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JNCI Journal of the National Cancer Institute 1998 90(11):824-832; doi:10.1093/jnci/90.11.824
© 1998 by Oxford University Press
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Journal Of The National Cancer Institute, Vol 90, 824-832, Copyright © 1998 by Oxford University Press


ARTICLES

Levels of TGF-alpha and EGFR protein in head and neck squamous cell carcinoma and patient survival

JR Grandis, MF Melhem, WE Gooding, R Day, VA Holst, MM Wagener, SD Drenning and DJ Tweardy
Department of Otolaryngology, University of Pittsburgh School of Medicine, and University of Pittsburgh Cancer Institute, PA, USA. jgrandis@vms.cis.pitt.edu

BACKGROUND: The most accurate predictor of disease recurrence in patients treated for head and neck squamous cell carcinoma is, at present, the extent of regional lymph node metastasis. Since elevated levels of epidermal growth factor receptor (EGFR) and of its ligand, transforming growth factor-alpha (TGF-alpha), have been detected in primary tumors of patients with head and neck squamous cell carcinoma, we determined whether tumor levels of these proteins were of prognostic importance. METHODS: Monoclonal antibodies specific for EGFR and TGF- alpha were used for immunohistochemical detection of each protein in tissue sections of primary tumors from 91 patients who were treated by surgical resection. Levels of immunoreactive EGFR and TGF-alpha were quantified by use of a computerized image analysis system and were normalized to appropriate standards. The logrank test and proportional hazards regression analysis were used to calculate the probability that EGFR and TGF-alpha levels were associated with disease-free survival (i.e., no recurrence of cancer) and cause-specific survival (i.e., patients do not die of their disease). All P values were two-sided. RESULTS: When tumor levels of EGFR or TGF-alpha were analyzed as continuous variables, disease-free survival and cause-specific survival were reduced among patients with higher levels of EGFR (both P = .0001) or TGF-alpha (both P = .0001). In a multivariate analysis, tumor site, tumor level of EGFR, and tumor level of TGF-alpha were statistically significant predictors of disease-free survival; in a similar analysis, regional lymph node stage and tumor levels of EGFR and of TGF-alpha were significant predictors of cause-specific survival. CONCLUSION: Quantitation of EGFR and TGF-alpha protein levels in primary head and neck squamous cell carcinomas may be useful in identifying subgroups of patients at high risk of tumor recurrence and in guiding therapy.
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Phase II Multicenter Study of the Antiepidermal Growth Factor Receptor Monoclonal Antibody Cetuximab in Combination With Platinum-Based Chemotherapy in Patients With Platinum-Refractory Metastatic and/or Recurrent Squamous Cell Carcinoma of the Head and Neck
J. Clin. Oncol., August 20, 2005; 23(24): 5568 - 5577.
[Abstract] [Full Text] [PDF]


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JCOHome page
B. Burtness
Cetuximab and Cisplatin for Chemotherapy-Refractory Squamous Cell Cancer of the Head and Neck
J. Clin. Oncol., August 20, 2005; 23(24): 5440 - 5442.
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Clin. Cancer Res.Home page
J. H. Schiller
Study Design Issues and Early Stage Non-Small Cell Lung Cancer
Clin. Cancer Res., July 1, 2005; 11(13): 5030s - 5032s.
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Endocr Relat CancerHome page
R. Bianco, T. Troiani, G. Tortora, and F. Ciardiello
Intrinsic and acquired resistance to EGFR inhibitors in human cancer therapy
Endocr. Relat. Cancer, July 1, 2005; 12(Supplement_1): S159 - S171.
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Cancer Res.Home page
A. Hirata, F. Hosoi, M. Miyagawa, S.-i. Ueda, S. Naito, T. Fujii, M. Kuwano, and M. Ono
HER2 Overexpression Increases Sensitivity to Gefitinib, an Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor, through Inhibition of HER2/HER3 Heterodimer Formation in Lung Cancer Cells
Cancer Res., May 15, 2005; 65(10): 4253 - 4260.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
P. Chinnaiyan, S. Huang, G. Vallabhaneni, E. Armstrong, S. Varambally, S. A. Tomlins, A. M. Chinnaiyan, and P. M. Harari
Mechanisms of Enhanced Radiation Response following Epidermal Growth Factor Receptor Signaling Inhibition by Erlotinib (Tarceva)
Cancer Res., April 15, 2005; 65(8): 3328 - 3335.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
L. H. Kalish, R. A. Kwong, I. E. Cole, R. M. Gallagher, R. L. Sutherland, and E. A. Musgrove
Deregulated Cyclin D1 Expression Is Associated with Decreased Efficacy of the Selective Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor Gefitinib in Head and Neck Squamous Cell Carcinoma Cell Lines
Clin. Cancer Res., November 15, 2004; 10(22): 7764 - 7774.
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Clin. Cancer Res.Home page
S. M. Thomas, Q. Zeng, M. W. Epperly, W. E. Gooding, I. Pastan, Q. C. Wang, J. Greenberger, and J. R. Grandis
Abrogation of Head and Neck Squamous Cell Carcinoma Growth by Epidermal Growth Factor Receptor Ligand Fused to Pseudomonas Exotoxin Transforming Growth Factor {alpha}-PE38
Clin. Cancer Res., October 15, 2004; 10(20): 7079 - 7087.
[Abstract] [Full Text] [PDF]


