Notes on the species of Naarda Walker, 1866 (Lepidoptera: Erebidae,Hypeninae) from mainland China,with the description of a new species and establishment of a new synonymy

The species Naarda postpallida de Joannis, 1929 is reported for the first time from mainland China. Naarda pectinata Sugi, 1982 is synonymised with N. postpallida on the basis of material from Vietnam. This species can immediately be recognised by its dark grey forewing, white hindwing and several genital characters. The female genitalia of N. postpallida, together with those of N. lingualis Tóth and Ronkay, 2015 are presented for the first time. Naarda macrostigma sp. n. is described. The hitherto known nine Chinese Naarda species are listed. With nineteen figures.www.zoobank.org/urn:lsid:zoobank.org:pub:092AE905-08AA-4818-BDA8-2B9EF150793A     

The power of small changes: Comprehensive analyses of microbial dysbiosis in breast cancer

Disparate occurrence of breast cancer remains an intriguing question since only a subset of women with known risk factors develop cancer. Recent studies suggest an active role of local and distant microbiota in breast cancer initiation, progression, and overall prognosis. A dysbiotic microbiota predisposes the body to develop cancer by inducing genetic instability, initiating DNA damage and proliferation of the damaged progeny, eliciting favorable immune response, metabolic dysregulation and altered response to therapy. In this review, we present our analyses of the existing datasets and discuss the local dysbiosis observed in breast cancer patients and different aspects of breast carcinogenesis that can be potentially influenced by local breast microbiota. Striking differences between microbial community compositions in breast of cancer patients compared to healthy individuals were noted. Differences in microbiome were also apparent between benign and malignant disease and between nipple aspirate fluid of healthy individuals and breast survivors. We also discuss the identification of distinct bacterial, fungal, viral as well as parasite signatures for breast cancer. These microbes are capable of producing numerous secondary metabolites that can act as signaling mediators effecting breast cancer progression. We review how microbes potentially alter response to therapy affecting drug metabolism, pharmacokinetics, anti-tumor effects and toxicity. In conclusion, breast harbors a community of microbes that can communicate with the host cells inducing downstream signaling pathways and modulating various aspects of breast cancer growth and metastatic progression and an improved understanding of microbial dysbiosis can potentially reduce breast cancer risk and improve outcomes of breast cancer patients.The human microbiome, now referred to as, the “forgotten organ” contains a metagenome that is 100-fold more diverse compared to the human genome, thereby, is critically associated with human health [1,2]. With the revelations of the human microbiome project and advent of deep sequencing techniques, a plethora of information has been acquired in recent years. Body sites like stomach, bladder and lungs, once thought to be sterile, are now known to harbor millions of indigenous microbial species. Approximately 80% of the healthy microbiome consists of Firmicutes and Bacteroidetes accompanied by Verrucomicrobia, Actinobacteria, Proteobacteria, Tenericutes and Cyanobacteria [[2], [3], [4], [5], [6], [7]]. The role of microbiome in diabetes, obesity and even neurodegenerative diseases was greatly appreciated in the last decade [1,[7], [8], [9], [10], [11], [12], [13], [14]] and now it has been established that microbiome significantly contributes to many organ specific cancers [1,15,16].     

Revision of citrus trees pests of Agrilus angulatus species–group (Coleoptera,Buprestidae) from South and Southeast Asia with description of one new species

The revision of Agrilus (Coleoptera, Buprestidae) pests of citrus trees from A. angulatus species–group comprising six species: A. angulatus (Fabricius, 1798); A. connatus sp. nov.; A. livensKerremans, 1892a, Kerremans, 1892b; A. mediocrisKerremans, 1900; A. nubilusKerremans, 1892a, Kerremans, 1892b and A. olivaceidorsisObenberger, 1917 from South and Southeast Asia is provided. The study is based on examination of all relevant types and 2498 additional specimens. The key to species is given and complemented with illustrations of morphology, habitus, genitalia, size variability, color variability, type specimens and distribution. Comprehensive commented literature references, data on type specimens, faunal records, revised and updated distribution and host plant data are cited for each species. The new species A. connatus sp. nov. from Laos and Thailand is described. The following taxonomic and nomenclatural acts are proposed: the name grisatorKerremans, 1893syn. nov. (Agrilus) is a junior subjective synonym of the name nubilusKerremans, 1892a, Kerremans, 1892b (Agrilus); the name macellusBourgoin, 1922syn. nov. (Agrilus) is a junior subjective synonym of the name olivaceidorsisObenberger, 1917 (Agrilus); the lectotype of Buprestis angulataFabricius, 1798 (now in Agrilus) is designated.www.zoobank.org/urn:lsid:zoobank.org:pub:BAE5BD51-2811-44CE-8BC1-AEEC76075667     

