2005
DOI: 10.1016/s1525-1578(10)60569-7
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Rapid Polymerase Chain Reaction-Based Detection of Epidermal Growth Factor Receptor Gene Mutations in Lung Adenocarcinomas

Abstract: Somatic mutations in the tyrosine kinase domain of the epidermal growth factor receptor (EGFR) gene are present in lung adenocarcinomas that respond to the EGFR inhibitors gefitinib and erlotinib. Two types of mutations account for approximately 90% of mutated cases: short in-frame deletions in exon 19 and a specific point mutation in exon 21 at codon 858 (L858R). Screening for these mutations has been based mainly on direct sequencing. We report here the development and validation of polymerase chain reaction… Show more

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Cited by 226 publications
(182 citation statements)
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“…In some of the resected tissue samples or biopsy specimens, the ratio of cancer cell is less than 5%, and therefore, sensitive methods to detect such mutations are necessary. Pan et al (2005) reported sensitive assays based on a length analysis of fluorescently labeled PCR products for the detection of two predominant types of EGFR mutations, and thus showed four cases in which no mutations were apparent by sequencing. In this study, an L858R mutation was detectable in one cancer cell of 10 3 normal cells, which is more sensitive than the previously reported method (Pan et al, 2005).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In some of the resected tissue samples or biopsy specimens, the ratio of cancer cell is less than 5%, and therefore, sensitive methods to detect such mutations are necessary. Pan et al (2005) reported sensitive assays based on a length analysis of fluorescently labeled PCR products for the detection of two predominant types of EGFR mutations, and thus showed four cases in which no mutations were apparent by sequencing. In this study, an L858R mutation was detectable in one cancer cell of 10 3 normal cells, which is more sensitive than the previously reported method (Pan et al, 2005).…”
Section: Discussionmentioning
confidence: 99%
“…Pan et al (2005) reported sensitive assays based on a length analysis of fluorescently labeled PCR products for the detection of two predominant types of EGFR mutations, and thus showed four cases in which no mutations were apparent by sequencing. In this study, an L858R mutation was detectable in one cancer cell of 10 3 normal cells, which is more sensitive than the previously reported method (Pan et al, 2005). The L858R mutation in exon 21 occurs in about 20 -25% in adenocarcinoma of East Asian patients, therefore, this MASA method used in this study is useful for detecting cancer cells with a mutation in sputum, pleural effusion, or biopsy samples, when only a few cancer cells exist among a vast number of normal cells.…”
Section: Discussionmentioning
confidence: 99%
“…In a serial study, the TaqMan PCR assay could detect a mutant sample diluted 1 to 10 with a wildtype sample. Pan et al 33 also used a PCR-based method but only examined mutations in exons 19 and 21. One major drawback, however, is that these methods are effective at identifying only mutations that are already known.…”
Section: Discussionmentioning
confidence: 99%
“…These sensitive assays can detect mutations in the presence of up to 90% non-neoplastic cells and are described in detail elsewhere. 20 …”
Section: Egfr Mutation Analysismentioning
confidence: 99%