表皮生长因子受体变异体 III 通过 STAT5 依赖性途径赋予胶质母细胞瘤对沙卡替尼的敏感性。

EGFRvIII Confers Sensitivity to Saracatinib in a STAT5-Dependent Manner in Glioblastoma.

机构信息

Mayo Clinic Alix School of Medicine, Mayo Clinic Arizona, Phoenix, AZ 85054, USA.

Department of Cancer Biology, Mayo Clinic Arizona, Scottsdale, AZ 85259, USA.

出版信息

Int J Mol Sci. 2024 Jun 6;25(11):6279. doi: 10.3390/ijms25116279.

Abstract

Glioblastoma (GBM) is the most common primary malignant brain tumor in adults, with few effective treatments. EGFR alterations, including expression of the truncated variant EGFRvIII, are among the most frequent genomic changes in these tumors. EGFRvIII is known to preferentially signal through STAT5 for oncogenic activation in GBM, yet targeting EGFRvIII has yielded limited clinical success to date. In this study, we employed patient-derived xenograft (PDX) models expressing EGFRvIII to determine the key points of therapeutic vulnerability within the EGFRvIII-STAT5 signaling axis in GBM. Our findings reveal that exogenous expression of paralogs STAT5A and STAT5B augments cell proliferation and that inhibition of STAT5 phosphorylation in vivo improves overall survival in combination with temozolomide (TMZ). STAT5 phosphorylation is independent of JAK1 and JAK2 signaling, instead requiring Src family kinase (SFK) activity. Saracatinib, an SFK inhibitor, attenuates phosphorylation of STAT5 and preferentially sensitizes EGFRvIII+ GBM cells to undergo apoptotic cell death relative to wild-type EGFR. Constitutively active STAT5A or STAT5B mitigates saracatinib sensitivity in EGFRvIII+ cells. In vivo, saracatinib treatment decreased survival in mice bearing EGFR WT tumors compared to the control, yet in EGFRvIII+ tumors, treatment with saracatinib in combination with TMZ preferentially improves survival.

摘要

胶质母细胞瘤(GBM)是成人中最常见的原发性恶性脑肿瘤,治疗方法有限。这些肿瘤中最常见的基因组改变之一是 EGFR 改变,包括截断型 EGFRvIII 的表达。已知 EGFRvIII 通过 STAT5 优先信号传导,从而在 GBM 中发生致癌激活,但迄今为止,针对 EGFRvIII 的治疗方法仅取得了有限的临床成功。在这项研究中,我们使用表达 EGFRvIII 的患者来源异种移植(PDX)模型来确定 GBM 中 EGFRvIII-STAT5 信号轴中治疗弱点的关键点。我们的研究结果表明,外源性表达 STAT5A 和 STAT5B 同工型会增强细胞增殖,并且体内抑制 STAT5 磷酸化与替莫唑胺(TMZ)联合使用可提高总生存率。STAT5 磷酸化独立于 JAK1 和 JAK2 信号传导,而是需要Src 家族激酶(SFK)活性。SFK 抑制剂 Saracatinib 可减弱 STAT5 的磷酸化,并相对于野生型 EGFR 优先使 EGFRvIII+GBM 细胞对凋亡性细胞死亡敏感。组成性激活的 STAT5A 或 STAT5B 可减轻 EGFRvIII+细胞中 Saracatinib 的敏感性。在体内,与对照相比,Saracatinib 治疗可降低携带 EGFR WT 肿瘤的小鼠的生存率,但在 EGFRvIII+肿瘤中,Saracatinib 与 TMZ 联合治疗可优先提高生存率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53dc/11172708/220cef6db65e/ijms-25-06279-g001.jpg

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