Kopetz Scott, Lesslie Donald P, Dallas Nikolas A, Park Serk I, Johnson Marjorie, Parikh Nila U, Kim Michael P, Abbruzzese James L, Ellis Lee M, Chandra Joya, Gallick Gary E
Department of Cancer Biology, The University of Texas MD Anderson Cancer Center and Program in Cancer Biology, The University of Texas Graduate School of Biomedical Sciences at Houston, Houston, Texas 77030-4009, USA.
Cancer Res. 2009 May 1;69(9):3842-9. doi: 10.1158/0008-5472.CAN-08-2246. Epub 2009 Apr 21.
Chemotherapeutic regimens for the treatment of colorectal cancer generally include oxaliplatin, although inherent and acquired resistance is common. One potential mediator of oxaliplatin sensitivity is the nonreceptor protein tyrosine kinase, Src, the activity of which correlates with disease stage and patient survival. Therefore, we investigated the effects of Src inhibition using the tyrosine kinase inhibitor dasatinib on oxaliplatin sensitivity. We show that oxaliplatin acutely activates Src and that combination treatment with dasatinib is synergistic in a cell-line dependent manner, with the level of Src activation correlating with extent of synergy in a panel of six cell lines. Intracellular reactive oxygen species (ROS) are generated after oxaliplatin treatment, and ROS potently activates Src. Pretreatment with antioxidants inhibits oxaliplatin-induced Src activation. In oxaliplatin-resistant cell lines, Src activity is constitutively increased. In a mouse model of colorectal liver metastases, treatment with oxaliplatin also results in chronic Src activation. The combination of dasatinib and oxaliplatin results in significantly smaller tumors compared with single-agent treatment, corresponding with reduced proliferation and angiogenesis. Therefore, we conclude that oxaliplatin activates Src through a ROS-dependent mechanism. Src inhibition increases oxaliplatin activity both in vitro and in vivo. These results suggest that Src inhibitors combined with oxaliplatin may have efficacy in metastatic colon cancer and may provide the first indication of a molecular phenotype that might be susceptible to such combinations.
用于治疗结直肠癌的化疗方案通常包括奥沙利铂,尽管内在和获得性耐药很常见。奥沙利铂敏感性的一个潜在调节因子是非受体蛋白酪氨酸激酶Src,其活性与疾病分期和患者生存率相关。因此,我们研究了使用酪氨酸激酶抑制剂达沙替尼抑制Src对奥沙利铂敏感性的影响。我们发现奥沙利铂能急性激活Src,并且达沙替尼联合治疗具有细胞系依赖性协同作用,在一组六种细胞系中,Src激活水平与协同程度相关。奥沙利铂处理后会产生细胞内活性氧(ROS),且ROS能有效激活Src。用抗氧化剂预处理可抑制奥沙利铂诱导的Src激活。在奥沙利铂耐药细胞系中,Src活性持续增加。在结直肠癌肝转移小鼠模型中,奥沙利铂治疗也会导致Src慢性激活。与单药治疗相比,达沙替尼和奥沙利铂联合治疗导致肿瘤明显更小,这与增殖和血管生成减少相对应。因此,我们得出结论,奥沙利铂通过ROS依赖性机制激活Src。抑制Src在体外和体内均能增加奥沙利铂的活性。这些结果表明,Src抑制剂与奥沙利铂联合使用可能对转移性结肠癌有效,并且可能提供了一种可能对这种联合治疗敏感的分子表型的首个指征。
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