致癌性 RAS 同时防止抗 EGFR 抗体依赖的细胞细胞毒性和 EGFR 信号阻断。
Oncogenic RAS simultaneously protects against anti-EGFR antibody-dependent cellular cytotoxicity and EGFR signaling blockade.
机构信息
Department of Medical Oncology, West German Cancer Center, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
出版信息
Oncogene. 2013 Jun 6;32(23):2873-81. doi: 10.1038/onc.2012.302. Epub 2012 Jul 16.
Monoclonal antibodies against the epidermal growth factor receptor (EGFR) are effective cancer therapeutics, but tumors harboring RAS mutations are resistant. To functionally dissect RAS-mediated resistance, we have studied clinically approved anti-EGFR antibodies, cetuximab and panitumumab, in cancer models. Both antibodies were equally cytotoxic in vitro. However, cetuximab, which also triggers antibody-dependent cellular cytotoxicity (ADCC), was more effective than panitumumab in vivo. Oncogenic RAS neutralized the activity of both antibodies in vivo. Mechanistically, RAS upregulated BCL-XL in cancer cell lines and in primary colorectal cancers. Suppression of BCL-XL by short hairpin RNA or treatment with a BH3 mimetic overcame RAS-mediated antibody resistance. In conclusion, RAS-mutant tumors escape anti-EGFR antibody-mediated receptor blockade as well as ADCC in vivo. Pharmacological targeting of RAS effectors can restore sensitivity to antibody therapy.
针对表皮生长因子受体 (EGFR) 的单克隆抗体是有效的癌症治疗药物,但携带 RAS 突变的肿瘤对此具有抗性。为了在功能上解析 RAS 介导的抗性,我们在癌症模型中研究了临床批准的抗 EGFR 抗体,西妥昔单抗和帕尼单抗。两种抗体在体外均具有同等的细胞毒性。然而,西妥昔单抗还能触发抗体依赖性细胞毒性 (ADCC),在体内比帕尼单抗更有效。致癌性 RAS 在体内中和了这两种抗体的活性。从机制上讲,RAS 在癌细胞系和原发性结直肠癌中上调了 BCL-XL。短发夹 RNA 抑制或使用 BH3 模拟物治疗可克服 RAS 介导的抗体耐药性。总之,RAS 突变型肿瘤逃避了抗 EGFR 抗体介导的受体阻断以及体内的 ADCC。RAS 效应物的药理学靶向可以恢复对抗体治疗的敏感性。