Loss of homotypic cell adhesion by epithelial-mesenchymal transition or mutation limits sensitivity to epidermal

Elizabeth Buck1, Alexandra Eyzaguirre, Sharon Barr

  • 1OSI Pharmaceuticals, Inc., 1 Bioscience Park Drive, Farmingdale, NY 11735, USA.

Insights

Tumors with epithelial traits are more sensitive to EGFR inhibitors. Loss of epithelial markers and gain of mesenchymal traits, like in advanced cancers, reduce sensitivity, suggesting combination therapies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Cell Biology

Background:

  • Epidermal growth factor receptor (EGFR) is overexpressed and activated in human carcinomas.
  • EGFR inhibitors show clinical utility, but understanding molecular response is key for patient stratification and combination therapy design.

Purpose of the Study:

  • To investigate the molecular mechanisms underlying resistance to EGFR inhibition in pancreatic and colorectal cancer.
  • To identify patient subsets sensitive to EGFR inhibitors and explore rational drug combinations.

Main Methods:

  • Analysis of pancreatic and colorectal tumor cell lines with varying sensitivity to EGFR inhibition.
  • Assessment of epithelial junction proteins (E-cadherin, gamma-catenin), homotypic adhesion, and mesenchymal markers (vimentin, zeb1, snail).
  • Correlation of epithelial-to-mesenchymal-like transition (EMT) characteristics with tumor stage in human tissues.

Main Results:

  • Tumor cell lines insensitive to EGFR inhibition had lost E-cadherin and gamma-catenin, and exhibited mesenchymal markers.
  • Epithelial colorectal tumor cells were 7-fold more sensitive to EGFR inhibition than mesenchymal-like cells.
  • Loss of epithelial and gain of mesenchymal characteristics correlated with advanced tumor stage in pancreatic and colorectal cancers.

Conclusions:

  • EGFR inhibitor sensitivity is linked to epithelial characteristics; mesenchymal traits confer resistance.
  • A subset of patients with epithelial tumors is particularly sensitive to EGFR antagonists.
  • Combination therapy with EGFR antagonists and agents targeting EMT may enhance sensitivity in advanced, mesenchymal-like tumors.

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