Suárez-Arroyo Ivette J, Rios-Fuller Tiffany J, Feliz-Mosquea Yismeilin R, Lacourt-Ventura Mercedes, Leal-Alviarez Daniel J, Maldonado-Martinez Gerónimo, Cubano Luis A, Martínez-Montemayor Michelle M
1. Universidad Central del Caribe-School of Medicine, Bayamón, P.R.
2. Inter American University of Puerto Rico, Bayamón, P.R.
J Cancer. 2016 Feb 5;7(5):500-11. doi: 10.7150/jca.13599. eCollection 2016.
The high incidence of resistance to Tyrosine Kinase Inhibitors (TKIs) targeted against EGFR and downstream pathways has increased the necessity to identify agents that may be combined with these therapies to provide a sustained response for breast cancer patients. Here, we investigate the therapeutic potential of Ganoderma lucidum extract (GLE) in breast cancer, focusing on the regulation of the EGFR signaling cascade when treated with the EGFR TKI, Erlotinib. SUM-149, or intrinsic Erlotinib resistant MDA-MB-231 cells, and a successfully developed Erlotinib resistant cell line, rSUM-149 were treated with increasing concentrations of Erlotinib, GLE, or their combination (Erlotinib/GLE) for 72h. Treatment effects were tested on cell viability, cell proliferation, cell migration and invasion. To determine tumor progression, severe combined immunodeficient mice were injected with SUM-149 cells and then treated with Erlotinib/GLE or Erlotinib for 13 weeks. We assessed the protein expression of ERK1/2 and AKT in in vitro and in vivo models. Our results show that GLE synergizes with Erlotinib to sensitize SUM-149 cells to drug treatment, and overcomes intrinsic and developed Erlotinib resistance. Also, Erlotinib/GLE decreases SUM-149 cell viability, proliferation, migration and invasion. GLE increases Erlotinib sensitivity by inactivating AKT and ERK signaling pathways in our models. We conclude that a combinatorial therapeutic approach may be the best way to increase prognosis in breast cancer patients with EGFR overexpressing tumors.
针对表皮生长因子受体(EGFR)及其下游通路的酪氨酸激酶抑制剂(TKIs)耐药性高发,使得识别可与这些疗法联合使用以对乳腺癌患者提供持续反应的药物变得愈发必要。在此,我们研究了灵芝提取物(GLE)在乳腺癌中的治疗潜力,重点关注其与EGFR酪氨酸激酶抑制剂厄洛替尼联合使用时对EGFR信号级联的调控。SUM - 149细胞、内源性厄洛替尼耐药的MDA - MB - 231细胞以及成功构建的厄洛替尼耐药细胞系rSUM - 149,分别用递增浓度的厄洛替尼、GLE或其组合(厄洛替尼/GLE)处理72小时。检测处理对细胞活力、细胞增殖、细胞迁移和侵袭的影响。为确定肿瘤进展情况,将严重联合免疫缺陷小鼠注射SUM - 149细胞,然后用厄洛替尼/GLE或厄洛替尼处理13周。我们评估了体外和体内模型中ERK1/2和AKT的蛋白表达。我们的结果表明,GLE与厄洛替尼协同作用,使SUM - 149细胞对药物治疗敏感,并克服了内源性和获得性厄洛替尼耐药性。此外,厄洛替尼/GLE降低了SUM - 149细胞的活力、增殖、迁移和侵袭能力。在我们的模型中,GLE通过使AKT和ERK信号通路失活来增加厄洛替尼的敏感性。我们得出结论,联合治疗方法可能是提高EGFR过表达肿瘤乳腺癌患者预后的最佳途径。