IGF-1R/epithelial-to-mesenchymal transition (EMT) crosstalk suppresses the erlotinib-sensitizing effect of EGFR exon 19 deletion mutations.

IGF-1R/epithelial-to-mesenchymal transition (EMT) crosstalk suppresses the erlotinib-sensitizing effect of EGFR exon 19 deletion mutations.
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DOI:
10.1038/srep02560
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发表时间:
2013
期刊:
影响因子:
4.6
通讯作者:
Menendez, Javier A.
Menendez, Javier A.
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Vazquez-Martin, Alejandro;Cufi, Silvia;Oliveras-Ferraros, Cristina;Zenobia Torres-Garcia, Violeta;Corominas-Faja, Bruna;Cuyas, Elisabet;Bonavia, Rosa;Visa, Joana;Martin-Castillo, Begona;Barrajon-Catalan, Enrique;Micol, Vicente;Bosch-Barrera, Joaquim;Menendez, Javier A.

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利用携带埃洛替尼敏感型表皮生长因子受体(EGFR)外显子19突变delE746-A750的非小细胞肺癌(NSCLC)细胞,我们开发了埃洛替尼耐药衍生物,其中高活性的胰岛素样生长因子-1受体(IGF-1R)信号与丰富的上皮向间充质转化(EMT)相关的形态和转录特征有关。然后,我们探讨了在没有第二位点EGFR突变、MET和Ax1过度激活的情况下,IGF-1R/EMT串扰是否足以促进厄洛替尼的难治性。在药物敏感的delE746-A750β突变存在的情况下,转化生长因子-β1(TGFEGFR 1)诱导的间质转分化足以阻碍厄洛替尼的功能。药物阻断胰岛素样生长因子-1R可完全阻止转化生长因子钙粘蛋白1‘S激活β蛋白信号的能力[E-钙粘蛋白低/波形蛋白高]。单独使用厄洛替尼能够在delE746-A750突变的上皮细胞中快速激活IGF-1R依赖的、波形蛋白丰富的间充质样表型。即使是暂时的,NSCLC细胞固有的可塑性经历IGF-1R和EMT信号通路之间的串扰可以充分消除高度流行的EGFR突变对厄洛替尼的增敏作用,并表明迫切需要双重IGF-1R/EMT靶向策略来规避厄洛替尼耐药性。
Using non-small cell lung carcinoma (NSCLC) cells harboring the erlotinib-sensitizing Epidermal Growth Factor Receptor (EGFR) exon 19 mutation delE746-A750, we developed erlotinib-refractory derivatives in which hyperactive Insulin-like Growth Factor-1 Receptor (IGF-1R) signaling associated with enrichment in epithelial-to-mesenchymal transition (EMT)-related morphological and transcriptional features. We then explored whether an IGF-1R/EMT crosstalk was sufficient to promote erlotinib refractoriness in the absence of second-site EGFR mutations, MET and AXL hyperactivation. Transforming Growth Factor-beta1 (TGFβ1)-induced mesenchymal trans-differentiation was sufficient to impede erlotinib functioning in the presence of drug-sensitive delE746-A750 EGFR mutation. Pharmacological blockade of IGF-1R fully prevented the TGFβ1's ability to activate an EMT protein signature [E-cadherin low/vimentin high]. The sole presence of erlotinib was capable of rapidly activate an IGF-1R-dependent, vimentin-enriched mesenchymal-like phenotype in delE746-A750-mutated epithelial cells. Even if transient, NSCLC cells' intrinsic plasticity to undergo crosstalk between IGF-1R and EMT signaling pathways can sufficiently eliminate the erlotinib-sensitizing effect of highly prevalent EGFR mutations and suggests the urgent need for dual IGF-1R/EMT-targeting strategies to circumvent erlotinib resistance.
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