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磷酸化蛋白质组学质谱分析将 Src 家族激酶与逃避 HER2 酪氨酸激酶抑制联系起来。

Phosphoproteomic mass spectrometry profiling links Src family kinases to escape from HER2 tyrosine kinase inhibition.

机构信息

Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA.

出版信息

Oncogene. 2011 Oct 6;30(40):4163-74. doi: 10.1038/onc.2011.130. Epub 2011 Apr 18.

Abstract

Despite the initial effectiveness of the tyrosine kinase inhibitor lapatinib against HER2 gene-amplified breast cancers, most patients eventually relapse after treatment, implying that tumors acquire mechanisms of drug resistance. To discover these mechanisms, we generated six lapatinib-resistant HER2-overexpressing human breast cancer cell lines. In cells that grew in the presence of lapatinib, HER2 autophosphorylation was undetectable, whereas active phosphoinositide-3 kinase (PI3K)-Akt and mitogen-activated protein kinase (MAPK) were maintained. To identify networks maintaining these signaling pathways, we profiled the tyrosine phosphoproteome of sensitive and resistant cells using an immunoaffinity-enriched mass spectrometry method. We found increased phosphorylation of Src family kinases (SFKs) and putative Src substrates in several resistant cell lines. Treatment of these resistant cells with Src kinase inhibitors partially blocked PI3K-Akt signaling and restored lapatinib sensitivity. Further, SFK mRNA expression was upregulated in primary HER2+ tumors treated with lapatinib. Finally, the combination of lapatinib and the Src inhibitor AZD0530 was more effective than lapatinib alone at inhibiting pAkt and growth of established HER2-positive BT-474 xenografts in athymic mice. These data suggest that increased Src kinase activity is a mechanism of lapatinib resistance and support the combination of HER2 antagonists with Src inhibitors early in the treatment of HER2+ breast cancers in order to prevent or overcome resistance to HER2 inhibitors.

摘要

尽管曲妥珠单抗(HER2 基因扩增型乳腺癌的一线治疗药物)最初对 HER2 基因扩增型乳腺癌有效,但大多数患者在治疗后仍会复发,这表明肿瘤获得了耐药机制。为了发现这些机制,我们生成了 6 株对曲妥珠单抗耐药的 HER2 过表达人乳腺癌细胞系。在存在曲妥珠单抗的情况下生长的细胞中,HER2 自身磷酸化无法检测到,而活性磷酸肌醇-3 激酶(PI3K)-Akt 和丝裂原活化蛋白激酶(MAPK)得以维持。为了鉴定维持这些信号通路的网络,我们使用免疫亲和富集质谱方法对敏感和耐药细胞的酪氨酸磷酸化蛋白质组进行了分析。我们发现,在几种耐药细胞系中,Src 家族激酶(SFK)和假定的 Src 底物的磷酸化增加。用 Src 激酶抑制剂处理这些耐药细胞可部分阻断 PI3K-Akt 信号,并恢复对曲妥珠单抗的敏感性。此外,在接受曲妥珠单抗治疗的原发性 HER2+肿瘤中,SFK mRNA 表达上调。最后,与单独使用曲妥珠单抗相比,曲妥珠单抗与 Src 抑制剂 AZD0530 的联合使用在抑制 pAkt 和已建立的 HER2 阳性 BT-474 异种移植瘤的生长方面更有效。这些数据表明,Src 激酶活性的增加是曲妥珠单抗耐药的一种机制,并支持在 HER2+乳腺癌的治疗早期联合使用 HER2 拮抗剂和 Src 抑制剂,以预防或克服对 HER2 抑制剂的耐药性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f95/3204390/137a86c13d05/nihms282065f1.jpg

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