Interferon-alpha enhances the antitumour activity of EGFR-targeted therapies by upregulating RIG-I in head and neck squamous cell carcinoma.

Interferon-alpha enhances the antitumour activity of EGFR-targeted therapies by upregulating RIG-I in head and neck squamous cell carcinoma.
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干扰素-α 通过上调头颈鳞状细胞癌中的 RIG-I 增强 EGFR 靶向治疗的抗肿瘤活性

DOI:
10.1038/bjc.2017.442
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发表时间:
2018-02-20
影响因子:
8.8
通讯作者:
Hu J
Hu J
中科院分区:
医学1区
文献类型:
--
作者:
Ma H;Jin S;Yang W;Zhou G;Zhao M;Fang S;Zhang Z;Hu J

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背景:表皮生长因子受体(EGFR)靶向治疗已经在临床上用于头颈部鳞状细胞癌(HNSCC)的治疗。由于内在或获得性耐药,EGFR靶向治疗通常导致低应答率和治疗失败。干扰素-α(IFNα)是一种具有肿瘤抑制作用的化学增敏剂和多功能细胞因子。然而,IFNα和EGFR靶向治疗(厄洛替尼和尼妥珠单抗)的协同作用及其在HNSCC.Methods中的机制尚不清楚:IFNα,厄洛替尼和尼妥珠单抗之间的相互作用在体外HNSCC细胞中进行了评估。使用裸小鼠HNSCC异种移植物在体内进一步证实了IFNα(20 000 IU/天,皮下)、厄洛替尼(50 mg kg-1/天,IG)和尼妥珠单抗(10 mg kg-1/天,ip)的协同作用。结果:IFNα能增强厄洛替尼和尼妥珠单抗对HNSCC细胞的体内、外抗肿瘤作用。重要的是,IFNα和EGFR靶向治疗均通过激活HNSCC细胞中的信号转导和转录激活因子1(STAT 1)促进RIG-I的表达。RIG-I敲低降低了HN 4和HN 30细胞对IFNα、厄洛替尼和尼妥珠单抗的敏感性。结论:IFNα通过上调RIG-I的表达增强EGFR靶向治疗的疗效,其表达可作为联合治疗HNSCC疗效的预测指标。
Background:The epidermal growth factor receptor (EGFR)-targeted therapies have been tested in the clinic as treatments for head and neck squamous cell carcinoma (HNSCC). Owing to intrinsic or acquired resistance, EGFR-targeted therapies often lead to a low response rate and treatment failure. Interferon-alpha (IFNα) is a chemosensitising agent and multi-functional cytokine with a tumour inhibitory effect. However, the synergic effect of IFNα and EGFR-targeted therapies (erlotinib and nimotuzumab) and their mechanisms in HNSCC remain unclear.Methods:The interactions between IFNα, erlotinib, and nimotuzumab were evaluated in vitro in HNSCC cells. The synergistic effect of IFNα (20 000 IU per day, sc), erlotinib (50 mg kg− 1 per day, ig) and nimotuzumab (10 mg kg− 1 per day, ip) was further confirmed in vivo using HNSCC xenografts in nude mice. The upregulation of retinoic-acid inducible gene I (RIG-I) induced by IFNα and EGFR-targeted therapies and its mechanism were detected in vitro and in vivo.Results:IFNα enhances the antitumour effects of erlotinib and nimotuzumab on HNSCC cells both in vitro and in vivo. Importantly, both IFNα and EGFR-targeted therapies promote the expression of RIG-I by activating signal transducers and activators of transcription 1 (STAT1) in HNSCC cells. RIG-I knockdown reduced the sensitivity of HN4 and HN30 cells to IFNα, erlotinib, and nimotuzumab. Moreover, IFNα transcriptionally induced RIG-I expression in HNSCC cells through STAT1.Conclusions:IFNα enhances the effect of EGFR-targeted therapies by upregulating RIG-I, and its expression may represent a predictor of the effectiveness of a combination treatment including IFNα in HNSCC.
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