A new species of Japanagallia Ishihara (Hemiptera: Cicadellidae: Megophthalminae) from Southern China

The paper deals with a new leafhopper species from Southern China, Japanagallia confusasp. nov., previously misidentified as J. hamataZhang and Li, 1999 by Viraktamath et al., 2012. The species is described and figured and compared to the similar J. hamata and J. neohamata Li et al. 2014.www.zoobank.org/urn:lsid:zoobank.org:pub:6BABEE67-3F22-4A47-A2C0-27112C6835FA     

Contribution to the knowledge of the genus Ainu (Coleoptera: Tenebrionidae: Stenochiinae)

The genus ErulipusFairmaire, 1903 (previously in the subfamily Tenebrioninae, tribe Helopini), after the study of the type species (Erulipus fruhstorferiFairmaire, 1903), is transferred to the genus AinuLewis, 1894 (subfamily Stenochiinae, the tribe Cnodalonini) as a subgenus. Consequently, two new combinations are established: Ainu (Erulipus) fruhstorferi (Fairmaire, 1903), comb. nov. and Ainu (s. str.) multicolor (Pic, 1927), comb. nov. The syntypes of Erulipus fruhstorferi and Erulipus multicolorPic, 1927 are studied and the new synonym is proposed: Erulipus fruhstorferi?=?Ainu grandisRen and Yuan, 2005, syn. nov. Two new species are described from China: Ainu linwenxini Nabozhenko & Ren, sp. nov. (Taiwan) and Ainu basifemoratum Nabozhenko & Ren, sp. nov. (Yunnan). Both the new species are closely related to A. sichuanumRen and Yuan, 2015.     

A new genus Thubdora Park,gen. nov. and seven new species of the subfamily Torodorinae (Lepidoptera,Lecithoceridae) from Cameroon and Rep. of Congo,Africa

Based on the material collected from Cameroon in 1913–1918 and Congo in 1993 which are preserved in the Carnegie Museum of Natural History, Pittsburgh, USA, a new genus Thubdora Park, gen. nov. and seven new species of the subfamily Torodorinae (Lecithoceridae) are described. They are Torodora efulenensis sp. nov., Dragmatucha hispidula sp. nov.; and five species of Thubdora: T. acutalis sp. nov., T. bilobella sp. nov., T. aciphalla sp. nov., T. ambliodes sp. nov., and T. cameroona sp. nov. In addition, six species of Lecithocera Herrich-Shäffer described by Viette, 1955, Viette, 1986 and Meyrick, 1931, Meyrick, 1933 are newly transferred to Torodora and its related genera, due to the male genital characters: Idiopteryx adella (Viette, 1955), comb. nov.; Thubdora decavella (Viette, 1955), comb. nov.; Thubdora mocquerysella (Viette, 1955), comb. nov.; Torodora kambanella (Viette, 1986), comb. nov.; Torodora masoalella (Viette, 1955), comb. nov.; Torodora monobyrsa (Meyrick, 1931), comb. nov.; and T. ochrometra (Meyrick, 1933), comb. nov. For the new species, images of adults with their labels and genitalia are provided.     

Structural Ensemble Modulation upon Small-Molecule Binding to Disordered Proteins

Over the past decade, there has been a growing interest in investigating whether disordered proteins can be targeted for clinical purposes using small molecules [1], [2], [3], [4], [5], [6], [7], [8]. While small-molecule binding to disordered proteins can be seen as unorthodox, examples of this phenomenon have been reported. In order to rationalize these observations, a variety of models are emerging, sometimes in apparent contradiction. Here, we offer a “structural ensemble modulation” view as an attempt to clarify the language, organize concepts, and facilitate the comparison of different studies. In doing so, we hope to promote the understanding of the general principles underlying this phenomenon toward the development of novel therapeutic compounds targeting disordered proteins, which are prevalent in a wide range of human diseases [1], [2], [3], [4], [5], [6], [7], [8].     

