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Yeast As a Chassis for Developing Functional Assays to Study Human P53
Published on: August 4, 2019
p53 modulates acquired resistance to EGFR inhibitors and radiation
Shyhmin Huang1, Sergio Benavente, Eric A Armstrong
1Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 53792, USA.
Abstract:
There is presently great interest in mechanisms of acquired resistance to epidermal growth factor receptor (EGFR) inhibitors that are now being used widely in the treatment of a variety of common human cancers. To investigate these mechanisms, we established EGFR inhibitor-resistant clones from non-small cell lung cancer cells. A comparative analysis revealed that acquired resistance to EGFR inhibitors was associated consistently with the loss of p53 and cross-resistance to radiation. To examine the role of p53, we first knocked down p53 in sensitive parental cells and found a reduction in sensitivity to both EGFR inhibitors and radiation. Conversely, restoration of functional p53 in EGFR inhibitor-resistant cells was sufficient to resensitize them to EGFR inhibitors or radiation in vitro and in vivo. Further studies indicate that p53 may enhance sensitivity to EGFR inhibitors and radiation via induction of cell-cycle arrest, apoptosis, and DNA damage repair. Taken together, these findings suggest a central role of p53 in the development of acquired resistance to EGFR inhibitors and prompt consideration to apply p53 restoration strategies in future clinical trials that combine EGFR inhibitors and radiation.
Insights
Restoring the tumor suppressor p53 can overcome acquired resistance to epidermal growth factor receptor (EGFR) inhibitors and radiation in cancer. This finding suggests p53 restoration as a potential therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Epidermal growth factor receptor (EGFR) inhibitors are widely used to treat various cancers.
- Acquired resistance to these therapies is a significant clinical challenge.
- Understanding resistance mechanisms is crucial for improving cancer treatment outcomes.
Purpose of the Study:
- To investigate the mechanisms of acquired resistance to EGFR inhibitors.
- To determine the role of the p53 tumor suppressor protein in this resistance.
- To explore p53 restoration as a strategy to overcome resistance.
Main Methods:
- Established EGFR inhibitor-resistant cancer cell lines (non-small cell lung cancer).
- Utilized p53 knockdown and restoration experiments.
- Assessed sensitivity to EGFR inhibitors and radiation in vitro and in vivo.
Main Results:
- Acquired resistance to EGFR inhibitors was consistently associated with p53 loss and cross-resistance to radiation.
- p53 knockdown reduced sensitivity to both EGFR inhibitors and radiation.
- Restoring p53 resensitized resistant cells to EGFR inhibitors and radiation.
Conclusions:
- p53 plays a central role in acquired resistance to EGFR inhibitors and radiation.
- p53 may enhance sensitivity through cell-cycle arrest, apoptosis, and DNA repair.
- p53 restoration strategies warrant consideration in clinical trials combining EGFR inhibitors and radiation.
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