Koch Heiner, Wilhelm Mathias, Ruprecht Benjamin, Beck Scarlet, Frejno Martin, Klaeger Susan, Kuster Bernhard
Chair for Proteomics and Bioanalytics, Technical University of Munich , 85354 Freising, Germany.
German Cancer Consortium (DKTK) , 69120 Heidelberg, Germany.
J Proteome Res. 2016 Dec 2;15(12):4490-4504. doi: 10.1021/acs.jproteome.6b00621. Epub 2016 Nov 16.
Although substantial progress has been made regarding the use of molecularly targeted cancer therapies, resistance almost invariably develops and presents a major clinical challenge. The tumor microenvironment can rescue cancer cells from kinase inhibitors by growth-factor-mediated induction of pro-survival pathways. Here we show that epidermal growth factor receptor (EGFR) inhibition by Gefitinib is counteracted by growth factors, notably FGF2, and we assessed the global molecular consequences of this resistance at the proteome and phosphoproteome level in A431 cells. Tandem mass tag peptide labeling and quantitative mass spectrometry allowed the identification and quantification of 22 000 phosphopeptides and 8800 proteins in biological triplicates without missing values. The data show that FGF2 protects the cells from the antiproliferative effect of Gefitinib and largely prevents reprogramming of the proteome and phosphoproteome. Simultaneous EGFR/FGFR or EGFR/GSG2 (Haspin) inhibition overcomes this resistance, and the phosphoproteomic experiments further prioritized the RAS/MEK/ERK as well as the PI3K/mTOR axis for combination treatment. Consequently, the MEK inhibitor Trametinib prevented FGF2-mediated survival of EGFR inhibitor-resistant cells when used in combination with Gefitinib. Surprisingly, the PI3K/mTOR inhibitor Omipalisib reversed resistance mediated by all four growth factors tested, making it an interesting candidate for mitigating the effects of the tumor microenvironment.
尽管在分子靶向癌症治疗的应用方面已取得显著进展,但耐药性几乎不可避免地会出现,并带来重大的临床挑战。肿瘤微环境可通过生长因子介导的促生存途径诱导,使癌细胞从激酶抑制剂中得以挽救。在此,我们表明吉非替尼对表皮生长因子受体(EGFR)的抑制作用会被生长因子(尤其是FGF2)抵消,并且我们在A431细胞的蛋白质组和磷酸蛋白质组水平评估了这种耐药性的整体分子后果。串联质谱标签肽标记和定量质谱分析能够在无缺失值的情况下,对生物三重复样本中的22000个磷酸肽和8800种蛋白质进行鉴定和定量。数据表明,FGF2可保护细胞免受吉非替尼的抗增殖作用,并在很大程度上阻止蛋白质组和磷酸蛋白质组的重编程。同时抑制EGFR/FGFR或EGFR/GSG2(Haspin)可克服这种耐药性,并且磷酸蛋白质组学实验进一步将RAS/MEK/ERK以及PI3K/mTOR轴列为联合治疗的优先选择。因此,MEK抑制剂曲美替尼与吉非替尼联合使用时,可阻止FGF2介导的EGFR抑制剂耐药细胞的存活。令人惊讶的是,PI3K/mTOR抑制剂奥米帕利可逆转由所有四种测试生长因子介导的耐药性,使其成为减轻肿瘤微环境影响的一个有趣候选药物。