University of Turin, Department of Clinical and Biological Sciences, San Luigi Hospital, Regione Gonzole 10, Orbassano, Italy.
Mol Cancer Ther. 2009 Nov;8(11):3066-74. doi: 10.1158/1535-7163.MCT-09-0151. Epub 2009 Oct 27.
c-Src is a tyrosine kinase involved in tumor proliferation, migration, and angiogenesis and has been shown to modulate the cytotoxicity following cisplatin-induced DNA damages. c-Src is frequently activated in non-small cell lung cancer (NSCLC) tissues and cell lines, but no preclinical data regarding the effects of the novel potent Src inhibitor, dasatinib (BMS-354825), in the modulation of cisplatin resistance are currently available. The present study reports that treatment with dasatinib completely abrogated Src phosphorylation in the majority of the NSCLC cell lines tested (n = 7), with modest effects on cell proliferation and survival. In five cell lines, a higher cytotoxicity was observed delivering cisplatin in combination with dasatinib: the most evident effects were found in the squamous H520 cells due to the effective block of cisplatin-induced Src phosphorylation. Moreover, dasatinib treatment significantly blocked cisplatin-induced transcription of a panel of DNA repair and synthesis genes. In addition, a real-time PCR analysis done on tumor and matched normal lung specimens from 44 surgically resected NSCLC patients showed that Src transcripts are significantly upregulated in 23% of cases. In conclusion, Src-directed therapeutic strategies could interfere with cisplatin resistance, possibly allowing to reduce cisplatin doses, thus improving its efficacy. The data of this study support further clinical studies aimed to evaluate the efficacy of Src-inhibiting agents in combination with cisplatin in the treatment of NSCLC.
c-Src 是一种酪氨酸激酶,参与肿瘤增殖、迁移和血管生成,已被证明可调节顺铂诱导的 DNA 损伤后的细胞毒性。c-Src 在非小细胞肺癌 (NSCLC) 组织和细胞系中经常被激活,但目前尚无关于新型强效Src 抑制剂达沙替尼(BMS-354825)在调节顺铂耐药方面的临床前数据。本研究报告称,达沙替尼治疗可完全消除大多数测试的 NSCLC 细胞系 (n = 7) 中的 Src 磷酸化,对细胞增殖和存活的影响较小。在五种细胞系中,联合使用达沙替尼和顺铂可观察到更高的细胞毒性:在鳞状 H520 细胞中观察到最明显的效果,因为它有效地阻止了顺铂诱导的 Src 磷酸化。此外,达沙替尼治疗还显著阻断了顺铂诱导的一组 DNA 修复和合成基因的转录。此外,对 44 例接受手术切除的 NSCLC 患者的肿瘤和匹配的正常肺标本进行的实时 PCR 分析显示,Src 转录物在 23%的病例中明显上调。总之,针对 Src 的治疗策略可能会干扰顺铂耐药性,从而有可能减少顺铂剂量,从而提高其疗效。本研究的数据支持进一步开展临床研究,以评估 Src 抑制剂联合顺铂治疗 NSCLC 的疗效。