論文

国際誌
2013年11月

Lower gefitinib dose led to earlier resistance acquisition before emergence of T790M mutation in epidermal growth factor receptor-mutated lung cancer model.

Cancer science
  • Hiromi Hayakawa
  • Eiki Ichihara
  • Kadoaki Ohashi
  • Takashi Ninomiya
  • Masayuki Yasugi
  • Saburo Takata
  • Katsuya Sakai
  • Kunio Matsumoto
  • Nagio Takigawa
  • Mitsune Tanimoto
  • Katsuyuki Kiura
  • 全て表示

104
11
開始ページ
1440
終了ページ
6
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1111/cas.12284
出版者・発行元
WILEY

Non-small-cell lung cancers with epidermal growth factor receptor (EGFR) mutations are sensitive to EGFR tyrosine kinase inhibitors (TKIs); however, unlike cytotoxic agents, it is generally accepted that minimal doses of drugs inhibiting target molecules are sufficient when molecular-targeted agents, including EGFR-TKIs, are used. Thus, any utility of higher doses remains unclear. We compared low-dose (15 mg/kg) gefitinib therapy with high-dose (50 mg/kg) therapy using an EGFR-mutated lung cancer xenograft model. Both gefitinib doses induced tumor shrinkage, but tumors regrew in the low-dose group within 1 month, whereas tumors in the high-dose group did not. Neither the T790M mutation nor MET amplification was apparent in regrown tumors. We also compared outcomes after two doses of gefitinib (5 and 25 mg/kg) in a transgenic EGFR-mutated lung cancer mouse model. In line with the results obtained using the xenograft model, both gefitinib doses completely inhibited tumor growth, but tumors treated with the lower dose of gefitinib developed earlier drug resistance. In conclusion, a low gefitinib dose caused tumors to become drug-resistant prior to acquisition of the T790M mutation or MET amplification in EGFR-mutated models of lung cancer. This suggests that it is important to optimize the EGFR-TKI dose for treatment of EGFR mutation-associated lung cancer. Gefitinib may need to be given at a dose greater than the minimum required for inhibition of target molecules.

リンク情報
DOI
https://doi.org/10.1111/cas.12284
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/24033722
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7654246
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000330123400008&DestApp=WOS_CPL
ID情報
  • DOI : 10.1111/cas.12284
  • ISSN : 1347-9032
  • eISSN : 1349-7006
  • PubMed ID : 24033722
  • PubMed Central 記事ID : PMC7654246
  • Web of Science ID : WOS:000330123400008

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