論文

査読有り 国際誌
2013年4月15日

EGFR-TKI resistance due to BIM polymorphism can be circumvented in combination with HDAC inhibition.

Cancer research
  • Takayuki Nakagawa
  • Shinji Takeuchi
  • Tadaaki Yamada
  • Hiromichi Ebi
  • Takako Sano
  • Shigeki Nanjo
  • Daisuke Ishikawa
  • Mitsuo Sato
  • Yoshinori Hasegawa
  • Yoshitaka Sekido
  • Seiji Yano
  • 全て表示

73
8
開始ページ
2428
終了ページ
34
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1158/0008-5472.CAN-12-3479

BIM (BCL2L11) is a BH3-only proapoptotic member of the Bcl-2 protein family. BIM upregulation is required for apoptosis induction by EGF receptor (EGFR) tyrosine kinase inhibitors (EGFR-TKI) in EGFR-mutant forms of non-small cell lung cancer (NSCLC). Notably, a BIM deletion polymorphism occurs naturally in 12.9% of East Asian individuals, impairing the generation of the proapoptotic isoform required for the EGFR-TKIs gefitinib and erlotinib and therefore conferring an inherent drug-resistant phenotype. Indeed, patients with NSCLC, who harbored this host BIM polymorphism, exhibited significantly inferior responses to EGFR-TKI treatment than individuals lacking this polymorphism. In an attempt to correct this response defect in the resistant group, we investigated whether the histone deacetylase (HDAC) inhibitor vorinostat could circumvent EGFR-TKI resistance in EGFR-mutant NSCLC cell lines that also harbored the BIM polymorphism. Consistent with our clinical observations, we found that such cells were much less sensitive to gefitinib-induced apoptosis than EGFR-mutant cells, which did not harbor the polymorphism. Notably, vorinostat increased expression in a dose-dependent manner of the proapoptotic BH3 domain-containing isoform of BIM, which was sufficient to restore gefitinib death sensitivity in the EGFR mutant, EGFR-TKI-resistant cells. In xenograft models, while gefitinib induced marked regression via apoptosis of tumors without the BIM polymorphism, its combination with vorinostat was needed to induce marked regression of tumors with the BIM polymorphism in the same manner. Together, our results show how HDAC inhibition can epigenetically restore BIM function and death sensitivity of EGFR-TKI in cases of EGFR-mutant NSCLC where resistance to EGFR-TKI is associated with a common BIM polymorphism.

リンク情報
DOI
https://doi.org/10.1158/0008-5472.CAN-12-3479
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/23382048
ID情報
  • DOI : 10.1158/0008-5472.CAN-12-3479
  • PubMed ID : 23382048

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