論文

査読有り 国際誌
2016年7月

Epithelial-to-Mesenchymal Transition Defines Feedback Activation of Receptor Tyrosine Kinase Signaling Induced by MEK Inhibition in KRAS-Mutant Lung Cancer.

Cancer discovery
  • Hidenori Kitai
  • ,
  • Hiromichi Ebi
  • ,
  • Shuta Tomida
  • ,
  • Konstantinos V Floros
  • ,
  • Hiroshi Kotani
  • ,
  • Yuta Adachi
  • ,
  • Satoshi Oizumi
  • ,
  • Masaharu Nishimura
  • ,
  • Anthony C Faber
  • ,
  • Seiji Yano

6
7
開始ページ
754
終了ページ
69
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1158/2159-8290.CD-15-1377

UNLABELLED: KRAS is frequently mutated in lung cancer. Whereas MAPK is a well-known effector pathway of KRAS, blocking this pathway with clinically available MAPK inhibitors is relatively ineffective. Here, we report that epithelial-to-mesenchymal transition rewires the expression of receptor tyrosine kinases, leading to differential feedback activation of the MAPK pathway following MEK inhibition. In epithelial-like KRAS-mutant lung cancers, this feedback was attributed to ERBB3-mediated activation of MEK and AKT. In contrast, in mesenchymal-like KRAS-mutant lung cancers, FGFR1 was dominantly expressed but suppressed by the negative regulator Sprouty proteins; MEK inhibition led to repression of SPRY4 and subsequent FGFR1-mediated reactivation of MEK and AKT. Therapeutically, the combination of a MEK inhibitor (MEKi) and an FGFR inhibitor (FGFRi) induced cell death in vitro and tumor regressions in vivo These data establish the rationale and a therapeutic approach to treat mesenchymal-like KRAS-mutant lung cancers effectively with clinically available FGFR1 and MAPK inhibitors. SIGNIFICANCE: Adaptive resistance to MEKi is driven by receptor tyrosine kinases specific to the differentiation state of the KRAS-mutant non-small cell lung cancer (NSCLC). In mesenchymal-like KRAS-mutant NSCLC, FGFR1 is highly expressed, and MEK inhibition relieves feedback suppression of FGFR1, resulting in reactivation of ERK; suppression of ERK by MEKi/FGFRi combination results in tumor shrinkage. Cancer Discov; 6(7); 754-69. ©2016 AACR.This article is highlighted in the In This Issue feature, p. 681.

リンク情報
DOI
https://doi.org/10.1158/2159-8290.CD-15-1377
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/27154822
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4957999
ID情報
  • DOI : 10.1158/2159-8290.CD-15-1377
  • ISSN : 2159-8274
  • PubMed ID : 27154822
  • PubMed Central 記事ID : PMC4957999

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