Senwot Wharton,a new genus for the Oriental region with description of two new species from Thailand (Hymenoptera: Braconidae: Alysiinae)

SenwotWharton 1983, is a small braconid genus with only two previously described species. The genus is revised using morphological characters and a phylogenetic analysis of COI sequence. Senwot Wharton is reported for the first time from Thailand and two new species: Senwot yinxianggaoae Yao n. sp. and Senwot jiyuanyaoi Yao n. sp. are described and illustrated. A key to species of the genus Senwot is presented.www.zoobank.org/urn:lsid:zoobank.org:pub:D7E79499-491E-4845-991B-0FE763A45162     

Revision of the Agrilus beatissimus species–group (Coleoptera,Buprestidae) with description of five new species from Southeast Asia

The newly defined Agrilus beatissimus species–group comprising seven species from Southeast Asia is revised. The key to species is provided and complemented with illustrations of habitus, genitalia and type specimens. The following five new species are described: Agrilus bilyanus sp. nov. (Thailand); A. campana sp. nov. (Laos); A. galazopos sp. nov. (Laos); A. plurifrons sp. nov. (Laos, Myanmar) and A. undatus sp. nov. (Laos). Comprehensive commented references, data on type specimens and new faunal records are cited. The distribution is updated for A. beatissimusDescarpentries and Villiers 1963 and A. dunoyeriBaudon 1968.     

Revision of the Barsine punicea Moore, 1878 species-group,with descriptions of two new species and two new subspecies (Lepidoptera,Erebidae, Arctiinae)

The Barsine puniceaMoore, 1878 species-group is revised. Two new species, Barsine bachma Volynkin & ?erný, sp. nov. (Central Vietnam and Hainan, China) and Barsine sirikitae Volynkin & ?erný, sp. nov. (North Thailand), and two new subspecies, Barsine punicea kachina Volynkin & ?erný, ssp. nov. (North Myanmar) and Barsine bachma bolovena Volynkin & ?erný, ssp. nov. (South Laos) are described. Barsine punicea melanandra ?erný, 2009 is upgraded to the species level: Barsine melanandra ?erný, 2009, stat. nov.Miltochrista rothschildiDraudt, 1914 is synonymized with Barsine punicea and downgraded to the subspecies status: Barsine punicea rothschildi (Draudt, 1914), syn. & stat. nov. The lectotype for Miltochrista coccineaRothschild, 1913 is designated. Adult, male and female genitalia are illustrated.     

Five new species of Dicerapanorpa Zhong & Hua (Mecoptera,Panorpidae) from Yunnan,China

Five new scorpionfly species of the genus Dicerapanorpa Zhong and Hua, 2013 are described and illustrated from Yunnan Province, China. Dicerapanorpa macula sp. n. can be readily recognized by all branches of paramere parallel, basal and mesal branches extending well beyond basal process of gonostylus in male, and posterior arm of medigynium short and stout in female. Dicerapanorpa deqenensis sp. n. is characterized by basal branch of paramere as long as lateral branch and ventral valve of aedeagus nearly reaching apex of gonocoxite in male, and medigynium with paired auricular lateral processes in female. Dicerapanorpa tanae sp. n. is unique by genital bulb broad and spherical, basal branch of paramere short, and lateral branches curved convergently and parallel apically in male, and main plate of medigynium rounded in female. Dicerapanorpa tenuis sp. n. is distinguishable by hypovalve with largely expanded and inward curved apex and all branches of paramere reaching or exceeding apex of gonocoxite in male, and medigynium slender in female. Dicerapanorpa zhongdianensis sp. n. is characterized by basal branches of paramere parallel and mesal branches curved convergently in male, and main plate of medigynium subtriangular with a pair of auricular lateral processes in female. The species number of Dicerapanorpa is increased to thirteen.LSID: www.zoobank.org/urn:lsid:zoobank.org:pub:A4490511-C475-4C5B-9E89-4BF4EBAA2137     

Two new species of Chrysis Linnaeus (Hymenoptera,Chrysididae) from Iran

The Iranian species in the Chrysis pulchella and C. varidens species groups are investigated. Six species are recognized, two of which are described for the first time: Chrysis gamberoonensis Farhad, Rosa and Talebi sp. nov. and Chrysis brunneamarginata Farhad, Rosa and Talebi sp. nov.. Chrysis gamberoonensis Farhad, Rosa and Talebi sp. nov. belongs to the C. pulchella group and is recognizable within this species group by its unique blue body coloration, scattered mesosoma punctures, polished pit row with elongated pits, and a small median tooth on the lateral edge of metasomal tergum 3. Chrysis brunneamarginata Farhad, Rosa and Talebi sp. nov. belongs to the C. varidens group and is recognizable by the usually colorless apical rim of metasomal tergum 3, and the unique shape of the anterior corners of the scutellum which are enlarged, thickened and directed backward covering the axillary trough. Dichotomous keys and distributional data for Iranian species included in these species groups are provided. Chrysis schwarzi Linsenmaier, 1968 is raised to species rank. The number of Iranian Chrysis species and subspecies is raised to 122.www.zoobank.org/urn:lsid:zoobank.org:pub:F419F860-3B90-4679-9A19-2CF5C255AE6B     

