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一种表没食子儿茶素没食子酸酯衍生物与尼妥珠单抗联合用于治疗野生型表皮生长因子受体非小细胞肺癌

An EGCG Derivative in Combination with Nimotuzumab for the Treatment of Wild-Type EGFR NSCLC.

作者信息

Huang Yanping, Cuan Xiangdan, Zhu Weiwei, Yang Xingying, Zhao Yunli, Sheng Jun, Zi Chengting, Wang Xuanjun

机构信息

Key Laboratory of Pu-er Tea Science, Ministry of Education, Yunnan Agricultural University, Kunming 650201, China.

College of Science, Yunnan Agricultural University, Kunming 650201, China.

出版信息

Int J Mol Sci. 2023 Sep 13;24(18):14012. doi: 10.3390/ijms241814012.

Abstract

Inhibiting the tyrosine kinase activity of epidermal growth factor receptor (EGFR) using small-molecule tyrosine kinase inhibitors (TKIs) or monoclonal antibodies is often ineffective in treating cancers harboring wild-type EGFR. Given the fact that EGFR possesses a kinase-independent pro-survival function, more effective inhibition of EGFR-mediated signals is therefore necessary. In this study, we investigated the effects of using a combination of low-dose nimotuzumab and theasinensin A to evaluate whether the inhibitory effect of nimotuzumab on NCI-H441 cancer cells was enhanced. Here, theasinensin A, a novel epigallocatechin-3-gallate (EGCG) derivative, was identified and its potent anticancer activity against wild-type EGFR NSCLC was demonstrated in vitro; the anticancer activity was induced through degradation of EGFR. Mechanistic studies further revealed that theasinensin A bound directly to the EGFR extracellular domain, which decreased interaction with its ligand EGF in combination with nimotuzumab. Theasinensin A significantly promoted EGFR degradation and repressed downstream survival pathways in combination with nimotuzumab. Meanwhile, treatment with theasinensin A and nimotuzumab prevented xenograft growth, whereas the single agents had limited effect. Thus, the combination therapy of theasinensin A with nimotuzumab is a powerful candidate for treatment of wild-type EGFR cancers.

摘要

使用小分子酪氨酸激酶抑制剂(TKIs)或单克隆抗体抑制表皮生长因子受体(EGFR)的酪氨酸激酶活性,在治疗携带野生型EGFR的癌症时往往无效。鉴于EGFR具有不依赖激酶的促生存功能,因此需要更有效地抑制EGFR介导的信号。在本研究中,我们研究了联合使用低剂量尼妥珠单抗和茶黄素A的效果,以评估尼妥珠单抗对NCI-H441癌细胞的抑制作用是否增强。在此,我们鉴定了一种新型表没食子儿茶素-3-没食子酸酯(EGCG)衍生物茶黄素A,并在体外证明了其对野生型EGFR非小细胞肺癌(NSCLC)具有强大的抗癌活性;这种抗癌活性是通过EGFR的降解诱导产生的。机制研究进一步表明,茶黄素A直接与EGFR细胞外结构域结合,与尼妥珠单抗联合使用时可减少其与配体表皮生长因子(EGF)的相互作用。茶黄素A与尼妥珠单抗联合使用时,可显著促进EGFR降解并抑制下游生存途径。同时,茶黄素A和尼妥珠单抗联合治疗可抑制异种移植瘤生长,而单一药物的效果有限。因此,茶黄素A与尼妥珠单抗联合治疗是治疗野生型EGFR癌症的有力候选方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca74/10531337/a77ec15fdd4b/ijms-24-14012-g001.jpg

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