it is unclear how epidermal growth factor receptor EGFR major driver mutations (L858R or Ex19del) affect downstream molecular networks and pathways. This study aimed to provide information on the influences of these mutations. The study assessed 36 protein expression profiles of lung adenocarcinoma (Ex19del, nine; L858R, nine; no Ex19del/L858R, 18). Weighted gene co-expression network analysis together with analysis of variance-based screening identified 13 co-expressed modules and their eigen proteins. Pathway enrichment analysis for the Ex19del mutation demonstrated involvement of SUMOylation, epithelial and mesenchymal transition, ERK/mitogenactivated protein kinase signalling via phosphorylation and Hippo signalling. Additionally, analysis for the L858R mutation identified various pathways related to cancer cell survival and death. With regard to the Ex19del mutation, ROCK, RPS6KA1, ARF1, IL2RA and several ErbB pathways were upregulated, whereas AURK and GSKIP were downregulated. With regard to the L858R mutation, RB1, TSC22D3 and DOCK1 were downregulated, whereas various networks, including VEGFA, were moderately upregulated. In all mutation types, CD80/CD86 (B7), MHC, CIITA and IFGN were activated, whereas CD37 and SAFB were inhibited. Costimulatory immune-checkpoint pathways by B7/CD28 were mainly activated, whereas those by PD-1/PD-L1 were inhibited. Our findings may help identify potential therapeutic targets and develop therapeutic strategies to improve patient outcomes. Mutations in the tyrosine kinase domain of the epidermal growth factor receptor (EGFR) were identified as causes of non-small-cell lung cancer (NSCLC) in 2004 1,2. Somatic mutations in the kinase domain of the EGFR gene are detected in approximately 40% and 17% of lung adenocarcinomas in Asians 3 and Caucasians 4 , respectively. The most common oncogenic mutations are small, in-frame deletions in exon 19 (44.8%) and a point mutation that substitutes Leu-858 with arginine (L858R) (39.8%) 5. Importantly, activating mutations have been found to confer sensitivity to the small molecule tyrosine kinase inhibitors (TKIs) gefitinib, erlotinib and afatinib. These EGFR-TKIs (targeted therapies for patients with EGFR-mutant NSCLC) have been established as standard first-line treatments according to pivotal phase III trials that reported an improved objective response rate of approximately 70% and significantly longer progression-free survival (PFS) (range, 8.0-13.7 months) with EGFR-TKIs than with conventional chemotherapy 6-8. Eventually, drug resistance occurs in most patients after 1 year of treatment. Therefore, novel treatment strategies have been challenged to improve the survival benefit of first-line treatment. Basically, the efficacy of these EGFR-TKIs is limited based on the result of drug resistance