小分子抑制MERTK在非小细胞肺癌模型中有效,与驱动癌基因状态无关。

Small Molecule Inhibition of MERTK Is Efficacious in Non-Small Cell Lung Cancer Models Independent of Driver Oncogene Status.

作者信息

Cummings Christopher T, Zhang Weihe, Davies Kurtis D, Kirkpatrick Gregory D, Zhang Dehui, DeRyckere Deborah, Wang Xiaodong, Frye Stephen V, Earp H Shelton, Graham Douglas K

机构信息

Department of Pediatrics, Section of Hematology, Oncology, and Bone Marrow Transplantation, University of Colorado Anschutz Medical Campus, Aurora, Colorado.

Center for Integrative Chemical Biology and Drug Discovery and Division of Chemical Biology and Medicinal Chemistry, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

出版信息

Mol Cancer Ther. 2015 Sep;14(9):2014-22. doi: 10.1158/1535-7163.MCT-15-0116. Epub 2015 Jul 10.

Abstract

Treatment of non-small cell lung cancer (NSCLC) has been transformed by targeted therapies directed against molecular aberrations specifically activated within an individual patient's tumor. However, such therapies are currently only available against a small number of such aberrations, and new targets and therapeutics are needed. Our laboratory has previously identified the MERTK receptor tyrosine kinase (RTK) as a potential drug target in multiple cancer types, including NSCLC. We have recently developed UNC2025--the first-in-class small molecule inhibitor targeting MERTK with pharmacokinetic properties sufficient for clinical translation. Here, we utilize this compound to further validate the important emerging biologic functions of MERTK in lung cancer pathogenesis, to establish that MERTK can be effectively targeted by a clinically translatable agent, and to demonstrate that inhibition of MERTK is a valid treatment strategy in a wide variety of NSCLC lines independent of their driver oncogene status, including in lines with an EGFR mutation, a KRAS/NRAS mutation, an RTK fusion, or another or unknown driver oncogene. Biochemically, we report the selectivity of UNC2025 for MERTK, and its inhibition of oncogenic downstream signaling. Functionally, we demonstrate that UNC2025 induces apoptosis of MERTK-dependent NSCLC cell lines, while decreasing colony formation in vitro and tumor xenograft growth in vivo in murine models. These findings provide further evidence for the importance of MERTK in NSCLC, and demonstrate that MERTK inhibition by UNC2025 is a feasible, clinically relevant treatment strategy in a wide variety of NSCLC subtypes, which warrants further investigation in clinical trials.

摘要

针对个体患者肿瘤中特异性激活的分子异常的靶向治疗,已经改变了非小细胞肺癌(NSCLC)的治疗方式。然而,目前这类疗法仅针对少数此类异常,因此需要新的靶点和治疗方法。我们实验室之前已确定MERTK受体酪氨酸激酶(RTK)是包括NSCLC在内的多种癌症类型中的潜在药物靶点。我们最近开发了UNC2025——首个靶向MERTK的小分子抑制剂,其药代动力学特性足以用于临床转化。在此,我们利用该化合物进一步验证MERTK在肺癌发病机制中重要的新兴生物学功能,确定MERTK可被一种可临床转化的药物有效靶向,并证明抑制MERTK是多种NSCLC细胞系的有效治疗策略,无论其驱动癌基因状态如何,包括具有EGFR突变、KRAS/NRAS突变、RTK融合或其他或未知驱动癌基因的细胞系。在生物化学方面,我们报告了UNC2025对MERTK的选择性及其对致癌下游信号传导的抑制作用。在功能方面,我们证明UNC2025可诱导依赖MERTK的NSCLC细胞系凋亡,同时在体外减少集落形成,并在小鼠模型中抑制体内肿瘤异种移植的生长。这些发现进一步证明了MERTK在NSCLC中的重要性,并表明UNC2025抑制MERTK是多种NSCLC亚型可行的、具有临床相关性的治疗策略,值得在临床试验中进一步研究。

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