The fine structure of Ameson pulvis (Microspora,Microsporida) and its implications regarding classification and chromosome cycle

Nosema pulvisPerez, 1905, Ameson pulvis (Perez) Sprague, 1977, in muscles of the crabs Carcinus maenas and C. mediterraneus from the coast of France, was observed with the electron microscope. It was found to be structurally similar to the type species A. michaelis (Sprague, 1970). Sprague, 1977, having moniliform sporogonial plasmodia, unikaryotic sporoblasts, and hirsute sporulation stages. It is treated as distinct from A. michaelis because it has slightly smaller spores (by comparison with syntype material of A. michaelis) and appears to have fewer coils in the polar filament. The results require the removal of the genus Ameson from the family Nosematidae Labbé, 1899, where Sprague (1977) had placed it under the erroneous supposition that its sporoblasts are diplokaryotic. Ameson is transferred to family Unikaryonidae Sprague, 1977. Ameson is distinguished from PereziaLéger and Duboscq, 1909, shown by Ormieres et al. to have a similar developmental pattern, by presence of appendages on its sporulation stage. A. nelsoni (Sprague, 1950), the third, and only other species of Ameson, lacks the appendages and is transferred to genus Perezia.     

Correlations Between DCE MRI and Histopathological Parameters in Head and Neck Squamous Cell Carcinoma

BACKGROUND: Dynamic contrast-enhanced magnetic resonance imaging (DCE MRI) can characterize perfusion and vascularization of tissues. DCE MRI parameters can differentiate between malignant and benign lesions and predict tumor grading. The purpose of this study was to correlate DCE MRI findings and various histopathological parameters in head and neck squamous cell carcinoma (HNSCC). PATIENTS AND METHODS: Sixteen patients with histologically proven HNSCC (11 cases primary tumors and in 5 patients with local tumor recurrence) were included in the study. DCE imaging was performed in all cases and the following parameters were estimated: K^trans, V_e, K_ep, and iAUC. The tumor proliferation index was estimated on Ki 67 antigen stained specimens. Microvessel density parameters (stained vessel area, total vessel area, number of vessels, and mean vessel diameter) were estimated on CD31 antigen stained specimens. Spearman''s non-parametric rank sum correlation coefficients were calculated between DCE and different histopathological parameters. RESULTS: The mean values of DCE perfusion parameters were as follows: K^trans 0.189 ± 0.056 min⁻¹, K_ep 0.390 ± 0.160 min⁻¹, V_e 0.548 ± 0.119%, and iAUC 22.40 ± 12.57. Significant correlations were observed between K_ep and stained vessel areas (r = 0.51, P = .041) and total vessel areas (r = 0.5118, P = .043); between V_e and mean vessel diameter (r = −0.59, P = .017). Cell count had a tendency to correlate with V_e (r = −0.48, P = .058). In an analysis of the primary HNSCC only, a significant inverse correlation between K^trans and KI 67 was identified (r = −0.62, P = .041). Our analysis showed significant correlations between DCE parameters and histopathological findings in HNSCC.Dynamic contrast-enhanced magnetic resonance imaging (DCE MRI) has been reported as a technique which is able to characterize perfusion and vascularization of tissues [1], [2]. It has been shown that DCE MRI can be helpful to differentiate between malignant and benign lesions [1]. For example, Yuan et al. reported that lung cancer had a larger volume transfer constant (K^trans) and a lower volume of the extravascular extracellular leakage space (V_e) in comparison to benign lesions [3]. Similar results were reported by Li et al. for breast lesions [4]. Furthermore, according to Cho et al., DCE MRI parameters can be used to distinguish prostatic cancer from benign changes [5]. Moreover, DCE MRI parameters can also predict tumor grading. As reported previously, K^trans correlated well with Gleason score in prostatic cancer [5], [6]. According to other reports, K^trans and V_e correlated with glioma grade [7], [8].DCE MRI parameters were also associated with prognosis in several malignancies [9], [10]. Koo et al. showed that breast cancers with higher K^trans or lower V_e had poor prognostic factors and were often of the triple-negative subtype [10].According to the literature, DCE MRI parameters can predict response to therapy in different tumors. For instance, some authors mentioned that low pretreatment K^trans in regional lymph node metastases in head and neck cancer was associated with a poor response to concurrent chemoradiation therapy [11].Furthermore, Andersen et al. showed that DCE MR parameters obtained prior to chemoradiotherapy predicted survival of patients with cervical cancer [12].Presumably, DCE MRI parameters may be based on tissue composition, such as cellularity and vascular density. However, in this regard there are contradictory data in the literature. While some studies identified significant correlations between DCE MRI and histopathological parameters, others did not [13], [14], [15], [16].The purpose of this study was to correlate DCE MRI findings and various histopathological parameters in head and neck squamous cell carcinoma (HNSCC).     

