Ethacrynic acid improves the antitumor effects of irreversible epidermal growth factor receptor tyrosine kinase inhibitors in breast cancer

Prolonged treatment of breast cancer with epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) often results in acquired resistance and a narrow therapeutic index. One strategy to improve the therapeutic effects of EGFR TKIs is to combine them with drugs used for other clinical...

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Veröffentlicht in:Oncotarget 2016-09, Vol.7 (36), p.58038-58050
Hauptverfasser: Liu, Bing, Huang, XinPing, Hu, YunLong, Chen, TingTing, Peng, BoYa, Gao, NingNing, Jin, ZhenChao, Jia, TieLiu, Zhang, Na, Wang, ZhuLin, Jin, GuangYi
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container_end_page 58050
container_issue 36
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container_title Oncotarget
container_volume 7
creator Liu, Bing
Huang, XinPing
Hu, YunLong
Chen, TingTing
Peng, BoYa
Gao, NingNing
Jin, ZhenChao
Jia, TieLiu
Zhang, Na
Wang, ZhuLin
Jin, GuangYi
description Prolonged treatment of breast cancer with epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) often results in acquired resistance and a narrow therapeutic index. One strategy to improve the therapeutic effects of EGFR TKIs is to combine them with drugs used for other clinical indications. Ethacrynic acid (EA) is an FDA approved drug that may have antitumor effects and may enhance the cytotoxicity of chemotherapeutic agents by binding to glutathione and inhibiting WNT signaling. While the α,β-unsaturated-keto structure of EA is similar to that of irreversible TKIs, the mechanism of action of EA when combined with irreversible EGFR TKIs in breast cancer remains unknown. We therefore investigated the combination of irreversible EGFR TKIs and EA. We found that irreversible EGFR TKIs and EA synergistically inhibit breast cancer both in vitro and in vivo. The combination of EGFR TKIs and EA induces necrosis and cell cycle arrest and represses WNT/β-catenin signaling as well as MAPK-ERK1/2 signaling. We conclude that EA synergistically enhances the antitumor effects of irreversible EGFR TKIs in breast cancer.
doi_str_mv 10.18632/oncotarget.10846
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One strategy to improve the therapeutic effects of EGFR TKIs is to combine them with drugs used for other clinical indications. Ethacrynic acid (EA) is an FDA approved drug that may have antitumor effects and may enhance the cytotoxicity of chemotherapeutic agents by binding to glutathione and inhibiting WNT signaling. While the α,β-unsaturated-keto structure of EA is similar to that of irreversible TKIs, the mechanism of action of EA when combined with irreversible EGFR TKIs in breast cancer remains unknown. We therefore investigated the combination of irreversible EGFR TKIs and EA. We found that irreversible EGFR TKIs and EA synergistically inhibit breast cancer both in vitro and in vivo. The combination of EGFR TKIs and EA induces necrosis and cell cycle arrest and represses WNT/β-catenin signaling as well as MAPK-ERK1/2 signaling. We conclude that EA synergistically enhances the antitumor effects of irreversible EGFR TKIs in breast cancer.</description><identifier>ISSN: 1949-2553</identifier><identifier>EISSN: 1949-2553</identifier><identifier>DOI: 10.18632/oncotarget.10846</identifier><identifier>PMID: 27487128</identifier><language>eng</language><publisher>United States: Impact Journals LLC</publisher><subject>Animals ; Antineoplastic Agents - pharmacology ; Antineoplastic Agents - therapeutic use ; Antineoplastic Combined Chemotherapy Protocols - pharmacology ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Apoptosis - drug effects ; Breast - pathology ; Breast Neoplasms - drug therapy ; Breast Neoplasms - pathology ; Cell Cycle Checkpoints - drug effects ; Cell Proliferation - drug effects ; Drug Resistance, Neoplasm - drug effects ; Drug Synergism ; Ethacrynic Acid - pharmacology ; Ethacrynic Acid - therapeutic use ; Female ; Humans ; MAP Kinase Signaling System - drug effects ; MCF-7 Cells ; Mice, Inbred BALB C ; Protein Kinase Inhibitors - pharmacology ; Protein Kinase Inhibitors - therapeutic use ; Quinazolines - pharmacology ; Quinazolines - therapeutic use ; Quinolines - pharmacology ; Quinolines - therapeutic use ; Receptor, Epidermal Growth Factor - antagonists &amp; inhibitors ; Research Paper ; Wnt Signaling Pathway - drug effects ; Xenograft Model Antitumor Assays</subject><ispartof>Oncotarget, 2016-09, Vol.7 (36), p.58038-58050</ispartof><rights>Copyright: © 2016 Liu et al. 2016</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-ea553c9623e263160975e2ec09310343030ea88328e2660bd2847b02a4d41ed73</citedby><cites>FETCH-LOGICAL-c356t-ea553c9623e263160975e2ec09310343030ea88328e2660bd2847b02a4d41ed73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5295410/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5295410/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27487128$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Bing</creatorcontrib><creatorcontrib>Huang, XinPing</creatorcontrib><creatorcontrib>Hu, YunLong</creatorcontrib><creatorcontrib>Chen, TingTing</creatorcontrib><creatorcontrib>Peng, BoYa</creatorcontrib><creatorcontrib>Gao, NingNing</creatorcontrib><creatorcontrib>Jin, ZhenChao</creatorcontrib><creatorcontrib>Jia, TieLiu</creatorcontrib><creatorcontrib>Zhang, Na</creatorcontrib><creatorcontrib>Wang, ZhuLin</creatorcontrib><creatorcontrib>Jin, GuangYi</creatorcontrib><title>Ethacrynic acid improves the antitumor effects of irreversible epidermal growth factor receptor tyrosine kinase inhibitors in breast cancer</title><title>Oncotarget</title><addtitle>Oncotarget</addtitle><description>Prolonged treatment of breast cancer with epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) often results in acquired resistance and a narrow therapeutic index. 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subjects Animals
Antineoplastic Agents - pharmacology
Antineoplastic Agents - therapeutic use
Antineoplastic Combined Chemotherapy Protocols - pharmacology
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Apoptosis - drug effects
Breast - pathology
Breast Neoplasms - drug therapy
Breast Neoplasms - pathology
Cell Cycle Checkpoints - drug effects
Cell Proliferation - drug effects
Drug Resistance, Neoplasm - drug effects
Drug Synergism
Ethacrynic Acid - pharmacology
Ethacrynic Acid - therapeutic use
Female
Humans
MAP Kinase Signaling System - drug effects
MCF-7 Cells
Mice, Inbred BALB C
Protein Kinase Inhibitors - pharmacology
Protein Kinase Inhibitors - therapeutic use
Quinazolines - pharmacology
Quinazolines - therapeutic use
Quinolines - pharmacology
Quinolines - therapeutic use
Receptor, Epidermal Growth Factor - antagonists & inhibitors
Research Paper
Wnt Signaling Pathway - drug effects
Xenograft Model Antitumor Assays
title Ethacrynic acid improves the antitumor effects of irreversible epidermal growth factor receptor tyrosine kinase inhibitors in breast cancer
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