AXL degradation in combination with EGFR-TKI can delay and overcome acquired resistance in human non-small cell lung cancer cells

Acquired resistance to epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) has been a major obstacle in the treatment of non-small cell lung cancer (NSCLC) patients. AXL has been reported to mediate EGFR-TKIs. Recently, third generation EGFR-TKI osimertinib has been approved and...

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Veröffentlicht in:Cell death & disease 2019-05, Vol.10 (5), p.361-361, Article 361
Hauptverfasser: Kim, Donghwa, Bach, Duc-Hiep, Fan, Yan-Hua, Luu, Thi-Thu-Trang, Hong, Ji-Young, Park, Hyen Joo, Lee, Sang Kook
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container_issue 5
container_start_page 361
container_title Cell death & disease
container_volume 10
creator Kim, Donghwa
Bach, Duc-Hiep
Fan, Yan-Hua
Luu, Thi-Thu-Trang
Hong, Ji-Young
Park, Hyen Joo
Lee, Sang Kook
description Acquired resistance to epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) has been a major obstacle in the treatment of non-small cell lung cancer (NSCLC) patients. AXL has been reported to mediate EGFR-TKIs. Recently, third generation EGFR-TKI osimertinib has been approved and yet its acquired resistance mechanism is not clearly understood. We found that AXL is involved in both gefitinib and osimertinib resistance using in vitro and in vivo model. In addition, AXL overexpression was correlated with extended protein degradation rate. We demonstrate targeting AXL degradation is an alternative route to restore EGFR-TKIs sensitivity. We confirmed that the combination effect of YD, an AXL degrader, and EGFR-TKIs can delay or overcome EGFR-TKIs-driven resistance in EGFR-mutant NSCLC cells, xenograft tumors, and patient-derived xenograft (PDX) models. Therefore, combination of EGFR-TKI and AXL degrader is a potentially effective treatment strategy for overcoming and delaying acquired resistance in NSCLC.
doi_str_mv 10.1038/s41419-019-1601-6
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AXL has been reported to mediate EGFR-TKIs. Recently, third generation EGFR-TKI osimertinib has been approved and yet its acquired resistance mechanism is not clearly understood. We found that AXL is involved in both gefitinib and osimertinib resistance using in vitro and in vivo model. In addition, AXL overexpression was correlated with extended protein degradation rate. We demonstrate targeting AXL degradation is an alternative route to restore EGFR-TKIs sensitivity. We confirmed that the combination effect of YD, an AXL degrader, and EGFR-TKIs can delay or overcome EGFR-TKIs-driven resistance in EGFR-mutant NSCLC cells, xenograft tumors, and patient-derived xenograft (PDX) models. Therefore, combination of EGFR-TKI and AXL degrader is a potentially effective treatment strategy for overcoming and delaying acquired resistance in NSCLC.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>31043587</pmid><doi>10.1038/s41419-019-1601-6</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-4306-7024</orcidid><oa>free_for_read</oa></addata></record>
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subjects 13/1
13/109
13/51
13/89
13/95
14/19
38
38/77
38/90
59
59/5
631/154/556
631/67/1612/1350
64
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82
82/80
96
Acrylamides - pharmacology
Aniline Compounds - pharmacology
Animals
Antibodies
Antineoplastic Agents - pharmacology
Axl protein
Biochemistry
Biomedical and Life Sciences
Carcinoma, Non-Small-Cell Lung - drug therapy
Carcinoma, Non-Small-Cell Lung - genetics
Carcinoma, Non-Small-Cell Lung - metabolism
Carcinoma, Non-Small-Cell Lung - pathology
Cell Biology
Cell Culture
Cell Line, Tumor
Cell Proliferation - drug effects
Drug Resistance, Neoplasm - drug effects
Drug Resistance, Neoplasm - genetics
Drugs, Chinese Herbal - pharmacology
Epidermal growth factor
Epidermal growth factor receptors
ErbB Receptors - antagonists & inhibitors
ErbB Receptors - genetics
ErbB Receptors - metabolism
Female
Gefitinib
Gefitinib - pharmacology
Gene Expression Regulation, Neoplastic
Immunology
Kinases
Life Sciences
Lung cancer
Lung Neoplasms - drug therapy
Lung Neoplasms - genetics
Lung Neoplasms - metabolism
Lung Neoplasms - pathology
Male
Mice, Nude
Non-small cell lung carcinoma
Protein Kinase Inhibitors - pharmacology
Protein-tyrosine kinase
Proteolysis - drug effects
Proto-Oncogene Proteins - antagonists & inhibitors
Proto-Oncogene Proteins - genetics
Proto-Oncogene Proteins - metabolism
Receptor Protein-Tyrosine Kinases - antagonists & inhibitors
Receptor Protein-Tyrosine Kinases - genetics
Receptor Protein-Tyrosine Kinases - metabolism
RNA, Small Interfering - genetics
RNA, Small Interfering - metabolism
Signal Transduction
Terpenes - pharmacology
Tumor Burden - drug effects
Xenograft Model Antitumor Assays
Xenografts
title AXL degradation in combination with EGFR-TKI can delay and overcome acquired resistance in human non-small cell lung cancer cells
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