Kinship and covariance

Price's (1970) covariance theorem can be used to derive an expression for gene frequency change in kin selection models in which the fitness effect of an act is independent of the genotype of the recipient. This expression defines a coefficient of relatedness which subsumes r(Wright, 1922), b(Hamilton, 1972), ρ (Orlove &; Wood, 1978), and R(Michod &; Hamilton, 1980). The new coefficient extends the domain of Hamilton's rule to models in which the average gene frequency of actors differs from that of recipients.     

On the type species of the genus Parapodemus and late turolian Apodemus associations: Remarks on an article by P. Mein in Géobios no 11, fasc. 3, 1978

Mus (Acomys?) gaudryiDAMES, 1883 (1) is considered to be the type species of Parapodemus, because “the type of any taxon, once fixed in conformity with the provisions of the international code of zoological nomenclature, is not subject to change except by exercise of the plenary powers of the commission” (see art. 61 and 70 of the code). Parapodemus schaubiPAPP, 1947 (2) is considered to be a junior synonym of P. gaudryi. The late Turolian Apodemus primaevusHUGUENEY and MEIN, 1965 (3), and A. gudrunaeVAN DE WEERD, 1976 (4), are sufficiently different from one another and from P. gaudryi to warrant their recognition as separate species.     

An approach to a physico-chemical model of olfactory stimulation in vertebrates by single compounds

During recent years, numerous attempts have been made to correlate both quantitative (Davies &; Taylor, 1959; Engen, 1962; Beck, 1964; Engen, Cain &; Rovee, 1968; Cain, 1969; Dravnieks &; Laffoit, 1970; Laffort, 1969a,b) and qualitative (Davies, 1965; Amoore &; Venstrom, 1965; Döving, 1966a,b; Wright &; Michels, 1964; Leveteau &; MacLeod, 1969) odorous properties of single compounds to their molecular properties. These attempts have been only partially successful.In the present paper we will try to explain the several odorous properties of single compounds on the basis of the non-specific properties of odorants involved in solubility.This model is a first approach, and although it gives statistically highly significant relations, it is not as accurate as those advanced with respect to the physical and sensory dimensions of stimuli in the fields of vision and audition.We will first give the present definitions of the most suitable physicochemical parameters, and then advance quantitative and qualitative models for single compounds. Quantitative odorous properties are: odour threshold, rate of change of odour intensity with odorant concentration in the suprathreshold region, and the somewhat controversial upper odour intensity. Qualitative properties refer to odour character.     

Notes on the Melanorosauridae,a family of large Prosauropod Dinosaurs (Saurischia: Sauropodomorpha)

The femur of the anchisaurid (= plateosaurid) prosauropoddinosaur Euskelosaurus browniiHuxley, 1866 from the lower Elliot Formation (Upper Triassic) of South Africa is sigmoidal in posterior view with the fourth trochanter well removed from the medial edge. The sympatric Melanorosaurus readiHaughton, 1924 is not a junior synonym of Euskelosaurus brownii because the femur is straight in posterior view with the fourth trochanter close to the medial edge. In addition to Melanorosaurus, the Melanorosauridae Huene, 1929 includes Camelotia borealis nov. gen. and nov. sp. from the Upper Triassic of England, Riojasaurus incertusBonaparte, 1969 from the Upper Triassic of Argentina, and possibly some of the posteranial material referred to the? rauisuchian the codontian Sinosaurus triassicusYoung, 1948 from the Lower Jurassic of China.     

