EXPRESSION AND PROGNOSTIC VALUE OF HUMAN EPIDERMAL GROWTH FACTOR RECEPTOR 2 (HER2) AND VASCULAR ENDOTHELIAL GROWTH FACTOR C (VEGFC) IN NON-SMALL CELL LUNG CANCER
Volume 7, Issue 3, Pp 1-8, 2025
DOI: https://doi.org/10.61784/jpmr3050
Author(s)
Lu Xu
Affiliation(s)
Department of Respiratory Medicine, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou School of Clinical Medicine, Nanjing Medical University, Taizhou 225300, Jiangsu, China.
Corresponding Author
Lu Xu
ABSTRACT
Non-small cell lung cancer (NSCLC) represents the most prevalent subtype of lung cancer, exhibiting high mortality rates globally. Identification of robust prognostic biomarkers is critical for early diagnosis, risk stratification, and the development of targeted therapies. Human epidermal growth factor receptor 2 (HER2) and vascular endothelial growth factor C (VEGFC) have been implicated in tumor proliferation, angiogenesis, and metastasis. However, their expression patterns and prognostic significance in NSCLC remain incompletely characterized. In this study, we performed a comprehensive bioinformatics analysis using publicly available datasets, including The Cancer Genome Atlas (TCGA), Gene Expression Omnibus (GEO), Oncomine, and Human Protein Atlas (HPA). Differential expression, clinical correlation, survival, immune infiltration, functional enrichment, and protein–protein interaction (PPI) analyses were conducted. Our results demonstrated that HER2 and VEGFC were significantly upregulated in NSCLC tissues compared to normal controls. Elevated expression of either gene was associated with advanced tumor stage, lymph node metastasis, and poor overall survival. Co-expression analysis indicated a synergistic negative impact on prognosis. Functional enrichment suggested involvement of HER2 in PI3K-Akt signaling and cell proliferation, while VEGFC was associated with lymphangiogenesis and vascular development. Immune infiltration analysis revealed significant correlations with CD8+ T cells, regulatory T cells, and macrophage populations. These findings suggest that HER2 and VEGFC serve as prognostic biomarkers and potential therapeutic targets in NSCLC, warranting further validation in clinical studies.
KEYWORDS
Non-small cell lung cancer; Human epidermal growth factor receptor 2; Vascular endothelial growth factor C
CITE THIS PAPER
Lu Xu. Expression and prognostic value of human epidermal growth factor receptor 2 (HER2) and vascular endothelial growth factor C (VEGFC) in non-small cell lung cancer. Journal of Pharmaceutical and Medical Research. 2025, 7(3): 1-8. DOI: https://doi.org/10.61784/jpmr3050.
REFERENCES
[1] Yufei Sheng, Lulu Yang, Boyang Wang, et al. Plasma-derived circALG8 and circCAMTA1 as a panel for early diagnosis of non-small cell lung cancer. Biomarkers in medicine, 2025, 19(16): 725-736.
[2] Unchalee P, Sumitra T, Buntitabhon S. Cost-Utility Analysis of First-Line Pemetrexed Plus Cisplatin in Non-Small Cell Lung Cancer in Thailand. Value in health regional issues, 2020, 21: 9-16.
[3] Giaccone G, Bazhenova L A, Nemunaitis J, et al. A phase III study of belagenpumatucel-L, an allogeneic tumour cell vaccine, as maintenance therapy for non-small cell lung cancer. European journal of cancer (Oxford, England: 1990), 2015, 51(16): 2321-2329.
[4] Harun M, Patel I, Ahmad R, et al. <i>In silico</i> search of triple mutant T790M/C797S allosteric inhibitors to conquer acquired resistance problem in non-small cell lung cancer (NSCLC): a combined approach of structure-based virtual screening and molecular dynamics simulation. Journal of biomolecular structure & dynamics, 2021, 39(4): 1491-1505.
[5] Patricia L L, Lizet S, Danay S, et al. Identifying predictive biomarkers of CIMAvaxEGF success in non-small cell lung cancer patients. BMC cancer, 2020, 20(1): 772.
