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Published on: September 30, 2016
Inhibition of insulin-like growth factor-1 receptor enhances eribulin-induced DNA damage in colorectal cancer
Tomoyasu Yoshihiro1, Hiroshi Ariyama2, Kyoko Yamaguchi2
1Department of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Abstract:
Microtubule targeting agents (MTAs) such as taxanes are broadly used for the treatment of patients with cancer. Although MTAs are not effective for treatment of colorectal cancer (CRC), preclinical studies suggest that a subset of patients with CRC, especially those with cancers harboring the BRAF mutation, could benefit from such agents. However, two MTAs, eribulin (Eri) and vinorelbine, have shown limited clinical efficacy. Here, we report that insulin-like growth factor 1 receptor (IGF-1R) signaling is involved in Eri resistance. Using CRC cell lines, we showed that Eri induces activation and subsequent translocation of IGF-1R to the nucleus. When the activation and/or nuclear translocation of IGF-1R was inhibited, Eri induced DNA damage and enhanced G2 /M arrest. In a xenograft model using the Eri-resistant SW480 cell line, the combination of Eri and the IGF-1R inhibitor linsitinib suppressed tumor growth more efficiently than either single agent. Thus, our results indicated that combination dosing with Eri and an IGF-1R inhibitor could overcome Eri resistance and offer a therapeutic opportunity in CRC.
Insights
Microtubule targeting agents show limited efficacy in colorectal cancer (CRC). Targeting insulin-like growth factor 1 receptor (IGF-1R) signaling overcomes resistance to eribulin (Eri) in CRC, offering a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Microtubule targeting agents (MTAs) are vital cancer treatments, but ineffective for colorectal cancer (CRC).
- Preclinical data suggest BRAF-mutated CRC may respond to MTAs, yet clinical efficacy is limited for agents like eribulin (Eri).
- Insulin-like growth factor 1 receptor (IGF-1R) signaling is implicated in resistance to cancer therapies.
Purpose of the Study:
- To investigate the role of IGF-1R signaling in eribulin (Eri) resistance in colorectal cancer (CRC).
- To determine if inhibiting IGF-1R can enhance the efficacy of Eri in CRC models.
Main Methods:
- Utilized colorectal cancer (CRC) cell lines and a xenograft model.
- Investigated the activation and nuclear translocation of insulin-like growth factor 1 receptor (IGF-1R) induced by eribulin (Eri).
- Assessed the effects of inhibiting IGF-1R activation/translocation on Eri-induced DNA damage and cell cycle arrest.
- Evaluated the combined efficacy of Eri and the IGF-1R inhibitor linsitinib in a xenograft model.
Main Results:
- Eribulin (Eri) treatment activated and promoted nuclear translocation of insulin-like growth factor 1 receptor (IGF-1R) in CRC cells.
- Inhibition of IGF-1R activation or nuclear translocation potentiated Eri-induced DNA damage and G2/M phase arrest.
- Combination therapy with Eri and linsitinib significantly suppressed tumor growth in an Eri-resistant CRC xenograft model.
Conclusions:
- Insulin-like growth factor 1 receptor (IGF-1R) signaling mediates resistance to eribulin (Eri) in colorectal cancer (CRC).
- Combining eribulin (Eri) with an IGF-1R inhibitor represents a promising strategy to overcome treatment resistance in CRC.
- This combination therapy offers a potential new therapeutic avenue for colorectal cancer patients.
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