| Entry |
|
| Name |
Non-small cell lung cancer - Homo sapiens (human)
|
| Description |
Lung cancer is a leading cause of cancer death among men and women in industrialized countries. Non-small-cell lung cancer (NSCLC) accounts for approximately 85% of lung cancer and represents a heterogeneous group of cancers, consisting mainly of squamous cell (SCC), adeno (AC) and large-cell carcinoma. Molecular mechanisms altered in NSCLC include activation of oncogenes, such as K-RAS and c-erbB-2, and inactivation of tumorsuppressor genes, such as p53, p16INK4a, RAR-beta, and RASSF1. Point mutations within the K-RAS gene inactivate GTPase activity and the p21-RAS protein continuously transmits growth signals to the nucleus. Overexpression of c-erbB-2 or EGFR leads to a proliferative advantage. Inactivating mutation of p53 can lead to more rapid proliferation and reduced apoptosis. The protein encoded by the p16INK4a inhibits formation of CDK-cyclin-D complexes by competitive binding of CDK4 and CDK6. Loss of p16INK4a expression is a common feature of NSCLC. RAR-beta is a nuclear receptor that bears vitamin-A-dependent transcriptional activity. RASSF1A is able to form heterodimers with Nore-1, an RAS effector.Therefore loss of RASSF1A might shift the balance of RAS activity towards a growth-promoting effect.
|
| Class |
Human Diseases; Cancers
 |
| Pathway map |
| Non-small cell lung cancer |

  |
| Disease |
| Non-small cell lung cancer |
|
| Drug |
| Gefitinib (JAN/USAN/INN) | | Aprinocarsen sodium (USAN) | | Erlotinib hydrochloride (JAN/USAN) | | Erlotinib (INN) |
|
| Organism |
Homo sapiens (human) [GN: hsa]
|
| Gene |
| | | RARB; retinoic acid receptor, beta [KO: K08528] | | RXRA; retinoid X receptor, alpha [KO: K08524] | | RXRB; retinoid X receptor, beta [KO: K08525] | | RXRG; retinoid X receptor, gamma [KO: K08526] | | CDKN2A; cyclin-dependent kinase inhibitor 2A [KO: K06621] | | | | | | | | RB1; retinoblastoma 1 [KO: K06618] | | E2F1; E2F transcription factor 1 [KO: K06620] | | E2F3; E2F transcription factor 3 [KO: K06620] | | E2F2; E2F transcription factor 2 [KO: K09389] | | KRAS; v-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog [KO: K07827] | | RASSF1; Ras association (RalGDS/AF-6) domain family member 1 [KO: K09850] | | RASSF5; Ras association (RalGDS/AF-6) domain family member 5 [KO: K08015] | | STK4; serine/threonine kinase 4 [KO: K04411] | | PIK3CA; phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha [KO: K00922] [EC: 2.7.1.153] | | PIK3CD; phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit delta [KO: K00922] [EC: 2.7.1.153] | | PIK3CB; phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit beta [KO: K00922] [EC: 2.7.1.153] | | PIK3CG; phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit gamma [KO: K00922] [EC: 2.7.1.153] | | PIK3R1; phosphoinositide-3-kinase, regulatory subunit 1 (alpha) [KO: K02649] | | PIK3R5; phosphoinositide-3-kinase, regulatory subunit 5 [KO: K02649] | | PIK3R2; phosphoinositide-3-kinase, regulatory subunit 2 (beta) [KO: K02649] | | PIK3R3; phosphoinositide-3-kinase, regulatory subunit 3 (gamma) [KO: K02649] | | PDPK1; 3-phosphoinositide dependent protein kinase-1 [KO: K06276] [EC: 2.7.11.1] | | AKT1; v-akt murine thymoma viral oncogene homolog 1 [KO: K04456] [EC: 2.7.11.1] | | AKT2; v-akt murine thymoma viral oncogene homolog 2 [KO: K04456] [EC: 2.7.11.1] | | AKT3; v-akt murine thymoma viral oncogene homolog 3 (protein kinase B, gamma) [KO: K04456] [EC: 2.7.11.1] | | BAD; BCL2-associated agonist of cell death [KO: K02158] | | CASP9; caspase 9, apoptosis-related cysteine peptidase [KO: K04399] [EC: 3.4.22.62] | | FOXO3; forkhead box O3 [KO: K09408] | | EGF; epidermal growth factor [KO: K04357] | | TGFA; transforming growth factor, alpha [KO: K08774] | | | | ERBB2; v-erb-b2 erythroblastic leukemia viral oncogene homolog 