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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
Epidermal growth factor receptor (EGFR) signaling regulates global metabolic pathways in EGFR-mutated lung
Abstract:
Genetic mutations in tumor cells cause several unique metabolic phenotypes that are critical for cancer cell proliferation. Mutations in the tyrosine kinase epidermal growth factor receptor (EGFR) induce oncogenic addiction in lung adenocarcinoma (LAD). However, the linkage between oncogenic mutated EGFR and cancer cell metabolism has not yet been clearly elucidated. Here we show that EGFR signaling plays an important role in aerobic glycolysis in EGFR-mutated LAD cells. EGFR-tyrosine kinase inhibitors (TKIs) decreased lactate production, glucose consumption, and the glucose-induced extracellular acidification rate (ECAR), indicating that EGFR signaling maintained aerobic glycolysis in LAD cells. Metabolomic analysis revealed that metabolites in the glycolysis, pentose phosphate pathway (PPP), pyrimidine biosynthesis, and redox metabolism were significantly decreased after treatment of LAD cells with EGFRTKI. On a molecular basis, the glucose transport carried out by glucose transporter 3 (GLUT3) was downregulated in TKI-sensitive LAD cells. Moreover, EGFR signaling activated carbamoyl-phosphate synthetase 2, aspartate transcarbamylase, and dihydroorotase (CAD), which catalyzes the first step in de novo pyrimidine synthesis. We conclude that EGFR signaling regulates the global metabolic pathway in EGFR-mutated LAD cells. Our data provide evidence that may link therapeutic response to the regulation of metabolism, which is an attractive target for the development of more effective targeted therapies to treat patients with EGFR-mutated LAD.
Insights
EGFR signaling drives aerobic glycolysis and pyrimidine synthesis in lung adenocarcinoma. EGFR-tyrosine kinase inhibitors disrupt these metabolic pathways, offering new therapeutic targets for EGFR-mutated LAD.
Area of Science:
- Oncology
- Cancer Metabolism
- Molecular Biology
Background:
- Genetic mutations in tumor cells create unique metabolic phenotypes essential for cancer cell proliferation.
- Mutations in the epidermal growth factor receptor (EGFR) tyrosine kinase are common in lung adenocarcinoma (LAD) and lead to oncogenic addiction.
- The precise relationship between mutated EGFR signaling and cancer cell metabolism remains unclear.
Purpose of the Study:
- To investigate the role of EGFR signaling in regulating aerobic glycolysis and other metabolic pathways in EGFR-mutated LAD cells.
- To elucidate the molecular mechanisms by which EGFR signaling influences cancer cell metabolism.
- To explore the potential of targeting metabolic pathways for improved therapeutic strategies in EGFR-mutated LAD.
Main Methods:
- Treatment of EGFR-mutated LAD cells with EGFR-tyrosine kinase inhibitors (TKIs).
- Measurement of metabolic parameters including lactate production, glucose consumption, and extracellular acidification rate (ECAR).
- Comprehensive metabolomic analysis to identify changes in key metabolic pathways (glycolysis, pentose phosphate pathway, pyrimidine biosynthesis, redox metabolism).
- Assessment of glucose transporter 3 (GLUT3) and carbamoyl-phosphate synthetase 2, aspartate transcarbamylase, and dihydroorotase (CAD) expression and activity.
Main Results:
- EGFR-TKIs significantly decreased lactate production, glucose consumption, and ECAR, confirming EGFR signaling's role in maintaining aerobic glycolysis.
- Metabolomic analysis revealed reduced levels of key metabolites in glycolysis, pentose phosphate pathway, pyrimidine biosynthesis, and redox metabolism following TKI treatment.
- Downregulation of glucose transporter 3 (GLUT3) was observed in TKI-sensitive LAD cells.
- EGFR signaling was found to activate the CAD enzyme, a crucial step in de novo pyrimidine synthesis.
Conclusions:
- EGFR signaling is a key regulator of global metabolic pathways, including aerobic glycolysis and pyrimidine biosynthesis, in EGFR-mutated LAD cells.
- The findings link therapeutic response to EGFR-TKIs with the modulation of cancer cell metabolism.
- Targeting these EGFR-regulated metabolic pathways presents a promising strategy for developing more effective therapies for patients with EGFR-mutated LAD.
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