FGF2-FGFR1 pathway activation together with thymidylate synthase upregulation is induced in pemetrexed-resistant lung

Kentaro Miura1, Takaaki Oba1, Kazutoshi Hamanaka1

  • 1Division of Breast, Endocrine and Respiratory Surgery, Department of Surgery (II), Shinshu University School of Medicine, Matsumoto, Japan.

Oncotarget
|March 7, 2019
PubMed

Insights

This study reveals the fibroblast growth factor 2 (FGF2) and FGF receptor 1 (FGFR1) pathway contributes to pemetrexed resistance in non-small cell lung cancer. Inhibiting this pathway can restore sensitivity, highlighting a potential therapeutic target.

Area of Science:

  • Molecular Biology
  • Oncology
  • Cancer Research

Background:

  • Pemetrexed (MTA) is a key antifolate drug for non-small cell lung cancer (NSCLC).
  • Mechanisms of pemetrexed resistance in NSCLC remain incompletely understood.
  • Understanding resistance is crucial for improving treatment efficacy.

Purpose of the Study:

  • To investigate the molecular mechanisms underlying pemetrexed resistance in NSCLC.
  • To identify novel pathways involved in pemetrexed resistance.
  • To explore potential therapeutic strategies targeting these pathways.

Main Methods:

  • Establishment of pemetrexed-resistant NSCLC cell lines (PC9-MTA, H1993-MTA).
  • Microarray analysis for gene expression profiling.
  • Confirmation of gene and protein expression using Western blotting, ELISA, and RT-PCR.
  • Functional studies involving siRNA-mediated knockdown and pharmacological inhibition (PD173074).

Main Results:

  • Enhanced expression of fibroblast growth factor 2 (FGF2) and FGF receptor 1 (FGFR1) was observed in resistant cell lines.
  • FGF2/FGFR1 inhibition partially restored pemetrexed sensitivity.
  • Specific effects on ERK phosphorylation and epithelial-mesenchymal transition (EMT) markers were cell-line dependent.
  • FGF2/FGFR1 pathway activation influences cell-specific alterations contributing to resistance.

Conclusions:

  • The FGF2-FGFR1 signaling pathway plays a significant role in mediating pemetrexed resistance in NSCLC.
  • Targeting the FGF2-FGFR1 pathway presents a potential strategy to overcome pemetrexed resistance.
  • The impact of FGF2-FGFR1 pathway activation on resistance mechanisms is influenced by intrinsic cancer cell characteristics.

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