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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
Semaphorin 7A promotes EGFR-TKI resistance in EGFR mutant lung adenocarcinoma cells
Yuhei Kinehara1,2,3, Izumi Nagatomo2, Shohei Koyama1,2,3
1Department of Immunopathology, World Premier International Research Center, Immunology Frontier Research Center, Osaka University, Suita, Osaka, Japan.
Abstract:
Although responses to EGFR tyrosine kinase inhibitors (EGFR-TKIs) are initially positive, 30%-40% of patients with EGFR-mutant tumors do not respond well to EGFR-TKIs, and most lung cancer patients harboring EGFR mutations experience relapse with resistance. Therefore, it is necessary to identify not only the mechanisms underlying EGFR-TKI resistance, but also potentially novel therapeutic targets and/or predictive biomarkers for EGFR-mutant lung adenocarcinoma. We found that the GPI-anchored protein semaphorin 7A (SEMA7A) is highly induced by the EGFR pathway, via mTOR signaling, and that expression levels of SEMA7A in human lung adenocarcinoma specimens were correlated with mTOR activation. Investigations using cell culture and animal models demonstrated that loss or overexpression of SEMA7A made cells less or more resistant to EGFR-TKIs, respectively. The resistance was due to the inhibition of apoptosis by aberrant activation of ERK. The ERK signal was suppressed by knockdown of integrin β1 (ITGB1). Furthermore, in patients with EGFR mutant tumors, higher SEMA7A expression in clinical samples predicted poorer response to EGFR-TKI treatment. Collectively, these data show that the SEMA7A-ITGB1 axis plays pivotal roles in EGFR-TKI resistance mediated by ERK activation and apoptosis inhibition. Moreover, our results reveal the potential utility of SEMA7A not only as a predictive biomarker, but also as a potentially novel therapeutic target in EGFR-mutant lung adenocarcinoma.
Insights
Semaphorin 7A (SEMA7A) drives resistance to EGFR tyrosine kinase inhibitors (EGFR-TKIs) in lung cancer by inhibiting apoptosis via ERK activation. SEMA7A may serve as a predictive biomarker and therapeutic target for EGFR-mutant lung adenocarcinoma.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- EGFR tyrosine kinase inhibitors (EGFR-TKIs) show initial efficacy in EGFR-mutant lung adenocarcinoma but are often limited by resistance.
- A significant portion of patients (30-40%) exhibit poor response or relapse due to acquired resistance.
- Identifying mechanisms of resistance and novel therapeutic targets is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate the role of semaphorin 7A (SEMA7A) in EGFR-TKI resistance in EGFR-mutant lung adenocarcinoma.
- To elucidate the signaling pathways involved in SEMA7A-mediated resistance.
- To evaluate SEMA7A as a potential predictive biomarker and therapeutic target.
Main Methods:
- Analysis of SEMA7A expression in human lung adenocarcinoma specimens and correlation with mTOR activation.
- Cell culture and animal models to assess the impact of SEMA7A modulation on EGFR-TKI sensitivity.
- Investigation of the underlying molecular mechanisms, including apoptosis and ERK signaling pathways.
- Assessment of integrin β1 (ITGB1) involvement in SEMA7A-mediated resistance.
- Correlation of SEMA7A expression with clinical response to EGFR-TKI treatment.
Main Results:
- SEMA7A is highly induced by the EGFR pathway via mTOR signaling and its expression correlates with mTOR activation in lung adenocarcinoma.
- Loss of SEMA7A decreased EGFR-TKI resistance, while its overexpression increased resistance.
- SEMA7A-mediated resistance is associated with inhibited apoptosis due to aberrant ERK activation.
- Knockdown of integrin β1 (ITGB1) suppressed the ERK signaling pathway.
- Higher SEMA7A expression in clinical samples predicted poorer response to EGFR-TKI treatment.
Conclusions:
- The SEMA7A-ITGB1 axis plays a critical role in EGFR-TKI resistance in EGFR-mutant lung adenocarcinoma by activating ERK and inhibiting apoptosis.
- SEMA7A is a potential predictive biomarker for EGFR-TKI treatment response.
- SEMA7A represents a promising novel therapeutic target for overcoming EGFR-TKI resistance.
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