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JNMHome page
N. R. Schechter, R. E. Wendt III, D. J. Yang, A. Azhdarinia, W. D. Erwin, A. M. Stachowiak, L. D. Broemeling, E. E. Kim, J. D. Cox, D. A. Podoloff, et al.
Radiation Dosimetry of 99mTc-Labeled C225 in Patients with Squamous Cell Carcinoma of the Head and Neck
J. Nucl. Med., October 1, 2004; 45(10): 1683 - 1687.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
Q. Zhang, S. M. Thomas, S. Xi, T. E. Smithgall, J. M. Siegfried, J. Kamens, W. E. Gooding, and J. R. Grandis
Src Family Kinases Mediate Epidermal Growth Factor Receptor Ligand Cleavage, Proliferation, and Invasion of Head and Neck Cancer Cells
Cancer Res., September 1, 2004; 64(17): 6166 - 6173.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
Z. Chen, X. Zhang, M. Li, Z. Wang, H. S. Wieand, J. R. Grandis, and D. M. Shin
Simultaneously Targeting Epidermal Growth Factor Receptor Tyrosine Kinase and Cyclooxygenase-2, an Efficient Approach to Inhibition of Squamous Cell Carcinoma of the Head and Neck
Clin. Cancer Res., September 1, 2004; 10(17): 5930 - 5939.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
C. Caulin, T. Nguyen, M. A. Longley, Z. Zhou, X.-J. Wang, and D. R. Roop
Inducible Activation of Oncogenic K-ras Results in Tumor Formation in the Oral Cavity
Cancer Res., August 1, 2004; 64(15): 5054 - 5058.
[Abstract] [Full Text] [PDF]


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GeneticsHome page
K. E. Strunk, V. Amann, and D. W. Threadgill
Phenotypic Variation Resulting From a Deficiency of Epidermal Growth Factor Receptor in Mice Is Caused by Extensive Genetic Heterogeneity That Can Be Genetically and Molecularly Partitioned
Genetics, August 1, 2004; 167(4): 1821 - 1832.
[Abstract] [Full Text] [PDF]


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JCOHome page
E. E.W. Cohen, M. W. Lingen, and E. E. Vokes
The Expanding Role of Systemic Therapy in Head and Neck Cancer
J. Clin. Oncol., May 1, 2004; 22(9): 1743 - 1752.
[Abstract] [Full Text] [PDF]


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Arch Otolaryngol Head Neck SurgHome page
H.-S. Lin, G. J. Berry, W. E. Fee Jr, D. J. Terris, and Z. Sun
Identification of Tyrosine Kinases Overexpressed in Head and Neck Cancer
Arch Otolaryngol Head Neck Surg, March 1, 2004; 130(3): 311 - 316.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
M. Sumitomo, T. Asano, J. Asakuma, T. Asano, A. Horiguchi, and M. Hayakawa
ZD1839 Modulates Paclitaxel Response in Renal Cancer by Blocking Paclitaxel-Induced Activation of the Epidermal Growth Factor Receptor-Extracellular Signal-Regulated Kinase Pathway
Clin. Cancer Res., January 15, 2004; 10(2): 794 - 801.
[Abstract] [Full Text] [PDF]


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JCOHome page
D. Soulieres, N. N. Senzer, E. E. Vokes, M. Hidalgo, S. S. Agarwala, and L. L. Siu
Multicenter Phase II Study of Erlotinib, an Oral Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor, in Patients With Recurrent or Metastatic Squamous Cell Cancer of the Head and Neck
J. Clin. Oncol., January 1, 2004; 22(1): 77 - 85.
[Abstract] [Full Text] [PDF]


