Table 4. Overview of significantly involved pathways in patients’ progressive disease on afatinib and the involved mutated genes.
Nr. of patient sample | N/P/R | N/R | N/P | |||||||
---|---|---|---|---|---|---|---|---|---|---|
#2 | #5 | #6 | #1 | #4 | #7 | #3 | ||||
A | B | A | B | A | B | C | C | C | D | |
Pathway | ||||||||||
Glycolysis | ADPGK | LDH6A | ||||||||
Autophagy | ||||||||||
IL6/JAK/STAT | ||||||||||
Wnt | MAPK8 | TP53 | TP53 | FOSL1 | PLCB4 | WNT9B | INVS | AXIN1 | TP53 | |
LEF1 | TP53 | TP53 | ||||||||
FZD10 | ||||||||||
APC2 | ||||||||||
PI3K-AKT | COL4A4 | ITGA2 | PPP2R2B | EGFR | LAMC3 | EGF | EGFR | EGFR | TP53 | KDR |
EGFR | PIK3CA | EGFR | LAMB3 | FASLG | RELN | |||||
VWF | PIK3CG | COL1A2 | PTEN | FASLG | ||||||
TSC2 | COL4A5 | FASLG | TP53 | |||||||
TP53 | TP53 |
A: resistant biopsy specific based on MRF R >2x MRF P, B: mutation present in both pre and post afatinib biopsy based on MRF R <2x MRF P and MRF R > 0. C: mutation in resistant biopsy based on MRF R > 0, D: mutation in pre-afatinib biopsy in non-responding patient based on MRF P > 0; italic: present in other primary samples. N: normal tissue or buffy coat, P: biopsy before afatinib treatment, R: biopsy after afatinib treatment.