2018
DOI: 10.18632/oncotarget.24787
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Isolated metastasis of an EGFR-L858R-mutated NSCLC of the meninges: the potential impact of CXCL12/CXCR4 axis in EGFRmut NSCLC in diagnosis, follow-up and treatment

Abstract: Brain and leptomeningeal metastasis (LMM) of non-small cell lung cancer is still associated with poor prognosis. Moreover, the current diagnostic standard for LMM often yields false negative results and the scientific progress in this field is still unsatisfying.We present a case of a 71-year old patient with an isolated LMM. While standard diagnostics could only diagnose a cancer of unknown primary, the use of [68Ga]-Pentixafor-PET/CT (CXCR4-PET/CT, a radiotracer targeting CXCR4) and a liquid biopsy of the ce… Show more

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Cited by 9 publications
(3 citation statements)
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“…The L858R mutation and the exon 19 deletion are common EGFR mutations. It has been reported that the L858R mutation can promote cancer development through the CXCL12-CXCR4 pathway ( 71 ), but the molecular mechanisms in plasma exosomes remain unclear. Univariate analysis revealed that ITIH4, IGHM, and HPR expression were significantly different in patients with and without L858R mutation, however, no significant difference was detected in the multivariate analyses.…”
Section: Discussionmentioning
confidence: 99%
“…The L858R mutation and the exon 19 deletion are common EGFR mutations. It has been reported that the L858R mutation can promote cancer development through the CXCL12-CXCR4 pathway ( 71 ), but the molecular mechanisms in plasma exosomes remain unclear. Univariate analysis revealed that ITIH4, IGHM, and HPR expression were significantly different in patients with and without L858R mutation, however, no significant difference was detected in the multivariate analyses.…”
Section: Discussionmentioning
confidence: 99%
“…The raw data from the GSE14108 and GSE10245 microarray datasets were downloaded from the Gene Expression Omnibus (GEO) () database. From the datasets, 19 LAD-BM samples (GSE14108) (19) and 40 LAD samples (GSE10245) (20) were used in the current study. The platform used for the detection of these microarray data was the GPL570 Human Genome U133 Plus 2.0 Array (Affymetrix; Thermo Fisher Scientific, Inc., Waltham, MA, USA).…”
Section: Methodsmentioning
confidence: 99%
“…More recently, an intriguing report by Tsai et al has suggested that the EGFR-L858R mutation (which is a common driver of NSCLC) fosters the spread of lung adenocarcinoma cells to the pleural space via activation of the CXCL12/CXCR4 axis [ 44 ]. However, further attempts to replicate these findings by other groups have so far failed to validate this specific link between EGFR-L858R and CXCR4 [ 45 ]. With regard to ACKR3, studies have shown that over expression of ACKR3 promotes lung cancer growth and angiogenesis [ 34 , 46 ].…”
Section: Pathologic Role For Cxcl12/cxcr4/ackr3 In Nsclcmentioning
confidence: 99%