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GutHome page
J-L Yang, X-J Qu, P J Russell, and D Goldstein
Regulation of epidermal growth factor receptor in human colon cancer cell lines by interferon {alpha}
Gut, January 1, 2004; 53(1): 123 - 129.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
R. S. Herbst and P. A. Bunn Jr.
Targeting the Epidermal Growth Factor Receptor in Non-Small Cell Lung Cancer
Clin. Cancer Res., December 1, 2003; 9(16): 5813 - 5824.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
T. M. Grana, C. I. Sartor, and A. D. Cox
Epidermal Growth Factor Receptor Autocrine Signaling in RIE-1 Cells Transformed by the Ras Oncogene Enhances Radiation Resistance
Cancer Res., November 15, 2003; 63(22): 7807 - 7814.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
S. Xi, Q. Zhang, W. E. Gooding, T. E. Smithgall, and J. R. Grandis
Constitutive Activation of Stat5b Contributes to Carcinogenesis in Vivo
Cancer Res., October 15, 2003; 63(20): 6763 - 6771.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
H. Niwa, A. L. Wentzel, M. Li, W. E. Gooding, V. W. Y. Lui, and J. R. Grandis
Antitumor Effects of Epidermal Growth Factor Receptor Antisense Oligonucleotides in Combination with Docetaxel in Squamous Cell Carcinoma of the Head and Neck
Clin. Cancer Res., October 15, 2003; 9(13): 5028 - 5035.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
Q.-T. Le and A. J. Giaccia
Therapeutic Exploitation of the Physiological and Molecular Genetic Alterations in Head and Neck Cancer
Clin. Cancer Res., October 1, 2003; 9(12): 4287 - 4295.
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Cancer Res.Home page
D. M. Weinreich, D. M. Elaraj, M. Puhlmann, S. M. Hewitt, N. M. Carroll, E. D. Feldman, E. M. Turner, P. J. Spiess, and H. R. Alexander
Effect of Interleukin 1 Receptor Antagonist Gene Transduction on Human Melanoma Xenografts in Nude Mice
Cancer Res., September 15, 2003; 63(18): 5957 - 5961.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
S. M. Thomas, F. M. Coppelli, A. Wells, W. E. Gooding, J. Song, J. Kassis, S. D. Drenning, and J. R. Grandis
Epidermal Growth Factor Receptor-stimulated Activation of Phospholipase C{gamma}-1 Promotes Invasion of Head and Neck Squamous Cell Carcinoma
Cancer Res., September 1, 2003; 63(17): 5629 - 5635.
[Abstract] [Full Text] [PDF]


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JCOHome page
J. Mendelsohn and J. Baselga
Status of Epidermal Growth Factor Receptor Antagonists in the Biology and Treatment of Cancer
J. Clin. Oncol., July 15, 2003; 21(14): 2787 - 2799.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
C. L. Arteaga and J. Baselga
Clinical Trial Design and End Points for Epidermal Growth Factor Receptor-targeted Therapies: Implications for Drug Development and Practice
Clin. Cancer Res., May 1, 2003; 9(5): 1579 - 1589.
[Full Text] [PDF]


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Ann OncolHome page
G. Gonzalez, T. Crombet, F. Torres, M. Catala, L. Alfonso, M. Osorio, E. Neninger, B. Garcia, A. Mulet, R. Perez, et al.
Epidermal growth factor-based cancer vaccine for non-small-cell lung cancer therapy
Ann. Onc., March 1, 2003; 14(3): 461 - 466.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
J. Brown, J. O'Prey, and P.R. Harrison
Enhanced sensitivity of human oral tumours to the flavonol, morin, during cancer progression: involvement of the Akt and stress kinase pathways
Carcinogenesis, February 1, 2003; 24(2): 171 - 177.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
Q.-T. Le, P. D. Sutphin, S. Raychaudhuri, S. C. T. Yu, D. J. Terris, H. S. Lin, B. Lum, H. A Pinto, A. C. Koong, and A. J. Giaccia
Identification of Osteopontin as a Prognostic Plasma Marker for Head and Neck Squamous Cell Carcinomas
Clin. Cancer Res., January 1, 2003; 9(1): 59 - 67.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
K. K. Ang, B. A. Berkey, X. Tu, H.-Z. Zhang, R. Katz, E. H. Hammond, K. K. Fu, and L. Milas
Impact of Epidermal Growth Factor Receptor Expression on Survival and Pattern of Relapse in Patients with Advanced Head and Neck Carcinoma
Cancer Res., December 15, 2002; 62(24): 7350 - 7356.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
P. A. Janne, M. L. Taffaro, R. Salgia, and B. E. Johnson
Inhibition of Epidermal Growth Factor Receptor Signaling in Malignant Pleural Mesothelioma
Cancer Res., September 15, 2002; 62(18): 5242 - 5247.
[Abstract] [Full Text] [PDF]


