PIK3CA hotspot mutations differentially impact responses to MET targeting in MET-driven and non-driven preclinical
Lluís Nisa1,2,3, Pascal Häfliger4, Michaela Poliaková5,6
1Department of Clinical Research, Inselspital, Bern University Hospital, and University of Bern, 3008, Bern, Switzerland. lluis.nisa@dkf.unibe.ch.
Background:
The MET receptor tyrosine kinase represents a promising target in cancer. PIK3CA activating mutations are common in several tumor types and can potentially confer resistance to anti-receptor tyrosine kinase therapy.
Methods:
MET and/or PI3K pathway inhibition was assessed in NIH3T3 cells harboring MET-activating point mutation with or without ectopic expression of PIK3CAE545K and PIK3CAH1047R, as well as in MET-expressing head and neck cancer cells with endogenous PIK3CA mutations. Endpoints included PI3K pathway activation, cell proliferation, colony-forming ability, cell death, wound-healing, and an in vivo model.
Results:
PIK3CAE545K and PIK3CAH1047R confer resistance to MET inhibition in MET-driven models. PIK3CAH1047R was more potent than PIK3CAE545K at inducing resistance in PI3K pathway activation, cell proliferation, colony-forming ability, induction of cell death and wound-healing upon MET inhibition. Resistance to MET inhibition could be synergistically overcome by co-targeting PI3K. Furthermore, combined MET/PI3K inhibition led to enhanced anti-tumor activity in vivo in tumors harboring PIK3CAH1047R. In head and neck cancer cells the combination of MET/PI3K inhibitors led to more-than-additive effects.
Conclusions:
PIK3CA mutations can lead to resistance to MET inhibition, supporting future clinical evaluation of combinations of PI3K and MET inhibitors in common scenarios of malignant neoplasms featuring aberrant MET expression and PIK3CA mutations.
Insights
Activating PIK3CA mutations confer resistance to MET inhibitors in cancer. Combining PI3K and MET inhibitors overcomes this resistance, showing enhanced anti-tumor effects in preclinical models.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- The MET receptor tyrosine kinase is a key target in cancer therapy.
- Activating mutations in PIK3CA are prevalent in various cancers and can cause resistance to MET-targeted treatments.
Purpose of the Study:
- To investigate the role of PIK3CA mutations in resistance to MET inhibition.
- To evaluate the efficacy of combined MET and PI3K pathway inhibition in overcoming this resistance.
Main Methods:
- Assessed MET and/or PI3K pathway inhibition in cell models with MET-activating mutations and PIK3CA mutations (E545K, H1047R).
- Evaluated endpoints including PI3K pathway activation, cell proliferation, colony formation, cell death, wound healing, and an in vivo tumor model.
- Utilized head and neck cancer cells with endogenous PIK3CA mutations.
Main Results:
- PIK3CA mutations (E545K and H1047R) conferred resistance to MET inhibition in MET-driven cancer models.
- PIK3CA H1047R demonstrated greater resistance induction than E545K.
- Combined MET and PI3K inhibition synergistically overcame resistance and enhanced anti-tumor activity in vivo, particularly in tumors with PIK3CA H1047R mutations. Effects were more than additive in head and neck cancer cells.
Conclusions:
- PIK3CA mutations are a significant mechanism of resistance to MET inhibitors.
- Combination therapy targeting both PI3K and MET pathways holds promise for treating cancers with aberrant MET expression and PIK3CA mutations.
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