Étude préliminaire des genres Cycadopteris Zigno, 1853 et Lomatopteris Schimper, 1869

The study of leaf-impressions, with preserved cuticles, collected in the Callovian of Bourgogne (France), and belonging to the genus LomatopterisSchimper, 1869 emend. Saporta, 1873, has permitted to confirm and justify the synonymy of the genera CycadopterisZigno, 1853 and LomatopterisSchimper proposed by Hirmer (1924). The cuticular studies have been carried on with a conventional optical microscope after an usual maceration and also with the use of the scanning electron microscope. Comparisons are established with cuticles proceeding from the Lias of Italy and refered to the genus CycadopterisZigno.     

Gene Expression of the EGF System—a Prognostic Model in Non–Small Cell Lung Cancer Patients Without Activating EGFR Mutations

OBJECTIVES: Contradicting results have been demonstrated for the expression of the epidermal growth factor receptor (EGFR) as a prognostic marker in non–small cell lung cancer (NSCLC). The complexity of the EGF system with four interacting receptors and more than a dozen activating ligands is a likely explanation. The aim of this study is to demonstrate that the combined network of receptors and ligands from the EGF system is a prognostic marker. MATERIAL AND METHODS: Gene expression of the receptors EGFR, HER2, HER3, HER4, and the ligands AREG, HB-EGF, EPI, TGF-α, and EGF was measured by quantitative polymerase chain reaction in tumor samples from 100 NSCLC patients without EGFR activating mutations. Results were dichotomized into high or low levels of target expression. Coexpression of the ligands and receptors was observed, and a score was developed based on the summed effect of receptors and ligands. Akaike’s information criteria selected the optimal score. Results were correlated with age, sex, stage, histology, performance status, and overall survival. RESULTS: Patients were randomly split 1:1 to create test and validation cohorts. In multivariate analyses, the only individual prognostic marker was EPI (hazard ratio [HR] 0.38 [0.20-0.72], P = .003). The optimal score in the test cohort was validated as a marker of inferior survival in the validation cohort and by bootstrapping. Multivariate analysis confirmed the combined score as a prognostic marker of inferior survival (HR 3.75 [2.17-6.47], P < .00001). CONCLUSION: Our study has developed a model that takes the complexity of the EGF system into account and shows that this model is a strong prognostic marker in NSCLC patients.Despite advances in the treatment, non–small cell lung cancer (NSCLC) remains the leading cause of cancer-related death in the world [1]. In particular, the overall prognosis is poor for the metastatic stages, with a median overall survival (OS) of only 8 to 10 months. Even in the early nonmetastatic stages, the 5-year survival rate is as low as 50% [2], [3]. Prognostic markers are needed to stratify patients with different risk outcome. Several biomarkers have been evaluated in NSCLC, but only a few have proven to be clinically relevant. An activating mutation in the epidermal growth factor receptor (EGFR) is both a well-described predictive marker of benefit of EGFR-targeted tyrosine kinase inhibitors but also a debated prognostic marker of better OS [4], [5], [6], [7], [8], [9]. As EGFR expression has been associated with OS in head and neck, colorectal, and esophagus cancer [10], [11], [12], attention has been directed toward the use of EGFR expression as a prognostic marker in NSCLC, but contradicting results have been demonstrated [13], [14], [15], [16]. The EGF system is complex, and the effect of ligand-receptor interaction depends on a variety of different factors, which provides a plausible explanation for the divergence observed between studies that only evaluate EGFR expression in general. EGFR is one out of four related receptors from the EGF system and is capable of forming homodimers or heterodimers with one of the three other receptors when activated by a ligand. Several ligands from the EGF system such as amphiregulin (AREG), epidermal growth factor (EGF), and transforming growth factor–α (TGF-α) only activate EGFR, whereas some have the ability to activate several combinations of the four EGF receptors like heparin-binding epidermal growth factor (HB-EGF), epiregulin (EPI), and betacellulin (BCL). Most knowledge on the role of the ligands in NSCLC is from in vitro studies or from smaller clinical studies. In vitro studies have suggested that the biological effect of EGFR activation is dependent on the specific activating ligand as well as the dimerization partner [17]. Yet, no clinical studies have evaluated the effect of the network of receptors and ligands influencing EGFR in NSCLC. Furthermore, the majority of the clinical studies exploring EGFR expression are based on immunohistochemistry which is a semiquantitative method with a great risk of interobserver variability. Quantitative gene expression analyses provide a more accurate measure and are therefore more suitable for studies comparing expression levels. Prospectively, we have collected fresh tumor samples from patients suspected of lung cancer. Accordingly, the aim of this study is to evaluate the gene expression of the network of receptors and ligands of the EGF system affecting EGFR as a prognostic markers in NSCLC.