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JCOHome page
R. S. Herbst, A.-M. Maddox, M. L. Rothenberg, E. J. Small, E. H. Rubin, J. Baselga, F. Rojo, W. K. Hong, H. Swaisland, S. D. Averbuch, et al.
Selective Oral Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor ZD1839 Is Generally Well-Tolerated and Has Activity in Non-Small-Cell Lung Cancer and Other Solid Tumors: Results of a Phase I Trial
J. Clin. Oncol., September 15, 2002; 20(18): 3815 - 3825.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
F. McGregor, A. Muntoni, J. Fleming, J. Brown, D. H. Felix, D. G. MacDonald, E. K. Parkinson, and P. R. Harrison
Molecular Changes Associated with Oral Dysplasia Progression and Acquisition of Immortality: Potential for Its Reversal by 5-Azacytidine
Cancer Res., August 15, 2002; 62(16): 4757 - 4766.
[Abstract] [Full Text] [PDF]


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Cell Growth Differ.Home page
T. Kijima, H. Niwa, R. A. Steinman, S. D. Drenning, W. E. Gooding, A. L. Wentzel, S. Xi, and J. R. Grandis
STAT3 Activation Abrogates Growth Factor Dependence and Contributes to Head and Neck Squamous Cell Carcinoma Tumor Growth in Vivo
Cell Growth Differ., August 1, 2002; 13(8): 355 - 362.
[Abstract] [Full Text] [PDF]


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Arch Otolaryngol Head Neck SurgHome page
J. N. Myers, F. C. Holsinger, B. N. Bekele, E. Li, S. A. Jasser, J. J. Killion, and I. J. Fidler
Targeted Molecular Therapy for Oral Cancer With Epidermal Growth Factor Receptor Blockade: A Preliminary Report
Arch Otolaryngol Head Neck Surg, August 1, 2002; 128(8): 875 - 879.
[Abstract] [Full Text] [PDF]


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Molecular Cancer TherapeuticsHome page
S.-M. Huang, J. Li, and P. M. Harari
Molecular Inhibition of Angiogenesis and Metastatic Potential in Human Squamous Cell Carcinomas after Epidermal Growth Factor Receptor Blockade
Mol. Cancer Ther., May 1, 2002; 1(7): 507 - 514.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
C. J. Piyathilake, A. R. Frost, U. Manne, H. Weiss, W. C. Bell, D. C. Heimburger, and W. E. Grizzle
Differential Expression of Growth Factors in Squamous Cell Carcinoma and Precancerous Lesions of the Lung
Clin. Cancer Res., March 1, 2002; 8(3): 734 - 744.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
A. K. Gupta, W. G. McKenna, C. N. Weber, M. D. Feldman, J. D. Goldsmith, R. Mick, M. Machtay, D. I. Rosenthal, V. J. Bakanauskas, G. J. Cerniglia, et al.
Local Recurrence in Head and Neck Cancer: Relationship to Radiation Resistance and Signal Transduction
Clin. Cancer Res., March 1, 2002; 8(3): 885 - 892.
[Abstract] [Full Text] [PDF]


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NEJMHome page
A. Forastiere, W. Koch, A. Trotti, and D. Sidransky
Head and Neck Cancer
N. Engl. J. Med., December 27, 2001; 345(26): 1890 - 1900.
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Clin. Cancer Res.Home page
M. Masuda, M. Suzui, and I. B. Weinstein
Effects of Epigallocatechin-3-gallate on Growth, Epidermal Growth Factor Receptor Signaling Pathways, Gene Expression, and Chemosensitivity in Human Head and Neck Squamous Cell Carcinoma Cell Lines
Clin. Cancer Res., December 1, 2001; 7(12): 4220 - 4229.
[Abstract] [Full Text] [PDF]



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