leading cause of cancer-related death in the United States and throughout the world in both men and women (1,2). Due to diagnosis in late disease stages and the poor treatment efficacy of metastatic disease, overall survival is >15% and has not improved substantially in the last 30 years (3). Tyrosine kinase inhibitors (TKIs) targeting epidermal growth factor receptor (EGFR), including gefitinib and erlotinib, have become the standard first-line therapy for patients with advanced non-small cell lung cancers (NSCLCs) harboring activating EGFR mutations (4,5). However, almost all patients eventually develop resistance to EGFR TKIs.Laminin 5 (Ln5, also known as laminin 332) is an extracellular matrix (ECM) protein that plays an important role in cell migration and tumor invasion (6,7). It has a cruciform structure with one long arm and three short arms. The coiled-coil structure of the long arm is formed by three chains (α3, β3 and γ2) covalently linked via interchain disulfide bonds (8). The rod-like regions in the short arms are composed of EGF-like repeats intercalated with globular domains (9). Given the multi-domain architecture of Ln5, it seems conceivable that other receptors in addition to integrins interact with one of its many potential ligand sites to mediate its diverse cellular functions, including activation of EGFR signaling.EGFR is a key mediator of oncogenesis in NSCLCs, with its activation inducing tumor proliferation and growth, angiogenesis, invasion and metastasis, and inhibiting apoptosis (10). Activation of Akt (murine thymoma viral oncogene homolog) is one of the mechanisms that mediate the effects of EGFR (11). The Akt pathway regulates diverse biological functions (12). The tumor-suppressor gene PTEN negatively regulates the PI3K/Akt signaling pathway (13).Interactions between Ln5 and PTEN, phospho-EGFR (p-EGFR) and phospho-Akt (p-Akt) in patients with NSCLC are not well understood at the clinical level.