多种受体酪氨酸激酶抑制剂和哺乳动物雷帕霉素靶蛋白抑制剂的联合应用通过抑制 c-Met 克服了肺癌细胞系对厄洛替尼的耐药性。

The combination of multiple receptor tyrosine kinase inhibitor and mammalian target of rapamycin inhibitor overcomes erlotinib resistance in lung cancer cell lines through c-Met inhibition.

机构信息

Center for Medical Oncology, Keio University, Shinjuku, Tokyo 160-8582, Japan.

出版信息

Mol Cancer Res. 2010 Aug;8(8):1142-51. doi: 10.1158/1541-7786.MCR-09-0388. Epub 2010 Jul 20.

Abstract

Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKI) show antitumor activity in a subset of non-small cell lung cancer (NSCLC) patients. However, the initial tumor response is followed by recurrence. Several studies have suggested the importance of other receptor tyrosine kinases (RTK) and downstream kinases as potential targets in the treatment of NSCLC. We used the multiple-RTK inhibitor AEE788, which inhibits EGFR, vascular endothelial growth factor receptor, and human epidermal growth factor receptor 2, with and without the downstream kinase inhibitor RAD001 (an inhibitor of mammalian target of rapamycin). AEE788 inhibited cell growth more effectively than did erlotinib in three NSCLC cell lines examined (A549, H1650, and H1975). However, in the EGFR-TKI-resistant cell line H1975 harboring T790M resistance mutation, cell growth inhibition by AEE788 was only mild, and the phosphorylation of its leading targets such as EGFR and vascular endothelial growth factor receptor 2 was not inhibited. In H1975, AEE788 induced significantly greater cell growth inhibition when combined with RAD001 than when used alone. This cooperative effect was not seen with the combination of erlotinib and RAD001. We found that c-Met was highly phosphorylated in this cell line, and the phosphorylated c-Met was inhibited effectively by AEE788. Using a phospho-RTK array, the phosphorylation of c-Met and insulin-like growth factor-I receptor was inhibited by AEE788. These results suggest that upstream RTK inhibitor overcomes the acquired resistance to EGFR-TKI when combined with downstream kinase inhibitor. Thus, the combined inhibition of upstream and downstream RTKs is a promising strategy for the treatment of NSCLC.

摘要

表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKI)在非小细胞肺癌(NSCLC)患者亚组中显示出抗肿瘤活性。然而,初始肿瘤反应后会出现复发。多项研究表明,其他受体酪氨酸激酶(RTK)和下游激酶作为 NSCLC 治疗的潜在靶点非常重要。我们使用了多种 RTK 抑制剂 AEE788,它可抑制 EGFR、血管内皮生长因子受体和人表皮生长因子受体 2,同时还可抑制下游激酶抑制剂 RAD001(雷帕霉素的哺乳动物靶标抑制剂)。AEE788 在三种 NSCLC 细胞系(A549、H1650 和 H1975)中比厄洛替尼更有效地抑制细胞生长。然而,在携带 T790M 耐药突变的 EGFR-TKI 耐药细胞系 H1975 中,AEE788 对细胞生长的抑制作用仅为轻度,其主要靶点如 EGFR 和血管内皮生长因子受体 2 的磷酸化未被抑制。在 H1975 中,AEE788 与 RAD001 联合使用时,比单独使用时能显著更有效地抑制细胞生长。厄洛替尼与 RAD001 的联合使用并未观察到这种协同作用。我们发现该细胞系中 c-Met 高度磷酸化,AEE788 可有效抑制磷酸化的 c-Met。使用磷酸化 RTK 阵列,AEE788 抑制 c-Met 和胰岛素样生长因子-I 受体的磷酸化。这些结果表明,当与下游激酶抑制剂联合使用时,上游 RTK 抑制剂可克服对 EGFR-TKI 的获得性耐药。因此,联合抑制上游和下游 RTKs 是治疗 NSCLC 的一种有前途的策略。

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