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Polo-like kinase 1 inhibition diminishes acquired resistance to epidermal growth factor receptor inhibition in non-small cell lung cancer with T790M mutations

    作者

    Wang, YH;Singh, R;Wang, LG;Nilsson, M;Goonatilake, R;Tong, P;Li, LR;Giri, U;Villalobos, P;Mino, B;Rodriguez-Canales, J;Wistuba, I;Wang, J;Heymach, JV;Johnson, FM

    作者单位

    [Wang, Yuehong] Zhejiang Univ, Coll Med, Affiliated Hosp 1, Dept Resp Med, Hangzhou, Zhejiang, Peoples R China.;-;[Singh, Ratnakar; Nilsson, Monique; Goonatilake, Ruchitha; Giri, Uma; Wistuba, Ignacio; Heymach, John V.; Johnson, Faye M.] Univ Texas MD Anderson Canc Ctr, Dept Thorac Head & Neck Med Oncol, Houston, TX 77030 USA.;-;[Wang, Liguang] Shandong Univ, Prov Hosp, Inst Oncol, Jinan, Peoples R China.;-;[Tong, Pan; Li, Lerong; Wang, Jing] Univ Texas MD Anderson Canc Ctr, Dept Bioinformat & Computat Biol, Houston, TX 77030 USA.;-;[Villalobos, Pamela; Mino, Barbara; Rodriguez-Canales, Jaime; Wistuba, Ignacio] Univ Texas MD Anderson Canc Ctr, Dept Translat Mol Pathol, Houston, TX 77030 USA.;-;[Wistuba, Ignacio; Wang, Jing; Heymach, John V.; Johnson, Faye M.] Univ Texas Houston, Grad Sch Biomed Sci, Houston, TX 77030 USA.

    摘要

    Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) are effective against non-small cell lung cancer (NSCLC) with activating EGFR mutations, but resistance is inevitable. Mechanisms of acquired resistance include T790M mutations and epithelial-mesenchymal transition (EMT). One potential strategy for overcoming this resistance is the inhibition of polo-like kinase 1 (PLK1) based on our previous studies showing that mesenchymal NSCLC cell lines are more sensitive to PLK1 inhibition than epithelial cell lines. To determine the extent to which PLK1 inhibition overcomes EGFR TKI resistance we measured the effects of the PLK1 inhibitor volasertib alone and in combination with the EGFR inhibitor erlotinib in vitro and in vivo in EGFR mutant NSCLC cell lines with acquired resistance to erlotinib. Two erlotinib-resistant cell lines that underwent EMT had higher sensitivity to volasertib, which caused G2/M arrest and apoptosis, than their parental cells. In all NSCLC cell lines with T790M mutations, volasertib markedly reduced erlotinib resistance. All erlotinib-resistant NSCLC cell lines with T790M mutations had higher sensitivity to erlotinib plus volasertib than to erlotinib alone, and the combination treatment caused G2/M arrest and apoptosis. Compared with either agent alone, the combination treatment also caused significantly more DNA damage and greater reductions in tumor size. Our results suggest that PLK1 inhibition is clinically effective against NSCLC that becomes resistant to EGFR inhibition through EMT or the acquisition of a T790M mutation. These results uncover new functions of PLK1 inhibition in the treatment of NSCLC with acquired resistance to EGFR TKIs.

    关键词

    EPITHELIAL-MESENCHYMAL TRANSITION; STRAND BREAK REPAIR; TYROSINE KINASE; EGFR-TKI; ERLOTINIB-RESISTANCE; PI3K INHIBITORS; DRUG TARGETS; DNA-DAMAGE; PHASE-I; ADENOCARCINOMA
基本信息

  • 所属机构:

    归属医师: 王黎光

    PMID:27384992

    UT:000385413000091

    刊名:ONCOTARGET

    年,卷(期):2016年7卷30期

    页码:47998-48010

    DOI:10.18632/oncotarget.10332

    附件: pdf

    收录:   SCIE