[6] Mark M, Awad R, Govindan K N, et al. Personalized neoantigen vaccine NEO-PV-01 with chemotherapy and anti-PD-1 as first-line treatment for non-squamous non-small cell lung cancer. Cancer cell, 2022, 40(9): 1010-1026.
[7] Marco T, Erika R, Giulia B, et al. CIMAvax-EGF, a therapeutic non-small cell lung cancer vaccine. Expert opinion on biological therapy, 2018, 18(7): 829-835.
[8] Juan C, Trujillo J B, Soriano M, et al. Cost-effectiveness of a machine learning risk prediction model (LungFlag) in the selection of high-risk individuals for non-small cell lung cancer screening in Spain. Journal of medical economics, 2025, 28(1): 147-156.
[9] Xiaomu Wang, Yunping Niu, Fang Bian. The progress of tumor vaccines clinical trials in non-small cell lung cancer. Clinical & translational oncology: official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2025, 27(3): 1062-1074.
[10] Hamada A A, Noreldeen, Lijie D, et al. Serum lipidomic biomarkers for non-small cell lung cancer in nonsmoking female patients. Journal of pharmaceutical and biomedical analysis, 2020, 185: 113220.
[11] Tao Jiang, Changyun Zhai, Chunxia Su, et al. The diagnostic value of circulating cell free DNA quantification in non-small cell lung cancer: A systematic review with meta-analysis. Lung cancer (Amsterdam, Netherlands), 2016, 100: 63-70.
[12] Filippo L, Massimiliano P, Cristian R, et al. Preliminary Evidence on the Diagnostic and Molecular Role of Circulating Soluble EGFR in Non-Small Cell Lung Cancer. International journal of molecular sciences, 2015, 16(8): 19612-19630.
[13] Qi Cai, Shuhui You, Jinglong Huang, et al. Cost-effectiveness of trastuzumab deruxtecan as a second-line treatment for HER2-mutant advanced non-small cell lung cancer. Human vaccines & immunotherapeutics, 2025, 21(1): 2468070.
[14] Fang Fang, Mei Zhao, Jinming Meng, et al. Upregulation of TTYH3 by lncRNA LUCAT1 through interacting with ALYREF facilitates the metastasis in non-small cell lung cancer. Cancer biology & therapy, 2025, 26(1): 2464966.
[15] Yingying Xu, Jinping Li, Xiang Ji, et al. Lymphocyte-to-C-reactive protein ratio predicts prognosis in unresectable locally advanced non-small cell lung cancer patients. Annals of medicine, 2025, 57(1): 2487629.
[16] Guomeng Sha, Zhengwen Wu, Biao Wang, et al. Intratumorally specific microbial-derived lipopolysaccharide contributes to non-small cell lung cancer progression. Virulence, 2025, 16(1): 2548626.
[17] Yuan Xu, Dongjie Ma, Yingzhi Qin, et al. Prognostic significance of pathological response and lymph node status in neoadjuvant immunotherapy for potentially resectable non-small cell lung cancer. Annals of medicine, 2025, 57(1): 2453825.
[18] Fuze Zhu, Xudong Yang, Yanlong Yang, et al. The role of histone methyltransferases in therapeutic resistance of NSCLC. Epigenetics, 2025, 20(1): 2536786.
[19] Wenyi Liu, Jinming Tang, Xu Li, et al. Reduction in surgical scope after neoadjuvant chemotherapy and immunotherapy for non-small cell lung cancer. Oncology letters, 2025, 30(5): 501.
[20] Obada Alhalabi, Lukas Klein, David Wasilewski, et al. Managing hydrocephalus in patients with leptomeningeal disease: A multicenter retrospective analysis. International journal of cancer, 2025, 157(8): 1613-1624.
[21] Gee-Chen Chang, Akhil Kapoor, Chee Khoon Lee, et al. Optimizing management of stage IV EGFR mutant non-small cell lung cancer in Asia: An expert opinion. International journal of cancer, 2025, 157(8): 1648-1661.

Download as PDF