Zhong Hongqin, Wang Ling, Zhu Xue, Li Shu, Li Xiyue, Ding Chen, Wang Ke, Wang Xun
NHC Key Laboratory of Nuclear Medicine, Jiangsu Key Laboratory of Molecular Nuclear Medicine, Jiangsu Institute of Nuclear Medicine, Wuxi 214063, Jiangsu Province, China.
Department of Pulmonary and Critical Care Medicine, Jiangnan University Medical Center, Jiangnan University (Wuxi No.2 People's Hospital) Wuxi 214126, Jiangsu Province, China.
J Cancer. 2024 Aug 19;15(16):5415-5424. doi: 10.7150/jca.97477. eCollection 2024.
Lung squamous cell carcinoma (LUSC), a subset of non-small cell lung cancer (NSCLC), accounts for about 30% of all lung cancers (LC) and exhibits a dismal response to current therapeutic protocols. Existed studies have indicated that aberrations in fibroblast growth factor receptors (FGFRs) play a pivotal role in the progression of LUSC, rendering them as attractive targets for therapeutic intervention in this cancer type. This study found that Erdafitinib (Erda), a novel pan-FGF receptor tyrosine kinase inhibitor (TKI), exerted a cytotoxic effect on LUSC cells. However, STAT3, the downstream target of FGFRs, remained still activated despite Erdafitinib treatment. Then, a STAT3 inhibitor, Stattic (Sta), was concurrently used with Erdafitinib, and the combined treatment demonstrated a synergistic efficacy in both and models of LUSC when compared to that of the treatment of the Erdafitinib or Stattic alone. Further molecular studies showed that such an effect of Erdafitinib and Stattic was associated with their concurrently inhibitory effect on FGFR1 and STAT3 signaling in LUSC cells. Therefore, the findings of this study indicated that the concurrent use of Erdafitinib and Stattic is a promising therapeutic approach for the treatment of FGFR1-positive LUSC.
肺鳞状细胞癌(LUSC)是非小细胞肺癌(NSCLC)的一个亚型,约占所有肺癌(LC)的30%,并且对当前的治疗方案反应不佳。现有研究表明,成纤维细胞生长因子受体(FGFRs)异常在LUSC进展中起关键作用,使其成为这种癌症类型治疗干预的有吸引力靶点。本研究发现,新型泛FGF受体酪氨酸激酶抑制剂(TKI)厄达替尼(Erda)对LUSC细胞具有细胞毒性作用。然而,尽管使用了厄达替尼治疗,FGFRs的下游靶点STAT3仍处于激活状态。然后,STAT3抑制剂Stattic(Sta)与厄达替尼联合使用,与单独使用厄达替尼或Stattic治疗相比,联合治疗在LUSC的体内和体外模型中均显示出协同疗效。进一步的分子研究表明,厄达替尼和Stattic的这种作用与其对LUSC细胞中FGFR1和STAT3信号的同时抑制作用有关。因此,本研究结果表明,同时使用厄达替尼和Stattic是治疗FGFR1阳性LUSC的一种有前景的治疗方法。