Authors' Affiliations: Departments of Medicine and Pathology, The University of Chicago, Chicago, Illinois.
Cancer Res. 2014 Feb 1;74(3):884-95. doi: 10.1158/0008-5472.CAN-12-3583. Epub 2013 Dec 4.
Lung cancer is a heterogeneous disease encompassing a wide array of genetic abnormalities. The MET receptor tyrosine kinase is altered in many lung cancers, especially non-small cell lung cancer (NSCLC), and clinical trials of MET inhibitors that are under way are documenting cases of acquired resistance. On the basis of the evidence that the RON tyrosine kinase receptor can also be overexpressed in NSCLC, we evaluated the potent MET/RON dual kinase inhibitor LY2801653 in this setting. LY2801653 was more efficacious than the MET/ALK/RON/ROS inhibitor crizotinib with a distinct pattern of downstream signaling effects. Using the PamGene platform, we found that inhibition of MET and RON was associated with decreased phosphorylation of CBL, PI3K, and STAT3. In classic and orthotopic mouse xenograft models of lung cancer, LY2801653 decreased tumor growth, dramatically inhibiting mitotic events and angiogenesis. Taken together, our results argued that specific targeting of the MET/RON kinases could provide robust inhibition of cell proliferation and tumor outgrowth in multiple in vitro and in vivo models of NSCLC. These findings offer a robust preclinical proof of concept for MET/RON targeting by LY2801653 as a promising small-molecule modality to treat NSCLC.
肺癌是一种异质性疾病,包含广泛的遗传异常。MET 受体酪氨酸激酶在许多肺癌中发生改变,尤其是非小细胞肺癌(NSCLC),目前正在进行的 MET 抑制剂临床试验记录了获得性耐药的病例。基于 RON 酪氨酸激酶受体也可以在 NSCLC 中过表达的证据,我们在这种情况下评估了强效的 MET/RON 双重激酶抑制剂 LY2801653。与 MET/ALK/RON/ROS 抑制剂克唑替尼相比,LY2801653更有效,具有明显不同的下游信号转导效应模式。使用 PamGene 平台,我们发现抑制 MET 和 RON 与 CBL、PI3K 和 STAT3 的磷酸化减少有关。在经典和原位肺癌小鼠异种移植模型中,LY2801653 可降低肿瘤生长,显著抑制有丝分裂事件和血管生成。总之,我们的结果表明,MET/RON 激酶的特异性靶向可能为 NSCLC 的多种体外和体内模型提供强大的细胞增殖和肿瘤生长抑制作用。这些发现为 LY2801653 通过 MET/RON 靶向治疗 NSCLC 提供了强有力的临床前概念验证,这是一种很有前途的小分子治疗方式。