Targeting SHP2 for EGFR inhibitor resistant non-small cell lung carcinoma

Jie Xu1, Li-Fan Zeng, Weihua Shen

  • 1Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, United States.

Insights

Targeting SHP2 offers a new strategy for non-small cell lung cancer (NSCLC) resistant to epidermal growth factor receptor (EGFR) inhibitors. SHP2 inhibition reduced tumor growth and signaling, showing promise for treating resistant NSCLC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Epidermal growth factor receptor (EGFR) inhibitors benefit non-small cell lung cancer (NSCLC) patients with activating EGFR mutations.
  • Acquired resistance to EGFR inhibitors, often due to secondary EGFR mutations like T790M, limits treatment efficacy.
  • SHP2 phosphatase plays a key role in growth factor receptor signaling pathways.

Purpose of the Study:

  • To investigate the therapeutic potential of targeting SHP2 in EGFR inhibitor-resistant NSCLC.
  • To determine if inhibiting SHP2 can overcome resistance mechanisms in NSCLC.

Main Methods:

  • Utilized the EGFR T790M/L858R double-mutant NSCLC cell line H1975.
  • Employed siRNA to deplete SHP2 and a specific SHP2 inhibitor (II-B08).
  • Assessed effects on EGF-stimulated ERK1/2 phosphorylation, cell proliferation, and tumor growth in xenograft mouse models.
  • Investigated combined inhibition of SHP2 and PI3K.

Main Results:

  • SHP2 is essential for EGF-stimulated ERK1/2 phosphorylation and proliferation in H1975 cells.
  • Treatment with the SHP2 inhibitor II-B08 mimicked the effects of SHP2 depletion, inhibiting H1975 cell growth and ERK1/2 activation.
  • II-B08 demonstrated significant anti-tumor activity in H1975 xenograft mouse models.
  • Combined SHP2 and PI3K inhibition synergistically reduced H1975 cell growth by impairing both ERK1/2 and PI3K/AKT signaling.

Conclusions:

  • Targeting SHP2 is a viable therapeutic strategy for EGFR inhibitor-resistant NSCLC.
  • SHP2 inhibition can overcome resistance mediated by secondary EGFR mutations.
  • Combined inhibition of SHP2 and PI3K may offer enhanced efficacy for treating resistant NSCLC.