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Targeting the mevalonate pathway inhibits the function of the epidermal growth factor receptor
Angela J Mantha1, Jennifer E L Hanson, Glenwood Goss
1Centre for Cancer Therapeutics and Medical Oncology, Ottawa Regional Cancer Centre, Ottawa Health Research Institute, 503 Smyth Road, Ottawa, Ontario, Canada K1H 1C4.
Purpose:
The epidermal growth factor receptor (EGFR) is a key regulator of growth, differentiation, and survival of epithelial cancers. In a small subset of tumors, the presence of activating mutations within the ATP binding site confers increased susceptibility to gefitinib, a potent tyrosine kinase inhibitor of EGFR. Agents that can inhibit EGFR function through different mechanisms may enhance gefitinib activity in patients lacking these mutations. Mevalonate metabolites play significant roles in the function of the EGFR; therefore, mevalonate pathway inhibitors may potentiate EGFR-targeted therapies.
Experimental Design:
In this study, we evaluated the effect of lovastatin on EGFR function and on gefitinib activity. Effects on EGFR function were analyzed by Western blot analysis using phosphospecific antibodies to EGFR, AKT, and extracellular signal-regulated kinase. Cytotoxic effects of lovastatin and/or gefitinib were evaluated by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay and flow cytometry.
Results:
Lovastatin treatment inhibited EGF-induced EGFR autophosphorylation by 24 hours that was reversed by the coadministration of mevalonate. Combining lovastatin and gefitinib treatments showed enhanced inhibition of AKT activation by EGF in SCC9 cells. The combination of 10 mumol/L lovastatin and 10 mumol/L gefitinib treatments showed cooperative cytotoxicity in all 8 squamous cell carcinomas, 4 of 4 non-small cell lung carcinoma and 4 of 4 colon carcinoma cell lines tested. Isobologram and flow cytometric analyses of three representative cell lines with wild-type EGFR ATP binding sites confirmed that this combination was synergistic inducing a potent apoptotic response.
Conclusions:
Taken together, these results show that targeting the mevalonate pathway can inhibit EGFR function. They also suggest the potential utility of combining these clinically relevant therapeutic approaches.
Insights
Targeting the mevalonate pathway with lovastatin inhibits epidermal growth factor receptor (EGFR) function. Combining lovastatin and gefitinib shows synergistic cytotoxicity, suggesting a potential new therapeutic strategy for epithelial cancers.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Epidermal growth factor receptor (EGFR) is crucial for epithelial cancer growth and survival.
- Gefitinib, an EGFR tyrosine kinase inhibitor, is effective against tumors with specific EGFR mutations.
- Alternative EGFR inhibition strategies are needed for patients without these mutations.
Purpose of the Study:
- To investigate the effect of lovastatin, a mevalonate pathway inhibitor, on EGFR function.
- To evaluate the combined efficacy of lovastatin and gefitinib in cancer cell lines.
Main Methods:
- Western blot analysis assessed EGFR, AKT, and extracellular signal-regulated kinase phosphorylation.
- Cytotoxicity was measured using MTT assays and flow cytometry.
- Synergistic effects were analyzed using isobologram analysis.
Main Results:
- Lovastatin inhibited EGF-induced EGFR autophosphorylation.
- Combination therapy with lovastatin and gefitinib enhanced inhibition of AKT activation.
- Synergistic cytotoxicity and apoptosis were observed in various cancer cell lines with wild-type EGFR.
Conclusions:
- Inhibiting the mevalonate pathway effectively targets EGFR function.
- Combining mevalonate pathway inhibitors with gefitinib presents a promising therapeutic approach for epithelial cancers.
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