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Published on: April 22, 2019
Cetuximab attenuates its cytotoxic and radiosensitizing potential by inducing fibronectin biosynthesis
Iris Eke1, Katja Storch, Mechthild Krause
1Authors' Affiliations: OncoRay-National Center for Radiation Research in Oncology; Department of Radiation Oncology, Medical Faculty Carl Gustav Carus, Technische Universität Dresden; German Cancer Consortium (DKTK); German Cancer Research Center (DKFZ); and Institute of Radiooncology, Helmholtz Center Dresden-Rossendorf, Dresden, Germany.
Abstract:
Inherent and acquired resistance to targeted therapeutics continues to emerge as a major clinical obstacle. For example, resistance to EGF receptor targeting occurs commonly, more so than was expected, on the basis of preclinical work. Given emerging evidence that cancer cell-substrate interactions are important determinants of therapeutic sensitivity, we examined the impact of cell-fibronectin interactions on the efficacy of the EGF receptor antibody cetuximab, which is used widely for lung cancer treatment. Our results revealed the potential for cell-fibronectin interactions to induce radioresistance of human non-small cell lung cancer cells. Cell adhesion to fibronectin enhanced tumor cell radioresistance and attenuated the cytotoxic and radiosensitizing effects of cetuximab. Both in vitro and in vivo, we found that cetuximab treatment led to a remarkable induction of fibronectin biosynthesis. Mechanistic analyses revealed the induction was mediated by a p38-MAPK-ATF2 signaling pathway and that RNAi-mediated inhibition of fibronectin could elevate the cytotoxic and radiosensitizing potential of cetuximab. Taken together, our findings show how cell adhesion blunts cetuximab, which, by inducing fibronectin, generates a self-attenuating mechanism of drug resistance.
Insights
Cell adhesion to fibronectin can cause resistance to lung cancer drug cetuximab. This interaction boosts fibronectin production, creating a self-defeating resistance mechanism against the targeted therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Acquired resistance to targeted therapies is a significant clinical challenge.
- Epidermal Growth Factor Receptor (EGFR) inhibitors, like cetuximab, are widely used for lung cancer treatment.
- Cancer cell-substrate interactions influence therapeutic sensitivity.
Purpose of the Study:
- To investigate the impact of cell-fibronectin interactions on cetuximab efficacy in non-small cell lung cancer (NSCLC).
- To elucidate the mechanisms by which cell adhesion affects EGFR-targeted therapy response.
Main Methods:
- In vitro and in vivo studies using human NSCLC cells.
- Assessing the effects of cell adhesion to fibronectin on radioresistance and cetuximab sensitivity.
- Analyzing fibronectin biosynthesis induction by cetuximab.
- Investigating the role of the p38-MAPK-ATF2 signaling pathway.
- Utilizing RNA interference (RNAi) to inhibit fibronectin expression.
Main Results:
- Cell adhesion to fibronectin promoted radioresistance in NSCLC cells.
- Fibronectin interactions attenuated the cytotoxic and radiosensitizing effects of cetuximab.
- Cetuximab treatment induced significant fibronectin biosynthesis.
- This induction was mediated by the p38-MAPK-ATF2 pathway.
- Inhibiting fibronectin with RNAi enhanced cetuximab's efficacy.
Conclusions:
- Cell adhesion to fibronectin blunts the effectiveness of cetuximab in lung cancer.
- Cetuximab treatment induces fibronectin production, creating a self-attenuating resistance mechanism.
- Targeting cell-fibronectin interactions or fibronectin biosynthesis may overcome cetuximab resistance.
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