PI3K 和 MEK 抑制剂联合使用协同抑制具有 EGFR 和 KRAS 突变的肺癌。

Combined use of PI3K and MEK inhibitors synergistically inhibits lung cancer with EGFR and KRAS mutations.

机构信息

State Key Laboratory of Quality Research in Chinese Medicine/Macau Institute For Applied Research in Medicine and Health, Macau University of Science and Technology, Taipa, Macau SAR, P.R. China.

State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Disease, Department of Thoracic Surgery of the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, P.R. China.

出版信息

Oncol Rep. 2016 Jul;36(1):365-75. doi: 10.3892/or.2016.4770. Epub 2016 Apr 26.

Abstract

EGFR and KRAS mutations are the two most common driver mutations in non-small cell lung cancer (NSCLC). Molecular target-based therapy using small molecules such as gefitinib has been used for inhibiting EGFR with good initial responses; however, drug resistance is common when using a mono-targeting strategy. At present, KRAS remains an undruggable target. As such, the development of new drugs targeting the downstream of KRAS and EGFR and their crosstalk pathways is critically needed to effectively treat NSCLC. The present study aimed to elucidate the anticancer effects of PI3K (BKM120) and MEK (PD1056309) inhibitors on NSCLC cell lines with KRAS or EGFR mutations. Inhibition of the EGFR and KRAS downstream P13K pathway using BKM120 significantly inhibited the growth of NSCLC cell lines with either EGFR or KRAS mutations. In addition, significant cell cycle arrest and induction of apoptosis were observed following BKM120 treatment. Notably, although the A549 and H358 NSCLC cell lines harbor the same KRAS mutation, A549 cells were less sensitive than H358 cells in the response to BKM120 treatment. Similarly, PC-9 and H1650 cells harbor the same EGFR mutation, however, H1650 was less sensitive to BKM120. Different sensitivity between NSCLC cell lines with the same oncogenic mutation suggests that multiple crosstalk pathways exit. Combined usage of BKM120 and PD1056309 synergistically enhanced apoptosis in the A549 cells and mildly enhanced apoptosis in the H1650 and H358 cells, suggesting the crosstalk of the MEK pathway with the P13K/Akt pathways in these cell lines. Overall, our findings suggest that inhibition of EGFR and KRAS downstream with a P13K/Akt inhibitor could be useful for treating NSCLC. However, for NSCLC exhibiting crosstalk with other survival pathways, such as the MEK pathway, combination treatment is required.

摘要

表皮生长因子受体(EGFR)和 KRAS 突变是非小细胞肺癌(NSCLC)中最常见的两种驱动突变。使用小分子吉非替尼等进行基于分子靶向的治疗已被用于抑制 EGFR,初始反应良好;然而,使用单靶点策略时,耐药性很常见。目前,KRAS 仍然是一个不可成药的靶点。因此,迫切需要开发针对 KRAS 和 EGFR 下游及其相互作用通路的新药,以有效治疗 NSCLC。本研究旨在阐明 PI3K(BKM120)和 MEK(PD1056309)抑制剂对具有 KRAS 或 EGFR 突变的 NSCLC 细胞系的抗癌作用。使用 BKM120 抑制 EGFR 和 KRAS 下游的 P13K 通路显著抑制了具有 EGFR 或 KRAS 突变的 NSCLC 细胞系的生长。此外,BKM120 处理后观察到明显的细胞周期停滞和细胞凋亡诱导。值得注意的是,尽管 A549 和 H358 NSCLC 细胞系具有相同的 KRAS 突变,但 A549 细胞对 BKM120 治疗的敏感性低于 H358 细胞。同样,PC-9 和 H1650 细胞具有相同的 EGFR 突变,但 H1650 对 BKM120 的敏感性较低。具有相同致癌突变的 NSCLC 细胞系之间的敏感性差异表明存在多种相互作用通路。BKM120 和 PD1056309 的联合使用协同增强了 A549 细胞的凋亡,轻度增强了 H1650 和 H358 细胞的凋亡,表明这些细胞系中 MEK 通路与 P13K/Akt 通路的相互作用。总的来说,我们的研究结果表明,使用 P13K/Akt 抑制剂抑制 EGFR 和 KRAS 下游可能有助于治疗 NSCLC。然而,对于与其他存活通路(如 MEK 通路)存在相互作用的 NSCLC,需要联合治疗。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索