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Volume 352:2136 May 19, 2005 Number 20
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EGFR Mutation and Response of Lung Cancer to Gefitinib

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 by Kobayashi, S.
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To the Editor: Kobayashi et al. (Feb. 24 issue)1 report that a second mutation in the gene encoding the epidermal growth factor receptor (EGFR), one resulting in a threonine-to-methionine substitution at amino acid position 790 (T790M), was associated with acquired resistance to gefitinib in their patient and that this mutant gene had been absent from the primary non–small-cell lung cancer. In a reanalysis of the data from the 397 subjects we have previously described,2,3 we identified two women who had never smoked who had non–small-cell lung cancer and harbored two EGFR mutations — T790M and a leucine-to-arginine substitution . . . [Full Text of this Article]


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