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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
MYC expression and fatty acid oxidation in EGFR-TKI acquired resistance
GuoSheng Wang1, Tao Li2, Yuan Wan3
1Department of Pulmonary and Critical Care Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China; The Pq Laboratory of Micro/Nano BiomeDx, Department of Biomedical Engineering, Binghamton University-SUNY, Binghamton, NY 13902, United States.
Abstract:
This report expands on our previous research, highlighting a unique inverse correlation between MYC expression in tumor cells and immune cells during the development of EGFR-TKI resistance. It is observed that MYC expression and fatty acid oxidation (FAO) metabolism in tissue-resident memory (TRM) CD8 + T cells are significantly impaired. These findings offer new insights into the mechanisms of TKI resistance. Although the study is preliminary, it suggests caution when interpreting the effectiveness of MYC inhibitors in reversing TKI resistance, especially when immune factors are not considered.
Insights
This study reveals an inverse link between MYC expression and immune cell function in EGFR-TKI resistance. Impaired MYC and fatty acid oxidation in T cells suggest caution with MYC inhibitors.
Area of Science:
- Oncology
- Immunology
- Metabolism
Background:
- Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitors (EGFR-TKIs) are crucial in cancer therapy.
- Acquired resistance to EGFR-TKIs remains a significant clinical challenge.
- The role of MYC oncogene and immune cell metabolism in resistance is not fully understood.
Purpose of the Study:
- To investigate the correlation between MYC expression and immune cell function during EGFR-TKI resistance.
- To explore the metabolic status of T cells in the context of acquired resistance.
- To assess the potential of targeting MYC for overcoming TKI resistance.
Main Methods:
- Analysis of MYC expression in tumor and immune cells from patients with EGFR-TKI resistance.
- Assessment of fatty acid oxidation (FAO) metabolism in tissue-resident memory (TRM) CD8+ T cells.
- Correlation studies between MYC levels, immune cell function, and TKI response.
Main Results:
- A unique inverse correlation was identified between MYC expression in tumor cells and immune cells.
- Significantly impaired MYC expression and FAO metabolism were observed in TRM CD8+ T cells.
- These alterations in immune cell metabolism are linked to the development of EGFR-TKI resistance.
Conclusions:
- MYC dysregulation and impaired T cell metabolism are implicated in EGFR-TKI resistance mechanisms.
- Findings suggest that immune factors must be considered when evaluating MYC inhibitors for TKI resistance.
- Further research is needed to validate these preliminary findings and explore therapeutic strategies.
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