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Published on: June 26, 2019
High cyclin D3 expression confers erlotinib resistance in aerodigestive tract cancer
W Jeffrey Petty1, William R Voelzke, James J Urbanic
1Department of Medicine, Wake Forest University Health Sciences, Winston-Salem, NC, USA. wpetty@wfubmc.edu
Background:
Prior studies highlighted cyclin D1 as a key biomarker of response to epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors. This study builds on prior work by examining the roles of cyclin D1, cyclin D3, and cyclin E in mediating erlotinib sensitivity or resistance.
Methods:
Expression plasmids for G1 cyclins were independently transfected into NIH 3T3 cells and effects on erlotinib sensitivity were examined. The expression profiles of G1 cyclins were compared in erlotinib-sensitive and erlotinib-resistant lung cancer cell lines. A549 and H358 cells were treated with erlotinib and changes in cyclin protein expression were assessed. Cyclin D3 immunohistochemical staining was measured in biopsy tissues obtained from patients before and after treatment with erlotinib. Erlotinib-sensitive lung cancer cells were transfected with cyclin D3 and changes in erlotinib sensitivity were examined.
Results:
Individual transfection of cyclin D1, cyclin D3, and cyclin E expression plasmids each significantly reduced erlotinib sensitivity in NIH-3T3 cells. The erlotinib-resistant A549 cell line expressed high basal levels of cyclin D3 mRNA and protein. Comparison of tumor biopsies obtained from patients before and after treatment with erlotinib indicated an increase in the percentage of cancer cells expressing cyclin D3 following treatment with erlotinib (P=.02). Transfection of cyclin D3 into an erlotinib-sensitive lung cancer cell line inhibited erlotinib-induced signaling changes and reduced the growth-suppressive effects of erlotinib.
Conclusions:
High expression of cyclin D3 confers resistance to erlotinib in vitro and in vivo. Cyclin D3 immunohistochemical staining warrants investigation as a biomarker for predicting erlotinib resistance.
Insights
High cyclin D3 expression confers resistance to erlotinib, a tyrosine kinase inhibitor. Cyclin D3 may serve as a predictive biomarker for erlotinib resistance in cancer patients.
Area of Science:
- Molecular Biology
- Cancer Research
- Pharmacology
Background:
- Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) are crucial in cancer therapy.
- Cyclin D1 was previously identified as a biomarker for TKI response.
- This study investigates the roles of cyclin D1, D3, and E in erlotinib resistance.
Purpose of the Study:
- To determine the role of G1 cyclins (D1, D3, E) in mediating sensitivity or resistance to erlotinib.
- To evaluate cyclin D3 as a potential biomarker for predicting erlotinib resistance.
Main Methods:
- Transfection of G1 cyclin expression plasmids into NIH 3T3 cells to assess erlotinib sensitivity.
- Comparison of G1 cyclin expression in erlotinib-sensitive and resistant lung cancer cell lines.
- Analysis of cyclin D3 expression in patient tumor biopsies before and after erlotinib treatment.
Main Results:
- Transfection of cyclin D1, D3, or E reduced erlotinib sensitivity in NIH 3T3 cells.
- Erlotinib-resistant cells exhibited high basal cyclin D3 mRNA and protein levels.
- Increased cyclin D3 expression was observed in patient tumors post-erlotinib treatment (P=.02).
- Cyclin D3 transfection into sensitive cells inhibited erlotinib's effects.
Conclusions:
- High cyclin D3 expression confers resistance to erlotinib both in vitro and in vivo.
- Cyclin D3 immunohistochemical staining is a promising biomarker for predicting erlotinib resistance.
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