2, neuro/glioblastoma derived oncogene homolog (avian) [KO: K05083] [EC: 2.7.10.1] | | GRB2; growth factor receptor-bound protein 2 [KO: K04364] | | SOS1; son of sevenless homolog 1 (Drosophila) [KO: K03099] | | SOS2; son of sevenless homolog 2 (Drosophila) [KO: K03099] | | HRAS; v-Ha-ras Harvey rat sarcoma viral oncogene homolog [KO: K02833] | | NRAS; neuroblastoma RAS viral (v-ras) oncogene homolog [KO: K07828] | | ARAF; v-raf murine sarcoma 3611 viral oncogene homolog [KO: K08845] [EC: 2.7.11.1] | | BRAF; v-raf murine sarcoma viral oncogene homolog B1 [KO: K04365] [EC: 2.7.11.1] | | RAF1; v-raf-1 murine leukemia viral oncogene homolog 1 [KO: K04366] [EC: 2.7.11.1] | | MAP2K1; mitogen-activated protein kinase kinase 1 [KO: K04368] [EC: 2.7.12.2] | | MAP2K2; mitogen-activated protein kinase kinase 2 [KO: K04369] [EC: 2.7.12.2] | | | | | | | | PLCG2; phospholipase C, gamma 2 (phosphatidylinositol-specific) [KO: K05859] [EC: 3.1.4.11] | | | | | | | | TP53; tumor protein p53 [KO: K04451] |
|
| Compound |
| Calcium cation | | Diacylglycerol | | Retinoate | | D-myo-Inositol 1,4,5-trisphosphate | | Phosphatidylinositol-3,4,5-trisphosphate | | 9-cis-Retinoic acid |
|
| Reference |
|
| Authors |
Osada H, Takahashi T. |
| Title |
Genetic alterations of multiple tumor suppressors and oncogenes in the carcinogenesis and progression of lung cancer. |
| Journal |
Oncogene 21:7421-34 (2002) |
| Reference |
|
| Authors |
Yokota J, Nishioka M, Tani M, Kohno T. |
| Title |
Genetic alterations responsible for metastatic phenotypes of lung cancer cells. |
| Journal |
Clin Exp Metastasis 20:189-93 (2003) |
| Reference |
|
| Authors |
Aviel-Ronen S, Blackhall FH, Shepherd FA, Tsao MS. |
| Title |
K-ras mutations in non-small-cell lung carcinoma: a review. |
| Journal |
Clin Lung Cancer 8:30-8 (2006) |
| Reference |
|
| Authors |
Pfeifer GP, Dammann R. |
| Title |
Methylation of the tumor suppressor gene RASSF1A in human tumors. |
| Journal |
Biochemistry (Mosc) 70:576-83 (2005) |
| Reference |
|
| Authors |
Altucci L, Gronemeyer H. |
| Title |
The promise of retinoids to fight against cancer. |
| Journal |
Nat Rev Cancer 1:181-93 (2001) |
| Reference |
|
| Authors |
Virmani AK, Rathi A, Zochbauer-Muller S, Sacchi N, Fukuyama Y, Bryant D, Maitra A, Heda S, Fong KM, Thunnissen F, Minna JD, Gazdar AF. |
| Title |
Promoter methylation and silencing of the retinoic acid receptor-beta gene in lung carcinomas. |
| Journal |
J Natl Cancer Inst 92:1303-7 (2000) |
| Reference |
|
| Authors |
Hirsch FR, Scagliotti GV, Langer CJ, Varella-Garcia M, Franklin WA. |
| Title |
Epidermal growth factor family of receptors in preneoplasia and lung cancer: perspectives for targeted therapies. |
| Journal |
Lung Cancer 41 Suppl 1:S29-42 (2003) |
| Reference |
|
| Authors |
Panani AD, Roussos C. |
| Title |
Cytogenetic and molecular aspects of lung cancer. |
| Journal |
Cancer Lett 239:1-9 (2006) |
| Reference |
|
| Authors |
Mitsuuchi Y, Testa JR. |
| Title |
Cytogenetics and molecular genetics of lung cancer. |
| Journal |
Am J Med Genet 115:183-8 (2002) |
| Reference |
|
| Authors |
Breuer RH, Postmus PE, Smit EF. |
| Title |
Molecular pathology of non-small-cell lung cancer. |
| Journal |
Respiration 72:313-30 (2005) |
| Reference |
|
| Authors |
Piyathilake CJ, Frost AR, Manne U, Weiss H, Bell WC, Heimburger DC, Grizzle WE. |
| Title |
Differential expression of growth factors in squamous cell carcinoma and precancerous lesions of the lung. |
| Journal |
Clin Cancer Res 8:734-44 (2002) |
| Reference |
|
| Authors |
Awaya H, Takeshima Y, Furonaka O, Kohno N, Inai K. |
| Title |
Gene amplification and protein expression of EGFR and HER2 by chromogenic in situ hybridisation and immunohistochemistry in atypical adenomatous hyperplasia and adenocarcinoma of the lung. |
| Journal |
J Clin Pathol 58:1076-80 (2005) |
| KO pathway |
|