Simultaneously targeting ErbB family kinases and PI3K in HPV-positive head and neck squamous cell carcinoma

Zejia Yang1, Jipei Liao1, Lisa Schumaker1

  • 1Marlene and Stewart Greenebaum Comprehensive Cancer Center, University of Maryland School of Medicine, Baltimore, MD, USA.

Oral Oncology
|June 6, 2022
PubMed
Abstract

Insights

The combination of Afatinib and Copanlisib effectively inhibits proliferation and induces apoptosis in HPV-positive head and neck squamous cell carcinoma (HNSCC). This dual therapy targets both ErbB and PI3K pathways, offering a promising treatment strategy for HNSCC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Human papillomavirus (HPV)-positive head and neck squamous cell carcinoma (HNSCC) remains a significant health challenge.
  • Targeting key signaling pathways like PI3K and EGFR is crucial for effective cancer treatment.

Purpose of the Study:

  • To determine the most effective PI3K and EGFR inhibitors for HPV-positive HNSCC.
  • To evaluate the combined efficacy of an ErbB family kinase inhibitor and a PI3K inhibitor against HPV-positive HNSCC cell proliferation.

Main Methods:

  • HPV-positive HNSCC cell lines were treated with Afatinib (ErbB inhibitor) and Copanlisib (PI3K inhibitor) alone and in combination.
  • Cell proliferation, apoptosis, and protein phosphorylation were assessed using MTS assays, flow cytometry, and Western blot analysis.

Main Results:

  • Copanlisib demonstrated superior inhibition of cell proliferation compared to other PI3K inhibitors.
  • The combination of Afatinib and Copanlisib significantly suppressed cell proliferation and induced apoptosis more effectively than either agent alone.
  • Combined treatment completely blocked EGFR, HER2, HER3, and Akt phosphorylation and reduced HPV E7 expression.

Conclusions:

  • Afatinib and Copanlisib combination therapy is more effective in suppressing cell proliferation and enhancing survival in HPV-positive HNSCC than monotherapy.
  • This combination strategy presents a promising therapeutic approach for HPV-positive HNSCC by targeting critical oncogenic pathways.

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