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Establishing Dual Resistance to EGFR-TKI and MET-TKI in Lung Adenocarcinoma Cells In Vitro with a 2-step Dose-escalation Procedure
Published on: August 11, 2017
DOK2 inhibits EGFR-mutated lung adenocarcinoma
Alice H Berger1, Ming Chen, Alessandro Morotti
1Cancer Genetics Program, Beth Israel Deaconess Cancer Center, Departments of Medicine and Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America.
Abstract:
Somatic mutations in the EGFR proto-oncogene occur in ~15% of human lung adenocarcinomas and the importance of EGFR mutations for the initiation and maintenance of lung cancer is well established from mouse models and cancer therapy trials in human lung cancer patients. Recently, we identified DOK2 as a lung adenocarcinoma tumor suppressor gene. Here we show that genomic loss of DOK2 is associated with EGFR mutations in human lung adenocarcinoma, and we hypothesized that loss of DOK2 might therefore cooperate with EGFR mutations to promote lung tumorigenesis. We tested this hypothesis using genetically engineered mouse models and find that loss of Dok2 in the mouse accelerates lung tumorigenesis initiated by oncogenic EGFR, but not that initiated by mutated Kras. Moreover, we find that DOK2 participates in a negative feedback loop that opposes mutated EGFR; EGFR mutation leads to recruitment of DOK2 to EGFR and DOK2-mediated inhibition of downstream activation of RAS. These data identify DOK2 as a tumor suppressor in EGFR-mutant lung adenocarcinoma.
Insights
Loss of DOK2, a tumor suppressor, accelerates EGFR-driven lung adenocarcinoma. DOK2 normally inhibits RAS signaling, opposing mutated EGFR, and its loss promotes lung cancer growth.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Somatic mutations in the Epidermal Growth Factor Receptor (EGFR) proto-oncogene are prevalent in lung adenocarcinomas.
- EGFR mutations are critical drivers for lung cancer initiation and progression.
- DOK2 has been recently identified as a potential tumor suppressor gene in lung adenocarcinoma.
Purpose of the Study:
- To investigate the association between DOK2 loss and EGFR mutations in human lung adenocarcinoma.
- To determine if DOK2 loss cooperates with EGFR mutations in promoting lung tumorigenesis.
- To elucidate the mechanism by which DOK2 loss impacts EGFR-mutant lung cancer.
Main Methods:
- Analysis of genomic DOK2 loss in human lung adenocarcinoma samples.
- Utilizing genetically engineered mouse models to test the hypothesis in vivo.
- Investigating the molecular interaction between DOK2 and mutated EGFR signaling pathways.
Main Results:
- Genomic loss of DOK2 is significantly associated with EGFR mutations in human lung adenocarcinoma.
- Loss of DOK2 accelerates lung tumorigenesis driven by oncogenic EGFR in mouse models.
- Loss of DOK2 does not accelerate lung tumorigenesis initiated by mutated KRAS.
- DOK2 negatively regulates mutated EGFR signaling by inhibiting RAS activation.
- EGFR mutation leads to DOK2 recruitment to EGFR, mediating inhibition of RAS pathway.
Conclusions:
- DOK2 functions as a tumor suppressor in the context of EGFR-mutant lung adenocarcinoma.
- Loss of DOK2 cooperates with EGFR mutations to promote lung tumorigenesis.
- DOK2 plays a crucial role in a negative feedback loop opposing mutated EGFR signaling.
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