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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
Loss of p120ctn causes EGFR-targeted therapy resistance and failure
Mary E Landmesser1, Wesley M Raup-Konsavage2, Heather L Lehman3
1Department of Pathology, The Pennsylvania State University College of Medicine, Hershey, Pennsylvania, United States of America.
Abstract:
Epidermal growth factor receptor (EGFR) plays a vital role in cell division and survival signaling pathways. EGFR is activated in nearly every cancer type, and its high expression in tumors is correlated with poor patient outcome. Altogether, EGFR is a prime candidate as a therapeutic target. While targeted EGFR therapy is initially effective in 75% of patients, a majority of patients relapse within the first year due to poorly understood mechanisms of resistance. p120-catenin (p120ctn) has recently been implicated as a biomarker for EGFR therapy. In previous studies, we demonstrated that p120ctn is a tumor suppressor and its loss is capable of inducing cancer. Furthermore, p120ctn down-regulation synergizes with EGFR overexpression to cause a highly invasive cell phenotype. The purpose of this present study was to investigate whether p120ctn down-regulation induced EGFR therapeutic resistance. Using human esophageal keratinocytes, we have found that EGFR-targeting compounds are toxic to cells overexpressing EGFR. Interestingly, these therapies do not cause toxicity in cells with EGFR overexpression and decreased p120ctn expression. These data suggest that decreased p120ctn causes resistance to EGFR therapy. We believe these findings are of utmost importance, as there is an unmet need to discover mechanisms of EGFR resistance.
Insights
Decreased p120-catenin (p120ctn) expression causes resistance to epidermal growth factor receptor (EGFR) therapies. This finding is crucial for understanding and overcoming EGFR resistance in cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Epidermal growth factor receptor (EGFR) is crucial for cell division and survival, and its activation in cancer correlates with poor outcomes.
- Targeted EGFR therapy shows initial efficacy but often fails due to resistance mechanisms, highlighting an unmet clinical need.
- p120-catenin (p120ctn) is implicated as a biomarker for EGFR therapy, with its loss potentially inducing cancer and promoting invasiveness.
Purpose of the Study:
- To investigate if reduced p120-catenin expression contributes to resistance against EGFR-targeted therapies.
- To explore the role of p120ctn in the context of EGFR overexpression and therapeutic response.
Main Methods:
- Utilized human esophageal keratinocytes for experimental models.
- Administered EGFR-targeting compounds to cells with varying levels of EGFR and p120ctn expression.
Main Results:
- EGFR-targeting compounds effectively reduced cell viability in cells overexpressing EGFR.
- These therapies failed to induce toxicity in cells with both EGFR overexpression and decreased p120ctn expression.
- Data indicate that reduced p120ctn expression confers resistance to EGFR-targeted therapy.
Conclusions:
- Decreased p120ctn expression is a key mechanism driving resistance to EGFR-targeted therapies.
- These findings are vital for developing strategies to overcome therapeutic resistance in EGFR-driven cancers.
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