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Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays
Published on: September 19, 2018
Differential network analysis of ROS1 inhibitors reveals lorlatinib polypharmacology through co-targeting PYK2
Yi Liao1, Lily L Remsing Rix1, Xueli Li1
1Department of Drug Discovery, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL 33612, USA.
Abstract:
Multiple tyrosine kinase inhibitors (TKIs) are often developed for the same indication. However, their relative overall efficacy is frequently incompletely understood and they may harbor unrecognized targets that cooperate with the intended target. We compared several ROS1 TKIs for inhibition of ROS1-fusion-positive lung cancer cell viability, ROS1 autophosphorylation and kinase activity, which indicated disproportionately higher cellular potency of one TKI, lorlatinib. Quantitative chemical and phosphoproteomics across four ROS1 TKIs and differential network analysis revealed that lorlatinib uniquely impacted focal adhesion signaling. Functional validation using pharmacological probes, RNA interference, and CRISPR-Cas9 knockout uncovered a polypharmacology mechanism of lorlatinib by dual targeting ROS1 and PYK2, which form a multiprotein complex with SRC. Rational multi-targeting of this complex by combining lorlatinib with SRC inhibitors exhibited pronounced synergy. Taken together, we show that systems pharmacology-based differential network analysis can dissect mixed canonical/non-canonical polypharmacology mechanisms across multiple TKIs enabling the design of rational drug combinations.
Insights
Lorlatinib shows superior potency against ROS1-positive lung cancer by uniquely inhibiting focal adhesion signaling. This tyrosine kinase inhibitor (TKI) targets both ROS1 and PYK2, suggesting novel combination therapies for lung cancer.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Multiple tyrosine kinase inhibitors (TKIs) exist for similar indications, but their comparative efficacy and off-target effects are often unclear.
- Unrecognized targets cooperating with intended targets can influence TKI efficacy in cancer treatment.
Purpose of the Study:
- To compare the cellular potency of various ROS1 TKIs against ROS1-fusion-positive lung cancer.
- To elucidate the underlying mechanisms of differential TKI efficacy and identify potential drug combination strategies.
Main Methods:
- Comparative analysis of ROS1 TKIs for cell viability, ROS1 autophosphorylation, and kinase activity.
- Quantitative chemical and phosphoproteomics coupled with differential network analysis.
- Functional validation via pharmacological probes, RNA interference, and CRISPR-Cas9 knockout.
Main Results:
- Lorlatinib demonstrated disproportionately higher cellular potency compared to other ROS1 TKIs.
- Lorlatinib uniquely impacted focal adhesion signaling, revealing a polypharmacology mechanism.
- Dual targeting of ROS1 and PYK2 by lorlatinib was identified, involving a complex with SRC.
- Combining lorlatinib with SRC inhibitors showed significant synergistic effects.
Conclusions:
- Systems pharmacology and network analysis can dissect complex polypharmacology mechanisms of TKIs.
- Lorlatinib's dual targeting of ROS1 and PYK2 offers a rationale for combination therapy in lung cancer.
- This approach enables the design of rational drug combinations for improved cancer treatment outcomes.
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